scholarly journals A survey of body practices and primary health care in a district of São Paulo, Brazil

2015 ◽  
Vol 21 (1) ◽  
pp. 75-83
Author(s):  
Yara M. Carvalho ◽  
Edison de J. Manoel

The present study surveyed the profile of people who did or did not take part in programs and activities in primary healthcare units in the Butantã district, the city of São Paulo, Brazil. The rationale for the study was the concept of body practice understood as a practice of health and care. A semi-structured questionnaire was applied to 1090 individuals mostly middle-aged housewives. Only 5.78% of respondents were enrolled in some program and activities, mainly walking and stretching. There was a consensus between participants and non-participants on the importance of initiatives geared to care for the body and attention to health. The difficulties for having access to programs and the lack of options in the health public service were pointed out as the main obstacles for a greater involvement by local population.

2019 ◽  
Vol 53 ◽  
pp. 39
Author(s):  
Adilson Soares

OBJECTIVE: To analyze the allocation of financial resources in the Brazilian Unified Health System (SUS) in the state of São Paulo by level of care, health region, source of funds and level of government. METHODS: This is an exploratory study based on 2014 data extracted from the Public Health Budget Database, presented in absolute terms, relative terms and per capita. RESULTS: In 2014, R$52.1 bi were spent on public health, 58.0% having corresponded to the expenditures of the municipalities and 42.0% to those of the state government. Regional per capita spending varied from R$561.75 to R$824.85. As for the per capita spending on primary health care, which represented 37.5% of the municipalities’ total expenditure, the lowest value was found in the city of São Paulo and the highest, in Araçatuba. Campinas had the highest per capita expenditure on medium and high complexity care, while Presidente Prudente had the lowest. The highest regional percentage of the current net revenue spent on health was verified in Registro, and the lowest, in the city of São Paulo. CONCLUSIONS: The paradigm of the health sector’s financing in São Paulo revealed that the expenditure on primary health care, level elected by health policy as strategic because it depends on coordination and integral health care in the attention networks, was not considered a priority in relation to the expenditure with the medium and high complexity, exposing the iniquities in the state’s regions.


PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0213998
Author(s):  
João Luiz Miraglia ◽  
Ana Carolina Cintra Nunes Mafra ◽  
Camila Nascimento Monteiro ◽  
Luciana Morais Borges

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18785-e18785
Author(s):  
Isabella Batista Martins Portugal ◽  
Luis Eduardo Werneck De Carvalho ◽  
Jean Henri Schoueri ◽  
Leandro Fórnias Machado Rezende ◽  
Fernando Luiz Affonso Fonseca ◽  
...  

e18785 Background: The novel coronavirus disease 2019 (COVID-19) pandemic has disrupted health care systems worldwide. In Brazil, the disease had its first case in the city of São Paulo, thus being the starting point and epicenter of this disease in Latin America. Neurological features are currently well recognized in COVID-19 indicating the neurotropic nature of the virus and include anosmia, myalgia, myositis, encephalitis, meningitis, cerebrovascular disease, Guillain–Barré syndrome, and post-infectious myelitis. CNS tumors though relatively rare (> 2% of all cancers) are a relevant source of cancer-related morbi-mortality worldwide. Although studies have reported higher COVID-19 severity in cancer patients, the consequences of the pandemic on health care for CNS tumors remain inconclusive and will probably be felt for decades. This study aimed to determine the impact of pandemic on the hospital admissions (HA) due to CNS tumors in the city of São Paulo, Brazil. Methods: This is a cross-sectional study of the HAs due to CNS tumors in the city of São Paulo comparing the outbreak period (January-June 2020) and a pre-pandemic corresponding period of the years 2017-2019. Data were obtained from the Brazilian Unified Health System - Hospital Information System database according to the chapter II of the International Classification of Diseases - 10th revision (ICD-10). Linear regression was used to analyze the relationship between the incidence of HAs and time (months). Results: A significant reduction in HAs due to CNS tumors was observed during the outbreak period (January-June 2020). Benign neoplasm of brain and other parts of CNS (-2, CI -2 to -1) and malignant neoplasm of brain (-5, CI -7 to -3) showed to be remarkably affected (see table). To our knowledge, this is the first scientific report of significant reduction of HAs due to CNS tumors during COVID-19 era. Conclusions: Our findings seem to be associated to delayed oncological diagnose and care to CNS tumor patients during the lockdown and health system collapse. A rebound help-seeking effect as well as more severe complications may present in the post‐pandemic. Further studies are needed to evaluate the impact of the ongoing pandemic in CNS neoplasms in order to strategically corroborate public health actions for short- and long-term implications of COVID-19 pandemic. [Table: see text]


2020 ◽  
Vol 18 ◽  
Author(s):  
Suzana Carvalho Vaz de Andrade ◽  
Rosa Maria Bruno Marcucci ◽  
Lilian de Fátima Costa Faria ◽  
Sérgio Márcio Pacheco Paschoal ◽  
Flávio Rebustini ◽  
...  

