scholarly journals Medical perception of stroke care conditions in Brazil

2018 ◽  
Vol 76 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Vivian Dias Baptista Gagliardi ◽  
Marcel Simis ◽  
Hideraldo Luiz Souza Cabeça ◽  
Rubens José Gagliardi

ABSTRACT Stroke is currently the second leading cause of death in Brazil. Neurologists’ reports on the absence of adequate resources for stroke care are frequent; however, there are no objective data on this perception. Objective To assess the perception of neurologists of stroke care conditions in Brazil. Methods Neurologists from all over Brazil were surveyed by means of an anonymous questionnaire about the main shortcomings in stroke care, focusing particularly on physical structure and infrastructure (diagnostic methods, patient transport, availability of beds, multi-professional team). Results The main shortcomings are indicated: the worst conditions, among all items surveyed, were found in the public sector. In the private sector, conditions were better. Conclusions Care conditions are worse in the public sector with regard to both infrastructure and human resources. Future public health policies for the prevention and treatment of stroke should be formulated, taking into consideration neurologists’ perceptions.

2013 ◽  
Vol 23 (55) ◽  
pp. 253-261 ◽  
Author(s):  
Alberto Manuel Quintana ◽  
Shana Hastenpflug Wottrich ◽  
Valeri Pereira Camargo ◽  
Evandro de Quadros Cherer

This study aimed to comprehend the meanings that parents/caregivers of children and adolescents diagnosed with cancer attribute to their child’s disease. It is a qualitative, exploratory/descriptive study. Data were collected through group discussions and individual interviews with the parents/caregivers of children/adolescents and categorized using content analysis. The impressions of the researchers were recorded in a field diary, contributing to the data analysis. The results indicate that the disease and treatment involve periods of psychological suffering that affect the family structure. Cancer was reported as a real enemy to be fought through coping or avoidance, which generates expectations about the future and causes feelings of fear, as well as hope. It was concluded that the childhood cancer causes repercussions in the family relationships, the recognition of which can contribute to both the preparation of professional teams who work with this population, as well as the public health policies developed.


2009 ◽  
Vol 3 (2) ◽  
pp. 317
Author(s):  
Alessandra Conceição Leite Funchal Camacho ◽  
Maria José Coelho

ABSTRACTObjective: to examine the public health policies of the elderly in the references of the main databases from 2004 to 2008. Method: study of systematic review of literature conducted on databases of the Library of Health, in September 2008. For information analysis was organized the content found on the year, publication type and methods/techniques, content and essence of the production of knowledge, database, the authors' recommendations. Results: the references that were analyzed 26 and 10 in the database SCIELO, one in the BDENF and 15 in the LILACS. Conclusion: we observed an increase in publications dealing with professionals in health operationalized the public health policies of the elderly as the main recommendations bringing the development of public policies that take into account the specifics of the elderly, facilitating their access and that could reduce inequality. Mention the importance of visibility of the aging process and adequacy of public policies aimed at expansion of the strategies that have the caregiver as the leading subject. Descriptors: health public policy; aged; nursing.RESUMOObjetivo: analisar as políticas públicas de saúde do idoso nas referências das principais bases de dados de 2004 a 2008. Método: estudo de revisão de literatura sistemática realizada nas bases de dados da Biblioteca Virtual da Saúde, em setembro de 2008. Para análise das informações foi realizada a organização do conteúdo encontrado quanto ao ano, tipo de publicação e métodos/técnicas, essência do conteúdo e produção do conhecimento, base de dados, recomendações dos autores. Resultados: as referências analisadas foram 26 sendo 10 na base de dados SCIELO, uma na BDENF e 15 na LILACS. Conclusão: Verificamos um aumento de publicações que tratam de profissionais na área da saúde operacionalizando as políticas públicas de saúde do idoso trazendo como principais recomendações o desenvolvimento de políticas públicas que levem em conta as especificidades do idoso, facilitando o seu acesso e que possam reduzir desigualdades. Referem a relevância da visibilidade do processo de envelhecimento e adequação das políticas públicas visando à ampliação de estratégias que tenham o cuidador como sujeito principal. Descritores: políticas públicas de saúde; idoso; enfermagem.RESUMENObjetivo: analizar las políticas de salud pública a los ancianos en las referencias de las principales bases de datos de 2004 a 2008. Método: estudio de revisión sistemática de literatura sobre las bases de datos de la Biblioteca de la Salud, en setiembre de 2008. Resultados: las referencias que se analizaron fueron 26, tenendo 10 en la base de datos SCIELO, 01 referencia en la BDENF y 15 en el LILACS. Conclusión: se observó un aumento de publicaciones relacionadas a los profesionales de la salud en la práctica las políticas de salud pública de los ancianos con principales recomendaciones sobre el desarrollo de políticas públicas que tengan en cuenta las características específicas de los ancianos, facilitando su acceso y que podrían reducir la desigualdad. Mencionan la importancia de la visibilidad del proceso de envejecimiento y la adecuación de las políticas públicas con la ampliación de estrategias que tienen el cuidador como principal sujeto. Descriptores: políticas públicas de salud; ancianos; enfermería.


