[Progressive pulmonary Fibrosis]. / Progressive Pulmonale Fibrose PPF.

INTRODUCTION: Progressive pulmonary Fibrosis Abstract: Cough and dyspnea on excertion are common and early symptoms of interstitial lung diseases (ILD). Thoracic imaging (particularly computed tomography) detects such lung structural alterations early in the disease course. Knowledge of these diseases and their management is necessary in the daily business. The term "progressive pulmonary fibrosis" subsumes a heterogene group of interstitial lung diseases with a similar course of progressive fibrosis. The management of these diseases should be discussed interdisciplinary, similar to the management of the Idiopathic pulmonary fibrosis (IPF). Antifibrotic drugs are new therapeutic options.

Intersectoral cooperation between university hospitals and physicians in private practice in Germany- where the potential for optimization lies.

BACKGROUND: Intersectoral cooperation between physicians in private practice and hospitals is highly relevant for ensuring the quality of medical care. However, the experiences and potential for optimization at this interface from the perspective of physicians in private practice have not yet been systematically investigated. The aim of this questionnaire survey was to record participants' experiences with regard to cooperation with university hospitals and to identify the potential for optimizing intersectoral cooperation. METHODS: We performed a prospective cross-sectional study using an online survey among practising physicians of all disciplines offering ambulatory care in Germany. The link to a 41-item questionnaire was sent via mail using a commercial mail distributor in which 1095 practising physicians participated. Baseline statistics were performed with SurveyMonkey and Excel. RESULTS: A total of 70.6%/722 of the responding physicians in private practice rated cooperation with university hospitals as satisfactory. Satisfaction with the quality of treatment was confirmed by 87.2%/956 of the physicians. The subjectively perceived complication rate in patient care was assessed as rare (80.9%/886). However, the median waiting time for patients in the inpatient discharge letter was 4 weeks. The accessibility of medical contact persons was rated as rather difficult by 52.6%/577 of the physicians. A total of 48.6%/629 of the participants considered better communication as an equal partner to be an important potential for optimization. Likewise, 65.2%/714 participants wished for closer cooperation in pre- and/or post inpatient care. CONCLUSION: The following optimization potentials were identified: timely discharge letters, clear online presentations of clinical contacts, improved accessibility by telephone, introduction or further development of a referral portal, regular intersectoral training and/or "get-togethers", regular surveys of general practitioners and implementation of resulting measures, further development of cross-sectoral communication channels and strengthening of hospital IT.

Plan técnico para la ejecución de la "Jornada a nivel nacional de acciones integrales e intersectoriales para lucha contra las Arbovirosis en Centros Escolares y Centros de Votación 2024" / Technical plan for the implementation of the "National day of comprehensive and intersectoral actions to combat Arbovirosis in Schools and Voting Centers 2024

En la situación del dengue en El Salvador, inciden determinantes (ambientales, económicos, políticos y sociales), la constante migración del campo a la ciudad, una creciente urbanización sin planificación ni regulación alguna, pobreza, inequidad en el ingreso y condiciones de exclusión que relegan a la población en esta situación a exponerse permanentemente a condiciones de alto riesgo y vulnerabilidad que favorecen la persistencia de la transmisión de arbovirosis, entre ellos se pueden señalar crecimiento poblacional, construcción de viviendas inadecuadas que generan condiciones críticas de hacinamiento, deficiente abastecimiento de agua que obliga a las personas a almacenarla inadecuadamente, una deficiente recolección de desechos sólidos, todo lo cual genera condiciones adecuadas para la multiplicación del Aedes aegypti y la transmisión de la enfermedad. El Ministerio de Salud, anticipándose al retorno de alumnos a un aproximado de 5,000 centros escolares públicos y privados, además de la prevención en 1,600 centros de votación, se ha programado la ejecución de una jornada a nivel nacional de acciones, la cual tiene por objetivo el control del vector en su fase larvaria y adulta; así como, la realización de acciones gubernamentales de carácter preventivas, en el que se realizarán actividades de promoción de la salud encaminadas a la eliminación de criaderos y otras actividades que sean factibles de desarrollar por la comunidad.

In the situation of dengue in El Salvador, determinants (environmental, economic, political and social), the constant migration from the countryside to the city, a growing urbanization without any planning or regulation, affect poverty, inequity in income and conditions of exclusion that relegate the population in this situation to be permanently exposed to conditions of high risk and vulnerability that favor the persistence of transmission of arbovirosis, These include population growth, construction of inadequate housing that generates critical conditions of overcrowding, poor water supply that forces people to store it improperly, poor solid waste collection, all of which generates adequate conditions for the multiplication of Aedes aegypti and the transmission of the disease. The Ministry of Health, anticipating the return of students to approximately 5,000 public and private schools, in addition to prevention in 1,600 voting centers, has scheduled the execution of a day at the national level of actions, which has as its objective the control of the vector in its larval and adult phase; as well as the carrying out of preventive governmental actions, which will include health promotion activities aimed at the elimination of hatcheries and other activities that are feasible to develop by the community

