scholarly journals Regional disparities in the flow of access to breast cancer hospitalizations in Brazil in 2004 and 2014

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Beatriz Castro de Souza ◽  
Francisco Winter dos Santos Figueiredo ◽  
Luiz Vinicius de Alcantara Sousa ◽  
Erika da Silva Maciel ◽  
Fernando Adami

Abstract Background Access to the diagnosis and treatment of breast cancer in Brazil is marked by immense inequalities in the provision of specialized assistance, which leads patients to seek treatment outside the place of residence. To evaluate the variations between 2004 and 2014 in the distribution of flow between place of residence and care, and the average distance traveled for treatment of breast cancer in the administrative regions and federal states of Brazil. Method Analysis of secondary data from the years 2004 and 2014, extracted from the Department of Informatics of the Unified Health System through the Hospital Information System. Data from Hospitalization Release Authorizations were collected, and the maps were created with TabWin 3.6 software. Descriptive analysis was performed on Stata® (StataCorp, LC) 11.0. Results In the total flow, it was observed that there was a decrease in referrals between 2004 and 2014 in most regions. In 2004 the main direction of flow was in the Midwest and Southeast regions. In 2014, however, the intensity of these admissions was centralized in the Southeast region. In relation to the average distance traveled, the North, Northeast, and Midwest regions had the highest values of displacement. Of the 27 federative units, 17 presented an increase in average distance between these periods. Conclusion Despite the improvement in the hospitalization of residents, in most regions and federal units, Brazilians still travel great distances when they require treatment for breast cancer.

Author(s):  
Larissa Queiroz Costa Carneiro ◽  
Isabela Menezes Barbosa ◽  
Igor de Souza Cardoso ◽  
Cláudio Alberto Gellis de Mattos Dias ◽  
Euzébio de Oliveira ◽  
...  

Ophidian accidents are a significant public health problem worldwide, due to both their frequency and morbidity and mortality. In Brazil, during the years 2009 to 2019 there were 313,139 registered cases, of which 151,565 occurred in the North Region, making explicit the importance of studying this disease in that Region. The objective of the present study is to determine the epidemiological profile of the affected patients (age and sex), the accident itself (UF, month, year, time to attend) and the snake gender of the accidents that occurred in the Northern region of Brazil. Secondary data were obtained through access to the Information Department of the Brazilian Unified Health System (DATASUS), at the electronic address www.datasus.gov.br, in the SIH / SUS Hospital Information System. It was found that the accidents occurred mainly in rural areas, with men, in socioeconomically active age, caused by snakes of the Bothrops genus. Several cases could be classified as accidents at work, these could be avoided or minimized with appropriate personal protective equipment and guidelines.


2020 ◽  
Vol 3 (1) ◽  
pp. 104-117
Author(s):  
Ahmad Yani Nasution

This study is entitled "A Review of Maqashid Al-Shari’ah Against the Protection of Orphans' Mental Life in the North Sumatra Governor Regulation No. 6 of 2017 Regarding Orphan Protection". The purpose of this study is First To find out how the protection of life in the Governor of South Sumatra No. 6 of 2017 concerning Protection of Orphans. Second To find out how Maqashid al-Syari’ah review of life protection in the Governor of South Sumatra No. 6 of 2017 concerning Protection of Orphans. In this study the authors used a descriptive analysis technique, which seeks to describe in general the efforts to protect the lives of orphans in South Sumatra local government regulation no 6 of 2017 concerning orphans, as viewed from Maqashid as-Syari’ah from secondary data in the form of books, scientific work of scholars, research results, articles, journals and documents that support this research. In this way the reader will get the results of research on the protection of the lives of orphans in the summit regulation regarding the protection of orphans. After analyzing the Governor's Regulation No. 6 of 2017 the author finally came to the conclusion that in the Governor's Regulation there is the principal of Maqashid Shari'ah, the Hifz Nafs. (preserving the soul). Abstrak Penelitian ini berjudul “Tinjauan Maqashid Al-Syari'ah Terhadap Perlindungan Jiwa Anak Yatimdalam Pergub Sumsel Nomor 6 Tahun 2017 Tentang Perlindungan Anak Yatim”. Adapun tujuan dari penelitian ini adalah Pertama Untuk mengetahui bagaimana perlindungan jiwa dalam Pergub Sumsel Nomor 6 Tahun 2017 tentang Perlindungan Anak Yatim. Kedua Untuk mengetahui bagaimana tinjauan Maqashid asy-Syri’ah terhadap perlindungan jiwa dalam Pergub Sumsel Nomor 6 Tahun 2017 tentang Perlindungan Anak Yatim. Dalam penelitian ini penulis mengunakan teknik analisis deskriptif, yaitu berusaha mengambarkan secara umum tentang upaya perlindungan jiwa terhadap anak yatim dalam Peraturan pemerintah daerah sumatera selatan no 6 tahun 2017 tentang anak yatim, yang ditinjau dari Maqashid as-Syari’ahdari data sekunder yang berupa buku- buku, hasil karya ilmia para sarjana, hasil-hasil penelitian, artikel, jurnal dan dokumen-dokumen yang mendukung penelitian ini. Dengan cara demikian pembaca akan mendapatkan hasil penelitian tentang perlindungan jiwa anak yatim dalam pergub sumsel tentang perlindungan anak yatim. Setelah menganalisa pergub sumsel nomor 6 tahun 2017 akhirnya penulis mendapat kesimpulan bahwa dalam pergub tersebut terdapat pokok maqashid syari’ah yaitu hifz nafs. (memelihara jiwa).


