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1.
Esc. Anna Nery Rev. Enferm ; 24(2): e20190081, 2020. graf
Artículo en Portugués | LILACS-Express | ID: biblio-1056146

RESUMEN

RESUMO Objetivo Compreender os sentidos atribuídos pelos gestores dos Serviços da Região Metropolitana de Goiânia sobre a oferta de Práticas Integrativas e Complementares (PIC) na Atenção Primária à Saúde (APS). Método Estudo descritivo e exploratório, de abordagem qualitativa, realizado entre agosto e dezembro de 2017, com 21 gestores, mediante utilização de entrevistas semiestruturadas que foram gravadas, transcritas e analisadas com a técnica de análise de conteúdo temática. Resultados Os entrevistados demonstraram compreender o contexto em que as PIC estão inseridas, embora tenham apresentado dificuldades e insegurança na sua conceituação. Dos resultados emergiram três categorias, quais sejam: PIC para gestores; aspectos positivos e negativos da oferta das PIC para a equipe de saúde; aspectos positivos e negativos da disponibilização das PIC para os usuários dos serviços. Conclusão e implicações para a prática Conclui-se que há forte influência do modelo biomédico em detrimento da integralidade na organização dos serviços de APS, o que implica com a baixa e descontínua oferta das PIC na Região Metropolitana de Goiânia. Esta conclusão convida para a ampliação dos espaços de reflexão sobre a pluralidade de racionalidades de cuidado no Sistema Único de Saúde.


RESUMEN Objetivo Comprender los significados atribuidos por los gestores de los Servicios de la Región Metropolitana de Goiánia acerca del ofrecimiento de Prácticas Integradoras y Complementarias (PIC) en la Atención Primaria de Salud (APS). Método Estudio descriptivo y exploratorio, cualitativo, realizado entre agosto y diciembre de 2017 con 21 gestores. Se realizaron entrevistas semiestructuradas, grabadas, transcriptas y analizadas con la técnica del análisis de contenido temático. Resultados Los entrevistados demostraron comprender el contexto en lo cual se insertan las PIC, aunque tengan presentado dificultades e inseguridad en su conceptualización. Emergieron tres categorías de los resultados: PIC para los gestores; aspectos positivos y negativos del ofrecimiento de PIC para el equipo de salud; aspectos positivos y negativos de la disponibilidad de PIC a los usuarios de los servicios. Conclusiones e implicaciones para la práctica Se concluye que hay fuerte influencia del modelo biomédico en detrimento de la integralidad en la organización de los servicios de APS, lo que resulta en el bajo y discontinuo ofrecimiento de PIC en la Región Metropolitana de Goiánia. Esta conclusión invita a la ampliación de los espacios de reflexión sobre la pluralidad de racionalizaciones de la atención en el Sistema Único de Salud.


ABSTRACT Objective To understand the meanings attributed by the managers of the Services of the Metropolitan Region of Goiânia to the offer of Integrative and Complementary Practices (ICP) in Primary Health Care (PHC). Method Descriptive and exploratory study, with a qualitative approach, conducted between August and December 2017, with 21 managers, using semi-structured interviews that were recorded, transcribed, and analyzed with the thematic content analysis technique. Results The interviewees demonstrated an understanding of the context in which the ICP are placed, although they have presented difficulties and insecurity expressing their concepts. The results have elicited three categories, as follows: ICP for managers; positive and negative aspects of the provision of ICP for the health team; positive and negative aspects of the provision of ICP for service users. Conclusion and implications for the practice It is possible to conclude that there is a strong influence of the biomedical model, instead of a more integrated approach in the organization of PHC services, which leads to a low and discontinuous offer of ICP in the Metropolitan Region of Goiânia. This conclusion invites us to expand the spaces for reflection on the plurality of rationales of care in the Unified Health System.

2.
Hist Cienc Saude Manguinhos ; 26(3): 1039-1049, 2019 Sep 16.
Artículo en Portugués | MEDLINE | ID: mdl-31531590

RESUMEN

This article describes the construction of a documentary archive for the Eunice Weaver School, part of the Educandário/Preventório Afrânio de Azevedo Training Complex (inaugurated in Goiânia in 1943). We stress the importance of creating similar archives to provide access to the memories of those subjected to policies related to preventing Hansen's disease (leprosy). The documentation covers the period 1945-1990, depicting the everyday lives of blameless children who were institutionalized as part of state policies to prevent this disease. The material is regionally focused, expanding the number of known sources for the history of institutions and this disease in the state of Goiás, and served as a potential resource for patients attempting to gain release.

