الملخص
Consenso também pode ser entendido como anuência, aprovação, licença, concessão e acordo. A comunidade de praticantes da clínica da similitude sempre apresentou uma generosa variedade metodológica em seus procedimentos. Muitas das discussões concentraram-se em aspectos considerados filosóficos encontrados nos textos canônicos da homeopatia, enquanto outras enfocaram os aspectos terapêuticos dos procedimentos clínicos. Diante deste quadro entendemos que se tornou necessário construir um processo dialógico entre os médicos. O desejo é encontrar bases corroborativas que nos permita estabelecer limites e alcances para definir o estado da arte. Nesta procura por consensos mínimos a partir da coleta de informações obtidas através de um formulário, adotou-se a escala de Likert com quatro alternativas para resposta às afirmações contidas em cada questão. Os resultados, junto com dados demográficos da comunidade homeopática brasileira encontram-se representados neste artigo. Esperamos aumentar a representatividade destes acordos durante uma nova consulta nas atividades que serão realizadas na Cidade de São Paulo durante o 36º Congresso Brasileiro de Homeopatia.
Consensus can also be understood as consent, approval, license, concession, and agreement. The similitude clinic's community of practitioners has always displayed generous methodological variety in its procedures. Many of the discussions focused on aspects considered philosophical found in canonical homeopathy texts, while others focused on the therapeutic aspects of clinical procedures. Faced with this situation, we understand that it has become necessary to build a dialogic process between physicians. The desire is to find corroborative bases that allow us to establish limits and scope to define the state of the art. In this search for minimum consensus from the collection of information obtained through a form, the Likert scale was adopted with four alternatives to answer the statements contained in each question. The results, along with demographic data of the Brazilian homeopathic community are represented in this article. We hope to increase the representativeness of these agreements during a new consultation in the activities that will be carried out in São Paulo, during the 36th Brazilian Congress of Homeopathy.
الموضوعات
Professional Practice/statistics & numerical data , Homeopathic Physicians , Homeopathic Therapeutics , Surveys and Questionnaires , Brazilالملخص
Introdução: A avaliação de alunos egressos pela CAPES é parte de um dos eixos de avaliação dos programas de pós-graduação. Investigar a formação e atuação dos egressos de um Programa de Pós-Graduação em Distúrbios da Comunicação e desenvolver uma forma contínua de acompanhá-los poderá contribuir para uma melhor avaliação dos Programas. Objetivos: investigar o perfil do egresso de um programa de pós-graduação em distúrbios da comunicação e analisar a associação entre as áreas de formação, atuação e publicações. Método: estudo prospectivo realizado a partir das respostas do questionário eletrônico enviado por e-mail aos alunos egressos que concluíram o Mestrado, Doutorado e/ou Pós-Doutorado, no período de 2009 a 2018, no Programa de Pós-Graduação em Distúrbios da Comunicação Humana da UNIFESP. Resultados: a maioria dos egressos é do sexo feminino (97,3%) e predominam os egressos de origem do Estado de São Paulo (72%). 87,3% publicaram pelo menos 1 artigo em revista científica. 45,4% atuam na área de ensino, e, considerando os egressos do doutorado e do pós-doutorado, a maioria atua nas áreas de ensino (70,3% e 80%) e 85,4% atuam na área clínica. Conclusão: Os egressos são em sua maioria mulheres, oriundas do estado de São Paulo e publicaram artigos em revistas científicas e atuam profissionalmente na clínica. Quanto aos titulados doutores e que realizaram pós-doutorado, a maioria está inserida na área de ensino e pesquisa.
Introduction: The evaluation of alumni by CAPES is part of one of the evaluation axes of post-graduate programs. Investigate the field of study and work of alumni of a Post-Graduation Program in Communication Disorders and developing a continuous way of accompanying them may contribute to a better evaluation of them. Objectives: investigate the profile of the alumni of a Post-Graduation Program in Communication Disorders and analyze the association between field of study, work and publications. Method: This is a prospective study based on the answers to an electronically sent questionnaire by individuals who had concluded their Master's, Doctorate and/or Post-Doctorate in Human Communication Disorders at UNIFESP Post-Graduation Program in the 2009-2018 period. Results: Most of the former students were women (97,3%) and most (72%) were from the State of São Paulo. 87,3% published at least one article in scientific journals. 45,4% teach and regarding those who concluded their doctorate and post-doctorate, most teach (70,3% and 80%) and 85,4% work as clinicians. Conclusion: The alumni most are young female adults from São Paulo state. Most had published articles in scientific journals. The alumni work as clinicians and most of the Doctorate and Post-Doctorate teach and do research.
Introducción: La evaluación de egresados por CAPES forma parte de uno de los ejes de evaluación de los programas de posgrado. Investigar el campo de estudio y trabajo de los egresados de un Programa de Posgrado en Transtornos de la Comunicación y desarrollar una forma continua de acompañarlos puede contribuir a una mejor evaluación de los mismos. Objetivos: Investigar el perfil de los egresados de un Programa de Posgrado en Transtornos de la Comunicación y analizar la asociación entre campo de estudio, trabajo y publicaciones. Método: Se trata de un estudio prospectivo basado en las respuestas a un cuestionario enviado electrónicamente por personas que habían finalizado su Maestría, Doctorado y / o Postdoctorado en Trastornos de la Comunicación Humana en el Programa de Posgrado de la UNIFESP en el período 2009-2018. Resultados: La mayoría de los egresados eran mujeres (97,3%) y la mayoría (72%) eran del Estado de São Paulo. El 87,3% publicó al menos un artículo en revistas científicas. El 45,4% enseña y de los que concluyeron su doctorado y posdoctorado, la mayoría enseña (70,3% y 80%) y el 85,4% trabaja como clínicos. Conclusión: La mayoría de los egresados son mujeres jóvenes del estado de São Paulo. La mayoría había publicado artículos en revistas científicas. Los egresados trabajan como clínicos y la mayoría de los doctores y posdoctorados enseñan e investigan.
