scholarly journals Analysis of patients with prostate cancer care at a reference hospital in the state of Tocantins, suitable for brachytherapy

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
André De Souza Bezerra ◽  
Carlos Alberto Zeituni ◽  
Maria Elisa Chuery Martins Rostelato

Observation and identification of predictive factors for results and morbidity are essential in the ideal selection of patients who can use brachytherapy as a treatment modality for prostate cancer. Thus, the objective of this research is to analyze the population of patients with prostate cancer treated at the General Public Hospital of Palmas in 2015, in the state of Tocantins. The method used was quantitative, with the characteristics of a retrospective, transversal and descriptive analysis. Held in the largest state health unit, the General Public Hospital of Palmas that, despite its large dimensions, lives with the main problems of the Unified Health System, such as overcrowding and shortages. It was found that most of the patients seen corresponded to the age of 70 to 79 years, making 45%, followed by patients aged between 60 and 69 years, with 33%. Most of the individuals attended were from the state of Tocantins, but some lived in an adjacent city in the state of Pará. Data related to the Gleason score showed that there was a predominance of levels 6 and 7 indicating intermediate grade tumors, considering that the most of the observed population was older. It was concluded that the analyzed patients had a predominant staging of CaP II and III, thus most of the individuals, 23 of the 35 analyzed, were not able to undergo brachytherapy due to the high degree of disease staging.

Author(s):  
Carlos Alberto Paraguassu Chaves ◽  
Allan Kardec Duailibe Barros Filho ◽  
Carlos de Andrade Macieira ◽  
Fabrício Moraes de Almeida ◽  
Lenita Rodrigues Moreira Dantas ◽  
...  

Objective: Objective: Analyzes the epidemiological and sociodemographic characterization of women and men with cancer in the State of Rondônia, Western Amazon (Brazil), diagnosed over a period of 2 (two) years. Materials and Methods: It is a documentary, cross-sectional and descriptive study, with the systematization of primary data, according to the methodological model recommended by Paraguassú-Chaves et al [25]. We used an instrument developde by Paraguassu-Chaves et al [26], semi-structured, divided into two blocks: (a) Block I – sociodemographic profile and (b) Block II – epidemiological profile. The Ethics Committee on Human Research at the reference hospital was asked to waive the Informed Consent Form. The research project is in accordance with Resolution 196/96 of the National Health Council of Brazil. Results: Of the 3.333 new cases of cancer, 53.4% ​​were female and 46.5% male. The 10 (ten) most common types of cancer among men and women in Rondônia over a 2-year period were non-melanoma skin (C44), breast (C50), prostate (C61), cervix (C53), stomach (C16), thyroid gland (C73), bronchi and lungs (C33-C34), colon (C18), reticuloendothelial hematopoietic system (C42) and rectal cancer (C20). An age range of 50 to 69 years was predominant in both sexes and patients with low educational level. The highest frequency was for married patients. There was a predominance of brown skin, patients born in the State of Rondônia (22.6%) and agricultural workers. The Unified Health System - SUS was responsible for the entry for treatment of 99.5% of patients. Most patients underwent “other isolated therapeutic procedures” and with the disease in advanced stages. Conclusions: The estimate of new cancer cases in Rondônia follows an increasing trend. The scenarios selected from the variables of the sociodemographic and epidemiological indicators of the research require the public health authorities of Rondônia, urgent redirection of actions and strategies for the prevention, control, assistance and treatment of cancer in women and men in Rondônia.


Author(s):  
Luciana Leite de Mattos Alcantara ◽  
Núbia Karla de Oliveira Almeida ◽  
Renan Moritz Varnier Rodrigues de Almeida