2017 ◽  
Vol 15 (1) ◽  
pp. 83-92
Author(s):  
Dimitri Wuo Pereria ◽  
Renan Oliveira De Paula ◽  
André Batista Da Silva ◽  
Camila Bianca Galindo ◽  
Vinicius Sampaio Feitoza Dos Santos

A observação de pessoas procurando praças, ruas, paredes de escalada, bancos, muros e rampas pela cidade, para se divertir e se exercitar representa um novo contexto de prática esportiva que esta pesquisa busca revelar. O objetivo deste estudo foi reconhecer os locais e atores das práticas de skate, escalada e slakline e suas motivações para a busca destas modalidades. Utilizou-se uma pesquisa descritiva exploratória com 46 sujeitos, sendo 16 escaladores, 20 skatistas e 10 slakliners, da cidade de São Paulo, que responderam um questionário desenvolvido especificamente para essas atividades. Os resultados apontaram que: Há predominância do sexo masculino entre os participantes, revelando um preconceito que ainda perdura na prática esportiva. Os escaladores têm média de idade maior do que os demais, talvez devido à necessidade de equipamentos mais caros, dos maiores riscos da prática e da necessidade de cursos para aprendizagem. Os skatistas em média praticam há mais tempo, provavelmente porque a cultura do skate é mais antiga e consolidada em São Paulo. Observa-se que no slakline todos praticam a menos de três anos mostrando que é uma modalidade ainda recente no cenário nacional. Os participantes da pesquisa afirmam ter aprendido sozinhos, ou com amigos e familiares, evidenciando-se nesse aspecto que a Educação Física não é considerada como iniciação. Os sujeitos apontam o ganho de benefícios físicos, mentais e sociais nas suas vidas e sua intenção de continuar a prática pela qualidade de vida, diversão, evolução física e psicológica. Apenas 10,8% afirmam competir, o que mostra que os esportes radicais são considerados na perspectiva da participação voluntária. Conclui-se que os esportes radicais estão sendo incorporados à rotina das pessoas, acrescentando novo contorno à cultura corporal, numa busca de superação, de enfrentamento de desafios, do controle do risco, do prazer, e da qualidade de vida. Fica evidente que há uma distância entre a formação dos profissionais de Educação Física e estas novas práticas.ABSTRACT.  Extreme sports through urban environment in the São Paulo City.  The observation of people looking for squares, streets, climbing walls, benches, walls and ramps around the city to have fun and exercise represents a new context of sports practice that this research seeks to reveal. The objective of this study was to recognize the places and actors of skateboarding, climbing and slakline practices and their motivations for the search of these sports. Exploratory descriptive research was used with 46 subjects, 16 climbers, 20 skaters and 10 slakliners, from the city of São Paulo, who answered a questionnaire developed specifically for these activities. The results showed that: There is predominance of males among the participants, showing a prejudice that still persists in sports practice. Climbers have a higher average age than others, perhaps due to the need for more expensive equipment, greater risks of practice and the need for courses to learn. Skaters on average have been practicing for more time, probably because the skate culture is older and consolidated in São Paulo. It is observed that in slakline all practice less than three years showing that it is a modality still recent in the national scenario. The participants of the research affirm to have learned alone, or with friends and family, evidencing in this aspect that the Physical Education is not considered like initiation. The subjects point out the gain of physical, mental and social benefits in their lives and their intention to continue the practice by quality of life, fun, physical and psychological evolution. Only 10.8% claim to compete, which shows that Extreme Sports are considered from the perspective of voluntary participation. It is concluded that Extreme Sports are being incorporated into the routine of the people, adding a new contour to the body culture, in a search for overcoming, facing challenges, control of risk, pleasure, and quality of life. There is evidence that there is a gap between the graduation in Physical Education professionals and these new practices.


