scholarly journals Perfil Epidemiológico dos portadores de insuficiência renal crônica submetidos à terapia hemodialítica

2014 ◽  
Vol 5 (3/4) ◽  
pp. 65-69
Author(s):  
Ivonizete Pires Ribeiro ◽  
Andira Luana Soares Pinheiro ◽  
Andressa Luana Araújo Soares ◽  
Nayara Franciele Marques Dos Santos
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Data Collection ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Renal Dialysis ◽  
Underlying Disease ◽  
Epidemiological Profile ◽  
The City

Resumo: Objetivou-se traçar o perfil epidemiológico do portador de IRC em tratamento hemodialítico na cidade de Teresina-PI. Tratou-se de um estudoquantitativo descritivo, realizado na unidade de nefrologia conveniada ao Sistema Único de Saúde (SUS), com 64 pacientes. A coleta de dados ocorreude março a maio do ano de 2010. Constatou-se que a maioria dos pacientes é do gênero masculino (67,19%), faixa etária de 40 a 59 anos (40,63%), sendo60,94% casados, residentes em Teresina (64,06%), com baixo nível de escolaridade, renda individual de 1 a 2 salários mínimos e com moradia própria.Em 69% a doença de base foi hipertensão arterial e diabetes; e as principais dificuldades encontradas foram os efeitos causados pelo tratamento eo transporte, influenciando na manutenção da terapia hemodialítica. Tais fatores servem para subsidiar decisões para melhorar a assistência a essespacientes juntamente com o enfermeiro atuando na prevenção das doenças que levam a IRC.Descritores: Insuficiência Renal Crônica, Diálise Renal, Avaliação em enfermagem.Epidemiological profile of renal failure patients submitted to hemodialysisAbstract: The objective was to outline the epidemiological profile of patients with CRF on hemodialysis in the city of Teresina-PI. This is a descriptivequantitative study, conducted in the nephrology unit convening the National Health System (SUS), with 64 patients. Data collection occurred from Marchto May of 2010. It was found that the majority of patients are male (67.19%), aged 40-59 years (40.63%), and 60.94% were married, living in Teresina(64.06%) with fewer years of education, individual income 1-2 minimum wages and proper housing. In 69% the underlying disease was hypertensionand diabetes, and the principal problems were the effects caused by treatment and transport, influencing the maintenance of hemodialysis. Such factorsserve to support decisions to improve care for these patients jointly with nurses working in the prevention of diseases leading to CRF.Descriptors: chronic renal failure, renal dialysis, nursing assessment.Perfil Epidemiológico dos los pacientes con insuficiencia renal crónica sometidos a hemodiálisisResumen: El objetivo fue analizar el perfil epidemiológico de los pacientes con insuficiencia renal crónica en hemodiálisis en la ciudad de Teresina-PI.Este es un estudio cuantitativo descriptivo, realizado en la unidad de nefrología convocatoria del Sistema Nacional de Salud (SUS), con 64 pacientes. Losdatos fueron recolectados entre marzo y mayo de 2010. Se encontró que la mayoría de los pacientes son hombres (67,19%), edad 40-59 años (40,63%), y60,94% estaban casadas, que viven en Teresina (64,06%) con menos años de educación, los ingresos individuales de 1.2 salarios mínimos y una viviendadigna. En un 69% la enfermedad de base fue la hipertensión y la diabetes, y los principales problemas fueron los efectos causados por el tratamientoy el transporte, que influyen en el mantenimiento de la hemodiálisis. Estos factores sirven para apoyar las decisiones para mejorar la atención de estospacientes junto con las enfermeras que trabajan en la prevención de las enfermedades que conducen a la IRC.Descriptores: Insuficiencia renal crónica, La diálisis renal, Evaluación en enfermería.

scholarly journals The lived experience of UK health communication professionals during the Covid-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Anne Gregory ◽  
Bill Nichols ◽  
John M. Underwood
Keyword(s):  
Data Collection ◽  
Public Relations ◽  
Health System ◽  
Lived Experience ◽  
National Health ◽  
National Health System ◽  
Content Type ◽  
Work Pressure ◽  
Future System ◽  
Single Data

