scholarly journals Pessoas em situação de rua em Manaus e o direito à saúde: um estudo sobre adesão ao tratamento em HIV

2021 ◽  
Vol 3 (4) ◽  
pp. 1973-1982
Author(s):  
Rosiane Pinheiro Palheta ◽  
Raquel Lira de Oliveira Targino ◽  
Lucélia Regina Pacheco Araújo

RESUMO No Brasil os estudos sobre o tratamento de saúde com soro-positivos ainda é incipiente, sobretudo no que diz respeito ao processo de adesão ao tratamento que ainda é um fator que tem limitado o sucesso no tratamento antiretroviral. Alguns estudos apontam que a não-adesão é um desafio e uma ameaça para a saúde, tanto individual quanto para a Saúde Pública. Sabe-se ainda que, na perspectiva do paciente, a adesão traz inúmeros benefícios ao tratamento dentre eles destaca-se: a redução do risco de falha virológica, aumenta a sobrevida do paciente, reduz o risco de progressão para AIDS e principalmente a melhora na qualidade de vida. Como está o acompanhamento e a adesão ao tratamento em Manaus e como as pessoas aderem a este serviço, é um dos objetivos da pesquisa aqui apresentada. Os procedimentos metodológicos se basearão nos métodos qualitativos e quantitativos e tratando-se de uma pesquisa descritiva, a metodologia utilizada para coleta de dados, objetivou descrever as características da população soro-positiva atendida nos SAES de Manaus e pela Equipe de Consultório na Rua. Como principais resultados baseados na análise dos dados feita a partir dos dados disponíveis pelo SAE /AHF de 2020 e tomando por base o acompanhamento do Serviço de psicologia e Serviço social, há uma adesão bastante significativa dos pacientes ao tratamento antirretroviral em 85% dos 903 pacientes em acompanhamento. Em relação aos pacientes em situação de rua atendidos pela Equipe de Consultório na Rua (CNAR), foram acompanhados 07 pacientes nos últimos 6 anos, dentre os quais 01 foi à óbito devido às complicações com comorbidades como a tuberculose, 01 está em tratamento e os demais não foram mais encontrados pela equipe.   ABSTRACT In Brazil, studies on health care treatment with sero-positive individuals is still incipient, especially regarding the treatment adherence process that is still a factor that has limited the success in antiretroviral treatment. Some studies point out that non-adherence is a challenge and a threat to health, both individual and public health. It is also known that, from the patient's perspective, adherence brings several benefits to the treatment, among which we highlight: reduced risk of virologic failure, increased patient survival, reduced risk of progression to AIDS, and especially improved quality of life. How is the monitoring and adherence to treatment in Manaus and how people adhere to this service, is one of the objectives of the research presented here. The methodological procedures will be based on qualitative and quantitative methods and being a descriptive research, the methodology used for data collection, aimed to describe the characteristics of the HIV-positive population assisted in the SAES of Manaus and by the Street Clinic Team. As main results based on data analysis made from the data available by the SAE /AHF of 2020 and based on the monitoring of the Psychology Service and Social Service, there is a very significant adherence of patients to antiretroviral treatment in 85% of 903 patients in monitoring. Regarding the homeless patients assisted by the Street Clinic Team (CNAR), 07 patients were followed in the last 6 years, among which 01 died due to complications with comorbidities such as tuberculosis, 01 is under treatment and the others were no longer found by the team.  

2018 ◽  
Author(s):  
Shohre Nourizadeh Dehkordi ◽  
Ali Ghorbani ◽  
Maryam Shahabi ◽  
Seyedeh Zahra Nazardani

BACKGROUND Evaluating the master’s degree program in Sports Physiotherapy in order to improve the quality of education in this field. The need to pay attention to the effectiveness and efficiency of the education and improving the system of higher education by becoming more aware of the factors involved is necessary. The aim of this study is to evaluate the educational program for master’s degree in Sports Physiotherapy. OBJECTIVE The aim of this study is to evaluate the educational program for master’s degree in Sports Physiotherapy. METHODS This is a hybrid study in which qualitative and quantitative methods for data collection were used. The research team consisted of faculty members and sports physiotherapy students. In the first part of the study, due to a lack of standard questionnaires, the method of an expert panel was used to build the tools. In the second part, the questionnaire was distributed among 22 professors and students, and the data was collected. RESULTS The findings showed that according to the viewpoints of the faculty members and students, the courses in the program are necessary and facilitates the students to become qualified in meeting their future professional requirements. The findings of other research indicate the desirability of the content, implementation, and educational facilities of the program from the viewpoint of the professors, and unfavourable from the viewpoint of the students. Moreover, from the perspective of the professors and students, the teaching methods is appropriate to the type of course and there is no need to add a new course to the program. The findings of student evaluation methods showed that these methods were considered to be favourable from the viewpoint of the professors, and unfavourable from the viewpoint of the students. CONCLUSIONS As a result, the program of Sports Physiotherapy was evaluated, in terms of its favourability, with the existing courses. Nevertheless, the addition of practical and clinical units helps to improve the quality of the curriculum.


