Manual de procesos y procedimientos de atención integral en salud ambulatoria de mediana y alta complejidad / Manual of comprehensive care processes and procedures in ambulatory health of medium and high complexity

El presente manual de procesos y procedimientos documenta la atención integral ambulatoria de mediana y alta complejidad, como parte del proceso de atención en salud integral e integrada a la persona en el curso de vida con enfoque de atención primaria en salud, describe el sistema de operación de los establecimientos, mediante el enfoque por procesos, fomentando el desarrollo organizacional y el mejoramiento continuo. Establece las bases para la ejecución de los procesos y procedimientos, unificando criterios de contenido que permita la sistematización de las actividades y la definición de la metodología para efectuarlas. En el contenido de cada procedimiento se detalla la normativa legal y los registros para desarrollar cada una de sus actividades

This manual of processes and procedures documents comprehensive outpatient care of medium and high complexity, as part of the process of comprehensive and integrated health care for the person in the course of life with a focus on primary health care, describes the operation system of establishments, through the process approach, promoting organizational development and continuous improvement. Establishes the bases for the execution of processes and procedures, unifying content criteria that allows the systematization of activities and the definition of the methodology to carry them out. The content of each procedure details the legal regulations and records to carry out each of its activities

Manual de procesos y procedimientos para la gestión de la sangre, inmunohematología y hemoterapia / Manual of processes and procedures for blood management, immunohematology and hemotherapy

El presente manual de procesos y procedimientos documenta los servicios que se ofrecen en la atención al usuario interno y externo para la gestión de la sangre, inmunohematología y hemoterapia como parte del proceso de atención en salud integral e integrada a la persona en el curso de vida con enfoque de atención primaria en salud, describe el sistema de operación ofrecido en los establecimientos de salud, mediante el enfoque por procesos, fomentando así el desarrollo organizacional y el mejoramiento continuo para el cumplimiento de la misión institucional. Establece las bases para la ejecución de los procedimientos como parte de los procesos institucionales, unificando criterios de contenido que permite la sistematización de las actividades y la definición de la metodología para efectuarlas. Esta herramienta táctica y operativa, permite integrar las actividades y tareas de manera oportuna, para el logro de la prestación de servicios con calidad en los establecimientos de salud que lo necesiten, facilitando el cumplimiento de las normativas y lineamientos de programas especiales o por ciclo de vida vigentes en el Ministerio de Salud, así como la armonización con la sistematización y uso de herramientas tecnológicas que sea necesario implementar para volver más eficaz el trabajo del talento humano en salud

This manual of processes and procedures documents the services offered in the care of internal and external users for blood management, immunohematology and hemotherapy as part of the process of comprehensive and integrated health care for the person throughout the life course. With a focus on primary health care, it describes the operation system offered in health establishments, through the process approach, thus promoting organizational development and continuous improvement to fulfill the institutional mission. Establishes the bases for the execution of procedures as part of institutional processes, unifying content criteria that allows the systematization of activities and the definition of the methodology to carry them out. This tactical and operational tool allows the integration of activities and tasks in a timely manner, to achieve the provision of quality services in the health establishments that need it, facilitating compliance with the regulations and guidelines of special programs or by cycle of life in force in the Ministry of Health, as well as harmonization with the systematization and use of technological tools that need to be implemented to make the work of human talent in health more effective

Manual para la formación de facilitadoras de grupos de autoayuda de mujeres y adolescentes afectadas por diferentes tipos de violencia / Manual for the training of facilitators of self-help groups for women and adolescents affected by different types of violence