الموضوعات
Humans , Male , Female , Adult , Middle Aged , Students, Health Occupations , Education, Graduate , Speech, Language and Hearing Sciences/education , Professional Practice/statistics & numerical data , Prospective Studies , Surveys and Questionnaires , Health Postgraduate Programs , Faculty , Scholarly Communication/statistics & numerical dataالملخص
A partir del año 2008, la carrera de Bioquímica de la UNS incorporó en su plan de estudios la asignatura Practicanato Profesional de Bioquímica (PPB) dentro de la cual se implementó un mecanismo de seguimiento en la trayectoria de los graduados, diseñando una encuesta de elección múltiple que fue enviada a 457 egresados, de los cuales contestaron 213 (47%). De su análisis surge que al año de finalizar el Practicanato y actualmente ejercen en laboratorio hospitalario 31% y 37%; en extrahospitalario privado 20,6% y 25,4%; en laboratorio propio 0,5% y 6,6%; se encuentran realizando residencia bioquímica 18,8% y 8,9%; docencia universitaria e investigación 4,7% y 2,8%; docencia no universitaria 1,9% y 3,8% y están sin trabajo 22,5% y 16% respectivamente. El 46,5% residía en Bahía Blanca y actualmente un 40,8%, seguido por ciudades del interior de la provincia de Buenos Aires y Ciudad Autónoma de Buenos Aires. El objetivo de este trabajo es difundir información de egresados de la carrera de Bioquímica obtenida a 10 años de la incorporación del PPB, considerando que este proceso de investigación es un punto de partida que tiene como fuente de información al egresado y fomentará debates en comisiones académicas y de políticas universitarias.
Since 2008, the course of studies of Biochemistry at Universidad Nacional del Sur (UNS), has incorporated into its curriculum the degree course of Professional Practice for biochemists (PPB) and implemented a mechanism to monitor graduates' careers, designing a multiple choice questionnaire that was sent to 457 graduates and answered by 213 (47%) of them. From the analysis of those answers one year after finishing the PPB and at the moment, it stands out that 31% and 37% work in a hospital laboratory; ; 20.6% and 25.4% in a private outpatient hospital; 0.5% and 6.6% in their own laboratory; 18.8% and 8.9% are doing the biochemistry residence; 4.7% and 2.8% are doing university teaching and research; 1.9% and 3.8% non-university teaching and that 22.5% and 16% respectively do not have a job. Regarding their domicile, a year after finishing, 46.5% lived in Bahía Blanca and currently, 40.8%; followed by other cities inside Buenos Aires province, and finally the Autonomous City of Buenos Aires. The objective of this work is to share information of graduates of the Biochemistry course of studies obtained 10 years after the incorporation of the PPB, considering that this research process is a starting point that has the graduate as a source of information and will encourage debates in academic commissions and of university policies.
A partir de 2008, a carreira de Bioquímica da UNS, incorporou em seu plano de estudos a disciplina Prática Profissional de Bioquímica (PPB) dentro da qual um mecanismo de monitoramento na trajetória dos diplomados foi implementado, elaborando uma pesquisa de escolha múltipla que foi enviada a 457 graduados; dos quais responderam 213 (47%). Da análise dessa pesquisa, surge que depois de um ano de finalizar a Prática e atualmente: exercem em laboratório Hospitalar 31% e 37%; em extra-hospitalar privado 20,6% e 25,4%; em laboratório próprio 0,5% e 6,6%; estão realizando residência bioquímica 18,8% e 8,9%: ensino universitário e pesquisa 4,7% e 2,8%; ensino não universitário 1,9% e 3,8%; sem trabalho 22,5% e 16%, respectivamente. Residiam em Bahía Blanca 46,5% e atualmente 40,8%; seguido pelas cidades do interior da província de Buenos Aires e, Cidade Autônoma de Buenos Aires. O objetivo deste trabalho é divulgar informações sobre graduados da carreira de Bioquímica obtidas após 10 anos da incorporação da PPB, considerando que este processo de pesquisa é um ponto de partida que tem como fonte de informações o graduado, e promoverá discussões em comissões acadêmicas e de políticas universitárias.
الموضوعات
Humans , Male , Female , Professional Practice , Professional Practice/statistics & numerical data , Residence Characteristics , Biochemistry , Aftercare , Curriculum , Courses , Policyالملخص
Resumen Introducción. El cumplimiento de la meta de eliminación de la malaria en Ecuador en el 2020 exige contar con la capacidad requerida para el diagnóstico microscópico ajustado a los estándares de calidad de la Organización Mundial de la Salud (OMS) y de la Organización Panamericana de la Salud (OPS) y proveer el tratamiento adecuado a los pacientes. Objetivo. Conocer la idoneidad o competencia de los microscopistas de la red pública local para el diagnóstico parasitológico de la malaria y el desempeño de los laboratorios intermedios de referencia. Materiales y métodos. Se hizo un estudio descriptivo de corte transversal a partir de la información obtenida en los talleres de evaluación de idoneidad en el diagnóstico microscópico de la red de laboratorios en las coordinaciones zonales de salud utilizando un panel de láminas para evaluar la concordancia del diagnóstico. Además, se calificó el desempeño de los laboratorios intermedios en el diagnóstico en el marco del programa de evaluación externa del desempeño. Los resultados se compararon con los obtenidos por el laboratorio supranacional de Perú. Resultados. En los 11 talleres realizados, se evaluó la idoneidad de 191 microscopistas, de los cuales 153 (80,1 %) aprobaron las pruebas. Las medianas de los indicadores fueron las siguientes: concordancia entre la detección y el resultado, 100 % (Q1- Q3: 96-100); concordancia en la especie, 100 % (Q1- Q3: 93-100); concordancia en el estadio, 93,0 % (Q1- Q3: 86-95) y concordancia en el recuento, 77 % (Q1- Q3: 71-82). En el programa de evaluación externa de desempeño, los tres laboratorios intermedios obtuvieron una concordancia del 100 % en el resultado y una del 96 % en la especie. Conclusiones. Los indicadores de competencia de la red local y de desempeño de los laboratorios intermedios alcanzaron altos estándares de calidad acordes con el proceso de entrenamiento implementado en el país.
Abstract Introduction: To reach the goal of malaria elimination in Ecuador for the year 2020, it is necessary to have a laboratory network with the capacity to perform microscopic diagnosis according to the WHO/PAHO quality standards and to provide the adequate treatment of cases. Objective: To determine the level of competence for parasitological diagnosis of the microscopists from the local public network and the performance of intermediate reference laboratories. Materials and methods: We conducted a cross-sectional study based on the information collected in workshops carried out to appraise the competence for microscopic diagnosis of the local laboratory network (zonal health coordinating offices 1 to 8) using a slide panel to evaluate diagnosis agreement, as well as the diagnostic performance of the intermediate laboratories using an external quality assessment program. The results were compared against the reference standards of the supranational laboratory in Perú. Results: We evaluated the competencies of 191 microscopists in 11 workshops and 153 (80.1%) of them were approved. The medians of the indicators were the following: concordance for parasite detection, 100% (Q1- Q3: 96-100), concordance for species identification, 100% (Q1- Q3: 93-100), and concordances for stage identification, 93.0% (Q1- Q3: 86-95) and parasite counting, 77.0% (Q1- Q3: 71-82). In the external quality assessment, the three intermediate laboratories obtained 100% in parasite detection concordance and 96% for species detection concordance. Conclusions: The results for the primary network and the performance indicators for the intermediate laboratories showed the high-quality standards of the training program implemented in the country.