Abstract Objective To investigate the patterns of hospital births in the state of Rio de Janeiro (RJ), Brazil, between 2015 and 2016; considering the classification of obstetric characteristics proposed by Robson and the prenatal care index proposed by Kotelchuck. Methods Data obtained from the Information System on Live Births of the Informatics Department of the Brazilian Unified Health System (SINASC/DATASUS, in the Portuguese acronym) databases were used to group pregnant women relatively to the Robson classification. A descriptive analysis was performed for each Robson group, considering the variables: maternal age, marital status, schooling, parity, Kotelchuck prenatal adequacy index and gestational age. A logistic model estimated odds ratios (ORs) for cesarean sections (C-sections), considering the aforementioned variables. Results Out of the 456,089 live births in Rio de Janeiro state between 2015 and 2016, 391,961 records were retained, 60.3% of which were C-sections. Most pregnant women (58.6%) were classified in groups 5, 2 or 3. The percentage of C-sections in the Robson groups 1, 2, 3, 4, 5 and 8 was much higher than expected. Prenatal care proved to be inadequate for women who subsequently had a vaginal delivery, had an unfavorable family structure and a lower socioeconomic status (mothers without partners and with lower schooling), compared with those undergoing cesarean delivery. For a same Robson group, the chance of C-section increases when maternal age rises (OR = 3.33 for 41–45 years old), there is the presence of a partner (OR = 1.81) and prenatal care improves (OR = 3.19 for “adequate plus”). Conclusion There are indications that in the state of RJ, from 2015 to 2016, many cesarean deliveries were performed due to nonclinical factors.


2021 ◽  
Vol 74 (suppl 1) ◽  
Author(s):  
Valéria Gomes Fernandes da Silva ◽  
Bruno Neves da Silva ◽  
Érika Simone Galvão Pinto ◽  
Rejane Maria Paiva de Menezes

ABSTRACT Objective: Reflect on the work experienced by the nurse in coping with the COVID-19 pandemic in a public hospital of the State of Rio Grande do Norte. Methods: Reflective essay based in the professional experience in a public reference hospital for the care of patients affected by COVID-19 in the State of Rio Grande do Norte. Results were organized in two empirical categories, which emphasize potentialities and barriers in the nurse’s work in the face of the COVID-19, presented by means of Ishikawa diagram. Results: Two categories emerged from the experiences: Nursing leadership in organizing health services to face COVID-19; and the performance of nursing care management in the COVID-19 pandemic. Final considerations: It is necessary to value the nurse’s work in all its attributes, as well as strengthen the interdisciplinary work processes, which collaborate to overcome the crisis caused by the pandemic.


Author(s):  
Helen Kerlen Bastos Fuzari ◽  
Armèle Dornelas de Andrade ◽  
Renata Janaina Pereira de Souza ◽  
Silvya Nery Bernardino ◽  
Fernando Henrique Moraes de Souza ◽  
...  

Abstract Objective To outline the epidemiological profile of surgical patients treated at the peripheral-nerve outpatient clinic of a public hospital in the state of Pernambuco, Brazil, from 2008 (the year this service was implemented in the hospital ) to 2016. Material and Methods A cross-sectional study with data collection from the medical records. A descriptive analysis was performed with the qualitative variables presented as relative and absolute frequencies, and the quantitative variables, as means and standard deviations. The studied variables were gender, age, diagnosis, and surgical techniques. Results In total, 506 medical records were analyzed. Of these, 269 were of male patients (53%), and 238 were of female patients (46%). The age of the sample ranged from 5 to 84 years (41 ± 14 years). The most prevalent diagnoses were: carpal tunnel syndrome (38.9%) followed by traumatic brachial plexus injury (33.2%). The first diagnosis was more frequent among women, while the second, among men. This collaborates with the predominant findings of upper-limb lesions (91%), in which men accounted for 52,75% (244) and women, for 47,25% (217). Conclusion The present study provided relevant information regarding the reality of peripheral-nerve surgeries performed at a public hospital in the state of Pernambuco, Brazil. Public health issues increasingly require the continuity of public policies and government incentive.


2007 ◽  
Vol 5 (2) ◽  
pp. 35-44
Author(s):  
Silvio Roberto Stefano ◽  
Maria Cristina Pinto Gattai ◽  
Viviane Rossini ◽  
Ana Cristina Limongi França

In  this  study,  it  was  intended  to  know  more deeply about the  satisfaction  level  of the  public university professors with the quality life at work (QLW) comparatively  to  the  private  university ones, being taken as base the bio-psycho-socials factors  of the  two groups. For  so  much, a  field research was accomplished through the selection of a sample of professors from a public university of  the  State  of Paraná  and a  private  university of the State of São Paulo. A solemnity-report instrument was applied  with  sixty  seven subjects and  the  obtained  data  were  tabulated  with  the averages  of  the  results  obtained  for  each  attribute. The appraised dependent variable – the de-gree of the professors’ satisfaction in relation  to the variables of QLW offered by the researched universities – was classified in biological, psycho-logical,  social  and  organizational.  Starting  from these data, it took place a descriptive analysis.