El Ministerio de Salud, comparte con otras instituciones del Estado y organizaciones de mujeres, la responsabilidad de asegurar que la atención a mujeres y adolescentes afectadas por los diferentes tipos de violencia, se realice bajo un enfoque integral con énfasis especial en lograr el empoderamiento de ellas mismas, por lo tanto, una respuesta efectiva para tal fin, en la consolidación e implementación de los grupos de autoayuda de mujeres y adolescentes (GAAMA) en la Redes Integrales e Integrada de Salud, es la elaboración del Manual para la formación de facilitadoras de grupos de autoayuda de mujeres y adolescentes que viven violencia de género, cuyo proceso de actualización inició convocando a facilitadoras de GAAMA con más de 10 años de experiencia, quienes compartieron su aprendizaje personal al facilitar el grupo, propiciando la definición de pautas claras para el fortalecimiento de los presentes lineamientos. El documento describe distintos métodos y conceptos para el desarrollo de aptitudes dentro del marco de aprendizaje, la socialización del presente Manual se ejecutará mediante talleres dirigidos al personal multidisciplinario de salud y de instituciones relacionadas con el abordaje integral de las mujeres y adolescentes afectadas por todas las formas de violencia. La metodología utilizada para la formación de facilitadoras de GAAMA, permite el desarrollo de habilidades para conocer el fenómeno de la violencia, con mayor énfasis la que afecta a las adolescentes y mujeres, manejo de grupos y el conocimiento del marco legal que apoya este abordaje. En este sentido, los GAAMA propician un espacio para socializar y sensibilizar sobre situaciones de violencia que les han afectado directamente e iniciar el proceso de ayuda a sí mismas y a la vez ayudar a otras mujeres y adolescentes

The Ministry of Health shares with other State institutions and women's organizations the responsibility of ensuring that care for women and adolescents affected by different types of violence is carried out under a comprehensive approach with special emphasis on achieving their empowerment. Therefore, an effective response to this end, in the consolidation and implementation of self-help groups for women and adolescents (GAAMA) in the Comprehensive and Integrated Health Networks, is the elaboration of the Manual for the training of facilitators of self-help groups of women and adolescents who experience gender violence, whose updating process began by calling on GAAMA facilitators with more than 10 years of experience, who shared their personal learning by facilitating the group, promoting the definition of clear guidelines for strengthening of these guidelines. The document describes different methods and concepts for the development of skills within the learning framework. The socialization of this Manual will be carried out through workshops aimed at multidisciplinary health personnel and institutions related to the comprehensive approach to women and adolescents affected by all forms of violence. The methodology used for the training of GAAMA facilitators allows the development of skills to understand the phenomenon of violence, with greater emphasis on violence that affects adolescents and women, group management, and knowledge of the legal framework that supports this approach. In this sense, the GAAMA provide a space to socialize and raise awareness about situations of violence that have directly affected them and start the process of helping themselves and at the same time helping other women and adolescents

Sistema de avaliação de testes psicológicos: histórias contadas e não contadas / Psychological test evaluation system: stories told and untold / Sistema de evaluación de tests psicológicos: historias contadas y no contadas

O Sistema de Avaliação de Testes Psicológicos (SATEPSI) recebeu notoriedade entre brasileiros e estrangeiros por oferecer um complexo sistema de qualificação dos testes psicológicos, pouco visto em âmbito mundial. Sua elaboração dependeu de uma autarquia, que o financiou, normatizou e o mantém, mas também de pesquisadores docentes de avaliação psicológica, que trouxeram a expertise da área para que houvesse o pleno estabelecimento de seus parâmetros. Passadas duas décadas de seu lançamento, o SATEPSI foi tema de artigos, capítulos, lives e diálogos digitais, nos quais foram destaque, de modo geral, as Resoluções do Conselho Federal de Psicologia, que o normatiza, e seus impactos para a área de avaliação psicológica - como, por exemplo, o aumento do número de pesquisas e de testes brasileiros qualificados. O que se pretende neste artigo é mencionar sua construção, à luz dos autores que vivenciaram o SATEPSI em funções e tempos distintos. Atenção especial será dada aos Métodos Projetivos, cuja história ainda é pouco revelada.(AU)