Отчет о результатах консультаций с государствами-членами, организациями-партнерами и негосударственными структурами по созданию Платформы обеспечения доступа к новым лекарственным средствам: январь – февраль 2023 г.: резюме

Европейская программа работы ВОЗ на 2020–2025 гг. «Совместные действия для улучшения здоровья жителей Европы» (ЕПР) выдвигает на передний план важность обеспечения социально справедливого и устойчивого доступа к качественным лекарственным средствам для достижения всеобщего охвата услугами здравоохранения и Целей в области устойчивого развития (ЦУР). Вопросы доступа к лекарственным средствам и изделиям медицинского назначения неизбежно возникают на стыке постановки трех задач ЦУР, а именно: ЦУР 3 – содействовать повышению уровня здоровья и благополучия; ЦУР 9 – развивать промышленность и инфраструктуру и поощрять инновации; и ЦУР 17 – активизировать партнерства ради достижения поставленных Целей.

Multisectoral collaboration at the human-animal-environmental interface

The pathway to strengthen multisectoral collaboration at the human-animal-environmental interface (HAI) aims to improve health security through One Health implementation. It outlines strategic guides and tools developed to support Member States through different steps of the HAI pathway.

Barreiras e facilitadores da implementação do Programa Saúde na Escola (PSE) no município de Francisco Morato / Barriers and facilitators of the implementation of the School Health Program (PSE) in the municipality of Francisco Morato

Introdução: O Programa de Saúde na Escola (PSE), é uma política interministerial da Saúde e da Educação, instituída pelo Decreto Presidencial nº 6.286, do ano de 2007, com o objetivo de promoção de saúde e cultura da paz e prevenção de doenças de crianças, adolescentes e jovens em idade escolar. O programa passou por várias modificações incrementais ao longo dos anos. O município de Francisco Morato aderiu ao programa no ano de 2018. A literatura de políticas públicas evidencia a existência de variáveis que interferem na implementação de políticas, promovendo "gaps" entre a sua formulação e a sua real execução. No caso brasileiro, políticas formuladas no âmbito federal e implementadas no nível municipal, como é o caso do PSE, podem gerar desafios adicionais em decorrência de seu arranjo federativo. Objetivo: Investigar e elucidar as principais barreiras e os facilitadores da implementação do PSE no município de Francisco Morato, compreender como o programa é implementado no município e identificar como é realizada a articulação intersetorial entre as áreas da saúde e a educação para a implementação do programa. Metodologia: Trata-se de uma pesquisa exploratória de natureza qualitativa, com referencial teórico pautado em análise de conteúdo delineado (Bardin, 1977), revisão bibliográfica (Salvador, 1971) e posteriores entrevistas semiestruturadas com gestores e trabalhadores da linha de frente no PSE de Francisco Morato. Resultados: As entrevistas evidenciaram seis barreiras: comunicação; autonomia; planejamento do PSE e suas ações; disparidades entre os profissionais da saúde e da educação; disparidades entre as escolas estaduais e municipais e infraestrutura. Três foram os facilitadores encontrados: comunicação intersetorial municipal; autonomia; e território. Conclusão: Após análise dos resultados foi possível concluir que a articulação intersetorial entre o setor saúde e a educação, bem como a comunicação entre o nível municipal e estadual constituem desafios importantes na implementação do programa. A forma com que o programa é implementado gera desigualdade na atuação entre escolas municipais e estaduais, bem como enfraquece a sua potencialidade de ação no território onde é desenvolvida.

Práticas adotadas pelas equipes de saúde bucal na estratégia saúde da família: uma revisão da literatura / Practices adopted by oral health teams in the family health strategy: a literature review / Prácticas adoptadas por los equipos de salud bucal en la estrategia de salud de la familia: una revisión de la literatura

A inserção da Odontologia no Sistema Único de Saúde, como estratégia de transformação da prática, introduziu novas formas de organização na busca pela melhoria das condições de saúde bucal da população. O objetivo do trabalho foi identificar práticas adotadas pela Equipe de Saúde Bucal na prevenção e promoção da saúde bucal das co- munidades assistidas pela Estratégia Saúde da Família. Trata-se de uma revisão de litera- tura, com uma busca sistematizada nas bases de dados Biblioteca Virtual em Saúde e Scielo, utilizando os descritores: programa saúde da família, estratégia saúde da família, saúde bucal e odontologia. Os critérios de inclusão foram: estudos qualitativos, surveys e mistos, que abordem práticas adotadas pela Equipe de Saúde Bucal da Estratégia Saúde da Família, na prevenção e promoção da saúde bucal. A busca resultou em 435 estudos, após remoção das duplicatas, leitura de títulos, resumos e verificação dos critérios de inclusão foram incluídos 18 artigos. As práticas identificadas foram: educação em saúde, visita domiciliar, humanização do cuidado, educação permanente em saúde e intersetori- alidade. Os resultados mostraram que as práticas de prevenção e promoção de saúde ado- tadas pela Equipe de Saúde Bucal da Estratégia Saúde da Família foram viáveis, uma vez que emergiram de estratégias difundidas pelas políticas públicas, evidenciando a indisso- ciabilidade entre saúde bucal e saúde geral dos usuários e comunidades, contribuindo no processo de consolidação do Sistema Único de Saúde.