Author(s):  
André Akira Ramos Takahashi ◽  
Saulo Barros Teixeira ◽  
Giovanna Zambo Galafassi ◽  
Maria Beatriz Almeida Silva ◽  
Victoria Fernandez Comprido ◽  
...  

Abstract Introduction Traumatic brain injuries (TBIs) are a public health problem with high economic impact, as well as an important cause of death and sequela in polytrauma patients, affecting mainly young adults. Objective To analyze the temporal trend of TBI incidence in Brazil between 2008 and 2019, according to age group and gender. Methods An ecological study, based on secondary data from hospital admissions for TBI in all Brazilian states between 2008 and 2019. The numbers were collected using the hospital information system of the Unified Health System in Brazil. We performed a descriptive analysis using the data obtained. Linear regression models were used to measure the incidence trend of TBI in the period adopted. Results The state of Piauí had the highest increase in the incidence of TBI in the country in the last 10 years (coefficient β = 63.43 e p = 0.002). The main concern, though, is the increase in the incidence of TBI amongst children (0–4 years old) in the states of Ceará (β = 31.22 and p < 0.001 for boys; β = 42.20 and p < 0.001 for girls), Paraná (β = 37.26 and p = 0.011 for boys; β = 25.90 and p = 0.015 for girls), Pernambuco (β = 20.08 and p = 0.016 for girls), Mato Grosso (β = 18.76 and p = 0.005 for boys; β = 16.11 and p = 0.035 for girls), and Distrito Federal (β = 48.87 and p = 0.004 for girls; β = 48.28 and p = 0.006 for boys). Conclusion The analysis of the results is able to point out improvements that can be made. Besides that, it is remarkably important to redirect public polices to preventive medicine since many of the TBI causes are avoidable through awareness and education of the population.


2021 ◽  
Vol 8 (1) ◽  
pp. 1-9
Author(s):  
Cep Ubad Abdullah ◽  
Shandra Rama Panji Wulung

ABSTRAKPentingnya multilingulisme pada aktivitas pariwisata dipicu oleh adanya hambatan komunikasi dan budaya antara pengelola daya tarik wisata dengan wisatawan. Penelitian ini bertujuan untuk mengidentifikasi program-program yang telah dilakukan oleh pengelola daya tarik wisata di Kawasan Bandung Utara. Penelitian ini dilakukan selama empat bulan di tahun 2020 dan dilaksanakan di kawasan pariwisata di Bandung Utara yang difokuskan pada dua daya tarik ikonik yaitu Taman Wisata Alam Gunung Tangkubanparahu dan Tebing Keraton. Penelitian ini menggunakan pendekatan kualitatif dengan menggunakan data primer dan sekunder. Data primer didapatkan melalui observasi lapangan dan wawancara dengan pengelola dua daya tarik wisata. Data sekunder didapatkan melalui penelitian terdahulu, kebijakan pemerintah setempat, dan media digital melalui situs web dan media sosial. Metode analisis menggunakan analisis deskriptif kualitatif melalui tahapan analisis sebelum di lapangan, reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa daya tarik wisata Tebing Keraton dan TWA Tangkubanparahu memiliki komunikasi multi bahasa melalui media daring dan luring. Pesan yang disampaikan mengenai kondisi, posisi, dan peraturan bagi wisata selama di daya tarik wisata. Kata kunci:      Daya tarik wisata, Gunung Tangkubanparahu, Multilingualisme, Tebing Keraton ABSTRACTThe importance of multilingualism in tourism activities is due to communication and cultural barriers between managers of tourist attractions and tourists. This study aims to identify programs that have been carried out by managers of tourist attractions in the North Bandung area, Indonesia. This study had been for four months in 2020 and carried out in a tourism area in North Bandung which focused on two iconic attractions, namely the Tangkubanparahu Mountain Nature Tourism Park and the Tebing Keraton. This study used a qualitative approach featuring primary and secondary data. The primary data were obtained through observations and interviews with managers of two tourist attractions., while the secondary data were obtained through previous research, local government policies, and digital media through websites and social media. In the meantime, the method of analysis used qualitative descriptive analysis through the stages of analysis before coming to the field, data reduction, data presentation, and conclusion drawing. The results showed that the tourist attractions of Tangkubanparahu Mountain Nature Tourism Park and Tebing Keraton have multi-language communications through online and offline media. The message conveyed was regarding the conditions, position, and regulations for the tour while at the tourist attraction. Keywords:       Multilingualism, Mount Tangkubanparahu, Tebing Keraton, Tourist Attraction


