scholarly journals Barriers to implementing childbirth recommendations in Brazil: the women’s perspective

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Ávila Teixeira Vidal ◽  
Jorge Otávio Maia Barreto ◽  
Daphne Rattner
Keyword(s):  
Content Analysis ◽  
Professional Training ◽  
National Committee ◽  
Social Culture ◽  
Unified Health System ◽  
Physician Compensation ◽  
Online Consultation ◽  
The Mean ◽  
Interpretive Perspective ◽  
Management Issues

Objectives. To identify barriers to the implementation of National Childbirth Guidelines in Brazil from the women’s perspective. Methods. A descriptive exploratory study was performed using a qualitative approach and an interpretive perspective. The hermeneutic unit of analysis was established based on the contribution of users to a public online consultation about the National Childbirth Guidelines in Brazil, performed in 2016 by the National Committee for Health Technology Incorporation into the Unified Health System (CONITEC). Content analysis techniques were used to examine the answers provided to the following specific question: “Considering your local reality, what would hinder the implementation of this protocol or guideline?” Results. Of 396 contributions recorded by CONITEC, 55 were included in the content analysis. The mean age of women was 31 years, with most self-declared as white (69%) and living in the Southeast of Brazil (56.3%). Coding revealed seven barrier categories, which were grouped into three families — barriers related to 1) professional training and culture (which highlighted the centrality of physicians, not women, in childbirth), 2) social culture (general population not well informed), and 3) political and management issues (little interest on the part of managers, lower physician compensation for vaginal childbirth vs. cesarian section, and poor hospital infrastructure). Conclusions. Aspects of professional training and culture, social culture, and political as well as management issues are critical points to be considered in future interventions aiming at overcoming or weakening the barriers to implementing childbirth recommendations in Brazil.

Body and health in the training of health professionals: a mapping of scientific production

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Márcia Cristina Rocha Paranhos ◽  
Lívia De Rezende Cardoso
Keyword(s):  
Health Professionals ◽  
Professional Training ◽  
State Of The Art ◽  
National Curriculum ◽  
Health Curriculum ◽  
Academic Production ◽  
Unified Health System ◽  
Curriculum Guidelines ◽  
Theses And Dissertations ◽  
And Training

This article builds a mapping in order to analyze the theses and dissertations about body, health, curriculum and training of health professionals. For this, theses and dissertations were mapped in the period from 2010 to 2020 through a state-of-the-art study. The composition of the data is given by the presentation and discussion of the listed texts. As for research, these concern the production of bodies based on biotechnological discourses; professional training in health; others point to the curricula of health courses after the National Curriculum Guidelines (DCN); the performance of health professionals in relation to the Unified Health System (SUS); teaching strategies for health training; corporeidity in the curricula, especially in the curricula of the Physical Education course; the anatomoclinical body and educational health practices. In this perspective, some contributions, limits and possibilities of this academic production were observed.

scholarly journals Direct cost of connecting, maintaining and disconnecting patient-controlled analgesia pump

2014 ◽  
Vol 48 (1) ◽  
pp. 104-109 ◽  
Author(s):  
Áquila Lopes Gouvêa ◽  
Antônio Fernandes Costa Lima
Keyword(s):  
Quantitative Research ◽  
Unit Cost ◽  
Patient Controlled Analgesia ◽  
Unified Health System ◽  
Effective Decision ◽  
The Mean ◽  
Effective Decision Making ◽  
Cost Of Materials ◽  
The Cost ◽  
Probabilistic Sample

Quantitative research that aimed to identify the mean total cost (MTC) of connecting, maintaining and disconnecting patient-controlled analgesia pump (PCA) in the management of pain. The non-probabilistic sample corresponded to the observation of 81 procedures in 17 units of the Central Institute of the Clinics Hospital, Faculty of Medicine, University of Sao Paulo. We calculated the MTC multiplying by the time spent by nurses at a unit cost of direct labor, adding the cost of materials and medications/solutions. The MTC of connecting was R$ 107.91; maintenance R$ 110.55 and disconnecting R$ 4.94. The results found will subsidize discussions about the need to transfer money from the Unified Health System to hospitals units that perform this technique of analgesic therapy and it will contribute to the cost management aimed at making efficient and effective decision-making in the allocation of available resources.

scholarly journals The Portuguese language version of social phobia and Anxiety Inventory: analysis of items and internal consistency in a Brazilian sample of 1,014 undergraduate students

