scholarly journals Pharmaceutical Service for Multiple Sclerosis Carriers in Brazil: A State Model

2020 ◽  
Vol 12 (13) ◽  
pp. 32
Author(s):  
Cristiane M. Ferreira ◽  
Erica F. Vasconcelos- Pereira ◽  
Vanessa M. de Oliveira ◽  
Liliane Bernardes Campos ◽  
Vanessa T. G. de Matos ◽  
...  

The Specialized Component of Pharmaceutical Care is the Brazilian Unified Health System strategy that aims to ensure comprehensive drug treatment at an outpatient level and improve access to high complexity, high cost treatments, such as multiple sclerosis. Given the diversity of treatments available and the differences in financing and dispensing in different countries, the objective of this study was to present the workings of the model of care for patients with multiple sclerosis through the public health system in Brazil in the state of Mato Grosso do Sul. In Campo Grande, the registration and dispensation of drugs for the treatment of multiple sclerosis is the responsibility of the Pharmacy School Professor Ana Maria Cervantes Baraza of the Federal University of Mato Grosso do Sul. In this center, all patients receive pharmaceutical advice on the administration of injectable drugs and oral medications; the storage, preservation, and transportation of refrigerated drugs; and information on the disease and management of adverse reactions. Clinical pharmacy services are also available to patients in a pharmaceutical office, ensuring patient privacy and comfort and enabling the creation of a bond with the pharmacist. The model of care provided by the Pharmacy School allows for the development of pharmaceutical services, encourages the rational use of medicines, and emphasizes the importance of self-care, adherence to therapy, and the co-responsibility of patients and their families.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B L O Luizeti ◽  
E M M Massuda ◽  
L F G Garcia

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.


2018 ◽  
Vol 12 (1) ◽  
pp. 152
Author(s):  
Clarisse Castro Cavalcante ◽  
Kátia Lerner

Sobre ausências e silenciamentos: uma análise dos sentidos do Sistema Único de Saúde no Caderno Vida, do Diário do Nordeste On absences and silences: an analysis of the senses of the Unified Health System in the Caderno Vida, Diário do Nordeste ResumoEste artigo tem como objetivo compreender os modos pelos quais o jornal Diário do Nordeste construiu sentidos sobre o Sistema Único de Saúde no seu suplemento semanal dedicado ao tema saúde, o Caderno Vida. Utilizamos como método uma análise qualitativa de seis textos jornalísticos que continham a presença do SUS, baseada no referencial teórico-metodológico da Semiologia dos Discursos Sociais. Entre os principais resultados, observou-se que o Diário do Nordeste constituiu modos de falar sobre o SUS a partir de estratégias discursivas de crítica, tecidas através da visibilidade conferida à ausência de tecnologias nos serviços de saúde e à precariedade no financiamento; e de silenciamentos sobre o SUS a partir de sua não nomeação na divulgação de serviços e políticas de saúde, especialmente quando positivos e valorizados na esfera pública.Palavras-chaves: Mídia; Cotidiano; Jornalismo; Discursos; Sentidos AbstractThis article aims to understand the ways in which the Diário do Nordeste newspaper has constructed senses about the Unified Health System in its weekly supplement dedicated to health, the “Caderno Vida”. We used as a method a qualitative analysis of six journalistic texts that contained the presence of SUS, based on the theoretical and methodological reference of the Semiology of Social Discourses. Among the main results, it was observed that the Diário do Nordeste constituted ways of talking about SUS based on discursive strategies of criticism, woven through the visibility given to the absence of technologies in health services and the precariousness of financing; and of silencing about the SUS from its non-appointment in the dissemination of health services and policies, especially when positive and valued in the public sphere.Keywords: Media; Daily; Journalism; Discourses; Senses  


2010 ◽  
Vol 25 (2) ◽  
pp. 201-205 ◽  
Author(s):  
Wilson Salgado Júnior ◽  
Karoline Calfa Pitanga ◽  
José Sebastião dos Santos ◽  
Ajith Kumar Sankarankutty ◽  
Orlando de Castro e Silva Jr ◽  
...  