Author(s):  
Matthew L. Stevens ◽  
Patrick Crowley ◽  
Anne H. Garde ◽  
Ole S. Mortensen ◽  
Clas-Håkan Nygård ◽  
...  

Introduction: The Need for Recovery (NFR) Scale facilitates the understanding of the factors that can lead to sustainable working and employability. Short-form scales can reduce the burden on researchers and respondents. Our aim was to create and validate a short-form Danish version of the NFR Scale. Methods: Two datasets were used to conduct the exploratory and confirmatory analyses. This was done using qualitative and quantitative methods. The exploratory phase identified several short-form versions of the Danish NFR Scale and evaluated the quality of each through the assessment of content, construct and criterion validity, and responsiveness. These evaluations were then verified through the confirmatory analysis, using the second dataset. Results: A short-form NFR scale consisting of three items (exhausted at the end of a work day, hard to find interest in other people after a work day, it takes over an hour to fully recover from a work day) showed excellent validity and responsiveness compared to the nine-item scale. Furthermore, a short-form consisting of just two items also showed excellent validity and good responsiveness. Conclusion: A short-form NFR scale, consisting of three items from the Danish NFR Scale, seems to be an appropriate substitute for the full nine-item scale.


2017 ◽  
Vol 7 (1) ◽  
pp. 111-120 ◽  
Author(s):  
Nosipho Mkhize ◽  
Myra Taylor ◽  
Kai M. Udert ◽  
Teddy G. Gounden ◽  
Chris A. Buckley

This study was part of the VUNA project aimed to develop an affordable sanitation system that produces a valuable fertiliser, reduces pollution of water resources and promotes health. Urine diversion dry toilets (UDDTs) simplify the on-site hygienisation of faeces and allow for nutrient recovery from urine. Social acceptance is vital for the implementation of the UDDT, because sanitation is only effective if the system not only provides a well-designed toilet and effective waste management, but also offers users a facility that caters to their needs and is sensitive to their cultural lifestyle. This study used qualitative and quantitative methods to investigate acceptance, use and maintenance of UDDTs. Key findings indicate lower levels of acceptance of UDDTs among the elderly, who are accustomed to traditional pit toilets. The users aspire to own a flush toilet, perceived to be indicative of household wealth. A dominant concern was emptying the pit and the quality of the building material. Community interventions are required that will promote acceptance, understanding and encourage proper use and maintenance of the UDDT, and may need some technology modification. There is an urgent need for increased community participation to address users' perceptions, attitudes and behaviour concerning the UDDT.


2020 ◽  
Vol 16 (1) ◽  
pp. 72-77
Author(s):  
Jonas Žukas

Abstract With the increasing functionality and complexity of the material environment it is becoming important to universally improve the quality of its shape design for people with different knowledge. When the material environment shape does not match its value content or acquire unpredictable meaning, it creates disharmony between the function and user that requires intellectual and / or emotional effort for interaction. The intuitive design improves user’s interaction because the information is presented on the subconscious level, hence it is accepted as a natural part of our environment and demands less effort to grasp and evaluate it. In this study, the scientific context of intuition is examined to determine methods and values of shape intuitive expression modeling. The goal of the study is to assess the effectiveness of shape experimental intuitive harmonization methodology using qualitative and quantitative methods. Functional and interaction restrictions are integrated into the object’s shape by employing experimental modeling techniques. Surveys, controlled observations and MaxDiff analysis were used to monitor intuitive harmonization effects on car body split-line and box shape physical models. Experimental results show that the majority of participants consider conceptual shape models to be more intuitively attractive and informative. The study concludes that it is possible and viable to employ a proposed shape intuitive harmonization variable to achieve a universally positive effect.


2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Ufara Qasrin ◽  
Agus Setiawan ◽  
Yulianty Yulianty ◽  
Afif Bintoro

Medicinal plants have long been used by traditional communities, one of them is the Malay people in Lingga Regency, Riau Islands Province in healing various diseases. This study aims to determine the types of medicinal plants based on local knowledge of the indigenous Malay people. The population of this research is the native Malay people of Lingga Regency and the sampling is done using the snowball sampling method so that the selected respondents are following the required data. This type of research is descriptive research with qualitative and quantitative methods. The qualitative method was used to find out the use of medicinal plants used by the community by interview while the quantitative method was used to find out the percent of the use of medicinal plants by the Malays from the interviews. Based on the results of the study there were 102 types of medicinal plants in 53 families. The most commonly used plant parts are leaves (45.10%) by boiling and the least used are seeds and bark (1.96%). The most used habitats were herbs (27.45%) and trees (26.47%) and the least used were liana (8.82%) and terna (3.92%). Diseases that are usually treated by people with plants are diseases that are commonly suffered by ordinary people such as fever, diarrhea, coughing, toothaches, itching and mouth sores.