2006 ◽  
Vol 55 (2) ◽  
pp. 114-119 ◽  
Author(s):  
Patrícia Picon ◽  
Gabriel J. Chittó Gauer ◽  
Jandyra M. G. Fachel ◽  
Deborah C. Beidel ◽  
Ana C. Seganfredo ◽  
...  
Keyword(s):  
Content Analysis ◽  
Social Phobia ◽  
Undergraduate Students ◽  
Internal Consistency ◽  
Inventory Analysis ◽  
Language Version ◽  
Brazilian Sample ◽  
The Mean ◽  
Item Content ◽  
Student’S T

OBJECTIVE: Theoretical and empirical analysis of items and internal consistency of the Portuguese-language version of Social Phobia and Anxiety Inventory (SPAI-Portuguese). METHODS: Social phobia experts conducted a 45-item content analysis of the SPAI-Portuguese administered to a sample of 1,014 university students. Item discrimination was evaluated by Student's t test; interitem, mean and item-to-total correlations, by Pearson coefficient; reliability was estimated by Cronbach's alpha. RESULTS: There was 100% agreement among experts concerning the 45 items. On the SPAI-Portuguese 43 items were discriminative (p < 0.05). A few inter-item correlations between both subscales were below 0.2. The mean inter-item correlations were: 0.41 on social phobia subscale; 0.32 on agoraphobia subscale and 0.32 on the SPAI-Portuguese. Item-to-total correlations were all higher then 0.3 (p < 0.001). Cronbach's alphas were: 0.95 on the SPAI-Portuguese; 0.96 on social phobia subscale; 0.85 on agoraphobia subscale. CONCLUSION: The 45-item content analysis revealed appropriateness concerning the underlying construct of the SPAI-Portuguese (social phobia, agoraphobia) with good discriminative capacity on 43 items. The mean inter-item correlations and reliability coefficients demonstrated the SPAI-Portuguese and subscales internal consistency and multidimensionality. No item was suppressed in the SPAI-Portuguese but the authors suggest that a shortened SPAI, in its different versions, could be an even more useful tool for research settings in social phobia.

scholarly journals Professional training in physiotherapy: barriers to the diversification of practical learning scenarios and for teaching-service integration

2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Ana Paula Maihack Gauer ◽  
Fátima Ferretti ◽  
Carla Rosane Paz Arruda Teo
Keyword(s):  
Public Health ◽  
Health Services ◽  
Professional Training ◽  
Service Integration ◽  
Public Health Services ◽  
Unified Health System ◽  
Teachers And Students ◽  
Learning Scenarios ◽  
Set Up ◽  
Indirect Relationship

Abstract Introduction: Professional training in health, at present, aims to develop competencies and skills for a performance according the principles of the Unified Health System (SUS, in Portuguese). In this sense, the Ministries of Health and Education have set up devices for training reorientation that prioritize teaching-service integration and diversification of learning scenarios. Objective: To describe barriers to the diversification of practical learning scenarios and for teaching-service integration in a physiotherapy course from the perspective of teachers and students. Methods: This is a qualitative research developed according to the case study method, with the participation of 16 students and 11 teachers-physiotherapists. During the data collection three focus groups were established, two with students and one with professors, besides individual interviews with both the course coordinator and the pedagogical articulator of the National Program for the Reorientation of Professional Health Training of the assessed course. Data were analyzed through thematic content analysis. Results: Among the identified barriers there are students’ low participation in public health services; saturation of public health services for students to carry out practical activities; low number of physiotherapists in Primary Care; indirect relationship of Clinical School with SUS. Conclusion: In order to improve the teaching-service interaction and to diversify the learning scenarios it is necessary to prioritize an integrated planning of actions to overcome identified barriers, including the participation of both the university managers and health services.

scholarly journals Rethinking the Health Care Model through the reorientation of training

2018 ◽  
Vol 71 (suppl 4) ◽  
pp. 1580-1588 ◽  
Author(s):  
Carine Vendruscolo ◽  
Letícia De Lima Trindade ◽  
Marta Lenise do Prado ◽  
Maria Elisabeth Kleba
Keyword(s):  
Health Care ◽  
Social Control ◽  
Professional Training ◽  
Daily Work ◽  
Training Models ◽  
Unified Health System ◽  
Charitable Institution ◽  
South Of Brazil ◽  
And Training

ABSTRACT Objective: to understand the contributions of the National Program of Reorientation of Professional Training in Health (Pró-Saúde) for the change in the model of care and training of health professionals. Methods: a case study with representatives of the teaching, care, management and social control, participants of the management units of the Pró-Saúde (Charitable institution for social and hospital assistance), in a municipality of the south of Brazil. Data collection took place through interviews and observations between October 2012 and February 2013. Results: the Program acts as a device for the transition of health care and training models, by promoting the problematization of daily work and the approximation between teaching and service. Emphasis is placed on the importance of the subjects’ commitment and the different perspectives on the community. Conclusion: Pró-Saúde leaves visible marks in the process of qualifying students and professionals, as well as promoting collaborative action in the fields of management, care, teaching and social control in the SUS (Brazilian Unified Health System).