Author(s):  
Mariana Arantes Nasser ◽  
Maria Ines Battistella Nemes ◽  
Marta Campagnoni Andrade ◽  
Rogério Ruscitto do Prado ◽  
Elen Rose Lodeiro Castanheira

OBJECTIVE The objective of this study is to assess performance in sexual and reproductive health of primary health care services of the Brazilian Unified Health System, in the State of São Paulo, Brazil. METHODS An evaluative framework was built for sexual and reproductive health with the categorization of 99 indicators in three domains: sexual and reproductive health promotion (25), sexually transmitted infections/AIDS prevention and care (43), and reproductive health care (31). This framework was applied to assess the services responses to the questionnaire of Quality Evaluation of Primary Health Care in the Municipalities of São Paulo State (QualiAB), in 2010. Percentages were calculated for positive responses to indicators and performance in the sexual and reproductive health dimension, according to domains, and their contribution to the overall score in sexual and reproductive health (Friedman), relative participation (Dunn), and correlation (Spearman) was verified. RESULTS Overall, 2,735 services participated in the study. They were located in 586 municipalities (distributed throughout the 17 regional health departments of São Paulo), of which 70.6% had fewer than 100,000 inhabitants. The overall average performance of these services for sexual and reproductive health is 56.8%. The actions are characterized by: prenatal with adequate beginning and exams, better organization for immediate rather than for late postnatal care, and selective reproductive planning for some contraceptives; prevention based on specific protection, limitations in the prevention of congenital syphilis, in the treatment of sexually transmitted infections, and in the screening of cervical and breast cancer; specific educational activities, with a restricted vulnerability approach, focus on sexuality over reproduction. The domain of reproductive health has greater participation in the overall score, followed by prevention/care and promotion. The three domains are correlated; the domain of prevention/care has the highest correlation with the other ones. CONCLUSIONS The implementation of sexual and reproductive health in primary health care in the services studied is incipient. The revision of the purpose of the work, the dissemination of technologies, and the investing in permanent education are needed. The evaluative framework built can be used by the sexual and reproductive health program services and management in primary health care, thereby contributing to their actions.


Life ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 133
Author(s):  
Giovana Montoro Pazzini Watfe ◽  
Lais Fajersztajn ◽  
Euler Ribeiro ◽  
Paulo Rossi Menezes ◽  
Marcia Scazufca

In Brazil and in most low- and middle-income countries (LMICs), information about how prepared the health care system is for the rapid aging of the population is scarce. We investigated the prevalence of disability and areas of life affected by disability among elders of the public primary health care in São Paulo and Manaus, Brazil. We investigated whether people with disability visited a primary care professional more frequently, the individual characteristics associated with disability, and differences by city. We randomly selected participants aged ≥60 years (n = 1375). The main outcome was disability, evaluated with the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0). Exposure variables were consultation with a family physician, sociodemographic characteristics, health status, social support, and lifestyle. The prevalence of global disability was higher in Manaus (66.2% vs. 56.4% in São Paulo). In both cities, participation and mobility were the areas of life most affected by disability. The number of consultations with a family physician was not associated with disability. The high prevalence of disability and associated risk factors indicates that public primary health care is not meeting the needs of elders in both cities. It is warning because most elders in LMICs live in more underserved communities compared to Brazil.


2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Cintia Rodrigues ◽  
Vitória Westarp ◽  
Adriana Hette ◽  
Tatiana Condo ◽  
Lorena Depieri ◽  
...  

INTRODUCTION: Burns injuries are a significant health problem because they cause permanent or long lasting sequelae. OBJECTIVE: To characterize burn injuries, occurring among children and adolescents living in the city of Sao Paulo, and to identify the profile of pediatric patients treated for burn injuries. METHODS: This is a cross-sectional, quantitative, descriptive and retrospective study. A survey was carried out using data from the Information System for Violence and Accident Surveillance (SIVVA) of the Municipal Health Department of the city of Sao Paulo, where the reports of accidents against children and adolescents (0 to 19-years-old). RESULTS: During the study period, there were 416 burn injuries among children and adolescents living in the city of Sao Paulo. The main lesion diagnoses were: degree II burn (41.6%), the body region being more affected by wrist and hand. CONCLUSION: The results of this study showed that there was a higher frequency of burns among boys, preschoolers and the domestic environment. It emphasizes the importance of epidemiological researches in the subject because they can support preventive strategies, especially in the period of childhood and adolescence.