The system to evaluate psychological tests (Satepsi) received notoriety among Brazilians and foreigners for offering a complex system of qualification of psychological tests, which is rarely seen worldwide. Its development depended on an autarchy (which financed, standardized, and maintains it) and on researchers teaching psychological assessment, who brought their expertise to the area so its parameters could be fully established. After two decades of its launch, Satepsi was the subject of articles, chapters, lives, and digital dialogues, which usually highlighted the Resolutions of the Federal Council of Psychology that normatize psychological evaluation and their impacts, such as the increase in the number of qualified Brazilian tests. This study aims to mention its construction in the light of the authors who experienced Satepsi in different functions and times, giving special attention to Projective Methods, whose history remains to be shown.(AU)

El Sistema de Evaluación de Tests Psicológicos (SATEPSI) ganó notoriedad entre los brasileños y los extranjeros por ofrecer un complejo sistema de calificación de los tests psicológicos, poco frecuente a nivel mundial. Su elaboración dependió de una autarquía, que lo financió, lo estandarizó y lo mantiene, pero también de investigadores docentes de evaluación psicológica, que trajeron la experiencia del área para que hubiera el pleno establecimiento de sus parámetros. Tras dos décadas de su lanzamiento, SATEPSI fue tema de artículos, capítulos, en directo y diálogos digitales, en los cuales destacaron, de modo general, las Resoluciones del Consejo Federal de Psicología que lo normatiza y sus impactos para el área de evaluación psicológica, como el aumento del número de investigaciones y de pruebas brasileñas calificadas. Lo que se pretende en este artículo es mencionar su construcción, a la luz de los autores que vivieron el SATEPSI en funciones y tiempos distintos. Se prestará especial atención a los métodos proyectivos cuya historia aún no se ha revelado.(AU)

Manual de procesos y procedimientos para proporcionar atenciones de salud integrales en emergencias / Manual of processes and procedures to provide comprehensive health care in emergencies

El presente manual de procesos y procedimientos documenta las principales actividades de atención integral en emergencias como parte del proceso de atención en salud integral e integrada a la persona en el curso de vida con enfoque de atención primaria en salud, describe el sistema de operación de los establecimientos de salud, mediante el enfoque por procesos, fomentando el desarrollo organizacional y el mejoramiento continuo para el cumplimiento de la misión institucional. Establece las bases para la ejecución de los procesos y procedimientos, unificando criterios de contenido que permite la sistematización de las actividades y la definición de la metodología para efectuarlas

This manual of processes and procedures documents the main activities of comprehensive care in emergencies as part of the process of comprehensive and integrated health care to the person in the course of life with a focus on primary health care, describes the operating system of the health establishments, through a process approach, promoting organizational development and continuous improvement for the fulfillment of the institutional mission. Establishes the bases for the execution of processes and procedures, unifying content criteria that allows the systematization of activities and the definition of the methodology to carry them out

Manual de procedimientos para la farmacovigilancia activa para vacuna contra SARS-CoV-2 en el Sistema Nacional Integrado de Salud / Manual of procedures for active pharmacovigilance for the SARS-CoV-2 vaccine in the National Integrated Health System

El presente manual pretender bridar los pasos a seguir para realizar una vigilancia activa de todos los eventos supuestamente atribuidos a la vacuna e inmunización que puede ocurrir con la aplicación de la vacuna contra el SARS-CoV-2 y que no se detecten por medio de la notificación espontanea , desarrollando una investigación con su respectivo análisis en un numero especifico de pacientes a quienes se le administren la vacuna, a fin de identificar componentes clínicos y farmaco-epidemiologicos que permitan conocer eventos serios no conocidos o nuevas señales

This manual aims to provide the steps to follow to carry out an active surveillance of all the events supposedly attributed to the vaccine and immunization that can occur with the application of the vaccine against SARS-CoV-2 and that are not detected by means of the spontaneous notification, developing an investigation with its respective analysis in a specific number of patients to whom the vaccine is administered, in order to identify clinical and pharmaco-epidemiological components that allow knowing serious events not known or new signs

Manual de procedimientos para adquisición y distribución de vacunas e insumos / Procedures manual for the acquisition and distribution of vaccines and supplies