2017 ◽  
Vol 9 (4) ◽  
pp. 38 ◽  
Author(s):  
Isaac B. Oluwatayo

Economic transactions in many of the countries in Africa are still largely cash-based and many of these transactions are costly, inefficient, time consuming and sometimes risky because of the security situation in most countries in the continent. In fact, finality of payment is not always guaranteed because of potential counterfeits and the lack of financial discipline when cheques or other paper-based means of payment are used. The introduction of electronic banking services into the Nigerian banking sector has brought some respite considering the number of people now using electronic platforms such as the Automated Teller Machines (ATM), mobile phones, internet and bank websites instead of the conventional over the counter method used by most people. The result presented in here is based on secondary data consisting of 6002 respondents collected by The Financial Inclusion Insights Program, InterMedia. A descriptive analysis of data showed that the North-central (35%) and South-west (33%) geopolitical zones of the country had the highest as over one-third of the residents harnessed internet as the platform for their banking services. Meanwhile on the determinants of using electronic banking services, the result of the tobit model employed revealed age, gender, education status, and ownership of mobile phones as positive enablers and poverty status, distance to banking services and marital status as hiccups to using electronic banking services. The study therefore recommends welfare enhancement through provision of infrastructural facilities to ease access banking services, Also capacity building of respondents through education should be intensified since most of the people using these electronic platforms are those with a minimum of secondary education.


2017 ◽  
Vol 9 (4(J)) ◽  
pp. 38-48
Author(s):  
Isaac B. Oluwatayo

Economic transactions in many of the countries in Africa are still largely cash-based and many of these transactions are costly, inefficient, time consuming and sometimes risky because of the security situation in most countries in the continent. In fact, finality of payment is not always guaranteed because of potential counterfeits and the lack of financial discipline when cheques or other paper-based means of payment are used. The introduction of electronic banking services into the Nigerian banking sector has brought some respite considering the number of people now using electronic platforms such as the Automated Teller Machines (ATM), mobile phones, internet and bank websites instead of the conventional over the counter method used by most people. The result presented in here is based on secondary data consisting of 6002 respondents collected by The Financial Inclusion Insights Program, InterMedia. A descriptive analysis of data showed that the North-central (35%) and South-west (33%) geopolitical zones of the country had the highest as over one-third of the residents harnessed internet as the platform for their banking services. Meanwhile on the determinants of using electronic banking services, the result of the tobit model employed revealed age, gender, education status, and ownership of mobile phones as positive enablers and poverty status, distance to banking services and marital status as hiccups to using electronic banking services. The study therefore recommends welfare enhancement through provision of infrastructural facilities to ease access banking services, Also capacity building of respondents through education should be intensified since most of the people using these electronic platforms are those with a minimum of secondary education.


2019 ◽  
Vol 15 (2) ◽  
pp. 369
Author(s):  
Vicky ., Suoth ◽  
Agnes Estephina Loho ◽  
Eyverson ., Ruauw

The purpose of this study was to examine the performance of the cocoa agribusiness system in the North Bolaang Mongondow Regency. This research was carried out for 6 months from January to June 2018. Theresearch location was chosen purposively where Kaidipang District and Bolaang Itang District were the centers of cocoa production in North Sulawesi. The samples taken were all members of the two Farmer Groups selected from the two selected sub-districts namely the Tolerant Farmers Group and the Advanced Advanced Farmers Group. Primary data was obtained through direct interviews with 16 respondents from the Joint Advanced Farmers Group and 19 respondents from the Tolerant Farmers Group so that the total respondents were 35 people. Interviews are conducted based on a list of questions that have been prepared previously. Direct observations are also made regarding plant cultivation and maintenance activities. Secondary data was obtained from the relevant agencies regarding the production data and the size area of cocoa land obtained from the Plantation Office and the Central Statistics Agency. Analysis of the data used is descriptive analysis. The results showed that upstream agribusiness agri-business activities in the form of use of sprayers, scissors, knives, lawn mowers, fertilizers and pesticides. The activities of the agriproduction subsystem in the form of cultivation techniques include the use of production facilities and cultivation technologies such as continuous entries. On subsystem activity. downstream agri industry, farmers are still in a simple stage where fruit processing still uses sun-drying techniques. While in the farmer'sagricultural system activities, it sells cocoa to village traders and district traders. The supporting subsystem has not yet worked on all subsystems, as in the subsystem of the management role of the supporting institutions it has not played a role in causing farmers to only be price recipients. The cocoa agribusiness system has occured but has not worked efficiently.*eprm*