الموضوعات
Female , Humans , Male , Plasmodium falciparum/isolation & purification , Plasmodium vivax/isolation & purification , Malaria, Vivax/diagnosis , Malaria, Falciparum/diagnosis , Medical Laboratory Personnel/statistics & numerical data , Parasitemia/diagnosis , Erythrocytes/parasitology , Laboratory Proficiency Testing , Microscopy/methods , Professional Practice/statistics & numerical data , Quality Assurance, Health Care , Socioeconomic Factors , Cross-Sectional Studies , Malaria, Vivax/blood , Malaria, Vivax/prevention & control , Malaria, Falciparum/blood , Malaria, Falciparum/prevention & control , Medical Laboratory Personnel/education , Parasitemia/blood , Parasitemia/prevention & control , Ecuador , Erythrocytes/ultrastructure , Laboratories/classification , Laboratories/standards , Microscopy/standardsالملخص
Resumen Introducción: Los condilomas o verrugas genitales (VG) son la infección de transmisión sexual (ITS) más diagnosticada en los centros de ITS en Chile, pero no existen estadísticas poblacionales. Objetivos: Describir la prevalencia de VG en pacientes de 18-60 años que acuden a consulta ambulatoria de dermatología, ginecología y urología; características demográficas de los pacientes y prácticas de diagnóstico y tratamiento. Material y Métodos: A una muestra de especialistas chilenos estratificados por región, población y sexo de pacientes se les proporcionó un diario de registro y aplicó un cuestionario. Resultados: Prevalencia VG grupo total: 2,4%; en grupo etario 18-34 años: 3,7%; en grupo etario 35-60 años: 1,29% (p = 0,0000). La edad media de los pacientes con VG fue 29,4 años en mujeres y 32,7 años en hombres (p = 0,019); la distribución por edad fue diferente según sexo y sistema de salud. La inspección visual fue el método diagnóstico más frecuente y la crema de imiquimod el tratamiento más común. Hubo diferencias en el uso de herramientas diagnósticas y terapéuticas según sexo del paciente, especialidad del médico y sistema de salud. Conclusiones: Existe una alta prevalencia de VG, que debería ser tomada en cuenta para planificar las intervenciones de salud pública para abordar este problema.
Introduction: Condylomas or genital warts (GW) are the most frequently diagnosed sexually transmitted infection (STI) in STI centers in Chile, but there are no population statistics available. Objectives: To describe the prevalence of GW in patients from 18-60 years of age who attend outpatient dermatology, gynecology and urology practice; the demographic characteristics of the patients and the diagnostic and treatment tools. Methods: A sample of Chilean specialists stratified by region, population and gender of patients was provided with a logbook and answered a questionnaire. Results: The GW prevalence was 2.44% for the whole group; 3.76% for the 18-34 age group and 1.29% for the 35-60 years group (p = 0.0000). The average age of patients with GW was 29.4 years in women and 32.7 years in men (p = 0.019). The distribution by age was different according to gender and health system. Visual inspection was the most frequent diagnostic method used and imiquimod cream the most common treatment, however, there were differences in the use of diagnostic and therapeutic tools according to the patient's gender, specialty of the doctor and health system. Conclusions: The high prevalence of GW confirmed the need and importance of public health interventions to address this problem.
الموضوعات
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Outpatients/statistics & numerical data , Condylomata Acuminata/epidemiology , Primary Health Care/statistics & numerical data , Professional Practice/statistics & numerical data , Condylomata Acuminata/diagnosis , Condylomata Acuminata/drug therapy , Chile/epidemiology , Demography/statistics & numerical data , Incidence , Prevalence , Health Surveys , Dermatologists/statistics & numerical data , Urologists/statistics & numerical data , Imiquimod/therapeutic use , Gynecology/statistics & numerical data , Health Facilities, Proprietary/statistics & numerical data , Antineoplastic Agents/therapeutic useالملخص
Resumo OBJETIVO Construir e validar um objeto contemporâneo virtual de ensino, videoaula, sobre ressuscitação cardiopulmonar no adulto em suporte básico de vida com o uso do desfibrilador externo automático no ambiente hospitalar. MÉTODOS Trata-se de uma pesquisa aplicada, de produção tecnológica, com produção de vídeoaula de acordo com a trajetória metodológica proposta por Fleming, Reynolds e Wallace. Desenvolvido na Universidade do Estado de Minas Gerais e na Escola de Enfermagem de Ribeirão Preto no período de janeiro de 2017 a março de 2018. Participaram 16 enfermeiros expertises na área de urgência e emergência. Para concordância inter-avaliadores foi utilizado a estatística AC1 de Gwet. RESULTADOS A validação do roteiro/script e storyboard foi alcançada a concordância inter-avaliadores, de acordo com Landis e Kock, classificada em "concordância moderada", com AC1=0,59 e p<0,0001. CONCLUSÕES A videoaula construída e validada neste estudo, representa importante estratégia contemporânea adequada para aplicação no processo de ensino-aprendizagem.
Resumen OBJETIVO Construir y validar un objeto contemporáneo virtual de enseñanza, vídeo-lección, acerca de la reanimación cardiopulmonar con adultos en cuidados para prolongar la vida, utilizando el desfibrilador externo automático en ambiente hospitalario. MÉTODO Se trata de una investigación aplicada, de producción tecnológica en que la elaboración del vídeo-lección se llevó a cabo según la trayectoria metodológica propuesta por Fleming, Reynolds y Wallace. El estudio se desarrolló en la Universidad del Estado de Minas Gerais y en la Escuela de Enfermería de Ribeirão Preto (Brasil). Participaron de esta investigación 16 enfermeros especialistas en el área de urgencia y emergencia. Para la concordancia 'interevaluadores' se usó la estadística AC1 de Gwet. RESULTADOS Se alcanzó la concordancia 'interevaluadores' para el desarrollo del vídeo-lección a través de la validación del script y storyboard que, según Landis y Kock, es clasificada como "concordancia moderada" con AC1=0,59 y p<0,0001. CONCLUSIONES El vídeo-lección, elaborado y validado en este estudio, representa una importante estrategia contemporánea apropiada para la aplicación en el proceso de enseñanza-aprendizaje.
