scholarly journals An Electronic Health Platform for Monitoring Health Conditions of Patients With Hypertension in the Brazilian Public Health System: Protocol for a Nonrandomized Controlled Trial

10.2196/15299 ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. e15299 ◽  
Author(s):  
Ana Carolina Bertoletti De Marchi ◽  
Ana Luisa Sant' Anna Alves ◽  
Carla Beatrice Crivellaro Gonçalves ◽  
Cristiano Roberto Cervi ◽  
Daiana Biduski ◽  
...  
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Arterial Hypertension ◽  
Health System ◽  
Treatment Adherence ◽  
Health Professionals ◽  
Public Health System ◽  
Health Conditions ◽  
Monitoring Method ◽  
Electronic Health

Background Chronic noncommunicable diseases such as arterial hypertension have a high impact in the context of public health. Previous studies have shown improvements in blood pressure due to simple lifestyle changes, which were supported by electronic health (eHealth) solutions. Objective The aim of this study is to develop an eHealth platform and assess the effects of its use on the health conditions of patients with hypertension, with assistance from health professionals in the public health system of a Brazilian city. Methods The platform will include a server that centralizes all the data and business rules, a website dashboard for health professionals, and a mobile app for patients. We will analyze the effects of its use through a controlled, nonrandomized, nonblind, prospective, monocentric clinical trial. We will enroll 68 participants diagnosed with arterial hypertension and under medical follow-up and categorize them into two groups. The participants of the intervention group will use the platform as a monitoring method, whereas the participants of the control group will use conventional methods. In both groups, we will assess and compare the evolution of blood pressure and treatment adherence before, during, and after the intervention. Results The project was funded at the end of 2018. We have been developing the software since 2019 with plans to complete it in 2020, and we will enroll patients between 2020 and 2021. We expect to submit the first results for publication in 2020. Conclusions For the primary outcome, we expect a reduction and stabilization of blood pressure. For the secondary outcomes, we hope to see improvements in treatment adherence, physical activities and dietary practices, and acceptance of the eHealth platform. In public health, the technology that favors disease control also helps reduce complications and, consequently, treatment costs. The platform might encourage the adaptation of medical assistance to incorporate this technology into patient monitoring. International Registered Report Identifier (IRRID) PRR1-10.2196/15299

scholarly journals Psychosocial stress and central adiposity: A Brazilian study with users of the public health system

2018 ◽  
Author(s):  
Flávia Vitorino Freitas ◽  
Wagner Miranda Barbosa ◽  
Laíz Aparecida Azevedo Silva ◽  
Marianna Junger de Oliveira Garozi ◽  
Júlia de Assis Pinheiro ◽  
...  
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Health System ◽  
Psychosocial Stress ◽  
Urban Population ◽  
Public Health System ◽  
Central Adiposity ◽  
The Public ◽  
Rural And Urban ◽  
Altered Blood

AbstractObjectiveTo assess the association between indicators of psychosocial stress and central adiposity in adult users of the Unified Health System (SUS) from Southeast of Brazil.MethodsThis cross-sectional study was conducted with 384 adults (20 to 59 years old) from the city of Alegre, Southeastern Brazil. The simple random sample represented the population using the public health system of the municipality. The prevalence of obesity was based on the Body Mass Index, and central adiposity (dependent variable) was measured by waist circumference in centimeters. The independent variables were the following indicators of psychosocial stress: food and nutrition insecurity (yes/no), serum cortisol (μg/dL), symptoms suggestive of depression using the Beck Depression Inventory-II ≥ 17 (yes/no), and altered blood pressure ≥ 130/85 mmHg (yes/no). Univariate linear regression was performed between central adiposity and each stress indicator, and later the models were adjusted for socioeconomic, health, and lifestyle variables. All analyses were stratified by rural and urban location.ResultsThe prevalence of weight excess was 68.3%, and 71.5% of individuals presented an increased risk for metabolic complications related to central adiposity. Mean waist circumference scores for the rural and urban population were 89.3 ± 12.7 cm and 92.9 ± 14.7 cm, respectively (p = 0.012). Indicators of stress that were associated with central adiposity were: cortisol in the rural population and altered blood pressure in the urban population. This occurred both in the raw analysis and in the models adjusted for confounding factors.ConclusionThe associations between stress and adiposity were different between rural (cortisol - inverse association) and urban (altered blood pressure) lifestyles, confirming the influence of local and psychosocial subsistence on the modulation of stress and on how individuals react or restrain stressors. Stress reduction strategies can be useful in public health programs designed to prevent or treat obesity.

scholarly journals Assessing the process of designing and implementing electronic health records in a statewide public health system: the case of Colima, Mexico

2013 ◽  
Vol 20 (2) ◽  
pp. 238-244 ◽  
Author(s):  
Juan Eugenio Hernández-Ávila ◽  
Lina Sofia Palacio-Mejía ◽  
Agustín Lara-Esqueda ◽  
Eva Silvestre ◽  
Marcela Agudelo-Botero ◽  
...  
Keyword(s):  
Public Health ◽  
Electronic Health Records ◽  
Health System ◽  
Public Health System ◽  
Health Records ◽  
Electronic Health

scholarly journals Impact of the Training of Professionals from São Paulo Public Health System in Phytotherapy Practice

2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Linete Maria Menzenga Haraguchi ◽  
Adriana Sañudo ◽  
Eliana Rodrigues ◽  
Herbert Cervigni ◽  
Elisaldo Luiz de Araujo Carlini
Keyword(s):  
Public Health ◽  
Medicinal Plants ◽  
Health System ◽  
Health Professionals ◽  
Public Health System ◽  
Positive Impact ◽  
National Policy ◽  
Herbal Medicines ◽  
Sao Paulo ◽  
São Paulo