2020 ◽  
Vol 8 (1) ◽  
pp. 125-138
Author(s):  
Siti Aisyah ◽  
Zulkarnain ◽  
Kasman Arifin

Business opportunities for buying and selling that previously could only be done in supermarkets, malls, shops, or markets called offline businesses can now be done using online media by creating sales websites or by using social networking media. This study aims to determine the Analysis of Online Transactions Against Purchase Trust and Grab E-commerce Satisfaction in Pekanbaru City. The population taken in this study is from the Districts in Pekanbaru City, namely the Districts of Tampan, Marpoyan Damai, Pekanbaru City and Bukit Raya, with a total of 548,730 inhabitants.         The method used in this study uses quantitative methods with causal and descriptive research designs. And testing the hypothesis in this study using Structural Equation Modeling (SEM) analysis. Data collection techniques are done by interview and questionnaire. The results of this study indicate that the coefficient of determination obtained value of 0.760. This means that 76% of purchasing confidence variables are obtained from online transactions consisting of security, privacy, brand name, word of mouth, good experience and quality of information. The e-commerce satisfaction variable was 0.815. This means that 81.5% of e-commerce satisfaction variables are approved by online transactions and purchase confidence. While the partial test relationship of H1, H2, H5, H6, H7, H8, H8, H10, H11, H12, H13, have a positive and significant effect. While H3, H4 and H10 have a positive and not significant effect


2020 ◽  
Vol 10 (6) ◽  
pp. 623
Author(s):  
Yibeltal Degwale ◽  
Simachew Gashaye

This study aimed to assess the representation of literary texts and their actual practice at Grades 9 and 10 in general secondary schools in Ethiopia. The study employed descriptive research design involving both qualitative and quantitative methods. Participants were selected purposively. Textbook analysis, classroom observation and focus group discussion were data sources. The textbook and classroom observation data were analyzed using descriptive statistics. Whereas, the focus group discussion data were analyzed qualitatively using thematic analysis. Findings showed that poems took the lion’s share in the literary texts. However, short stories, novel extracts, moral stories, fables and true stories were scarcely found in the textbooks. Besides, the findings revealed that language skills and language areas incorporated in the literary texts focused more on developing reading and speaking skills. Moreover, the findings obtained from focus group discussion and classroom observation showed that teachers were not regularly practising literary texts due to teachers’ lack of pedagogical skills, students’ lack of interest to learn literary texts and the difficulty nature of the literary texts.


1993 ◽  
Vol 12 (1) ◽  
pp. 157-175 ◽  
Author(s):  
Janice McCarthy ◽  
Geoffrey Nelson

This paper reports the findings of an evaluation of supportive housing for people who have been hospitalized in psychiatric facilities. Both qualitative and quantitative methods were used to inquire into two key processes, social support and control in the residence, and two key outcomes, quality of life and personal growth. Interviews were conducted with 34 residents of small supportive housing programs, and staff of these settings also provided information. While residents were generally pleased with the amount of support and control they had in their residences, there were some areas in which staff exerted unilateral control (i.e., they made decisions without involving residents in the process). With respect to quality of life, residents were satisfied with their housing, but voiced some concerns over a lack of privacy, stigma, and limited opportunities for participation in the community. Residents reported showing personal growth since entering supportive housing in terms of greater independence, more instrumental role involvement, and improved self-esteem and social skills. Staff confirmed these changes. Residents indicated their increased feelings of competence were due to the social support of staff and friends, acceptance by members of their networks and the community at large, and participation in the residence and community activities. The findings expand our understanding of supportive housing in showing that such programs have beneficial effects besides reduced recidivism rates and increased work productivity for residents and in identifying program processes which contribute to residents' increased competence. Moreover, the findings illustrate the value of using qualitative data in program evaluation.


Author(s):  
Patience OBENG ◽  

African nations with theirmultilingual nature still face challenges in the language of formal education. With thecognitive and academic leveragesattachedto home language, language educationistsandlinguistic scholars believe that a child must be taught first in their mother-tongue, usually, their firstlanguage, in which theydisplay an appreciable level of competence,before any other language/s are introduced. Many studies have been conducted onthe language policy issues in Ghana but the current study adds a dimension from parents and even the learners who are key stakeholders and recipients of the policy. This study sought to find out the level of awareness of thestakeholders; teachers, parents and pupils,their position and the impactof their positionon learning outcomes. It also investigated stakeholders’position in using only English to teach at the lower primary. Using a survey descriptive research methodology, data was collectedvia both structured and unstructured interviews, andobservation. Both qualitative and quantitative methods wereused to analyze data.The research revealed that among the three stakeholders, teachers were more conversant with Ghana’s language policy. All stakeholdersendorsed the policy for teaching and learning purposes. Even though, most teachers preferred to blend English and alocal language, a fewcould speak the local language of the community, or have been trained in the use of the local language for instructional purposes. All stakeholders favoured a blend of English with the local languages.


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