scholarly journals Cervical cancer prevention in Pernambuco: improvements for whom? Inequity scenario in the state of the Northeast Region

2020 ◽  
Vol 20 (2) ◽  
pp. 633-641
Author(s):  
Keila Silene de Brito e Silva ◽  
Antonio Flaudiano Bem Leite ◽  
Deise Maria da Conceição Silva ◽  
Oswaldo Yoshimi Tanaka ◽  
Marilia Cristina Prado Louvison ◽  
...  

Abstract Objectives: to analyze the access to cervical cancer preventive examination in Pernambuco between 2002 and 2015 by cytopathological exam coverage. Methods: public data from SUS Computer Department were used, then processed by Tabnet and Excel and calculated the slope of the over time coefficient trend by simple regression techniques. Afterwards, they were plotted in thematic maps covering cytopathological exams on Terraview app 4.2.2. Results: Pernambuco State presented an increase of exam coverage trend in all the health regions until 2010. Since that year it started to have stabilization and decreased the tendency. Comparing the coverage of the two first years, in 2002, 42.7% of the cities coverage was below 0.2 and in 2015 the scenario changed, 41.1% of the cities coverage was above 0.6. We emphasize that even in that same year 13.5% of the cities still had a low or too low coverage (less than 0.4). The over time trends in increase and decline were strongly meaningful. Conclusions: this study revealed that all health regions presented a coverage lower than recommended, in some period or in all of them, even with the State growth tendency it demonstrated an unequal and heterogeneous characteristic.

2007 ◽  
Vol 39 (4) ◽  
pp. 563a-563a
Author(s):  
Steffen Hertog

The article offers a revisionist account of how the modern Saudi state emerged in the 1950s and 1960s. Differing with structuralist “rentier-state” accounts, I contend that individual agency has been very important in shaping the Saudi bureaucracy as oil money gave unique, although temporary, autonomy to princely elites to organize the state around their personal interests. Emerging institutions functioned as power tokens, leading to a fragmented administrative setup in which ministries serve as “fiefdoms” and bureaucratic capacities vary strongly from one institution to another. Through state growth and the “locking in” of distributional commitments, the autonomy of princely elites to redesign the state has strongly declined over time, meaning that many early institutional decisions have permanently impacted the shape and capacities of today's Saudi state. Vis-agrave;-vis rentier theory, I demonstrate that regime autonomy is not constant over time and that the quality of institutions is historically contingent and not determined by oil, which merely enlarges the menu of institutional choices available to rentier-state elites.


2022 ◽  
Vol 1 (1) ◽  
pp. 155-160
Author(s):  
Elsa Fitri Ana ◽  
Mienna Yuniarti ◽  
Isnul Jumrotul Jannah ◽  
Miratul Hasanah ◽  
Sulastri Sulastri ◽  
...  

ABSTRAKKanker serviks adalah penyebab kematian tertinggi keempat pada wanita di dunia. Tingginya angka kesakitan dan kematian wanita akibat kanker serviks di Indonesia, juga menunjukkan rendahnya angka cakupan pemeriksaan papsmear dan imunisasi HPV di Indonesia. Oleh karena itu dibutuhkan metode promosi kesehatan untuk mendorong wanita untuk aktif dalam melakukan pencegahan kanker serviks. Kegiatan ini merupakan salah satu bentuk pengabdian masyarakat yang dilakukan dengan cara penyuluhan melalui metode ceramah dan diskusi dengan aplikasi zoom dan whatsapp. Peserta yang mendaftar dalam kegiatan ini sejunlah 41 orang dengan rentang usia 20-35 tahun. Peserta berasal dari berbagai daerah antara lain, Jakarta, Lampung, Surabaya, Malang, Palu dan Banjarmasin. Materi yang telah disampaikan menyatakan bahwa pencegahan kanker serviks dapat dilakukan sedini mungkin. Dibandingkan dengan metode penyuluhan yang dilakukan secara langsung, pemanfaatan media sosial terbukti efektif dalam mencapai jangkauan keluasan sasaran. Kata kunci: kanker serviks, pencegahan, deteksi dini, HPV  ABSTRACTCervical cancer is the fourth main cause of death in women in the world and the main cause of death for women in developing countries. The high morbidity and mortality rates for women due to cervical cancer in Indonesia also shows the low coverage rates for Pap smear test and HPV immunization in Indonesia. Therefore a health promotion is needed to encourage women to be active in preventing cervical cancer. This event is a form of counseling through lectures and discussions with zoom and WhatsApp applications. The number of participants who participated in this activity was 41 people in age 20-35 years from various provinces including Jakarta, Lampung, Surabaya, Malang, and Banjarmasin. The subject that has been presented states that cervical cancer prevention can be done as early as possible. Compared to conventional health promotion methods, the use of social media has proven to be effective in reaching a broad target. Keywords: cervical cancer, prevention, early detection, HPV