2020 ◽  
Vol 13 (5) ◽  
pp. 219-252
Author(s):  
A. Zhebit

The article is focused on the problem of human rights (HRs), limited or derogated from, due to the Covid-19 pandemic. While addressing some HRs limitations, derogations and even abuses, and their consequent problems, the aim is to try to analyze policy, social, moral and personal dilemmas of HRs restrictions as well as motivations behind the types of public and social behavior, in the course of the pandemic, in response to the public measures of sanitation, social distancing and confinement, travel restrictions and social assistance, recommended by the WHO and selectively followed by governments. Learning from some old experience and deriving new lessons from the pandemic, as well as from public and social actions and reactions, the purpose of the present article is to assess whether or not public health policies in this context, implemented nationally or internationally, can promote change in the HRs paradigm in the face of the existing dilemmas and dichotomies in HRs, aggravated by the pandemic. The conclusion is that the extant HRs paradigm should be redefined to address better the political, social, economic, environmental and, especially, existential exigencies of “rainy times”, thus leading to the creation of a new universal HRs code or to harmonizing the existing one.


2014 ◽  
Vol 48 (3) ◽  
pp. 394-400 ◽  
Author(s):  
Leila Luiza Conceição Gonçalves ◽  
Gabriela Lima Travassos ◽  
Ana Maria de Almeida ◽  
Alzira Maria D’Ávila Nery Guimarães ◽  
Cristiane Franca Lisboa Gois

Identifying the barriers in the access to health care to breast cancer perceived by women undergoing chemotherapy.Method: An exploratory descriptive study. The sample consisted of 58 women with breast cancer receiving chemotherapy and registered in the public oncology ambulatory of Aracaju-Sergipe. Data collection was carried out between October 2011 and March 2012 by semistructured interviews, and data were processed using the SPSS, version 17.Results: Among the interviewed women, 37 (63.8%) reported at least a barrier in the trajectory of care for breast cancer. The organizational and health services barriers were the most reported in the periods of investigation and treatment of breast cancer.Conclusion: In face of these findings, the barriers should be considered in public health policies and programs for the control of breast cancer in Sergipe.




2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Komaroff ◽  
A A Belhouchet

Abstract Background Was the world prepared to face the pandemic with a standard strategy? Objectives To evaluate the association between public health interventions against the COVID-19 outbreak and the outcome. Methods The observational study included data on incidence of confirmed COVID-19 cases (outcome) and public health non-pharmaceutical interventions (exposure) from five countries: France, Italy, Japan, South Korea, and the USA, December 31, 2019 through April 12, 2020. The public health measures were grouped into five categories: lockdown, movement restrictions, public health measures, social (including social distancing) and economic measures, and use of facial mask. The multiple linear regressions were utilized to test the hypothesis that implementation of some public health measures was associated with the change in the incident number of COVID-19 cases, 2-sided, α = 0.05. Results The incidence of COVID-19 would be significantly greater without lockdown (1.89 times, p-value <.0001), public health and economic measures (25.17, p-value <.0001), and using masks (11.93, p-value=0.002), assuming that all other public health policies are the same. The effectiveness increases with earlier time of implementation. Among considered countries, South Korea was the most efficacious, where all measures were statistically significantly efficacious (p-value <0.05). Conclusions The findings demonstrate an association between public health measures and the outcome. The experience from South Korea should be studied further as the most effective non-pharmacological approach to fight the disease. This paper is the first step to develop the standardized approach utilizing the public health interventions to be applied effectively to the globe population. Key messages the most effective measures to control the COVID-19, and future outbreaks. The effect of particular measure varied by country and time of implementation.