3.
Hist. ciênc. saúde-Manguinhos ; 26(3): 1039-1049, jul.-set. 2019. tab
Artículo en Portugués | LILACS-Express | ID: biblio-1039952

RESUMEN

Resumo Apresenta-se a constituição do arquivo documental da Escola Eunice Weaver, parte do complexo formador do Educandário/Preventório Afrânio de Azevedo, inaugurado em 1943, em Goiânia. Destaca a importância da constituição de arquivos como esse para o acesso à memória daqueles que foram submetidos à política de profilaxia da lepra/hanseníase. A documentação apresentada cobre o período de 1945 a 1990 e expõe o cotidiano escolar de crianças indenes institucionalizadas em decorrência das políticas de profilaxia da enfermidade impostas pelo Estado. O material se caracteriza pelo recorte regional, expandindo o número de fontes conhecidas para estudo da história das instituições e da doença em Goiás, e pela possibilidade de serem tomadas como provas em processos relativos aos egressos da instituição.


Abstract This article describes the construction of a documentary archive for the Eunice Weaver School, part of the Educandário/Preventório Afrânio de Azevedo Training Complex (inaugurated in Goiânia in 1943). We stress the importance of creating similar archives to provide access to the memories of those subjected to policies related to preventing Hansen's disease (leprosy). The documentation covers the period 1945-1990, depicting the everyday lives of blameless children who were institutionalized as part of state policies to prevent this disease. The material is regionally focused, expanding the number of known sources for the history of institutions and this disease in the state of Goiás, and served as a potential resource for patients attempting to gain release.

4.
Monografía en Portugués | HISA - História de la Salud | ID: his-44269

RESUMEN

Analisa o problema da reintegração social dos ex-internos da Colônia Santa Marta em Goiânia, diante do processo de readequação dos antigos leprosários. A cura da doença e o fim da exigência de isolamento dos atingidos pela hanseníase também compõem esta análise. No entanto, o estudo está centrado no processo de constituição de uma política de assistência médica específica e de reintegração social dos ex-internos e os resultados do afastamento social e familiar a que eles estiveram obrigados durante o período de internamento


Asunto(s)
Pacientes Internos , Lepra , Aislamiento de Pacientes , Hospitalización , Prestación de Atención de Salud , Política Pública
5.
Epidemiol Serv Saude ; 27(3): e2017127, 2018 09 03.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-30183867

RESUMEN

OBJECTIVE: to describe the challenges in implementing the chikungunya surveillance and prevention system in Brazil. METHODS: this was a descriptive study of suspected cases of the disease based on records held on the Notifiable Diseases Information System (Sinan) for the period 2014-2016. RESULTS: more than 100,000 probable chikungunya cases were notified in Brazil in this period, with the largest concentration in the Northeast states (83.3% between 2014 and 2015; 91.0% in 2016); Sinan provided an excellent opportunity for closing records of cases occurring between 2014 and 2015 (85%) and high completeness of obligatory variables. CONCLUSION: given the imminence of the introduction of chikungunya in Brazil in 2014, advance public health preparation took place in order to minimize its effects on society; implementation of the surveillance system improved collection of information regarding the disease, however many challenges can be seen in practice, in view of increasing case incidence. This requires greater handling capacity in this sector.