Abstract OBJECTIVE To elaborate and validate a teaching virtual contemporary object, video-lesson, about resuscitation cardiopulmonary with adult in life support care using automatic external defibrillator in the hospital environment. METHOD This is an applied research of techonlogical productions in witch the video-lesson elaboration was according to the methodological trajectory proposed by Fleming, Reynolds and Wallace. The research was accomplished in the Minas Gerais University State and in the Ribeirão Preto Nursing School (Brazil). Sixteen expertises nurses in the area of urgency and emergency participated of this research. The AC1 Gwet's statistic was used to the interobsevers agreement. RESULTS The validation of script and storyboard to the video-lesson development was reached the interobsevers agreement, classified as "moderate agreenment" according to Landis and Kock, with AC1=0.59 and p<0.0001. CONCLUSIONS The video-lesson elaborated and validated in this research represent an adequate contemporary important strategy to aplication in the teaching-learning process.
الموضوعات
Humans , Male , Female , Adult , Video Recording/methods , Cardiopulmonary Resuscitation/education , Defibrillators , Education, Nursing, Continuing/methods , Professional Practice/statistics & numerical data , Educational Technology , Middle Agedالملخص
RESUMEN Introducción: la guardia médica estudiantil constituye un escenario formativo donde los estudiantes comienzan a entrar en contacto con pacientes y enfermedades desde el primer año de la carrera medicina. Objetivo: caracterizar la guardia médica estudiantil en el primer año de la carrera medicina. Materiales y métodos: se realizó un estudio observacional, descriptivo y transversal en el servicio de guardia perteneciente al Policlínico Universitario "Pedro Borrás Astorga" durante el año 2016. El universo de estudio estuvo conformado por 21 tutores y 145 estudiantes del primer año de la carrera medicina asistentes a la guardia médica institucional. Resultados: los pacientes atendidos por la guardia médica fueron mayoritariamente del sexo femenino con 69,6 %, en edades entre 60 y más años con 29,6 %. Las características en estudiantes se distinguieron por: pertenecer al sexo femenino con 65,5 % y a la condición no becado en el 73,8 %; mientras en los tutores predominaron las féminas con 61,9 %, la categoría docente asistente con 80,9 % y el tiempo de tutoría mayor/ igual a 5 años con 76,2 %. Respecto a la evaluación de las habilidades realizadas en la guardia la mayoría de los estudiantes obtuvieron calificación de 5, fundamentalmente en registrar la información individual con 122 educandos. Dentro de los indicadores relacionados con dicha actividad resultaron superiores las indicaciones de Medicina Natural y Tradicional con 1130 y el estudio de electrocardiografía con 1013. Conclusiones: la guardia médica iniciada desde el primer año de la carrera medicina resulta fundamental en la formación integral de estudiantes, así como en la concepción de habilidades y valores profesionales (AU).
ABSTRACT Introduction: the students' medical duty is a training scenary where students began to interact with patients and diseases form the first years of the medical studies. Objective: to characterize the students' medical duty in the first years of medical studies. Materials and methods: a cross-sectional, descriptive, observational study was carried out in the on-call service of the University Policlinic "Pedro Borras Astorga" during 2016. The universe of study was formed by 21 tutors and 145 students from the first year of the Medicine studies who took part in the institutional medical duty. Results: the attended patients were women in most of the cases, 69,6 %, aged 60 and more years with 29,6 %. The students' characteristics were: female sex, 65,5 %, not living in student dorms, 73,8 %. Among tutors, women predominated with 61,9 %, and the teaching category of Assistant, with 80,9 %; the tutorship time was more or equal 5 years, with 76,2 %. With respect to skills evaluation on duty, most of the students got marks of 5, mainly when registering the patients' personal information with 122 students. Among the indicators related to that activity were higher the indication of Traditional and Natural Medicine for 1 130, and electrocardiography studies for 1013. Conclusions: medical duty beginning in the first year of medical studies is very important for the comprehensive training of the students, also in the conception of professional skills and values (AU).
الموضوعات
Humans , Professional Competence , Professional Practice/ethics , Students, Medical , Comprehensive Health Care , Scientific Domains , Professional Training , Professionalism , Mentoring/ethics , Professional Practice/statistics & numerical data , Health-Disease Process , Epidemiology, Descriptive , Cross-Sectional Studies , Scientific and Technical Activities , Observational Studies as Topic , Mentoring/methods , Health Servicesالملخص
Pharmaceutical care has undergone several transformations in the health context over the years. Thus, the pharmacist has suffered a reconfiguration of his performance, mainly with the incorporation of clinical services and patient approach. The study analyzed the results of the implementation of pharmaceutical clinical services in Primary Health Care, through the use of indicators of supply, demand and productivity, clinical and process quality related to pharmaceutical care. We included all the clinical visits (n=1,833) performed to 1,080 users in 12 Basic Health Unit facilities from May to November 2016, of which 40.8% (n=748) were consultations in the establishments and 50.2% (n=1,085) home visits. Most patients (73.5%) were referred by team and 17.5% were captured through active search. Of the total workload, 12.5% ââwere dedicated to pharmaceutical consultations and 20.0% to home visits. In total, we identified 3,078 pharmacotherapy-related issues, an average of 2.8 per patient, and 6,882 pharmaceutical interventions were performed, equivalent to 6.3 interventions per patient. The problem with adherence to pharmacotherapy and the intervention of medication counseling were the most found. Results reinforce the importance of pharmaceutical clinical services in identifying the control of the most prevalent health conditions and monitoring the therapeutic results associated with drug use
الموضوعات
Aged , Pharmaceutical Services/statistics & numerical data , Professional-Patient Relations , Professional Practice/statistics & numerical data , Health Centers , Patients/statistics & numerical data , Pharmacists/classification , Brazil , Drug Therapy , Multiple Chronic Conditionsالملخص
RESUMO Objetivo Apresentar um mapeamento do eixo condutor da prática fonoaudiológica em expressividade verbal no trabalho de competência comunicativa. Método Participaram do estudo 40 fonoaudiólogos voluntários, com larga experiência de atuação na área de voz. Eles responderam perguntas sobre duração do trabalho, número de participantes, instrumentos de avaliação e formação do fonoaudiólogo que atua nessa área, além de discutir questões relacionadas às estratégias de expressividade, aos recursos vocais e aos exercícios utilizados, e à terminologia empregada. Resultados O grupo concordou que o trabalho de competência comunicativa é prático, realizado com grupos pequenos e conduzido, preferencialmente, por um fonoaudiólogo especialista em voz. Os exercícios de expressividade compõem grande parte do trabalho e têm como objetivo promover uma comunicação condizente com o conteúdo do discurso. Leitura de textos com diferentes emoções, simulações e exercícios com fala encadeada foram citados como estratégias frequentemente utilizadas. Pontos a serem aprofundados estão relacionados à duração do trabalho de competência comunicativa, às questões de ensino-aprendizagem e andragogia e, principalmente, à utilização de terminologia comum aos fonoaudiólogos dessa área. Conclusão A opinião dos fonoaudiólogos sobre expressividade em competência comunicativa revela pontos de concordância quanto aos objetivos, exercícios e estratégias utilizadas. Ainda há, contudo, imprecisão na terminologia empregada e falta detalhamento na descrição do trabalho realizado. Futuras discussões envolvendo tais aspectos parecem ser fundamentais para a organização sistemática das informações referentes ao tema.