El Presente Manual Proporciona al personal de la red del Sistema Nacional Integrado de Salud, los procedimientos técnicos administrativos, para la gestión de la provisión de servicios de vacunación a la población salvadoreña de manera oportuna, eficaz, eficiente y gratuita, a fin de prevenir y controlar las enfermedades inmunoprevenibles

This Manual Provides the staff of the National Integrated Health System network with administrative technical procedures for managing the provision of vaccination services to the Salvadoran population in a timely, effective, efficient and free manner, in order to prevent and control immune-preventable diseases

Cuaderno complementario sobre Estudio de la ideología y la política para técnicos de la salud / Complementary notebook about the Study of ideology and policy for health technicians

RESUMEN Fundamento: en las carreras de las ciencias técnicas que se estudian en las universidades médicas se imparte la asignatura Estudio de la Ideología y la Política con el fin de enseñar al estudiante el devenir histórico-lógico del pueblo cubano, y su ejemplo y trascendencia para el mundo. Objetivo: elaborar un cuaderno complementario para el trabajo independiente de los estudiantes con actividades de carácter desarrollador y de evaluación del aprendizaje. Métodos: se realizó una investigación de desarrollo en la Filial de Ciencias Médicas "Dr. Eusebio Hernández Pérez" en Colón, Matanzas, durante los cursos escolares 2016-2017 y 2017-2018. Se utilizaron métodos teóricos: analítico-sintético, inductivo-deductivo y sistémico-estructural; y empíricos: análisis documental del programa y las orientaciones metodológicas, y encuesta en forma de entrevista a profesores para corroborar si la bibliografía recomendada era suficiente para el cumplimiento de los objetivos previstos y si favorece el estudio independiente de los contenidos de la asignatura. El cuaderno fue valorado por criterio de especialistas. Resultados: se evidenció un déficit bibliográfico para su estudio, sus contenidos están dispersos en varios textos lo cual dificulta el trabajo independiente de los estudiantes, por lo que fue confeccionado un cuaderno complementario que contiene tres unidades y varias actividades en correspondencia con el cumplimiento de los objetivos del programa. Conclusiones: el material contribuye a solucionar las insuficiencias detectadas y fue valorado por criterio de especialistas como pertinente, novedoso y útil; constituye una herramienta esencial para apoyar el trabajo independiente de los estudiantes y la evaluación del aprendizaje.

ABSTRACT Background: in technical science careers that are studied in medical universities, the Study of Ideology and Politics subject is taught with the aim of teaching the historical-logical evolution of the Cuban people, and its example and transcendence for the world, to the students. Objective: to create a supplementary notebook for the independent work of students with activities of developmental character and learning evaluation. Methods: at the "Dr. Eusebio Hernández Pérez" Medical Sciences Subsidiary in Colón, Matanzas, a development research was carried out during the 2016-2017 and 2017-2018 academic years. Theoretical methods were used: analytical-synthetic method, inductive-deductive method and systemic-structural method; and empirical methods: documentary analysis of the program and the methodological guidelines, and an interview survey with teachers to verify whether the recommended bibliography was sufficient for the fulfillment of the foreseen objectives and whether it helps the independent study of the subject contents. The supplementary notebook was evaluated according to the criteria of specialists. Results: for this study a bibliographical deficit was evident, contents were scattered in several texts which made the independent work of students difficult, so a supplementary notebook which contains three units and several activities was made in such a way the objectives of the program were fulfilled. Conclusions: the supplementary notebook contributes to solve the insufficiencies were found and it was valued by specialists as pertinent, novel and useful; it is an essential tool to support the independent work of students and learning assessment.

Patient Engagement With an Automated Telephone Symptom Management Intervention: Predictors and Outcomes.