PURPOSE: Analyze the effect of some measures on the costs of bariatric surgery, adopting as reference the remuneration of the procedure provided by the Unified Health System (SUS). METHODS: A retrospective evaluation conducted in the Costs Section of the University Hospital of Ribeirão Preto, of the costs involved in the perioperative period for patients submitted to bariatric surgery from 2004 to 2007. Changes in the routines and protocols of the service aiming at the reduction of these costs during the study period were also analyzed. RESULTS: Nine patients in 2004 and seven in 2007 submitted to conventional vertical banded "Roux-en-Y" gastric bypass were studied. All patients presented good postoperative evolution. The average cost with these patients was R$ 6,845.17 in 2004. Even though an effort was made to contain expenditures, the cost in 2007 was of R$ 7,525.64 because of the increase in the price of materials and medicines. The Government remuneration of the procedure in the two years was R$ 3,259.72. CONCLUSION: Despite the adoption of diverse measures to reduce the expenditures of bariatric surgery, in fact there was an increase in the costs, a fact supporting the necessity of permanent evaluation of the financing of public health.


Author(s):  
Juliana Costa Ribeiro-Barbosa ◽  
Gilberto Tadeu Reis da Silva ◽  
Simone Coelho Amestoy ◽  
Cristiane Costa Reis da Silva ◽  
Rosana Maria de Oliveira Silva ◽  
...  

Abstract Objective: To analyze nursing education in the Technical Schools of the Unified Health System in the Northeastern region of Brazil. Method: A documentary study with a qualitative approach, having its locus as Technical Schools of the Unified Health System in the Northeast Region which offer the technical course in nursing. Data sources were the Pedagogical Political Projects of the school and the Teaching Plans of the referred courses, and three structured scripts on the pedagogical aspects of training were used as instruments. The systematization/data analysis was based on thematic content analysis. Results: Technical training in nursing occurs through: an integrative approach, being considered a pedagogical trend; problematizing approach, used as a methodological way for teaching-learning; and qualitative assessment, enhancing the scope of professional skills. Conclusion: The training in focus points to the commitment to the Unified Health System and professional excellence, as it strengthens the integration between teaching-service-community, encourages student proactivity and indicates teaching-learning in the demands of the population and the public health system, and enhances the acquiring and improving professional skills.


Perspectiva ◽  
2016 ◽  
Vol 33 (3) ◽  
pp. 1091-1112
Author(s):  
Constantina Xavier Filha

A linguagem dos filmes de animação atinge o público e o gosto de crianças. No entanto, na maioria das vezes, as crianças são alijadas do processo de produção desses filmes. Há algumas experiências no Brasil e no exterior em que as crianças participam desse processo, ora experimentando a linguagem, ora produzindo conteúdos. Pensando sobre o alcance lúdico, imaginativo e criativo do cinema aliado à cultura da infância, foram desenvolvidos encontros de pesquisa com crianças dos 5ºs anos do Ensino Fundamental em uma escola pública de Campo Grande, Mato Grosso do Sul, no âmbito de pesquisas com apoio do CNPq e de projetos de extensão, nos anos de 2010 a 2013. Nesses encontros, juntamente com as questões relacionadas à linguagem cinematográfica, outras temáticas foram priorizadas para garantir a construção da narrativa dos filmes, entre elas, gênero, sexualidade, diversidade/diferença e violências contra crianças. No decorrer do processo, produziu-se juntamente com as crianças roteiros, cenários, construção de personagens e demais processos de produção e planejamento de pós-produção dos filmes de animação: Jéssica e Júnior no mundo das cores (2010); A Princesa Pantaneira (2012); Queityléia em perigos reais (2012); Direitos das crianças: uma aventura intergaláctica (2013); e João e Maria: dos contos à realidade (2013). Sendo assim, o presente texto tem por objetivo descrever o processo de produção dos referidos filmes, refletindo sobre a trajetória de produção coletiva entre adultos e crianças na possibilidade de produção de arte, poesia, novas formas de subjetivação e problematização de assuntos que dizem respeito às vivências das infâncias. Production of animation film with and to children: thoughts can become art AbstractThe language of animation films reaches the public and also the taste of children. However, in most cases, children are shut out of the process of producing such films. There are some experiences in Brazil and abroad, where children participate in this process, sometimes experiencing the language, sometimes producing contents. Thinking about the playful, imaginative and creative reach of Cinema, combined with childhood culture, we developed research meetings with children from the 5th years of elementary school in a public school in Campo Grande, Mato Grosso do Sul, in the course of research supported by CNPq and extension projects in the years 2010-2013. In these meetings, along with issues related to cinematic language, other issues were prioritized to ensure the construction of the narrative of films, among them, gender, sexuality, diversity/difference and violence against children. During the process, we produced along with children scripts, scenes, construction of characters and other processes of production and planning post-production of animation films: Jéssica e Júnior no mundo das cores (2010); A Princesa Pantaneira (2012); Queityléia em perigos reais (2012); Direitos das crianças: uma aventura intergaláctica (2013); and João e Maria: dos contos à realidade (2013). This article aims to describe the production process of these films, reflecting on the trajectory of collective production between adults and children in the possibility of producing art, poetry, new forms of subjectivity and problematization of subjects that relate to experiences of childhood.Keywords: Language and Education. Culture. Communication.Producción de película de animación con y para niños: los pensamientos pueden volcar arte ResumenEl lenguaje de las películas de animación alcanza el público y lo gusto de niños. Sin embargo, en la mayoría de las veces, los niños son alijados del proceso de producción de esas películas. Hay algunas experiencias en Brasil y en el exterior en que los niños participan de ese proceso, ora experimentando el lenguaje, ora produciendo contenidos. Pensando sobre el alcance lúdico, imaginativo y creativo del cine aliado la cultura de la infancia, desarrollamos encuentros de investigación con niños de los 5ºs años de la Enseñanza Fundamental en una escuela pública de Campo Grande, Mato Grosso do Sul, en el ámbito de investigaciones con apoyo del CNPq y de proyectos de extensión, los años de 2010 a 2013. En esos encuentros, jutamente con las cuestiones relacionadas al lenguaje cinematográfico, otras temáticas fueron priorizadas para garantizar la construcción de la narrativa de las películas, entre ellas, género, sexualidad, diversidad/diferencia y violencias contra niños. En el transcurrir del proceso, producimos juntamente con los niños guiones, escenarios, construcción de personajes y demasiado procesos de producción y planificación de post-producción de las películas de animación: Jéssica e Júnior no mundo das cores (2010); A Princesa Pantaneira (2012); Queityléia em perigos reais (2012); Direitos das crianças: uma aventura intergaláctica (2013); João e Maria: dos contos à realidade (2013). El presente artículo tiene por objetivo describir el proceso de producción de las referidas películas, reflejando sobre la trayectoria de producción colectiva entre adultos y niños en la posibilidad de producción de arte, poesía, nuevas formas de subjetivación y problematización de asuntos que dicen respeto la vivencias de las infancias.Palabras claves: Lenguaje y Educación. Cultura. Comunicación.