ABSTRACT Purpose Present a mapping of the Speech-language Pathology (SLP) practice pathway in verbal expressivity in the work of communicative competence. Methods Study participants were 40 volunteer speech-language pathologists with extensive experience in the area of voice. They responded to questions about duration of work, number of participants, evaluation instruments, and training of the speech language pathologists who work in this area. They discussed specific issues related to the strategies of expressivity proposed and the vocal resources, exercises and terminology used. Results The group agreed that communicative competence work is practical, conducted with small groups and preferably guided by a voice specialist. Expressivity exercises comprise a large part of the work and aim to promote communication consistent with the context and intention of discourse. Oral reading of texts with different emotions, simulations, and exercises of connected speech were mentioned as frequently-used strategies. Some points to be considered are associated with duration of communicative competence work, teaching-learning and andragogy issues involved in this process, and use of specific terminology in this area. Conclusion Further discussions involving such aspects seem to be fundamental for the systematic organization of information on the theme.
الموضوعات
Humans , Professional Practice/standards , Voice Training , Speech-Language Pathology/standards , Communication , Professional Practice/statistics & numerical data , Surveys and Questionnaires , Clinical Competence , Terminology as Topicالملخص
OBJECTIVES: Most educational interventions in pharmacovigilance are designed to encourage physicians to report adverse drug reactions. However, multidisciplinary teams may play an important role in reporting drug-related problems. This study assessed the impact of a multifaceted educational intervention in pharmacovigilance on the knowledge, skills and attitudes of hospital professionals. METHOD: This prospective, open-label, non-randomized study was performed in a medium-complexity hospital in São Paulo, Brazil. The intervention involved four activities: 1) an interactive lecture, 2) a practical class, 3) a pre-post questionnaire administered to professionals on a multidisciplinary team, and 4) educational material. The intervention’s impact on the professionals’ knowledge and skills was assessed using the World Health Organization’s definitions. The intervention’s effect on the professionals’ attitudes was analysed by the prevalence of adverse drug event reports (adverse drug reactions, medication errors, therapeutic failure and drug quality deviations) and the relevance (seriousness and expectancy) of the events. RESULTS: One hundred seventy-three professionals were enrolled. A 70-fold increase in the number of adverse drug event reports was observed during the 12 months post-intervention. The intervention improved the professionals’ form-completion skills (p<0.0001) and their knowledge of pharmacovigilance (p<0.0001). The intervention also contributed to detecting serious drug-induced events. The nursing staff reported medication errors, and pharmacists and physiotherapists recognized serious adverse drug reactions. Physicians communicated suspicions of therapeutic failure. CONCLUSIONS: A multidisciplinary approach to drug-safety assessments contributes to identifying new, relevant drug-related problems and improving the rate of adverse drug event reporting. This strategy may therefore be applied to improve risk communication in hospitals.
الموضوعات
Humans , Patient Care Team/statistics & numerical data , Professional Practice/statistics & numerical data , Attitude of Health Personnel , Drug-Related Side Effects and Adverse Reactions/prevention & control , Education, Continuing , Pharmacovigilance , Program Evaluation , Surveys and Questionnairesالملخص
ABSTRACT OBJECTIVE: To compare the use of analgesia versus neonatologists' perception regarding analgesic use in painful procedures in the years 2001, 2006, and 2011. METHODS: This was a prospective cohort study of all newborns admitted to four university neonatal intensive care units during one month in 2001, 2006, and 2011. The frequency of analgesic prescription for painful procedures was evaluated. Of the 202 neonatologists, 188 answered a questionnaire giving their opinion on the intensity of pain during lumbar puncture, tracheal intubation, mechanical ventilation, and postoperative period using a 10-cm visual analogic scale (VAS; pain >3 cm). RESULTS: For lumbar puncture, 12% (2001), 43% (2006), and 36% (2011) were performed using analgesia. Among the neonatologists, 40-50% reported VAS >3 for lumbar puncture in all study periods. For intubation, 30% received analgesia in the study periods, and 35% (2001), 55% (2006), and 73% (2011) of the neonatologists reported VAS >3 and would prescribe analgesia for this procedure. As for mechanical ventilation, 45% (2001), 64% (2006), and 48% (2011) of patient-days were under analgesia; 56% (2001), 57% (2006), and 26% (2011) of neonatologists reported VAS >3 and said they would use analgesia during mechanical ventilation. For the first three post-operative days, 37% (2001), 78% (2006), and 89% (2011) of the patients received analgesia and more than 90% of neonatologists reported VAS >3 for major surgeries. CONCLUSIONS: Despite an increase in the medical perception of neonatal pain and in analgesic use during painful procedures, the gap between clinical practice and neonatologist perception of analgesia need did not change during the ten-year period.