2020 ◽  
Vol 2020 (1) ◽  
pp. 105-108
Author(s):  
Ali Alsam

Vision is the science that informs us about the biological and evolutionary algorithms that our eyes, opticnerves and brains have chosen over time to see. This article is an attempt to solve the problem of colour to grey conversion, by borrowing ideas from vision science. We introduce an algorithm that measures contrast along the opponent colour directions and use the results to combine a three dimensional colour space into a grey. The results indicate that the proposed algorithm competes with the state of art algorithms.


2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Sunday Joseph Ayamolowo ◽  
Lydia Feyisayo Akinrinde ◽  
Monisola Omoyeni Oginni ◽  
Love Bukola Ayamolowo

The global incidence of cancer is rising, and low-income and lower-middle-income countries have the worst figures. However, knowledge of cervical cancer prevention and cervical cancer screening practices remains poor in these regions. This study assessed the concept of health literacy as a potential determinant of knowledge of cervical cancer prevention and screening practices among female undergraduates. A descriptive cross-sectional study was conducted among 385 female undergraduates at a university in southwest Nigeria. A validated questionnaire composed of subscales on nine components of health literacy, knowledge of cervical cancer prevention, and cervical cancer screening practices was used for data collection. The majority of the respondents obtained a high score on most of the components of health literacy and 66% had good knowledge of cervical cancer prevention. Only 11% demonstrated good practices of Pap smear testing. Of all the components of health literacy, “feeling understood and supported by healthcare providers” (OR = 0.075; 95% CI [0.036–0.115]; p = 0.015) and “understanding health information well enough to know what to do” (OR = 0.055; 95% CI [0.006–0.104]; p = 0.029) were significantly associated with knowledge of cervical cancer prevention. Out of the major challenges related to cervical cancer screening among undergraduates, the feeling of being at risk (OR = 4.71; p < 0.05) and uncomfortable experiences from past screening (OR = 0.12; p < 0.05) were significantly associated with going for cervical cancer screening. The study concluded that levels of health literacy influenced knowledge of cervical cancer prevention among female undergraduates, but it did not affect their engagement in cervical cancer screening practices.


2001 ◽  
Vol 19 (4) ◽  
pp. 43-63 ◽  
Author(s):  
Christian Hunold

In this essay I examine the dispute between the German GreenParty and some of the country’s environmental nongovernmentalorganizations (NGOs) over the March 2001 renewal of rail shipmentsof highly radioactive wastes to Gorleben. My purpose indoing so is to test John Dryzek’s 1996 claim that environmentalistsought to beware of what they wish for concerning inclusion in theliberal democratic state. Inclusion on the wrong terms, arguesDryzek, may prove detrimental to the goals of greening and democratizingpublic policy because such inclusion may compromise thesurvival of a green public sphere that is vital to both. Prospects forecological democracy, understood in terms of strong ecologicalmodernization here, depend on historically conditioned relationshipsbetween the state and the environmental movement that fosterthe emergence and persistence over time of such a public sphere.


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