PurposeThis research explores approaches to, impacts of and reflections on the Covid-19 pandemic for professional communicators in the English National Health Service. It was undertaken in order to understand and analyse their lived experience and make recommendations for improving future system-wide performance.Design/methodology/approachGiven the work pressure and additional commitments that communication practitioners have when working in crisis, the researchers chose a single data collection method. Qualitative and quantitative data collection was undertaken using an extensive self-completion survey instrument.FindingsTen distinct themes covering four time phases: crisis preparedness, entering the crisis, pandemic peak and post “first-wave” are discussed. They examine crisis readiness, to shifts in priorities and communication approaches to system-wide leadership and integration and the re-positioning of communication as a central player in pandemics.Practical implicationsThe research outlines a number of areas for improvement along with practical recommendations for actions in the health system in readiness for future pandemics.Originality/valueThis is the first time the lived experience of communicators working through a pandemic at all levels in a national health system has been researched in the public relations literature.

Experience in applying the effectiveness audit methodology in order to save budget funds for the purchase of medicines in the UK

2020 ◽  
pp. 82-87
Author(s):  
S. S. Budarin ◽  
N. V. Yurgel
Keyword(s):  
United Kingdom ◽  
Health System ◽  
National Health ◽  
Sharp Increase ◽  
National Health System ◽  
Pharmaceutical Market ◽  
National Audit ◽  
Drug Pricing ◽  
The United Kingdom ◽  
The Uk

The article examines the experience of the national audit office of the United Kingdom in conducting an audit of the effectiveness of budget funds aimed at providing medicines to English citizens. The reasons for the sharp increase in budget expenditures for providing the population with reproduced medicines in 2017—2018 are described in detail.The article analyzes the shortcomings of the system of regulation of drug pricing procedures and the resulting risks to the budget of the national health system in United Kingdom.It is concluded that the effectiveness audit has allowed us to identify not only the reasons for significant overspending of the NHS budget to provide the population with medicines, but also to assess the actions of organizations authorized by the UK Government to address issues of regulation of the pharmaceutical market.

I limiti del tempo in un tempo di limiti

2009 ◽  
pp. 55-62
Author(s):  
Fabrizio Rizzi
Keyword(s):  
Health System ◽  
Key Words ◽  
Community Service ◽  
National Health ◽  
National Health System ◽  
Short Term ◽  
Intellectual Honesty ◽  
Life Itself ◽  
Environmental Limits

- This article recounts the doubts and fears of an experienced analyst who is now an apprentice acrobat. He is forced to keep himself tiredly balanced between psychological and physical limits imposed by age, restrictions introduced by the National Health System and categories of patients who have precedence over others. He cannot receive all of the patients who ask for him and even those who he does receive will have to be discharged in the short term. Explaining to them, with intellectual honesty, that the community service has rules that limit his wishes as well. What can this be if not acrobatics? In the end it means combining the contradictory but perhaps also the most real aspects of life itself. [KEY WORDS: desires, personal and environmental limits, truth of the therapist]

A view from abroad: a New Zealand perspective on the English NHS health reforms

2016 ◽  
Author(s):  
Robin Gauld
Keyword(s):  
Health Policy ◽  
New Zealand ◽  
Health System ◽  
Access To Care ◽  
Healthcare System ◽  
National Health ◽  
Universal Access ◽  
National Health System ◽  
High Income ◽  
Coalition Government

The English NHS is of significance among health policy observers around the globe for various reasons. The NHS is particularly noteworthy for the fact that, for many, it represents the high-income world’s best attempt to have built and maintained a ‘national’ health system with a focus on universal access to care that is free at point of service. The NHS has been in transition for several years. Many commentators have highlighted the role and influence of US market ideals in this transition, with various UK governments clearly pushing this agenda. However, is often useful to look to countries more closely comparable to England, such as New Zealand, for comparison with a view to improvement. This chapter takes such an approach in looking at the NHS from abroad. It draws upon the case of NZ which, in many ways, is very similar to England when it comes to health policy and the healthcare system. In doing so, it aims to provide a critique of the NHS reforms and demonstrate that there are alternatives to the policies and structures being pursued for the English NHS by the Coalition government.