BACKGROUND: Self-management of symptoms related to cancer and its treatment is important for maintaining treatment regimens and improving outcomes. PURPOSE: To determine factors associated with engagement in a symptom self-management intervention among patients initiating oral anticancer treatment. METHODS: This secondary analysis included 127 patients randomized to the medication adherence reminder and symptom management intervention in a recently completed trial. Patients were recruited from six Comprehensive Cancer Centers, interviewed at intake, and mailed a Symptom Management Toolkit (Toolkit) with self-care management strategies for 18 symptoms. During eight automated telephone weekly calls, patients were asked to use the Toolkit to manage elevated symptoms. Toolkit use and symptoms were tracked weekly, and generalized linear mixed-effects models were used to determine factors predictive of Toolkit use. General linear modeling was used to relate the Toolkit use during intervention to postintervention symptom severity. RESULTS: Better cognitive function at intake into the trial and higher symptom burden were predictive of the patients' initial decision to try the Toolkit during Week 1. In subsequent weeks, Toolkit use in the previous week and worsening of symptoms were associated with greater odds of Toolkit use. The extent of Toolkit use modified the relationship between intake and 8 week symptom severity: among patients with higher levels of severity at intake, use of the Toolkit conferred greater benefit at 8 weeks. CONCLUSIONS: Patients make realistic decisions regarding when to use a self-directed approach to self-management and are likely to use strategies when their symptoms are higher and to forego use once symptoms subside. CLINICAL TRIAL REGISTRATION: NCT02043184.

Use of a child health surveillance instrument focusing on growth. A cross-sectional study

ABSTRACT BACKGROUND: Proper use of a child health handbook is an important indicator of the quality of care provided to children at healthcare services. This study aimed to evaluate the use of child health surveillance tool (by health professionals?), especially focusing on growth. DESIGN AND SETTING: Cross-sectional study carried out in the context of the Family Health Strategy in two municipalities in Paraíba, Brazil. METHODS: Three hundred and twenty-one children under five years of age from areas covered by health workers were included in the study. Mothers answered a questionnaire asking for information on sociodemographic characteristics. Growth charts, records of iron and vitamin A supplementation and notes on immunization schedules registered in the instrument were analyzed. In the case of children for whom the third version of the child health handbook was used, the association between completion of this handbook and sociodemographic characteristics was analyzed. RESULTS: All the parameters studied showed high frequencies of inadequate data entry, ranging from 41.1% for the weight-versus- age chart to 95.3% for the body mass index-versus-age chart. Higher frequency of inadequate data entry was found among children aged 25 months and over and among those living in areas of these municipalities with minimal numbers of professionals in the healthcare teams. CONCLUSIONS: The use of a child health handbook to monitor children's growth in the municipalities studied appeared to be faulty. Data entry to this instrument was better at locations with larger healthcare teams.

Use of a child health surveillance instrument focusing on growth. A cross-sectional study.

BACKGROUND: Proper use of a child health handbook is an important indicator of the quality of care provided to children at healthcare services. This study aimed to evaluate the use of child health surveillance tool (by health professionals?), especially focusing on growth. DESIGN AND SETTING: Cross-sectional study carried out in the context of the Family Health Strategy in two municipalities in Paraíba, Brazil. METHODS: Three hundred and twenty-one children under five years of age from areas covered by health workers were included in the study. Mothers answered a questionnaire asking for information on sociodemographic characteristics. Growth charts, records of iron and vitamin A supplementation and notes on immunization schedules registered in the instrument were analyzed. In the case of children for whom the third version of the child health handbook was used, the association between completion of this handbook and sociodemographic characteristics was analyzed. RESULTS: All the parameters studied showed high frequencies of inadequate data entry, ranging from 41.1% for the weight-versus- age chart to 95.3% for the body mass index-versus-age chart. Higher frequency of inadequate data entry was found among children aged 25 months and over and among those living in areas of these municipalities with minimal numbers of professionals in the healthcare teams. CONCLUSIONS: The use of a child health handbook to monitor children's growth in the municipalities studied appeared to be faulty. Data entry to this instrument was better at locations with larger healthcare teams.

Mental health and addictions capacity building for community health centres in Ontario.