2021 ◽  
Vol 74 (1) ◽  
Author(s):  
José Renato Gatto Júnior ◽  
Cinira Magali Fortuna ◽  
Sébastien Pesce ◽  
Leandra Andréia de Sousa ◽  
Angelina Lettiere-Viana

ABSTRACT Objectives: to analyze the ways in which neoliberalism has consolidated itself in the public university and in university teaching in nursing; and what interferences it has produced in the pedagogical conceptions and practices of nurse educators. Methods: this is a qualitative research based on Institutional Analysis and conducted in a public university. Results: the data produced with the nursing teachers revealed the consolidation of the New Public Management in the university teaching of the professor-nurse, which is in contradiction with the formative assumptions for the Unified Health System. Final Considerations: it is noticeable how the university and the university teaching in nursing are already impregnated by neoliberal logic. This will possibly have repercussions on the training of professionals for the Unified Health System.


Author(s):  
Helen Machareth ◽  
Cláudia Coeli ◽  
Rejane Pinheiro

ABSTRACTIntroductionThe Hospital Information System of the Brazilian Unified Health System (SIH-SUS) can be an important tool in evaluating care through comparisons of mortality rates among hospitals. However, the SIH-SUS has limited availability of data on comorbidities, which are needed in order to measure the severity of patients' condition for risk adjustment when comparing mortality among hospitals. ObjectivesTo analyze previous hospital admissions as an indicator of severity of patients' condition using as an example hip fracture admissions. ApproachWe analyzed 1984 patients with 62 years of age or older with hip fracture who were admitted to the public health system in Rio de Janeiro City between 2010 and 2011. The causes of previous hospital admissions were obtained through probabilistic record linkage with the SIH-SUS for all causes of admissions between 2008 and 2010. We analyzed the association between the patient having had a any previous admission, adjusted by sex and age, with hospital death, through a logistic regression model. We also analyzed the association between groups of causes of admission with hospital death. ResultsHaving had at least one previous hospital admission due to any cause before the admission for hip fracture was associated with a 77% increase in the odds of hospital death (CI 95% = 1.06 – 2.94). Among comorbidities, the most relevant were severe or moderate kidney disease with OR = 20.196 (CI 95% = 3.042 – 134.092), ischemic diseases with OR = 9.099 (CI 95% = 0.973 – 85.106), pneumonia with OR = 3.619 (CI 95% = 0.977 – 13.401) and diverse fractures and lesions with OR = 2.041 (CI 95% = 0.900 – 4.627). We were not able to analyze the association for some comorbidities due to an absence in outcome variability in some groups. ConclusionResults point to a promising use of previous hospital admissions in the Hospital Information System as a proxy for patient's risk adjustment.