Author(s):  
NACIME SALOMÃO MANSUR ◽  
PATRICIA TOSIRO MARCOS ◽  
DEYVID FERNANDO MATTEI ◽  
GASPAR JESUS LOPES FILHO

ABSTRACT Introduction: to assess the efficiency of management by a Social Health Organization (Organização Social de Saúde - OSS) compared with the private sector; to verify if there are savings for the State Health Secretariat (SES) in management contracts for financing the production of a public hospital versus its production values billed by private methods; and to establish if the amounts billed by the Unified Health System (SUS) table would finance the same procedures. Methods: we compiled and tabulated all procedures performed and the materials and drugs dispensed in the Euryclides Jesus Zerbini Transplant Hospital (HTEJZ), managed by the OSS Associação Paulista Para o Desenvolvimento da Medicina (SPDM), in September, October, and November 2018, according to the Brasíndice® table for drugs, the Simpro® table for materials, the CBHPM® table for medical fees, and tables SIGTAP SUS and SIA SUS. We then compared the average values obtained in the private billing with the costing amount reimbursed by the State Health Secretariat and the billing calculated in the SIA-SUS. Results: the average SUS revenue was R$ 2,774,086.91; the monthly reimbursement by the SES was R$ 13,055,700.00; and the average private revenue was R$ 25,084,440.31. Conclusions: the management by the OSS SPDM in the Euryclides de Jesus Zerbini Transplant Hospital was more efficient in the financing / production ratio than it would be to a private hospital. The economy of public funds was significant. The current SUS table reimbursement values would not meet the need for funding for an overly complex hospital.


2020 ◽  
Vol 3 (2) ◽  
pp. 198
Author(s):  
Ahmad Muqorobin

Zakat is a financial system that is essential to create a balance between society, so as not to make the rich richer and vice versa.Zakat is an obligation for Muslims to get closer to Allah and to cleanse his property. While the tax is a mandatory contribution to the state charged to the public for the benefit of the government and the general public. Seeing the importance of zakat and tax as an instrument of income of a country, then the purpose of this study was to determine the legitimacy of a combination of zakat and taxation in Islamic law, and its application in Indonesia, whose population includes Muslims and non-Muslims. This research uses descriptive analysis approach and simultaneously inductive approach in explaining the rules of zakat and tax system and to clarify the differences between them, then explain the application of zakat and taxation in Indonesia, for increasing the zakat payment.


2021 ◽  
Vol 9 (1A) ◽  
Author(s):  
André De Souza Bezerra ◽  
Maria Elisa Chuery Martins Rostelato ◽  
Carlos Alberto Zeituni


2017 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
M. Aminudin ◽  
Sumartono Sumartono ◽  
Tjahjanulin Domai

Mechanism more relevant to fill structural positions on the value of accountability and meritocracy is open selection. Law No. 5 of 2014 concerning the State Civil Apparatus require the completion of High vacant leadership positions using the system, therefore Blora District Government to implement an open selection to fill leadership positions High Primary Regional Secretary. This study aimed to analyze the elements of procedural accountability of leadership positions open selection of Blora District Secretary. The approach used is qualitative descriptive analysis. Methods of data collection using interviews, documentation, correspondence and normative literature. The results showed step by step filling the position through an open selection since the formation of the selection committee, the establishment of standards of competence, the selection of competence, search the track record, the interview, the announcement of the selection results even coordination with the Governor and the Commission ASN has been accountable to fulfill the norms of legislation, namely Law No. 5 of 2014 concerning the State Civil Apparatus and PERMENPAN RB No. 13 Year 2014 regarding the Procedures Completion of High Leadership Position Openly in Environment Government Agencies.


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