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2.

Descarte de medicamentos: uma questão socioambiental e de saúde/ Medicine dispoasal: a socio-enviromental and health issue/ Descarte de medicamentos: una cuestión socioambiental y de salud

Bandeira, Eliel de Oliveira; Abreu, Daiane Porto Gautério; Lima, Juliana Piveta de; Costa, Cesar Francisco Silva da; Costa, Aline Rodrigues da; Martins, Nidia Farias Fernandes
;
| Idioma(s): Inglés; Portugués
Objetivo: Descrever como é realizado o descarte de medicamentos; avaliar o conhecimento de profissionais que atuam em Unidades de Saúde da Família a respeito do descarte de medicamentos. Método: Pesquisa qualitativa, exploratória, descritiva, realizada com 16 profissionais em quatro Unidades de Saúde da Família de um município do sul do Brasil. A coleta ocorreu por meio de entrevistas semiestruturadas. A análise dos dados foi por meio da análise textual discursiva. Resultados: Os trabalhadores não cumprem os passos do descarte correto. A maioria desconhece a legislação vigente. Os profissionais identificaram a contaminação do meio ambiente, uso indevido dos medicamentos descartados incorretamente e resistência bacteriana aos medicamentos como as principais consequências do descarte incorreto. Conclusão: Esta pesquisa pode contribuir na gestão e na assistência, fazendo com que gestores, profissionais e usuários repensem o seu fazer, melhorando a saúde das pessoas e do meio ambiente Objectives: Describe how the disposal of drugs is carried out; To evaluate the knowledge of professionals working in Family Health Units regarding drug disposal. Methods: Qualitative, exploratory, descriptive research, carried out with 16 professionals in four Family Health Units of a municipality in the south of Brazil. The collection took place through semi-structured interviews. The analysis of the data was through discursive textual analysis. Results: Workers do not follow the steps of the correct disposal, most are unaware of the current legislation, the professionals identified the contamination of the environment, misuse of incorrectly discarded drugs and bacterial resistance to medications as the main consequences of incorrect disposal. Conclusions: This research can contribute to the management and assistance, making managers, professionals and users rethink their doing, improving the health of people and the environment Objetivos: Describir como es realizado lo descarte de medicamentos; evaluar el conocimiento de profesionales que actúan en Unidades de Salud de la Familia acerca del descarte de medicamentos. Métodos: Investigación cualitativa, exploratório, descriptiva, realizada con 16 profesionales en cuatro Unidades de Salud de la Familia de un municipio del sur del Brasil. La recolección ocurrió por medio de entrevistas semi-estructuradas. El análisis de los datos fue por medio del análisis textual discursiva. Resultados: Los trabajadores no cumplen los pasos del descarte correcto, la mayoría desconoce la legislación vigente, los profesionales identificaron la contaminación del medio ambiente, uso indebido de los medicamentos descartados incorrectamente y resistencia bacteriana a los medicamentos como las principales consecuencias del descarte incorrecto. Conclusiones: Esta investigación puede contribuir en la gestión y en la asistencia haciendo con que, gestores, profesionales y usuarios replanteen su hacer, mejorando la salud de las personas y del medio ambiente
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3.

Saúde do trabalhador no ambiente hospitalar: fatores de risco para síndrome de burnout/ Health of workers in the hospital environment: risk factors for burnout syndrome

Santos, Erick Natividade dos; Boas, Ludmilla Lima Vilas; Miranda, Avanilde Paes; Erick Natividade dos Santos, Ítalo Jefferson Silva de França, Ludmilla Lima Vilas Boas, Avanilde Paes Miranda
;
| Idioma(s): Portugués
Conhecer os fatores de risco aos enfermeiros e técnicos de enfermagem no ambiente de trabalho que possibilite a ocorrência de Síndrome de Burnout. Trata-se de um estudo analítico, observacional, com corte transversal, quantitativo. A coleta de dados foi realizada pelas pesquisadoras em uma Unidade de Terapia Intensiva com enfermeiros e técnicos de enfermagem, no período de novembro a dezembro/2017. A amostra contemplou 100% profissionais, foi realizado com profissionais lotados. Observa-se que 79,17% tem idade entre 20 a 30 anos incompletos, 100% são do sexo feminino. A maioria referiram sempre apresentar sintomas à síndrome de burnout, assim como, sintomas somáticos segundo Maslach Burnout Iventory que afirmaram apresentar às vezes. o desafio da promoção da saúde no trabalho e da prevenção do burnout, torna-se ainda maior na medida em que é exigido um diálogo permanente entre o planejamento, a execução e gestão.(AU)
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4.

Climate-change information, health-risk perception and residents' environmental complaint behavior: an empirical study in China.