2019 ◽  
Vol 4 (4) ◽  
pp. 18-26
Author(s):  
Supriadi Supriadi ◽  
Abrian Amirullah ◽  
Nurani Hartatik

I Gusti Ngurah Rai International Airport, as it is known, is taken from the name of national hero I Gusti Ngurah Rai who is a very influential figure for the people of Bali Island. I Gusti Ngurah Rai International Airport currently has 11 taxiways which are divided into 9 taxiways on the North runway / North (2 parallel taxiways, 2 rapid exit taxiways, and 5 exit taxiways) and 2 taxiways on the South runway. This writing uses primary and secondary data which will be analyzed by descriptive analysis method. Descriptive analysis method is research that is intended to collect information about the status - the status of a symptom that exists, namely the state of symptoms according to what they were when the study was conducted. The author also uses the pavement design application in the form of FAARFIELD and COMFAA to support the research method used. Therefore, to be able to receive loads from aircraft passing through taxiways, it is necessary to calculate the planing of the pavement on the taxiways that will be built so that they are able to withstand the loads that will be received for flight safety and fulfill the age of the plan itself. The new taxiway parallel to the south of the runway needs to be built to support the operational activities of the annual IMF (International Monetary Fund) activities and taxiway overlaying in all North taxiways. In addition, it is expected to reduce the number of aircraft carrying out cross runways from the southern apron to the northern apron or to the northern taxiway parallel.


2020 ◽  
Vol 202 ◽  
pp. 06042
Author(s):  
Azis Nur Bambang ◽  
Imam Triarso ◽  
Abdul Kohar Muzakir

Pekalongan City is a coastal area on the north coast of Central Java Province, which has a fairly large fishing port, namely Pekalongan Archipelago Fishery Port.. This research objective to determine the exellent commodities of capture fisheries and efforts to preserve capture fisheries resources. Descriptive research methods have been used in this research. The data taken is secondary data from literature studies and related institutions, because the time of the research was still in the Covit 19 pandemic. Analysis of the data used is quantitative descriptive analysis. The research results showed that the dominant fishing gear was Purse seine and Gillnet. Purse seine vessels used are mini purse seine (<30GT) and pursein (> 30GT). Exellent commodity include Layang (Decapterus sp), Tonngkol (Thunnus tonggol) and Tembang (Sardinella fimbriata). Efforts to preserve fish resources in the City of Pekalongan are done by regulating the number of fishing gear and limiting the number of production and the number of fishing trips. The government policies in the effort to maintain the sustainability of fish resources include: banning the use of trawl and seine net, determination of Fisheries Management Areas (WPP) and limitation on the amount of catches allowed (JTB), as well as establishing fishing lanes.


2020 ◽  
Vol 19 ◽  
pp. e200126
Author(s):  
Mateus de Azevedo Kinalski ◽  
Ana Luiza Cardoso Pires ◽  
Júlia Machado Saporiti ◽  
Mateus Bertolini Fernandes dos Santos

Aim: This retrospective study aims to describe and analyze the number of dental implants and implant-retained prostheses performed by the Unified Health System (SUS) in the last decade. Methods: This study is based on secondary data from the official government database (DATASUS) performed from January 2010 to December 2019 and is reported following the STROBE. A descriptive analysis was performed of the total sample and the stratified sample divided by Brazilian states. Results: A total of 143,037 dental implants and 93,325 implant-retained prostheses were provided by SUS. It is possible to observe that some states played a massive role on the provision of dental implants and implant-retained prostheses (Parana state: 58.4% and 55.9% and Paraiba state: 21.1% and 25.2% of the total amount of dental implants and implant-retained prostheses, respectively) while some states did not provide a single implant-retained prosthesis. Also, inland cities were mostly responsible for the number of procedures compared to the state capitals. Conclusion: Although dental implant therapy is available in SUS across the country, the number of treatments provided in the last decade is still very limited and is also mainly concentrated in the southeastern region of Brazil.


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