2021 ◽  
Vol 10 (11) ◽  
pp. e340101119686
Author(s):  
José Martins Fernandes

This work presents the morphology of 16 medicinal species of Lamiales used in Alta Floresta, Mato Grosso, Brazil, as well comments about phytogeography, popular use in the municipality, the status of the species in the National Policy on Medicinal Plants and Phytotherapeutics, and examples of preclinical trials. The work was performed between March and September 2020, through botanical sample of the Lamiales species presented in the book " Plantas medicinais de Alta Floresta: com contribuição a etnobotânica", obtained in rural communities and urban neighborhoods in the municipality of Alta Floresta, State of Mato Grosso. The morphological study was carried out at the Laboratory of Plant Morphology, located at the University Campus of Alta Floresta, Universidade do Estado de Mato Grosso. In general, the species are native (56%) with wide distributions in Brazil. Most species have glandular trichomes (72%) on the leaves and/or flowers and have been shown to be efficient and/or promising (85.5%) in studies. However, only 37.5% of these studies were conducted by the Ministry of Health. None of the species are offered as a phytotherapeutic by the Unified Health System (SUS), although six are on the last National Report of Medicinal Plants of Interest published by SUS. Based on the information provided, it is evident that these species could be used in studies about new phytotherapeutics for SUS users.


Author(s):  
Giovanna Danielson de Oliveira Silva ◽  
João Pedro De Novaes Corrêa ◽  
Julia Agnes Eneas de Almeida ◽  
Juliana Hiroyo Moribe ◽  
Karen De Souza Flores ◽  
...  

A cegueira é definida como a incapacidade de captação de informações do mundo através do sentido da visão. Em recém-nascidos e crianças, o glaucoma congênito é uma das principais patologias desencadeantes da cegueira, sendo o diagnóstico precoce fundamental para orientar o tratamento e alterar o prognóstico da patologia. A literatura, no geral, traz o tratamento cirúrgico como primeira linha adotada na abordagem do Glaucoma Congênito, sendo as principais técnicas utilizadas a goniotomia e a trabeculotomia. Tendo em vista a escassez de relatos na literatura local a esse respeito, o objetivo deste artigo consiste em verificar a conduta mais prevalente em uma série de casos de Glaucoma Congênito na Rede Pública do Mato Grosso do Sul. Este estudo é do tipo descritivo, quali-quantitativo, observacional, retrospectivo, baseado em análise dos registros nos prontuários dos pacientes atendidos na rede pública de saúde de Campo Grande – MS. Dos oito casos analisados, um sofreu evisceração com colocação de prótese, dois não tiveram o nome da técnica cirúrgica relatada e os outros cinco realizaram trabeculectomia. Apesar da maioria dos casos encontrados ter sido abordada com o tratamento cirúrgico, conforme o preconizado pela literatura, o procedimento eleito na maioria dos casos, a trabeculectomia, difere daquele citado na literatura como o de primeira escolha. Palavras-chave: Glaucoma. Resultado de Tratamento. Trabeculectomia.AbstractBlindness is defined as the inability to capture information from the world through the sense of sight. In newborns and children, congenital glaucoma is one of the main causes of blindness, and early diagnosis is fundamental to guide treatment and change the prognosis of the condition. The literature adopts surgical treatment as the first line for the approach of Congenital Glaucoma, the main techniques being used for goniotomy and trabeculotomy. The objective of this article is to verify the most prevalent behavior in the series of cases of Congenital Glaucoma in the Public Network of MS, considering the scarcity in the literature, in order to evaluate if the techniques adopted in clinical practice follow what the medicine based in evidences presents as more appropriate. This is a descriptive, qualitative, observational, retrospective study, based on the records analysis in the medical patients records attended  in the public health network in Campo Grande - MS. Of the eight analyzed cases, one had evisceration with prosthesis placement, two had no name of the surgical technique reported and the other five underwent trabeculectomy. Although most of the cases are treated with the surgical treatment as recommended by the literature, the procedure of first choice is the goniotomy technique. Differently from what was found in the ducts of the analyzed cases, the majority were treated with trabeculotomy. It is believed that the significant use of this technique relates to its greater ease of execution, transmitting more operational safety to the surgeons. Keywords: Glaucoma. Treatment Outcome. Trabeculectomy. 


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