Wang, Shanyong; Jiang, Jingjing; Zhou, Yu; Li, Jun; Zhao, Dingtao; Lin, Shoufu
| Idioma(s):
Motivating residents to deliver environmental complaints is beneficial for environmental authorities to help them manage environmental issues and alleviate the adverse effects caused by climate change. The major aim of the present study is to understand how climate-change information and residents' health-risk perceptions (both physical and mental dimensions) affect residents' environmental complaint behavior. The research framework was developed according to planned behavior theory, risk perception behavior and information behavior models. This framework was empirically assessed by employing questionnaire survey data gathered from 1273 respondents in China. The results indicate that climate-change information and residents' health-risk perceptions have all significantly positive effects on residents' attitudes toward environmental complaints and their intention to submit environmental complaints. Meanwhile, residents' health-risk perception is also positively affected by climate-change information. Mental health-risk perception plays a much stronger role in determining a residents' attitude and intention to submit an environmental complaint than does physical health-risk perception. Furthermore, attitude toward environmental complaint, perceived behavioral control and subjective norm all have significantly positive effects on a residents' intention to submit an environmental complaint. Additionally, this study also addresses the intention-behavior gap and suggests a positive relationship between intention and behavior. The present study may provide some practical implications to motivate residents to submit environmental complaints.
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5.

Maternal and Child Health Nutrition Faculty and Trainees Work Collaboratively with Community Partners to Assess Afterschool Nutrition Environments.

Barroso, Cristina; Spence, Marsha; Hill, Cheryl; Rodgers, Megan; Jennings, Krystal; Parkman, Kelsey; Waddill, Mary
| Idioma(s):
Purpose The purpose of this paper is to describe a collaborative service learning experience (SLE) which was part of the degree requirements of the Public Health Nutrition Graduate Program at the University of Tennessee. The SLE was collaboratively developed by the University of Tennessee's maternal and child health (MCH) nutrition leadership education and training (NLET) Program Director and the Knox County Health Department's healthy weight program manager. Description The SLE was a semester long project that included instructional time and fieldwork. Coursework focused on development of a community nutrition needs assessment, how to interpret and analyze assessment data, and how to use assessment data for program planning and policy development. Fieldwork consisted of interacting with an interprofessional team, assessing the nutrition environment at two afterschool sites, conducting a plate waste study to determine the amount of food consumed by children at the sites' dinner meals, interpreting and analyzing data, and developing and presenting recommendations for improvement. Assessment Trainees successfully completed all aspects of the SLE. They completed a community needs assessment of the neighborhoods surrounding the two afterschool program sites, conducted nutrition environment audits, including meal observations, and measured and analyzed plate waste from dinner meals served at the sites. Using the data gathered and collected, they prepared suggestions for nutrition environment improvements and policy development for community partners. Conclusion The SLE allowed trainees to develop MCH competencies and professional skills required in public health nutrition, while providing valuable data that subsequently was used to establish nutrition-related policies and interventions.
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6.

Understanding the Workplace Interactions of Young Adult Cancer Survivors With Occupational and Environmental Health Professionals.

Stone, Dawn S; Pavlish, Carol L; Ganz, Patricia A; Thomas, Elizabeth Anne; Casillas, Jacqueline N; Robbins, Wendie A
| Idioma(s):
Work provides satisfaction and stability to young adult cancer survivors. However, progressive health changes because of cancer may compromise safety and diminish functional ability. The purpose of this study was to describe long-term young adult cancer survivors' work experiences and describe their interactions with occupational and environmental health professionals (OEHPs) within the workplace. Cancer survivors were recruited from the Los Angeles County Cancer Surveillance Program. Professional organizations provided access to OEHPs. Constructivist grounded theory guided individual semi-structured interviews during data collection and analysis. Processes of interaction between cancer survivors and OEHPs found to influence work included revealing the survivor-self, sustaining work ability, gatekeeping (employment opportunities, return to work), and accessing support. OEHPs appeared to facilitate survivors' work ability in the long term if services were available, services were known to survivors, and survivors revealed needs. Educating workers about OEHP services throughout cancer experiences and survivorship could ultimately improve interactivity and provide supportive work environments.
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7.

Toxicity and applications of surfactin for health and environmental biotechnology.

Santos, Vanessa Santana Vieira; Silveira, Edgar; Pereira, Boscolli Barbosa
| Idioma(s):
Characterized as one of the most potent biosurfactants, surfactin is a cyclic lipopeptide synthesized by several strains of Bacillus genus. The aim of this review was to present the physicochemical and structural properties of surfactin and to demonstrate advances and applications of this biosurfactant for health and environmental biotechnology. Further, this review also focused on toxicological effects of surfactin on in vivo and in in vitro systems. The hydrophobic nature of surfactin enables interaction with membrane-bound phospholipids and indicates the ability of the molecule to act as a new weapon with respect to therapeutic and environmental properties. Seeking to avoid environmental contamination produced by widespread use of synthetic surfactants, surfactin emerges as a biological control agent against pathogen species owing to its antibacterial and antiviral properties. In addition, the mosquitocidal activity of surfactin was suggested as new strategy to control disease vectors. The current findings warrant future research to assess the toxicity of surfactin to enable an optimizing anticancer therapy and to seek refined methodologies, including nanotechnology techniques, to allow for an improved delivery of the biogenic molecule on target cells.
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8.