Asunto(s)
Fiebre Chikungunya/epidemiología , Recolección de Datos/métodos , Vigilancia de la Población/métodos , Salud Pública , Adolescente , Adulto , Brasil/epidemiología , Notificación de Enfermedades/estadística & datos numéricos , Femenino , Humanos , Incidencia , Sistemas de Información , Masculino , Persona de Mediana Edad , Adulto Joven
6.
Epidemiol. serv. saúde ; 27(3): e2017127, 2018. tab, graf
Artículo en Portugués | LILACS | ID: biblio-953401

RESUMEN

Objetivo: descrever os desafios da implantação do sistema de vigilância e prevenção de chikungunya no Brasil. Métodos: estudo descritivo dos casos suspeitos da doença notificados no Sistema de Informação de Agravos de Notificação (Sinan) entre 2014 e 2016. Resultados: no período estudado, foram notificados mais de 100 mil casos prováveis de chikungunya no país, com maior concentração nos estados do Nordeste (83,3% entre 2014 e 2015; 91,0% em 2016); o Sinan apresentou excelente oportunidade de encerramento dos casos entre 2014 e 2015 (85%) e alta completitude das variáveis obrigatórias. Conclusão: com a introdução de chikungunya no Brasil em 2014, houve um preparo prévio em termos de Saúde Pública para minimizar seus efeitos na sociedade; a implantação do sistema de vigilância ampliou a coleta de informações da doença, embora muitos desafios mostrem-se evidentes na prática, haja vista a incidência crescente de casos, demandando maior capacidade operante desse setor.


Objetivo: describir los desafíos de la implantación del sistema de vigilancia y prevención de chikungunya en Brasil. Métodos: estudio descriptivo de los casos sospechosos notificados en el Sistema de Notificación de Enfermedades Obligatorias (Sinan) entre 2014 y 2016. Resultados: en el período estudiado se notificaron más de 100 mil casos probables de chikungunya con mayor concentración en los estados del Nordeste (83,3% entre 2014 y 2015 y el 91,0% en 2016); el Sinan presentó una excelente oportunidad de cierre de los casos entre 2014 y 2015 (85%) y alta completitud de las variables obligatorias. Conclusión: con la introducción de chikungunya en Brasil hubo una preparación previa para minimizar sus efectos en la sociedad; la implantación del sistema de vigilancia ha ampliado la recolección de información sobre la enfermedad, sin embargo, muchos desafíos son evidenciados en la práctica, pues la incidencia de casos es creciente, necesitando de mayor capacidad operante de ese sector.


Objective: to describe the challenges in implementing the chikungunya surveillance and prevention system in Brazil. Methods: this was a descriptive study of suspected cases of the disease based on records held on the Notifiable Diseases Information System (Sinan) for the period 2014-2016. Results: more than 100,000 probable chikungunya cases were notified in Brazil in this period, with the largest concentration in the Northeast states (83.3% between 2014 and 2015; 91.0% in 2016); Sinan provided an excellent opportunity for closing records of cases occurring between 2014 and 2015 (85%) and high completeness of obligatory variables. Conclusion: given the imminence of the introduction of chikungunya in Brazil in 2014, advance public health preparation took place in order to minimize its effects on society; implementation of the surveillance system improved collection of information regarding the disease, however many challenges can be seen in practice, in view of increasing case incidence. This requires greater handling capacity in this sector.


Asunto(s)
Humanos , Masculino , Femenino , Epidemiología , Vigilancia en Salud Pública , Fiebre Chikungunya/prevención & control , Estudio de Evaluación
7.
Cien Saude Colet ; 21(8): 2329-38, 2016 Aug.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-27557006

RESUMEN

Dengue is one of Brazil's most important public health challenges. Activities for its prevention and control have been based on the strategy of integrated management proposed in health policies, in which the central actors are the Endemic Disease Control Agent(ACE) and the Community Health Agent (ACS). This study analyzes consensus opinions produced by ACSs and ACEs on theactions for incorporating ACEs into the teams of the Family Health Strategy (ESF). It is a qualitative study from a large municipality in Brazil in which dengue is endemic, using a focus group of professionals that is subsequently analyzed using Collective Subject Discourse Analysis, supported by WebQDA. The results indicate consensus positions in relation to the following subjects: I) difficulty in the process of integration of ACSs and ACEs for control of dengue; II) inclusion of ACEs in the primary healthcare of the ESF; and III) absence of monitoring and assessment of the integrated actions. In conclusion, there are needs: to make participants more aware, seeking changes in behavior; to offer an environment of support to those involved with training courses about dengue; and to monitor the process of integration, and evaluate it periodically, creating indicators of quality and quantity.


