scholarly journals The Pororoca effect on permanent education in health: about the interaction research-work

2018 ◽  
Vol 71 (suppl 4) ◽  
pp. 1768-1773 ◽  
Author(s):  
Eluana Borges Leitão de Figueiredo ◽  
Ana Paula de Andrade Silva ◽  
Ana Lúcia Abrahão ◽  
Benedito Carlos Cordeiro ◽  
Isabel de Almeida Fonseca ◽  
...  

ABSTRACT Objective: to build municipal responsibility with the permanent education in health policy from the interaction between research and innovation of work practices. Method: experience reports structured through dialogic meetings that allowed the participative diagnosis and strategic administration considering research in health education. Results: from the activities and interactions, we identified active forces in the reinvention of training for workers in the municipal network of health services, in which we found three streams: “inside and outside interactions”, “movement towards meetings” and “strategic collective arrangements”. Final considerations: through action research and a collaborative critique, collective movements were constructed, they showed ways to produce new directions in health education and allowed the strategic creation of the Núcleo de Educação Permanente as a responsibility of the municipal government, not depending on Federal policies.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Gerbaud ◽  
E Born ◽  
M Gourbeuil ◽  
A Perrève ◽  

Abstract Issue Health relay students (HRS) is one of the prevention policy rapidly increasing for the French students. It is mainly based on peer effects, peer to peer communication, but the state of play show very various practices. Description of the problem The variety of practices may imply heterogeneity, and actions that are too disparate. In October 2016, the national association of directors of Health Services for Students (SSU) decided to make a formal consensus process (based on single scripting strategies developed in parallel by 10 to 20 people) involving 61 persons (physician, nurses, prevention officer, members of prevention associations) from 29 French universities and based on three axes: goals; training and assessment. Results No disagreement was left. The goals must be validated by the SSU, as it is the unit that is able to link students ’associations wishes and health policy objectives. This need a constant dialogue with the university board, students associations, local authorities and health administration. The HRS are also important to help to know the students practices, notably thanks to their presence on social networks. Institutional policies for HRS must be consistent to the goals, and HRS must be managed by specific prevention officers. Training always associate health education topics and health prevention knowledge. It may be more or less intensive according to the goals, but need the help of association of health prevention and a validation by the SSU. HRS must be diverse, in genders and type of studies. The training must encourage HRS autonomy and creativity in their actions, while accepting to respect the University health policy. Creativity means also to open any way of communication wanted by HRS, such as social networks. Assessment is based on lean management, HRS satisfaction and University satisfaction (institution as well as teachers, administrative workers and students). HRS empowerment is perhaps the main criteria of assessment. Key messages Health relay students policies are very varied and need a consensual framework under the control of health services for students. Training must associate health education and prevention objectives, develop students’ empowerment.


Author(s):  
Khangamlung Kamei ◽  
Muhammad A. Khan

AbstractFatigue damage is a concern in the engineering applications particularly for metal structures. The design phase of a structure considers factors that can prevent or delay the fatigue and fracture failures and increase its working life. This paper compiled some of the past efforts to share the modelling challenges. It provides an overview on the existing research complexities in the area of fatigue and fracture modelling. This paper reviews the previous research work under five prominent challenges: assessing fatigue damage accurately under the vibration-based loads, complications in fatigue and fracture life estimation, intricacy in fatigue crack propagation, quantification of cracks and stochastic response of structure under thermal environment. In the conclusion, the authors have suggested new directions of work that still require comprehensive research efforts to bridge the existing gap in the current academic domain due to the highlighted challenges.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maria Helena Rodrigues Galvão ◽  
Angelo Giuseppe Roncalli

Abstract Background This study aimed to assess the trend in income-related inequalities in oral health services utilization by the Brazilian population from 1998 to 2013. This period represents a timeline that includes different stages of implementation of the National Oral Health Policy. Methods The design was based on repeated cross-sectional surveys using secondary data from household-based studies carried out in Brazil in 1998, 2003, 2008, and 2013. The dependent variable was “having access to a dentist appointment at least once in a lifetime (yes/no).” Monthly household per capita income, based on Brazil’s minimum wage, was included as the main independent variable. To measure the inequalities in oral health access related to economic position, the following complex indexes based on regression were used: (a) the slope index of inequality (SII) and (b) the relative index of inequality (RII). Results There was a reduction in the percentage of individuals who never had a dentist appointment for all age groups and income classifications. In general, there was a reduction trend in absolute inequality for all age groups (p < 0.001). The relative inequality and reduction trend were different between the age groups studied. Conclusions The National Oral Health Policy was very important for expanding free of charge, public access to dental appointment. However, despite policy implementation, there continues to be high levels of inequality in access to dental consultation. Assessing which strategies are necessary to overcome this challenge is discussed.


2006 ◽  
Vol 1 (4) ◽  
pp. 323-342 ◽  
Author(s):  
RICHARD SMITH

Globalization is a key challenge facing health policy-makers. A significant aspect of this is trade in health services. However, little is currently known about how trade in health services will affect the health of populations and national economies. A key determinant of the impact of trade in health services will be the general economic and trade context of the country concerned. One specific aspect of this is the ‘openness’ of a country’s health sector to trade; yet there is little, if anything, currently known about the most appropriate methods to assess openness of the health sector.


PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1032-1036
Author(s):  
Shirley Goodwin

Child health services in England and Wales are rendered largely through the National Health Service and Social Security. The activities of local authorities are also important to child health. The structure and scope of services offered children by each of these is presented and discussed, with special attention to changes anticipated during the next 2 years. The care of children is integrated into the system serving all ages, so that services are difficult to evaluate and resources are shared with other groups. Health policy for children is fragmentary, although encouraging trends are visible in the evolution of existing policy. The impact of impending changes in hospital, community, and general practitioner services on the care of children is unclear at this time.


Curationis ◽  
1981 ◽  
Vol 4 (2) ◽  
Author(s):  
Frieda Paton

The nurse, as a key person in health services, has an essential role in health education regarding human and medical genetics. This education is given at both community and individual level. Genetics is however not a simple subject and health education in this regard must be approached with care. The nurse must always be sure of her own knowledge and always be alert to the moral en ethical implications of the information she is providing. Health education in human and medical genetics is however essential to make the public aware of the benefits provided by this relatively new and developing science.


Author(s):  
David Hughes

A volume on health reforms under the Coalition must necessarily expand its focus beyond Westminster to consider the larger UK policy context. Legislation enacted in 1998 established devolved assemblies in Scotland, Wales and Northern Ireland with power to make law or issue executive orders in certain specified areas, including health services. This meant that an English NHS overseen by the Westminster Parliament now existed alongside separate NHS systems accountable to devolved governments in the other UK countries. Thus, the major Coalition health reforms heralded by the Health and Social Care Act 2012 applied in the main to England only. However, devolved administrations needed to formulate appropriate policy responses that either maintained differences or moved closer to the English policies. This chapter describes the divergent approaches between the four UK NHS systems, but also sheds light on the nature of coalition policy making.


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