2017 ◽  
Vol 7 (1) ◽  
pp. 212
Author(s):  
Juliana Dal Ponte Tiveron ◽  
José Francisco Miguel Henriques Bairrão

A atual política escolar indígena, norteada pelo modelo da educação diferenciada, garante o ensino da cultura indígena na escola, sobretudo o ensino da língua nativa. Contudo, este modelo tem reduzido algumas vezes, a alfabetização na língua indígena como sendo o equivalente ao ensino da cultura indígena. Embora não siga o modelo de educação diferenciada, já que seus membros não estão filiados à escola indígena do Território Indígena (T.I.) Vanuíre (pertencente ao município de Arco-Íris no estado de São Paulo), o Grupo de Cultura Kaingang tem respondido a esses desafios através do agir dos Veinkupri Hã ou espíritos dos mortos bons (guerreiros guardiões da cultura Kaingang). Para investigar como esse ensino tem sido retomado pelos membros do Grupo de Cultura Kaingang do T.I. Vanuíre, assim como o que ele elege manter e o que elege mudar da tradição, utilizou-se o método psicanalítico agregando-lhe procedimentos etnográficos (escuta participante). O ensino pautado pelos Veinkupri Hã contempla a totalidade do corpo e, por isso, não prioriza a esfera cognitiva ou representacional em voga na Educação. Antes, visa o preparo e fortalecimento do corpo da criança para que ela consiga agir conforme os espíritos dos mortos bons, buscando a consolidação de uma alma indígena atuante. A criança aprende a respeitar e a se comunicar com os Veinkupri Hã por meio da expressão em si mesma de um espírito guerreiro. Embora tradicionalmente os Kaingang evitassem os mortos, o Grupo de Cultura Kaingang mantém a comunicação com eles para combater as subjugações históricas e contemporâneas que os destinam a não ser quem são. Deste modo, evidencia-se a impossibilidade de desvincular o ensino cultural do ensino espiritual indígena. O Grupo de Cultura Kaingang provoca a sociedade brasileira a repensar suas políticas públicas versadas à Educação. Na busca por uma educação intercultural não há como deixar de fora o âmbito espiritual dos povos indígenas.Palavras-chave: Educação diferenciada; Povos indígenas; Etnopsicologia. ABSTRACT: The current indigenous school policy, guided by the model of differentiated learning, guarantees the teaching of indigenous culture in school, especially the teaching of the native language. However, this model has sometimes reduced literacy of indigenous culture in the indigenous language learning. Although it does not follow the model of differentiated learning, since its members are not affiliated to the indigenous school of the Indigenous Territory (Território Indígena, TI) Vanuíre (belonging to the city of Arco-Íris in the state of São Paulo, Brasil), the Kaingang Culture Group has responded to these challenges through the action of the Veinkupri Hã, spirits of honorable deceased Kaingang (guardian warriors of the Kaingang culture).To investigate, as this teaching has been taken up by members of the Kaingang Culture Group of TI Vanuíre, as well as what it elects to maintain and what it chooses to change from tradition, the psychoanalytic method was used by adding ethnographic procedures (participant listening). In order to investigate how this teaching has been taken up, by members of the Kaingang Culture Group of TI Vanuíre, as well what it chooses to maintain and what it chooses to change from the tradition, the psychoanalytic method with ethnographic tools has been applied (participant listening). The teaching guided by the Veinkupri Hã includes the totality of the body and, therefore, does not prioritize the cognitive or representational sphere. Its purpose is to strengthen the child’s body so that it acts according to the honorable deceased Kaingang, seeking the consolidation of an active indigenous soul. The child learns to respect and communicate with the Veinkupri Hã through the manifestation of a warrior spirit. Although the Kaingang people have traditionally avoided the dead, the Kaingang Culture Group maintains communication with them to counter the historical and contemporary subjugations that aim them to not be who they are. Thus, it is evident that it is impossible to disassociate cultural teaching from indigenous spiritual teaching. The Kaingang Culture Group encourages Brazilian society to rethink its public policies to education. In the search for an intercultural education there is no way to leave out the spiritual scope of the indigenous peoples.Keywords: Differentiated learning; Indigenous peoples; Ethnopsychology.


Sign in / Sign up

Export Citation Format

Share Document