PROBLEM ADDRESSED: In recent years, there has been increased recognition in Canada of the need to strengthen mental health services in primary health care (PHC). Collaborative models, including partnerships between PHC and specialized mental health care providers, have emerged as effective ways for improving access to mental health care and strengthening clinical capacity. Primary health care physicians and other health professionals are well positioned to facilitate the early detection of mental disorders and provide appropriate treatment and follow-up care, helping to tackle stigma toward mental health problems in the process. OBJECTIVE OF PROGRAM: This 4-year mental health and addiction capacity-building initiative for PHC addressed competency needs at the individual, interprofessional, and organizational levels. PROGRAM DESCRIPTION: The program included 5 key components: a needs assessment; interprofessional education; mentoring; development of organizational mental health and addiction action plans for each participating community health centre; and creation of an advanced resource manual to support holistic and culturally competent collaborative mental health care. A comprehensive evaluation framework using a mixed-methods approach was applied from the initiation of the program. A total of 184 health workers in 10 community health centres in Ontario participated in the program, including physicians, nurses, social workers, and administrative staff. CONCLUSION: Evaluation findings demonstrated high satisfaction with the training, improved competencies, and individual behavioural and organizational changes. By building capacity to integrate holistic and culturally appropriate care, this competency-based program is a promising model with strong potential to be adapted and scaled up for PHC organizations nationally and internationally.

A Mindfulness Program Manual for People With Dementia.

This article describes a 10-session group-based Mindfulness Program for people with mild to moderate dementia. It aims to equip people with dementia with skills to manage psychological distress, with support from carers. The Mindfulness Program was developed through reviews of existing literature, consultation with experts, and a focus group with people with dementia. In a randomized controlled feasibility and pilot trial with people with mild to moderate dementia in care homes, it was found to significantly increase quality of life. The manual presented here is designed to be administered flexibly to promote participants' personhood. The protocol is designed for use by therapists with experience in practicing mindfulness meditation.

La socialización de los practicantes a través de los manuales del Dr. Felipe Sáenz de Cenzano 1907-1942 / Socialization of 'Practicantes' through the Manuals of the Dr. Felipe Sáenz de Cenzano 1907-1942

Desde la creación en España del título de practicante en 1857, su enseñanza fue regulada por varios planes de estudio hasta la unificación en 1953 de las tres titulaciones auxiliares de la medicina (practicante, matrona y enfermera), en la de Ayudante Técnico Sanitario (ATS). Este trabajo analiza la socialización de los practicantes a través de las distintas ediciones de El Manual del Practicante (1907, 1922, 1934 y 1942), elaborado por el médico encargado de su enseñanza oficial en Zaragoza, Felipe Sáenz de Cenzano. Tras el análisis de su estructura y su contenido, en especial los fundamentos de su saber y las competencias técnicas o de cuidados al enfermo, resaltamos las diferencias que se observan en los manuales y las legalmente establecidas, que fueron siempre más restrictivas. En conjunto se perfila la configuración de dos escenarios laborales distintos para el practicante, la ciudad y la zona rural, que proyectaron dos imágenes profesionales distintas

Since the creation of the qualification of Spanish practitioner 'practicante' in 1857 in Spain, its teaching was regulated by several curriculums until the unification in 1953 of the three auxiliary degrees in medicine ("practicante", midwife and nurse), in the technical health assistant (ATS). This paper analyzes the socialization of "practicantes" through the various editions of "El Manual del Practicante" (1907, 1922, 1934 and 1942), prepared by the physician in charge of their formal education in Zaragoza, Felipe Sáenz de Cenzano. After analyzing its structure and content, especially the basis of their knowledge and technical skills or nursing care, we highlight the differences observed in the manuals and the legally established, which were always more restrictive. In summary, it be outlined the configuration of two different work settings, the city and the rural area, that projected two different professional images

Effects of the Pulmonary Hypertension Manual (PulHMan) on Awareness of Exercise in Patients with Pulmonary Hypertension.