scholarly journals Comparison of the Echinocandin Caspofungin with Amphotericin B for Treatment of Histoplasmosis following Pulmonary Challenge in a Murine Model

2000 ◽  
Vol 44 (7) ◽  
pp. 1850-1854 ◽  
Author(s):  
Steve Kohler ◽  
L. Joseph Wheat ◽  
Patricia Connolly ◽  
Carol Schnizlein-Bick ◽  
Michelle Durkin ◽  
...  
Keyword(s):  
Amphotericin B ◽  
Histoplasma Capsulatum ◽  
Clinical Laboratory ◽  
Antigen Detection ◽  
National Committee ◽  
Slight Effect ◽  
Fungal Burden ◽  
Detection Techniques ◽  
The Mean

ABSTRACT Twenty clinical isolates of Histoplasma capsulatum were tested for their in vitro susceptibilities to caspofungin in comparison to those to amphotericin B by following National Committee for Clinical Laboratory Standards guidelines for yeasts. The mean MICs were 16.6 μg/ml (range, 8 to 32 μg/ml) for caspofungin and 0.56 μg/ml (range, 0.5 to 1.0 μg/ml) for amphotericin B. Survival experiments used a 105 dose in a pulmonary challenge model with B6C3F1 mice. All mice that received amphotericin B at 2 mg/kg of body weight every other day (q.o.d.), 30% of mice that received caspofungin at 8 mg/kg/day, and 20% of mice that received caspofungin at 4 mg/kg/day survived to day 15, while mice that received caspofungin at 2 mg/kg/day and all control mice that received the vehicle died by day 14. Amphotericin B at 2 mg/kg q.o.d. markedly reduced the fungal burden in the lungs and spleens, as measured byHistoplasma antigen detection techniques and quantitative cultures, for each comparison. Caspofungin at 10 mg/kg twice a day (b.i.d.) did not reduce the fungal burden, as measured by antigen detection techniques, but slightly reduced the levels of fungi in both the lungs and spleens, as determined by quantitative cultures. Caspofungin at 5 mg/kg b.i.d. did not affect fungal burden. Overall, caspofungin had only a slight effect on survival or fungal burden.

scholarly journals ACTUALIZATION OF TRAINING OF FUTURE SPECIALISTS BY MEANS OF INFORMATION AND TELECOMMUNICATION SUPPORT IN EDUCATIONAL INSTITUTIONS

2020 ◽  
Vol 5 (43) ◽  
Author(s):  
V. Tymoshenko
Keyword(s):  
Content Analysis ◽  
Decision Support ◽  
Professional Training ◽  
Research Problem ◽  
Educational Institutions ◽  
Resource Base ◽  
Theoretical Methods ◽  
Support Resources ◽  
Training Content ◽  
Pedagogical Research

The pedagogical research on the relevance of professional training of future specialists by means of information and telecommunication support in educational institutions with the help of general and special theoretical methods of analysis was carried out, but among them the method of content analysis was chosen as the predominant one. Methodologically substantiated information and telecommunication support for training of future specialists of educational institutions and specified the conceptual and categorical apparatus of the research problem, systematized information and telecommunication resource base, namely decision support systems, tools, tools, platforms and resources of information and telecommunication support for professional training educational institutions.Key words: professional training, content analysis, information and telecommunication support, resources, platforms.

scholarly journals Javanese Ethical Values in Tafsir Al-Huda

2013 ◽  
Vol 20 (2) ◽  
pp. 207
Author(s):  
Novita Siswayanti
Keyword(s):  
Content Analysis ◽  
Culture Condition ◽  
Cultural Context ◽  
Moral Values ◽  
Ethical Values ◽  
Analysis Method ◽  
Cultural Perspective ◽  
Social Culture ◽  
Content Analysis Method ◽  
Culture Heritage