Asunto(s)
Agentes Comunitarios de Salud , Consenso , Dengue/prevención & control , Enfermedades Endémicas/prevención & control , Brasil/epidemiología , Dengue/epidemiología , Humanos , Investigación Cualitativa
8.
Ciênc. saúde coletiva ; 21(8): 2329-2338, ago. 2016.
Artículo en Portugués | LILACS | ID: lil-792985

RESUMEN

Resumo A dengue é um dos principais desafios de saúde pública no Brasil e as atividades de prevenção e controle dessa patologia vêm sendo baseadas na estratégia de gestão integrada proposta em políticas de saúde, nas quais os atores centrais são o Agente de Combate à Endemias (ACE) e o Agente Comunitário de Saúde (ACS). O estudo objetivou analisar os consensos produzidos pelos ACS e ACE sobre estas ações integradas com a implantação da Portaria de Incorporação dos ACE nas equipes da Estratégia Saúde da Família (ESF). Trata-se de uma pesquisa qualitativa com a realização de grupo focal com profissionais de um município de grande porte e com endemia de dengue do Brasil. O encontro foi gravado e as falas transcritas por meio da Análise do Discurso do Sujeito Coletivo, com apoio do WebQDA. Os resultados apontam consenso em relação a: I) dificuldade no processo de integração do ACS e ACE para o controle da dengue; II) inclusão dos ACE na atenção primária na ESF; III) inexistencia de acompanhamento e avaliação das ações integradas. Conclui-se que é necessário sensibilizar os participantes, buscando mudanças de comportamento, oferecer um ambiente de suporte aos envolvidos com cursos de capacitação sobre dengue, acompanhar o processo de integração e avaliar periodicamente criando indicadores de qualidade e quantidade.


Abstract Dengue is one of Brazil’s most important public health challenges. Activities for its prevention and control have been based on the strategy of integrated management proposed in health policies, in which the central actors are the Endemic Disease Control Agent(ACE) and the Community Health Agent (ACS). This study analyzes consensus opinions produced by ACSs and ACEs on theactions for incorporating ACEs into the teams of the Family Health Strategy (ESF). It is a qualitative study from a large municipality in Brazil in which dengue is endemic, using a focus group of professionals that is subsequently analyzed using Collective Subject Discourse Analysis, supported by WebQDA. The results indicate consensus positions in relation to the following subjects: I) difficulty in the process of integration of ACSs and ACEs for control of dengue; II) inclusion of ACEs in the primary healthcare of the ESF; and III) absence of monitoring and assessment of the integrated actions. In conclusion, there are needs: to make participants more aware, seeking changes in behavior; to offer an environment of support to those involved with training courses about dengue; and to monitor the process of integration, and evaluate it periodically, creating indicators of quality and quantity.


Asunto(s)
Humanos , Agentes Comunitarios de Salud , Consenso , Dengue/prevención & control , Enfermedades Endémicas/prevención & control , Brasil/epidemiología , Dengue/epidemiología , Investigación Cualitativa
9.
Res. Biomed. Eng. (Online) ; 32(2): 176-198, Apr.-June 2016. tab, graf
Artículo en Inglés | LILACS-Express | ID: biblio-829477

RESUMEN

Abstract Introduction: Due to the increasing popularization of computers and the internet expansion, Alternative and Augmentative Communication technologies have been employed to restore the ability to communicate of people with aphasia and tetraplegia. Virtual keyboards are one of the most primitive mechanisms for alternatively entering text and play a very important role in accomplishing this task. However, the text entry for this kind of keyboard is much slower than entering information through their physical counterparts. Many techniques and layouts have been proposed to improve the typing performance of virtual keyboards, each one concerning a different issue or solving a specific problem. However, not all of them are suitable to assist seriously people with motor impairment. Methods: In order to develop an assistive virtual keyboard with improved typing performance, we performed a systematic review on scientific databases. Results: We found 250 related papers and 52 of them were selected to compose. After that, we identified eight essentials virtual keyboard features, five methods to optimize data entry performance and five metrics to assess typing performance. Conclusion: Based on this review, we introduce a concept of an assistive, optimized, compact and adaptive virtual keyboard that gathers a set of suitable techniques such as: a new ambiguous keyboard layout, disambiguation algorithms, dynamic scan techniques, static text prediction of letters and words and, finally, the use of phonetic and similarity algorithms to reduce the user's typing error rate.