RESUMO OBJETIVO: Confrontar o uso de analgesia versus a percepção de neonatologistas quanto ao emprego de analgésicos para procedimentos dolorosos em 2001, 2006 e 2011. MÉTODOS: Coorte prospectiva de todos recém-nascidos internados em quatro unidades universitárias. Avaliou-se a frequência do emprego de analgésicos para procedimentos dolorosos por um mês dos anos de estudo. Dos 202 neonatologistas atuantes nas unidades nos três períodos, 188 assinalaram em escala analógica visual de 10 cm (dor >3 cm) a intensidade da dor sentida pelo recém-nascido na punção lombar, intubação traqueal, ventilação mecânica e no pós-operatório. RESULTADOS: Para punção lombar, 12%, 43% e 36% foram feitas com analgesia em 2001, 2006 e 2011 e 40-50% dos neonatologistas referiam indicar analgésicos na punção lombar nos três períodos. Na intubação, 30% foram feitas sob analgesia nos três períodos e 35% (2001), 55% (2006) e 73% (2011) dos médicos diziam indicar analgésicos. Quanto à ventilação mecânica, 45-64% dos ventilados-dia estavam sob analgesia nos três períodos e 56% (2001), 57% (2006) e 26% (2011) dos neonatologistas diziam usar analgésicos. Dos pacientes-dia nos três primeiros dias de pós-operatório, 37% (2001), 78% (2006) e 89% (2011) receberam alguma dose de analgésico. Mais de 90% dos médicos referiam usar analgesia para essa situação. CONCLUSÕES: Entre 2001 e 2011, ocorreu aumento no uso de analgésicos para procedimentos dolorosos nas unidades neonatais e uma percepção mais acentuada por parte dos médicos de que o recém-nascido sente dor, mas o lapso entre a prática clínica e a percepção médica quanto à presença de dor persistiu.
الموضوعات
Adult , Aged , Female , Humans , Infant, Newborn , Male , Middle Aged , Analgesia/trends , Intensive Care Units, Neonatal/statistics & numerical data , Perception , Pain Management/trends , Professional Practice/trends , Analgesia/standards , Cohort Studies , Intensive Care, Neonatal/methods , Intensive Care, Neonatal/statistics & numerical data , Pain Measurement , Prospective Studies , Pain Management/standards , Professional Practice/statistics & numerical data , Surveys and Questionnaires , Time Factorsالملخص
Background: The University promotes practices and values that influence their students in the pursuit of their occupational interests. Aim: To determine working activity features of medical graduates from the University of Chile and their relationship with undergraduate characteristics. Material and Methods: Medical graduates of the University of Chile were invited to complete a survey using a virtual server. The survey collected demographic, socioeconomic, work and guild characteristics. Undergraduate data, as campus and graduation years were obtained. Results: The survey was completed by 333 physicians (167 men) aged 29 ± 2 years, graduated from 2007 to 2010. Ninety four percent had a paid work, 59% were employed in public hospitals and 28% in primary care health centers. The predominant type of work activity was performed in the public health service (55%), while 17% worked in private health services. Activity in public health services or primary care were significantly associated with the pursuit of undergraduate clinical activities in specific campuses of the University. Conclusions: The employment rate of medical graduates was high. Differences observed by graduation campus and type of work may be due to the modeling that students receive from teachers.
الموضوعات
Adult , Female , Humans , Male , Career Choice , Curriculum , Employment/statistics & numerical data , Physicians/statistics & numerical data , Professional Practice/statistics & numerical data , Schools, Medical/statistics & numerical data , Chile , Cross-Sectional Studies , Education, Medical, Graduate/statistics & numerical data , Surveys and Questionnairesالملخص
A sensopercepção é a percepção das sensações internas que são geradas por meio da experiência corporal. Frente a esta realidade o papel do profissional de educação física também se torna fundamental uma vez que conduz essas práticas corporais. O objetivo do presente estudo foi mostrar a importância do professor de natação no processo de desenvolvimento da sensopercepção do aluno. A valorização do processo de sensopercepção contribuiu não só para o aprimoramento técnico nas práticas de atividade física, como promoveu nos alunos um aprendizado de melhor cuidar, valorizar e respeitar o próprio corpo. O projeto mostrou uma boa aderência pelos participantes.
The felt sense is the perception of internal sensations that are generated through the body experience. Due to this reality, the Physical Education professional role becomes fundamental, once they conduct the bodily practices. The main objective of this study was to show the importance of swimming teacher in the development process of the felt sense. The appreciation of the felt sense can contribute not only for the technical development on the physical activities, but also promote on the students a better knowledge of taking care, respect and valorize their own body. The project showed to have a good adherence of the ones involved.
La percepción sensorial es la percepción de sensaciones internas que se generan a través de la experiencia del cuerpo. Frente a esta realidad, el papel de la educación física también es crucial, ya que conduce a estas prácticas corporales. El objetivo de este estudio era demostrar la importancia del profesor de natación en el proceso de desarrollo de la percepción sensorial del estudiante. La apreciación del proceso de la percepción sensorial no sólo ha contribuido para ala mejora técnica en la práctica de la actividad física, y promovieran en los estudiantes/clientes un aprendizaje para mejor cuidar, valorar y respetar su propio cuerpo. El proyecto mostró una buena adherencia de los participantes.
الموضوعات
Humans , Male , Female , Adult , Middle Aged , Perception , Professional Practice/statistics & numerical data , Sensation/physiology , Swimming/psychology , Motor Activity/physiologyالملخص
Este libro presenta una sistematización de los logros alcanzados en la tarea de armonizar las normas de regulación profesional en salud en los países del MERCOSUR en el período 2012-2014. La Organización Panamericana de la Salud/Organización Mundial de la Salud (OPS/OMS) ha venido acompañando y estimulando este proceso, el cual puede considerarse de alto nivel de calidad en la construcción de mecanismos de consenso entre países, específicamente en el campo de las políticas sanitarias.