Abstract: Introduction: Following the introduction in 2006 of the National Policy on Integrative and Complementary Practices, and The National Policy on Medicinal Plants and Herbal Medicines, the Municipal Secretariat for the Environment of the City Hall of Sao Paulo initiated the Medicinal Plants Course, later expanded to The Medicinal Plants and Herbal Medicines Course for the training of health professionals. This study aimed to evaluate the impact of the 2014 and 2015 edition of the course “Medicinal Plants and Herbal Medicines” on health professional practices. Methods: An exploratory and descriptive study was conducted with a qualitative-quantitative approach. The quantitative process (Phase I) consisted of a questionnaire being emailed to health professionals who were involved in the course, divided into seven categories: biomedical professional, dental surgeon, nurse, pharmacist, physiotherapist, physician and nutritionist; and, out of 165 questionnaires, 114 responses were received (69.1%). The Qualitative and Quantitative process (Phase II), comprised semi-structured, in-person individual interviews to obtain detailed information on Phytotherapy practices, with 73 health professionals being interviewed, before and after the training, comparing their practices afterwards. Results: The course had a positive impact on the acceptance and application of Phytotherapy by health professionals with a significant increase (p<0.001) in the expansion of activities related to Phytotherapy (herbal tea “meetings”, medicinal herb gardens and capacity training), regarding the use of herbal products, such as Matricaria chamomilla (chamomile), Maytenus ilicifolia (espinheira-santa), Valeriana officinalis (valeriana). An increase in the knowledge of Phytotherapy risks was also observed, although there was no increase in the reporting of adverse reactions. The study confirmed the importance of the inclusion of Medicinal Plants and Herbal Medicines Courses as part of undergraduate and postgraduate school, as well as the technical training and continuing education for SUS health professionals. Conclusion: The positive impact found out in almost all evaluated aspects, such as the increase in the knowledge and in the prescription of herbal medicines, confirms the importance of such courses. The results suggest the training promoted a positive impact on the Phytotherapy practice of the Public Health System professionals in São Paulo.

scholarly journals Psychosocial stress and central adiposity: A Brazilian study with users of the public health system

2018 ◽  
Author(s):  
Flávia Vitorino Freitas ◽  
Wagner Miranda Barbosa ◽  
Laíz Aparecida Azevedo Silva ◽  
Marianna Junger de Oliveira Garozi ◽  
Júlia de Assis Pinheiro ◽  
...  
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Health System ◽  
Psychosocial Stress ◽  
Urban Population ◽  
Public Health System ◽  
Central Adiposity ◽  
The Public ◽  
Rural And Urban ◽  
Altered Blood

AbstractObjectiveTo assess the association between indicators of psychosocial stress and central adiposity in adult users of the Unified Health System (SUS) from Southeast of Brazil.MethodsThis cross-sectional study was conducted with 384 adults (20 to 59 years old) from the city of Alegre, Southeastern Brazil. The simple random sample represented the population using the public health system of the municipality. The prevalence of obesity was based on the Body Mass Index, and central adiposity (dependent variable) was measured by waist circumference in centimeters. The independent variables were the following indicators of psychosocial stress: food and nutrition insecurity (yes/no), serum cortisol (μg/dL), symptoms suggestive of depression using the Beck Depression Inventory-II ≥ 17 (yes/no), and altered blood pressure ≥ 130/85 mmHg (yes/no). Univariate linear regression was performed between central adiposity and each stress indicator, and later the models were adjusted for socioeconomic, health, and lifestyle variables. All analyses were stratified by rural and urban location.ResultsThe prevalence of weight excess was 68.3%, and 71.5% of individuals presented an increased risk for metabolic complications related to central adiposity. Mean waist circumference scores for the rural and urban population were 89.3 ± 12.7 cm and 92.9 ± 14.7 cm, respectively (p = 0.012). Indicators of stress that were associated with central adiposity were: cortisol in the rural population and altered blood pressure in the urban population. This occurred both in the raw analysis and in the models adjusted for confounding factors.ConclusionThe associations between stress and adiposity were different between rural (cortisol - inverse association) and urban (altered blood pressure) lifestyles, confirming the influence of local and psychosocial subsistence on the modulation of stress and on how individuals react or restrain stressors. Stress reduction strategies can be useful in public health programs designed to prevent or treat obesity.

scholarly journals O cenário da Terapia Comunitária Integrativa no Brasil: história, panorama e perspectivas

2020 ◽  
Vol 16 (esp. 1) ◽  
pp. 341-359
Author(s):  
Milene Zanoni da Silva ◽  
Adalberto de Paula Barreto ◽  
Josefa Emilia Lopes Ruiz ◽  
Silvana Philippi Camboim ◽  
Rolando Lazarte ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Social Determinants ◽  
Health Professionals ◽  
Public Health System ◽  
Health Practice ◽  
Modus Operandi ◽  
Bibliographic Analysis ◽  
Conceptual Study

This manuscript, in essay form, is a contribution to the systematization of information and reflections on the scenario of integrative community therapy in Brazil, from its origin in the 1980s to the present day, presenting its trajectory, achievements, challenges and perspectives regarding the current socio-political and health scenario. The objective is to historically contextualize the ICT in Brazil, focusing on the ICT scenario, its epistemology, modus operandi and formation, its relationship with social determinants, perspectives such as Integrative and Complementary Health Practice inserted in the Brazilian public health system and repercussions of its implementation at the time of COVID-19. It is a theoretical-conceptual study, through bibliographic analysis and the authors' empirical experience with the topic. Adalberto de Paula Barreto is the creator of ICT and the authors are researchers, community therapists, health professionals, lecturers and members of the Brazilian Association of Integrative Community Therapy (ABRATECOM).

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