<p>Tafsir Al-Huda<em>, interpreting Quran in Javanese language, is one of Indonesia interpretation in which the context projecting the process of mingle between Quran and Javanese culture heritage owned by the author with social culture condition surrounded. </em>Tafsir Al-Huda <em>is a guidebook for experiencing sacred messages of Quran which is filled with moral values of Javanese culture. This research tried to study Javanese ethical values written in </em>Tafsir Al-Huda<em>. Content analysis method with hermeunetic approach is used in this study by interpreting symbols in form of text in order to find its meaning. This research conclude that </em>Tafsir Al-Huda <em>has Javanese cultural perspective, use cultural context, and has acomodating and integrating interconection.  Tafsir Al-Huda embody the Javanese philosophy and view of life to make society remember the God and be aware to any behavior and saying (</em>eling lan waspada<em>)</em><em>, tolerate and respect others (</em>tepa selira<em>)</em><em>, and live in harmony with the concept that harmony can create unity, dispute can create separation </em>(rukun agawe santosa lan crah agawe bubrah)<em>.</em></p>

scholarly journals Referral and counter-referral for the integrality of care in the Health Care Network

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Cleise Cristine Ribeiro Borges Oliveira ◽  
Elaine Andrade Leal Silva ◽  
Mariluce Karla Bomfim de Souza
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Health System ◽  
Family Health ◽  
Ethics Committee ◽  
The State ◽  
Healthcare Network ◽  
Unified Health System ◽  
Health Care Network

Abstract The objective was to analyze the functioning of the referral and counter-referral system for integral care in the Healthcare Network. Qualitative study performed through interviews with 66 participants - managers, workers and users of a town of the state of Bahia, Brazil, and upon approval by the Ethics Committee, opinion number nº 334.737. The material was analyzed using the Content Analysis proposed by Bardin, finished in 2014. Various conceptions of referral and counter-referral were identified, as follows: referral of users, user’s broader view; non-fragmented care; and integral care. For the users, the difficulties and facilities in the flows are concentrated in the Regulation and Scheduling Center and Family Health Units. It is concluded that, to enable the establishment of the network in an integral way, it is necessary to identify important strategies provided by the Unified Health System (SUS) and strengthen these strategies, as well as to identify any drawbacks to remedy them.

Penerimaan Gereja Orthodox Tewahedo Terhadap 81 Kitab

2021 ◽  
Vol 6 (2) ◽  
pp. 32-42
Author(s):  
Oktavia Kristika Sari
Keyword(s):  
Content Analysis ◽  
Orthodox Church ◽  
Church Fathers ◽  
Social Culture ◽  
God's Word ◽  
History Of ◽  
Worth Reading ◽  
The Impact ◽  
The Church ◽  
Church Tradition

When the Church recognizes the quantity of books as part of God's Word, it uses various standards for book collection. The Tewahedo Orthodox Church, which has 81 books, is one of the churches that got so many. The question of why this Church accepts so many books in its canon and how this Church interprets these books adds to the intricacy of the problem of the number of books in the Tewahedo Orthodox Church tradition. This research employs a content analysis to conduct a literature review. This research demonstrates the Tewahedo Orthodox Church's devotion to the works in its canon. Both in terms of apostles' and Church Fathers' traditions, the lengthy history of Social Culture, Councils and Synods, and the impact of ancient literature in Ethiopia.Although it is well known that writings outside the Hebrew protocanon are employed for ceremonial theology and people's education rather than construction, the Orthodox Tewahedo also believes these works to be vital as books worth reading and historical bridges. Abstrak indonesia  Standar pengumpulan kitab yang digunakan oleh Gereja ketika menerima jumlah kitab-kitab sebagai bagian dari Alkitab yang dipegang menggunakan standar yang berbeda-beda. Salah satu gereja yang menerima begitu banyak kitab adalah Gereja Tewahedo Orthodox yang memiliki 81 kitab. Kompleksnya masalah jumlah kitab di dalam tradisi Gereja Tewahedo Orthodox ini, menjadi pertanyaan apa yang menyebabkan Gereja ini menerima begitu banyak kitab dalam kanonnya dan bagaimana Gereja ini memandang kitab-kitab tersebut. Penelitian ini menggunakan Kajian Kepustakaan berupa kajian isi. Dalam penelitian ini menunjukkan kompleksitas penerimaan Gereja Tewahedo Orthodox terhadap kitab-kitab dalam kanonnya. Baik karena pengaruh tradisi rasul-rasul dan Bapa Gereja, sejarah panjang dalam Social Budaya dan Konsili serta Sinode, maupun juga pengaruh dari Literatur kuno di Ethiopia. Dan diketahui bahwa kitab-kitab diluar protokanon Ibrani tidak digunakan dalam membangun doktrin namun digunakan untuk ritual-ritual dan pengajaran umat, Tewahedo Orthodox juga meganggap penting kitab-kitab ini sebagai kitab-kitab yang layak dibaca dan digunakan sebagai jembatan sejarah.

Sign in / Sign up

Export Citation Format

Share Document