2021 ◽  
Vol 21 (1) ◽  
pp. 1739
Author(s):  
Ana Isabel Fonseca Scavuzzi ◽  
Arlindo de Castro Filho ◽  
Armando Hayassy ◽  
Daniela Lemos Carcereri ◽  
Fabiana Schneider Pires ◽  
...  

The study aimed to analyze the situation of Brazilian dental education considering the exceptionality of the COVID-19 pandemic. An observational and analytical study was conducted with two cross-sections, using questionnaires sent to all course coordinators in Brazil, in the 1st semester of 2020 and in March 2021. At onset of the pandemic, the institutions interrupted on-site activities. There was significant association between private institutions and offering remote lectures and using these resources before the pandemic. The public sector was associated with not teaching remote lectures and not using these resources previously. Public institutions had a greater degree of difficulty in the use and access to technologies for online activities by professors and students, as well as a lower degree of preparation in relation to biosecurity protocols to resume the clinical activities. Impacts were identified in different dimensions of dental education related to the development of practical activities and the establishment of new biosecurity protocols. Nearly all private courses did not suspend activities or did it for less than one month and resumed clinical or laboratory activities at some point during the surveyed period, while public institutions required an average of 5 months for such reorganization. The COVID-19 pandemic substantially increased the use of digital media in Brazilian dental education. From this assessment, there are financial limitations of the public sector to adapt the infrastructure to the requirements of the current biosecurity protocols. In general, students are receiving support from the institution and the coordinators identified negative impacts in different dimensions of dental education, notably in the establishment of new biosecurity protocols, adequacy in the physical structure and teaching-learning process.


2016 ◽  
Vol 20 (1) ◽  
pp. 137
Author(s):  
Débora Aparecida da Silva Santos ◽  
Pedro Vieira De Azevedo ◽  
Jullianna Vitorio Vieira De Azevedo ◽  
Telma Lúcia Bezerra Alves

O presente estudo propõe uma análise do caminho percorrido na relação entre as políticas públicas de saúde e do meio ambiente em um contexto amplo, através de uma revisão bibliográfica sobre o tema. A aproximação da temática ambiental com o movimento de promoção da saúde permite a ampliação na compreensão do processo saúde-doença. Essa proposta seleciona a integração entre os setores como condição para o estabelecimento e a execução de políticas públicas como maneira de garantir melhores condições socioambientais. Desta maneira, é indispensável uma discussão ampla da importância dos diversos atores sociais relacionados à saúde e ao meio ambiente, entendendo que a ação interdisciplinar através do reconhecimento das políticas públicas melhora a qualidade de vida da população e, consequentemente, contribui para uma sociedade mais equilibrada ecologicamente. Palavras-chave: Políticas públicas, Saúde, Meio ambiente, Saúde ambiental.TRAVERSING THE WAYS OF THE RELATION BETWEEN HEALTH AND ENVIRONMENTAL PUBLIC POLICIES Abstract: This study presents an analysis of the path taken in the relation between public health policies and the environment in a broader context, through a literature review on the topic. The approach of environmental issues with the health promotion movement allows a broader understanding of the health-disease process. This proposal selects the integration across sectors as a condition for the establishment and implementation of public policies as a way to ensure better environmental conditions. In this way, a broad discussion of the importance of various social actors related to health and the environment is essential, understanding that an interdisciplinary action by recognizing the public policies improves people's quality of life and, consequently, contributes to a more balanced society ecologically. Key words: Public policies, Health, Environment, Environmental health.