Environmental exposure and health effects in a highly polluted area of Northern Italy: a narrative review.

Alias, Carlotta; Benassi, Laura; Bertazzi, Luca; Sorlini, Sabrina; Volta, Marialuisa; Gelatti, Umberto
| Idioma(s):
Human health and well-being are strongly linked to the state of the environment. The high industrial pressure present in the Province of Brescia, located in Northern Italy, produced strong environmental and health concerns. This narrative review of the literature aims at identifying the studies focused on the association between exposure to environmental pollutants and health effects in the population living in this area. Thirteen papers fitted the inclusion criteria: five were focused on the connection among pollutants present in air matrix and health effects, seven on both air and soil, and one on soil. No study investigated the relationship with water pollution. The great variability in the analyzed end-points made it difficult to draw precise conclusions, but the fact that, in almost all the studies, the investigated health effects have a positive association with the exposure to different kinds of pollutants, allows us to hypothesize that the considered population is living in an area where the "environmental pressure" could produce significant health effects in the future.
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9.

Variability in ambient ozone and fine particle concentrations and population susceptibility among Canadian health regions.

Stieb, David M; Yao, Jiayun; Henderson, Sarah B; Pinault, Lauren; Smith-Doiron, Marc H; Robichaud, Alain; van Donkelaar, Aaron; Martin, Randall V; Ménard, Richard; Brook, Jeffrey R
| Idioma(s):
OBJECTIVES: To estimate the proportion of the Canadian population that is more susceptible to adverse effects of ozone (O ) and fine particle (PM ) air pollution exposure and how this varies by health region alongside ambient concentrations of O and PM . METHODS: Using data from the census, the Canadian Community Health Survey, vital statistics and published literature, we generated cross-sectional estimates for 2014 of the proportions of the Canadian population considered more susceptible due to age, chronic disease, pregnancy, outdoor work, socio-economic status, and diet. We also estimated 2010-2012 average concentrations of O and PM . Analyses were conducted nationally and for 110 health regions. RESULTS: Restrictive criteria (age < 10 or ≥ 75; asthma, chronic obstructive pulmonary disease, heart disease, or diabetes; pregnancy) suggested that approximately one third of the Canadian population is more susceptible, while inclusive criteria (restrictive plus age 10-19 and 65-74, outdoor work, less than high school education, low vitamin C intake) increased this proportion to approximately two thirds. Across health regions, estimates ranged from 24.4% to 41.2% (restrictive) and 61.2% to 87.0% (inclusive). Ten health regions were in the highest quartile of both population susceptibility and O or PM concentrations, all of which were outside major urban centres. CONCLUSIONS: A substantial proportion of the Canadian population exhibits at least one risk factor that increases their susceptibility to adverse effects of O and PM exposure. Both risk communication and management interventions need to be increasingly targeted to regions outside large urban centres in the highest quartiles of both susceptibility and exposure.
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10.

Determination of Occurrences, Distribution, Health Impacts of Organochlorine Pesticides in Soils of Central China.

Gereslassie, Tekleweini; Workineh, Ababo; Atieno, Onyango Janet; Wang, Jun
| Idioma(s):
Organochlorine pesticides are groups of chemicals applied to prevent pest and insect infestation. This study was aimed at investigating the concentration, potential sources, cancer risk and ecological toxicity of organochlorine pesticides (OCPs) in Huangpi district, Wuhan, China. Eight OCPs in soil samples collected from four land-use types at depths of 0⁻10 and 10⁻20 cm were examined. Sample extraction was carried out by solid phase matrix extraction method and analyzed using Agilent gas chromatograph 7890B equipped with electron capture detectors (ECD). The total concentration of OCPs ranged from 0.00⁻32.7 ng g in the surface and 0.01⁻100.45 ng g in the subsurface soil layer. Beta hexachlorocyclohexanes (ß-HCH) with 2.20 and 7.71 ng g in the surface and subsurface soil layers, respectively, was the dominant compound. The mean concentrations of OCPs in all samples were less than the threshold values for hexachlorocyclohexanes (HCHs) and dichlorodiphenyltrichloroethane (DDTs) in China soil. Concentration of OCPs in the four land-use types were in the order of: paddy field > barren land > farmland > plastic greenhouse. Results of composition analysis revealed recent application of lindane as a major and historical use of new technical HCHs as a minor source of HCHs. On the other hand, application of new technical p,p'-DDT is the main source of DDTs in the study area. The estimated lifetime average daily dose, incremental lifetime cancer risks and hazard quotient values revealed that there is less likelihood of carcinogenic and noncarcinogenic health risks on the local residents.
Resultados  1-10 de 42.537