10.
Res. Biomed. Eng. (Online) ; 31(3): 257-272, July-Sept. 2015. tab, graf
Artículo en Inglés | LILACS-Express | ID: biblio-829439

RESUMEN

AbstractIntroductionLocked-In Syndrome is admittedly the worst case of motor and speech impairment, it seriously damages the ability of oral and gestural communication of patients. In recent years, alternative and augmentative communication technology has provided resources to restore these patients' ability to communicate.MethodsIn order to relate and classify the main methods with that purpose, this work conducted a systematic review on several journal databases.ResultsWe found 203 related papers and 55 of them were selected to compose the study. After that, we classified them into three major groups and we identified the main difficulties when using each approach.ConclusionIn order to overcome these difficulties, we propose a new system concept to develop an adaptive, robust and low cost communication environment. The proposed system is composed of five modules: data entry, communication, aid to the caregiver and external interaction.

11.
Rev. Esc. Enferm. USP ; 48(spe2): 94-99, 12/2014. tab
Artículo en Inglés | LILACS-Express | ID: lil-742097

RESUMEN

This study aimed to analyze how the educational actions of prevention and control of dengue are performed in Goiás, from the perspective of representatives of the State Mobilization Committee against Dengue. It is a cross-sectional descriptive-analytical study, carried out in Goiânia with 43 representatives of public-private institutions, members of the State Mobilization Committee against Dengue of Goiás, in 2013. The data collection was done through questioning about the perception of health education for dengue prevention. Data were analyzed using content analysis and the WebQDA software. Three dimensions emerged from the analysis: educational aspects, management aspects, and community involvement. Respondents recognized the importance of health education for the prevention of dengue, and of the planning to strengthen the activities of the Committee.


Esta pesquisa tuvo como objetivo analizar como ocurren las acciones educativas de prevención y control de la dengue en Goiás según la percepción de los representantes del Comité Estadual de Movilización En Contra la Dengue. Se trata de un estudio descriptivo-analítico, transversal, realizado en Goiânia, con 43 representantes de Instituciones público-privadas integrantes del Comité Estadual de Movilización En Contra la Dengue de Goiás, en 2013. La colecta de datos realizada por medio de una cuestión sobre la percepción de educación en salud para prevención de la dengue. Los datos fueron analizados por medio de análisis de contenido con auxilio del software WebQDA. Emergieron de la análisis tres dimensiones: aspectos educacionales; aspectos de gestión y arrollo de la comunidad. Los respondientes reconocieron la importancia de la educación en salud para la prevención de la dengue y del planeamiento para fortalecer la actuación del Comité.


Esta pesquisa teve como objetivo analisar como ocorrem as ações educativas de prevenção e controle da dengue em Goiás segundo a percepção dos representantes do Comitê Estadual de Mobilização Contra Dengue. Trata-se de um estudo descritivo-analítico, transversal, realizado em Goiânia, com 43 representantes de Instituições público-privadas integrantes do Comitê Estadual de Mobilização Contra Dengue de Goiás, em 2013. A coleta de dados realizada por meio de uma questão sobre a percepção da educação em saúde para prevenção da dengue. Os dados foram analisados por meio da análise de conteúdo com auxílio do software WebQDA. Emergiram da análise três dimensões: aspectos educacionais; aspectos de gestão e envolvimento da comunidade. Os respondentes reconheceram a importância da educação em saúde para a prevenção da dengue e do planejamento para fortalecer a atuação do Comitê.

12.
Rev Esc Enferm USP ; 48 Spec No. 2: 94-9, 2014 Dec.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-25830742

RESUMEN

This study aimed to analyze how the educational actions of prevention and control of dengue are performed in Goiás, from the perspective of representatives of the State Mobilization Committee against Dengue. It is a cross-sectional descriptive-analytical study, carried out in Goiânia with 43 representatives of public-private institutions, members of the State Mobilization Committee against Dengue of Goiás, in 2013. The data collection was done through questioning about the perception of health education for dengue prevention. Data were analyzed using content analysis and the WebQDA software. Three dimensions emerged from the analysis: educational aspects, management aspects, and community involvement. Respondents recognized the importance of health education for the prevention of dengue, and of the planning to strengthen the activities of the Committee.

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