2020 ◽  
Author(s):  
John Baker ◽  
Stephen Begg ◽  
Mohd Masood ◽  
Muhammad Aziz Rahman

Abstract Background: Assessing public opinion towards tobacco policies is important, particularly when determining the possible direction of future public health policies. The aim of this study was to describe the implementation of tobacco retailer licensing systems by state and territory governments in Australia, and use the National Drug Strategy Household Survey (NDSHS) to assess levels of public support for a retailer licensing system in each jurisdiction over time and by a range of socio-demographic and behavioural attributes. Methods: National and state/territory estimates of public support for a tobacco retailer licensing system were derived as proportions using NDSHS data from 2004 to 2016. The effect of the type of licensing system of one’s jurisdiction of residence on the likelihood of supporting such an initiative in 2016 was assessed using logistic regression while controlling for various socio-demographic characteristics. Results: Public support for a tobacco retailer licensing system ranged from a high of 67.2% (95% CI 66.5% – 67.9%) nationally in 2007 and declined to 59.5% (95% CI 58.9% – 60.2%) in 2016. In 2016, support was greatest amongst those aged 50 years and older, females, those from the least disadvantaged areas, those living in major cities, never-smokers and never-drinkers. Those living in jurisdictions with a ‘negative’ licensing system were more likely to support a licensing system than those living in jurisdictions without any system in place (OR = 1.09, 95% CI 1.01 – 1.17); however this difference disappears after adjusting for the socio-demographic and behavioural attributes of respondents (OR = 1.04, 95% CI 0.96 – 1.12). Conclusions: A clear majority of the public support a tobacco retailer licensing system, regardless of whether or not such a system is already in place in their jurisdiction of residence. While there is variation between jurisdictions in levels of support, this variation largely disappears when the different socio-demographic and behavioural attributes of the respective populations are taken into account.


2009 ◽  
Vol 3 (3) ◽  
pp. 773 ◽  
Author(s):  
Maria Gorete Lucena de Vasconcelos ◽  
Sheyla Costa de Oliveira ◽  
Ednaldo Cavalcante de Araújo ◽  
Cleide Maria Pontes ◽  
Inez Maria Tenório ◽  
...  

ABSTRACTObjective: to analyze the social representation of teenagers pregnant on the feeding practices during pregnancy in a community from Recife city, Pernambuco, Brazil. Methodology: qualitative study whose population will be adolescents pregnant. The sampling is intended by the criterion of homogeneity wide. The clipping will be defined by empirical data saturation. As instruments for data collection will be used: a script of interview with closed questions, a script of interview with guiding questions and the use of photographs. Analyzes the data based on social representation, a social and cultural perspective. Results expected: expect it will get data on the knowledge of the magnitude of the problems in eating habits of adolescents during pregnancy subsidizing the public health policies, minimizing adverse effects on health and adolescent's health. Descriptors: adolescents; pregnancy; eating habits.RESUMO Objetivo: analisar a representação social de adolescentes grávidas sobre as práticas  alimentares durante a gravidez  em uma comunidade do Recife, Pernambuco, Brasil. Metodologia: estudo qualitativo cuja população será de adolescentes grávidas. A amostragem será intencional pelo critério de homogeneidade ampla. O recorte empírico será definido pela saturação dos dados. Como instrumentos para coleta de dados serão utilizados: um roteiro de entrevista com questões fechadas, um roteiro de entrevista contendo questões norteadoras e o uso de fotografias.  Analisaremos os dados à luz da representação social, numa perspectiva cultural e social. Resultados esperados: esperar-se-á, obter dados sobre o conhecimento da magnitude dos problemas dos hábitos alimentares das adolescentes durante a gravidez subsidiando as políticas públicas de saúde, minimizando efeitos adversos sobre a saúde da adolescente e do concepto. Descritores: adolescente; gravidez; hábitos alimentares.RESUMENObjetivo: analizar la representación social de las adolescentes embarazadas en las prácticas de alimentación durante el embarazo en una comunidad de Recife, Pernambuco, Brasil. Metodología: estudio cualitativo cuya población és de las adolescentes embarazadas. El muestreo es por el criterio de homogeneidad. El corte será definido por la saturación de los datos empíricos. Como instrumentos para la recogida de datos se utilizarán: un guión de entrevista con preguntas cerradas, un guión de entrevista con preguntas y orientar el uso de fotografías. Analiza los datos la luz de la representación social, una perspectiva social y cultural. Resultados: se esperan obtener datos sobre el conocimiento de la magnitud de los problemas en los hábitos alimenticios de las adolescentes durante el embarazo subsidiar la políticas de salud pública, minimizando los efectos adversos sobre la salud y la salud de los adolescentes. Descriptores: adolescência; embarazo; hábitos de alimentación.


Sign in / Sign up

Export Citation Format

Share Document