ABSTRACT
BACKGROUND: Chagas Disease (CD) affects 6-7 million people worldwide and is related to poverty-promoting conditions. Chronic asymptomatic cases are mostly invisible to health systems. Aiming (1) to translate CD discoveries into education/information practices to raise alertness and empowerment of affected people; and (2) to perform an active search of CD cases, articulating intersectoral actions to improve the access of infected people to the local health service for the treatment of CD; our research group developed and tested under field conditions as innovative social technology: an itinerant education interdisciplinary setting named "Chagas Express XXI" (CE21). METHODOLOGY: CE21 was created as an "imaginary train" with ~40 ArtScience workshops, games, laboratory activities and conversation circles. An entry/exit plus six activity modules combined associations of affected people, microscopic observations, One Health education, and wellness activities. CE21 was conceived as a social technology, since all the processes were co-created with CD patients and inter-sector local partners. Descriptive statistics showed quantitative data collected throughout the expeditions (CD knowledge, serological results). Qualitative data accessed the public perceptions about the education activities. PRINCIPAL FINDINGS: CE21 was exhibited in local educational institutions (schools, universities) in four cities, engaging 2,117 people that evaluated the 41 activities carried out. Citizens and health professionals enjoyed acquisition of information related to blood, parasites, vectors, reservoirs, environmental changes, and social determinants of CD. Further, local legacies of 600 participants volunteer for health promotion groups and CD associations, local empowerment groups to fight for better health conditions, and 05 mural paintings. We observed that 81% of the participants ignored the possibility of treating CD while 52% of the participants requested a blood test for CD showing seropositivity in 20% of them. CONCLUSIONS: CE21 is a social technology potentially useful for health and science education and active search of asymptomatic CD chronic cases. Moreover, this technology may be adapted to understand and to cooperate in other potentially epidemic situations, especially NTDs related.
Subject(s)
Chagas Disease/epidemiology , Health Education , Health Promotion/methods , Science/education , Adult , Aged , Brazil/epidemiology , Female , Humans , Male , Middle Aged , Technology , Young AdultABSTRACT
Este estudo objetivou analisar os fatores envolvidos com o Transtorno de Processamento Auditivo, em estudo retrospectivo em que foram analisados os dados de 253 pacientes atendidos em serviço especializado entre 1997 a 2002. Consideraram-se os seguintes dados: idade, motivo do encaminhamento e resultado da avaliação de PA. Com 35% das ocorrências, a queixa escolar associada ao distúrbio de linguagem oral foi o principal motivo de encaminhamento. A quantidade de queixas apresentadas por cada sujeito constituiu-se como principal fator de risco para o Transtorno do Processamento Auditivo.(AU)
This studied is a retrospective analysis of the Auditory Processing Disorder in 253 patients recorded from 1997 to 2002. Analyzed data were age, medical history and diagnoses. The risk factors for the Auditory Processing Disorders were investigated. School problems and oral language disabilities were the main referral (35%), but the main risk for the Auditory Processing Disorders was the number of referrals.(AU)
Subject(s)
Humans , Child , Risk Factors , Hearing , Speech DisordersABSTRACT
Este estudo objetivou analisar os fatores envolvidos com o Transtorno de Processamento Auditivo, em estudo retrospectivo em que foram analisados os dados de 253 pacientes atendidos em serviço especializado entre 1997 a 2002. Consideraram-se os seguintes dados: idade, motivo do encaminhamento e resultado da avaliação de PA. Com 35% das ocorrências, a queixa escolar associada ao distúrbio de linguagem oral foi o principal motivo de encaminhamento. A quantidade de queixas apresentadas por cada sujeito constituiu-se como principal fator de risco para o Transtorno do Processamento Auditivo.
This studied is a retrospective analysis of the Auditory Processing Disorder in 253 patients recorded from 1997 to 2002. Analyzed data were age, medical history and diagnoses. The risk factors for the Auditory Processing Disorders were investigated. School problems and oral language disabilities were the main referral (35%), but the main risk for the Auditory Processing Disorders was the number of referrals.