الموضوعات
Health Workforce , Mercosur , Professional Practice , Argentina , Brazil , Health Workforce/trends , Health Personnel , Health Personnel/statistics & numerical data , Professional Practice/history , Professional Practice/statistics & numerical data , Uruguay , Work , Work/historyالملخص
Introducción: En los últimos años se observa una tendencia creciente a la no cobertura de los cargos vacantes de residencias médicas en ciertas especialidades y regiones del país, desconociéndose qué alternativas de formación adoptan quienes deciden no acceder al cargo, ni las razones por las que no lo aceptan. Objetivo: Reconocer las alternativas de formación que eligen aquellos médicos concursantes del Examen Único (EU) que, habiendo aprobado el examen, no adjudican un cargo de residencia, y las razones de dichas elecciones. Metodología: Se diseñó un estudio de carácter cuanti-cualitativo, que se desarrolló en dos etapas. Un estudio descriptivo de corte transversal, donde se aplicó un cuestionario cerrado a una muestra intencional integrada por médicos que se postularon en las jurisdicciones bajo estudio y que, habiendo aprobado el EU, no acceden al cargo. Seguidamente se realizó un estudio cualitativo, mediante la aplicación de entrevistas semiestructuradas, donde se abordaron aspectos que pudieran haber influido en la decisión adoptada por los profesionales. Resultados y conclusiones: Los resultados del estudio arrojan que la Residencia, y en particular la del sector público, es la opción privilegiada por los egresados recientes. Por otra parte, hay oferta suficiente de residencias para que todos los médicos realicen su formación de posgrado. Por lo tanto, el desafío es cómo hacer confluir estos dos hechos en pos de las necesidades sanitarias, teniendo en cuenta las tendencias que ha arrojado este estudio: los jóvenes privilegian el prestigio de las sedes de formación y la cercanía con sus vínculos afectivos.(AU)
الموضوعات
Humans , Male , Female , Physicians , Specialization , Internship and Residency , Physicians/statistics & numerical data , Professional Practice , Professional Practice/statistics & numerical data , Public Sector , Education, Medical , Education, Medical , Medicine , Medicine/statistics & numerical dataالملخص
Argentina comparte con otros países el problema de la insuficiencia de médicos que elijen programas de medicina general y/o familiar en función de las necesidades de cobertura. A esto se agrega que una proporción importante de ellos abandonaría la práctica asistencial específica después de la formación. El presente es un estudio multicéntrico, descriptivo de corte transversal, con combinación de técnicas cuantitativas y cualitativas implementadas sobre dos poblaciones. La primera es la población de médicos que realizan la preinscripción para aplicar a residencias nacionales a partir del año 2012. La segunda población es la de médicos que iniciaron sus residencias en medicina general o familiar entre los años 2001 a 2004. El ámbito de estudio son las provincias de Santa Fe, Jujuy, Tucumán y Neuquén Los objetivos de este estudio fueron establecer hipótesis en torno a a) la elección de un programa de formación en medicina general y/o familiar al momento de la preinscripción b) la permanencia o abandono de la práctica asistencial de la medicina general. Los hallazgos de esta investigación reflejan un perfil particular de quienes seleccionan la especialidad desde la preinscripción, con mayor interés por lo social y comunitario, y menos por el prestigio social y el bienestar económico. Sin embargo, las entrevistas realizadas a los egresados muestran que factores como la valoración económica y las características de los espacios de trabajo resultan asociados al abandono de la práctica. El estudio provee recomendaciones para el diseño y monitoreo de políticas destinadas a reforzar la elección y permanencia de los médicos generalistas en la práctica. (AU)
الموضوعات
Humans , Male , Female , Family Practice , General Practice , Health Workforce , Physicians , Professional Practice/statistics & numerical data , Family Practice/education , General Practice/education , General Practitioners , General Practitioners/statistics & numerical data , Internship and Residencyالملخص
OBJETIVOS: Avaliar as condutas mais utilizadas no tratamento da cavidade anoftálmica no Brasil, comparando-as com a realidade mundial. MÉTODOS: Estudo exploratório, usando questionário eletrônico enviado pela Internet para oftalmologistas membros da Sociedade Brasileira de Cirurgia Plástica Ocular, Vias Lacrimais e Órbita - SBCPO. As respostas obtidas foram avaliadas por meio de análise de aderência, utilizando o teste do Qui-quadrado. RESULTADOS: Foram recebidos 75 questionários respondidos. Cinquenta e três por cento dos entrevistados tratam cavidade anoftálmica frequentemente e o implante de esfera de polimetilmatacrilato, de 18 mm de diâmetro, é o usado pelos entrevistados na maioria das cirurgias, sendo revestido principalmente com esclera (92%). Apenas sete entrevistados já utilizaram implante acoplado com prótese externa. Oitenta e dois por cento dos entrevistados usam a técnica do enxerto dermoadiposo. O acompanhamento destes pacientes é feito semestralmente pela maior parte dos entrevistados. CONCLUSÃO: O tratamento da cavidade anoftálmica no Brasil geralmente é feito usando a esfera de polimetilmetacrilato, de diâmetro 18 milímetros. Implantes acoplados dificilmente são usados.
PURPOSE: To determine the most common approach to repair the anophthalmic socket in Brazil, and to compare the data with the trends in other countries. METHODS: Exploratory study using electronic questionnaire sent by Internet to ophthalmologists members of the Brazilian Orbit and Oculoplastic Society (SBCPO). The received answers were analyzed by adhesion analysis, using Chi-square test. RESULTS: We received 75 answered questionnaires. Fifty-three per cent of the respondents frequently treat anophthalmic socket and use the 18 mm diameter polymethylmethacrylate sphere in the majority of the surgeries, mainly covered by sclera (92%). Only seven interviewees had used integrated implants with pegging procedure. Eighty-two per cent of the ophthalmologists use the dermolipid graft to reconstruct the anophthalmic socket. They also follow the patients bi-annually. CONCLUSIONS: The treatment of anophthalmic socket in Brazil generally involve polymethylmethacrylate sphere with 18 mm diameter. Pegging procedure is uncommon between us.
الموضوعات
Humans , Anophthalmos/surgery , Orbit/surgery , Orbital Implants/statistics & numerical data , Professional Practice/statistics & numerical data , Brazil , Eye Enucleation/statistics & numerical data , Eye Evisceration/statistics & numerical data , Health Care Surveys , Internet , Ophthalmologic Surgical Procedures/statistics & numerical data , Polymethyl Methacrylate , Prospective Studies , Plastic Surgery Procedures/statistics & numerical data , Surveys and Questionnairesالملخص
Com o objetivo de detalhar a atuação de enfermeiros após especialização em Obstetrícia na Região Nordeste do Brasil e os benefícios dessa atuação consubstanciados em premiações para a instituição em que trabalhavam, procedeu-se a estudo transversal, descritivo, exploratório, entre maio de 2006 e março de 2007, em duas fases: a primeira com entrevista estruturada para 127 (67,2%) dos 345 egressos da especialização, residentes em nove estados do Nordeste, e a segunda com contato telefônico via web a 56 (98,2%) enfermeiros. Constatou-se que 114 (90,5%) egressos atuavam na assistência, 50 (39,7%) na administração e 47 (37,3%) na docência de enfermagem. Só em Pernambuco, os egressos lecionavam a residentes de enfermagem. Predominou a concessão da premiação pelo Ministério da Saúde a instituições com egressos. Concluiu-se que cursos de especialização em enfermagem obstétrica, financiados pelo Ministério, ensejaram ganhos a egressos e instituições, permitindo melhor assistência, resultando em premiações pela implantação de novos modelos assistenciais.