scholarly journals Time trends in physical activity of adult users of the Brazilian National Health System: 2010-2014. Longitudinal study

2017 ◽  
Vol 135 (4) ◽  
pp. 369-375 ◽  
Author(s):  
Bruna Camilo Turi ◽  
Jamile Sanches Codogno ◽  
Rômulo Araújo Fernandes ◽  
Kyle Robinson Lynch ◽  
Eduardo Kokubun ◽  
...  
Keyword(s):  
Physical Activity ◽  
Longitudinal Study ◽  
Health System ◽  
National Health ◽  
Time Trends ◽  
Economic Status ◽  
National Health System ◽  
Sports Participation ◽  
Male Sex

ABSTRACT CONTEXT AND OBJECTIVE: In this longitudinal study, we aimed to describe time trends of physical activity (PA) in different domains from 2010 to 2014 among users of the Brazilian National Health System, taking into account the effects of sex, age and economic status (ES). DESIGN AND SETTING: Longitudinal study conducted in five primary care units in Bauru (SP), Brazil. METHODS: The sample was composed of 620 men and women who were interviewed in 2010, 2012 and 2014. The same group of researchers conducted the interviews, using the questionnaire developed by Baecke et al. Scores for occupational, exercise/sport, leisure-time/transportation and overall PA were considered in this longitudinal survey. Time trends of PA over the four years of follow-up were assessed according to sex, age and ES. RESULTS: We found that after four years of follow-up, the reduction in overall PA (-13.6%; 95% confidence interval, CI = -11.9 to -15.3) was statistically significant. Additionally, declines in the occupational domain and exercise/sports participation were affected by age, while the reduction in overall PA was affected by sex, age and ES. CONCLUSIONS: Overall PA decreased significantly from 2010 to 2014 among these outpatients of the Brazilian National Health System, and age and male sex were important determinants of PA in its different domains.

scholarly journals Weight and height of people living with HIV/AIDS attended by the Brazilian National Health System

2013 ◽  
Vol 16 (3) ◽  
pp. 622-632
Author(s):  
Katia Cristina Bassichetto ◽  
Denise Pimentel Bergamaschi ◽  
Deivis Elton Schlickmann Frainer ◽  
Vania Regina Salles Garcia ◽  
Edina Aparecida Tramarin Trovões
Keyword(s):  
Health Status ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Reference Population ◽  
Average Weight ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Living With Hiv ◽  
Hiv Aids

The nutritional status of people living with HIV/AIDS (PLWHA) is related to morbidity and mortality and its monitoring is important in the maintenance of the health status. This is a cross-sectional study carried out in Brazilian National Health System in the Municipality of São Paulo. It describes anthropometrical characteristics: weight and height; indices of weight for height (W/H), height for age (H/A), body mass index for age (BMI/A) and Z score for height and weight. The study includes 772 participants from all ages: children, adolescents, adults and elderly. The graphical analysis shows that in under-5s and in the 5 to 19 years old group, the W/H, the H/A and the BMI/A curves are similar to the reference population with an exception in the H/A for 5 to 19 years old group which is left-shifted (mean Z = -0.66). In the case of adults, graphics for the study population show median weight apparently lower than in the reference population for most age groups in the case of men, and when age is greater in women. The proportion of people over 20 years old with AIDS on anti-retroviral therapy is lower when coinfection is present (p < 0.001). The findings of the study showed that, for children and adolescents with HIV/AIDS, the average weight and height are lower than the values for non infected population. For adults and elderly, the weight average is lower than the reference population with a worsening among coinfected patients. This underscores the need to direct more effort in nutritional actions thus helping enhance the health status of this group.

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