BACKGROUND: Patient education is an important part of holistic care for patients with chronic diseases. With the success of the Heart Manual, it was felt there is a strong need to develop such a manual for those with pulmonary hypertension (PH) - the Pulmonary Hypertension Manual (PulHMan). This was developed through a qualitative methodology in order to ensure the needs of the patients were being met. The impact of the PulHMan on awareness about exercise-related benefits and PH are not known. Therefore the aim of this study was to assess the effects of the PulHMan on improving awareness among individuals with PH. METHODS: A repeat cross sectional study was carried out on 30 patients with PH to assess the effects of using the PulHMan on awareness of exercise-related benefits in PH. Awareness was assessed from a self-developed and validated questionnaire that included components of PH and exercise related components. RESULTS: Thirty patients with PH (mean right ventricular systolic pressure and six minute walk distance of 89.2±4.1mm Hg and 322.8±102m respectively) were included in the study. At baseline, it was seen that there was a low awareness regarding the benefits of exercise for PH. However, they were aware of the general health benefits of walking. After three months, it was seen that the PulHMan improved awareness on the benefits of exercising. Despite a low number willing to exercise (2/30) and participate in a home-based program (2/30), after using the PulHMan for three months, there was an improvement in those willing to exercise and participate in a home-based program (22/30 and 25/30 respectively). CONCLUSIONS: The PulHMan was seen to improve awareness regarding the exercise-related benefits among patients with PH. More studies are needed to determine if this change in awareness translates into a behavioural change for those with PH.

Civilizando as artes de curar: Chernoviz e os manuais de medicina popular no império

Ao se encontrarem no Brasil Imperial, a medicina acadêmica e a popular não entraram em rota de colisão. Apesar das tensões e dos distanciamentos entre os dois domínios, havia entre eles vários pontos de intersecção e convivência. Entre os elementos que contribuíram para que as fronteiras não fossem tão rígidas, destacam-se os manuais ou livros de medicina autoinstrutivos, como os de autoria do médico polonês Pedro Luis Napoleão Chernoviz (1812-1881). O papel desses compêndios é analisado pela médica Regina Cotrim, que descortina meandros da medicina no século XIX. Apresento uma medicina oficial que não se enclausurou nos debates internos da Academia Imperial de Medicina ou nas publicações de médicos para seus pares, e tampouco teria tomado de assalto os lares da sociedade patriarcal, definindo e fiscalizando normas de higiene. Paralelamente, procuro esclarecer que a medicina popular não se restringiria apenas a ervas e benzeduras.

The logics of planned birthplace for remote Australian Aboriginal women in the northern territory: A discourse and content analysis of clinical practice manuals.

OBJECTIVE: the aim of this research is to review the content, and describe the structural and contextual discourse around planned birthplace in six clinical practice manuals used to care for pregnant Aboriginal women in Australia׳s remote Northern Territory. The purpose is to better understand where, how and why planned birthplaces for Aboriginal women have changed over time. METHODS: content and discourse analysis was applied to the written texts pertaining to maternal health care and the results placed within a theoretical framework of Daviss׳s Logic. FINDINGS: the manuals demonstrate the use of predominantly scientific and clinical logic to sanction birthplace. Planned birthplace choices have declined over time, with hospital now represented as the only place to give birth. This is in opposition to Aboriginal women׳s longstanding requests and is not supported by robust scientific evidence. CONCLUSIONS: despite scientific and clinical logics dominating the sanctioning of birthplace for Aboriginal women, conjecture is apparent between assumed logics and evidence. There needs to be further critical reflection on why Aboriginal women do not have planned birthplace choices, and these reasons, once identified, debated and addressed both in research agendas and policy re-development.

Manual pedagógico de preparación y utilización de plantas medicinales tradicionales más utilizadas, en el municipio de Totonicapán / Pedagogical manual of preparation and use of traditional medicinal plants most used, in the municipality of Totonicapán

El informe del ejercicio profesional supervisado completamente la preparación universitaria en el campo de la investigación; este documento proporciona sobre del Manual Pedagógico de preparación y utilización de las plantas medicinales del municipio de Totonicapán, obtenidas a través de la investigación bibliográfica y de campo, obteniendo diversos e importantes temas del origen, utilización, preparación y beneficios de plantas medicinales más conocidas que se reproducen en la comunidad y contribuyen con mejorar la salud de las personas que las utilización de diferentes formas.