With the aim of clarifying in detail the role of nurses after the specialization in obstetrics, in the northeast of Brazil, and the benefits of this substantial performance in awards to the institution where they used to work. A cross-sectional, descriptive and exploratory study was proceeded between May 2006 and March 2007, divided in two steps: The first one applying a structured interview for 127 (67,2%) from the 345 graduated at the specialization, residents from the nine states located in the northeast, and the second one was through telephone contacts via web to 56 (98,2%) nurses. We noticed that 114 (90,5%) from the graduated, worked in assistance, 50 (39,7%) at the administration and 47 (37,3%) teaching in nursing. Only in Pernambuco, the graduated used to teach the residents in nursing. The granting of the award by the Ministry of Health to the institutions with graduates was predominant. It was concluded that specialization courses in obstetrics nursing have contributed to provide gains to the graduates and to the institutions, allowing a better assistance, resulting in awards for the implementation of new models for care assistance.
Para detallar la actuación de las enfermeras después de la especialización en Obstetricia, en el Nordeste de Brasil y los beneficios de esta acción representados por premiación a la institución donde trabajaban, se realizó el estudio transversal, descriptivo, exploratorio, entre mayo de 2006 y marzo de 2007 en dos fases: la primera, con entrevista estructurada a 127 (67,2%) de los 345 graduados de especialización, que vivían en nueve estados del Nordeste; la segunda, con contacto por teléfono a través de web con 56 (98,2%) enfermeros. Se constató que 114 (90,5%) graduados trabajaban en la atención, 50 (39,7%) en la administración y 47 (37,3%) en la enseñanza de enfermería. Sólo en Pernambuco, los graduados estaban enseñando en residencias de enfermería. La premiación concedida por el Ministerio de la Salud predominó para instituciones con graduados. Se concluyó que los cursos de especialización en enfermería obstétrica, financiados por el Ministerio, oportunizaron los egresos e instituciones, permitiendo mejor asistencia, resultando en premiación por la implementación de nuevos modelos de atención.
الموضوعات
Humans , Pregnancy , Education, Nursing , Obstetric Nursing/education , Obstetric Nursing/statistics & numerical data , Humanizing Delivery , Professional Practice/statistics & numerical dataالملخص
El personal de enfermería es quien inicia la investigaciónepidemiológica, evidenciándose ciertas debilidades en laejecución de acciones tendientes al control del ProgramaAmpliado de Inmunizaciones. Esta investigación tuvocomo objetivo determinar los conocimientos y prácticasde los profesionales de enfermería sobre la vigilancia deenfermedades Inmunoprevenibles por vacunas como rubéola-sarampión y poliomielitis.Se diseñó un estudio descriptivo de corte transversaly con el uso de un cuestionario previamente validado porjuicio de expertos y verificada la confiabilidad, se entrevistóa las 26 enfermeras que laboran en los ambulatorios delmunicipio Roscio. Se evidenció que 98% de los profesionalesencuestados conocían las enfermedades prevenibles porvacunas y un 73% sabían la existencia de las fichas para lavigilancia, no obstante solo en un 8% identifico correctamentela muestra adecuadas para investigar un caso sospechosode poliomielitis. De esta manera, se concluye la existenciade debilidades en la vigilancia epidemiológica ya que nonotifican, ni realizan acciones en el tiempo adecuado pordesconocimiento de aspectos fundamentales en la Vigilancia.
Nursing staff initiates the epidemiological research; certain weaknesses have been seenin the performance of actions aiming to control the Extended Immunization Program.The objective of this research was to determine the knowledge and practices of nursingstaff regarding surveillance of vaccine-preventable diseases such as rubella, measles andpoliomyelitis.A descriptive transversal study was designed and a questionnaire validated by expertsjudgment was used after reliability was verified to interview 26 nurses who work atambulatory centers in the municipality of Roscio.It was observed that 98% of the interviewed professionals knew of these vaccine-preventable diseases and 73% knew there were surveillance forms; however, only 8%could identify the adequate sample to investigate a suspicious case of poliomyelitis. Thus,we conclude that there are weaknesses in epidemiological surveillance since nurses donot report or take actions within the appropriate period of time because they ignorefundamental aspects of Surveillance.
الموضوعات
Humans , Male , Female , Immunization Programs/statistics & numerical data , Immunization Programs/legislation & jurisprudence , Immunization Programs/standards , Immunization Programs , Professional Practice/statistics & numerical data , Epidemiological Monitoring/statistics & numerical data , Venezuelaالملخص
In order to gain an understanding of Salvadoran health care providers' clinical knowledge, attitudes, and practice toward the intrauterine device (IUD), Ministry of Health providers completed a self-administered, anonymous survey. Surveys were completed by 135 participants. The majority (94.7 percent and 97.0 percent) agreed the IUD is a safe and effective form of contraception. Only 46.6 percent of participants had ever received training in IUD placement, and 32.0 percent of them had ever inserted more than 10 IUDs. The majority of providers (54.2 percent) believed that the IUD was associated with a higher rate of infection than is described in the literature. Lack of formal training and knowledge about persistent infection rates associated with IUDs may contribute to low IUD placement by Salvadoran providers. Health care providers surveyed are open to learning more about the IUD and sharing the information with their patients.
A fin de evaluar el conocimiento, las actitudes y las prácticas clínicas de los prestadores de atención de salud salvadoreños en torno al dispositivo intrauterino (DIU), se solicitó a un grupo de prestadores del Ministerio de Salud que respondiera un cuestionario anónimo autoadministrado. Se recibieron 135 respuestas. La mayoría manifestó que el DIU es un método anticonceptivo seguro (94,7 por ciento) y eficaz (97,0 por ciento). Solo 46,6 por ciento de los participantes habían recibido algún tipo de capacitación acerca de la colocación del DIU y 32,0 por ciento habían colocado más de 10 dispositivos. La mayoría de los prestadores (54,2 por ciento) consideraron que el DIU está asociado a una incidencia de infecciones más alta que la descrita en la bibliografía. La escasa frecuencia con que los prestadores salvadoreños colocan el DIU probablemente sea atribuible, en cierta medida, a la falta de capacitación formal y de conocimiento acerca de los índices de infección persistente asociados a los DIU. Los prestadores de servicios de salud encuestados refirieron estar dispuestos a instruirse más acerca del DIU y a transmitir la información a sus pacientes.