The inclusion of Dentistry in the Unified Health System, as a practice transformation strategy, introduced new forms of organization in the quest to improve the oral health conditions of the population. The objective of this work was to identify prac- tices adopted by the Oral Health Team in the prevention and promotion of oral health in communities assisted by the Family Health Strategy. This is a literature review, with a systematic search, in the Virtual Health Library and Scielo databases, using the descrip- tors: family health program, family health strategy, oral health and dentistry. The inclu- sion criteria were: qualitative studies, surveys and mixed, which address practices adop- ted by the Oral Health Team of the Family Health Strategy, in the prevention and promo- tion of oral health. The search resulted in 435 studies, after removing duplicates, reading titles, abstracts and checking the inclusion criteria, 18 articles were included. The identi- fied practices were: health education, home visits, humanization of care, permanent health education and intersectoriality. The results showed that the prevention and health promo- tion practices adopted by the Oral Health Team of the Family Health Strategy were viable, since they emerged from strategies disseminated by public policies, evidencing the inse- parability between oral health and the general health of users and communities , contri- buting to the consolidation process of the Unified Health System.

La inclusión de la Odontología en el Sistema Único de Salud, como estra- tegia de transformación de la práctica, introdujo nuevas formas de organización en la búsqueda de mejorar las condiciones de salud bucal de la población. El objetivo de este trabajo fue identificar las prácticas adoptadas por el Equipo de Salud Bucal en la preven- ción y promoción de la salud bucal en las comunidades asistidas por la Estrategia Salud de la Familia. Se trata de una revisión bibliográfica, con búsqueda sistemática, en la Bi- blioteca Virtual en Salud y en las bases de datos Scielo, utilizando los descriptores: pro- grama de salud familiar, estrategia de salud familiar, salud bucal y odontología. Los cri- terios de inclusión fueron: estudios cualitativos, encuestas y mixtos, que aborden las prác- ticas adoptadas por el Equipo de Salud Bucal de la Estrategia Salud de la Familia, en la prevención y promoción de la salud bucal. La búsqueda resultó en 435 estudios, luego de eliminar duplicados, leer títulos, resúmenes y verificar los criterios de inclusión, se inclu- yeron 18 artículos. Las prácticas identificadas fueron: educación en salud, visitas domi- ciliarias, humanización del cuidado, educación permanente en salud e intersectorialidad. Los resultados mostraron que las prácticas de prevención y promoción de la salud adop- tadas por el Equipo de Salud Bucal de la Estrategia Salud de la Familia fueron viables, ya que surgieron de estrategias difundidas por las políticas públicas, evidenciando la in- separabilidad entre la salud bucal y la salud general de los usuarios y comunidades, con- tribuyendo al proceso de consolidación del Sistema Único de Salud.

Collectively achieving primary health care and educational goals through school-based platforms: financing solutions for intersectoral collaboration.

Despite abundant evidence demonstrating that improvements to health and education are positively correlated, and the importance of school-based platforms to achieve shared impacts, collaboration between ministries of health and education remains limited across low- and middle-income countries. Enhancing this collaboration is essential to realize mutually beneficial results, especially following the COVID-19 pandemic, which severely impacted health and education outcomes globally and highlighted the importance of resilient, domestically funded systems for delivering key social services including primary health care and education. We argue that the lack of an effective joint financing mechanism has hindered adoption of collaborative multisectoral approaches such as the WHO/UNESCO's Health Promoting Schools (HPS) model. HPS is well-positioned to organize, finance, and deliver primary health care and education services through a school-based platform and strategy. Case studies from several low- and middle-income countries highlight the need to expand limited inter-ministerial collaborations to achieve cross-sectoral benefits and ensure sustainability of HPS beyond the lifecycle of external partners' support. It is important to identify ways to widen the resource envelope for sector-specific activities and create efficiencies through mutually beneficial outcomes. This paper offers two pragmatic solutions: an inter-ministerial joint financing mechanism that starts with alignment of budgets but matures into a formal system for pooling funds, or a fixed-term co-financing mechanism that uses donor contributions to catalyze inter-ministerial collaborations. Achieving sustainability in these initiatives would require engaging the ministries of health, education, and finance; developing a common administrative, financial, and monitoring mechanism; and securing long-term commitment from all concerned stakeholders.

[Readiness for intersectoral cooperation to preserve health of megalopolis population].

INTRODUCTION: For a better understanding of issues related to health-preserving activities for the benefit of city population, theoretical knowledge about the attitude and readiness of all interested parties for intersectoral cooperation is needed. The purpose of the study is to analyze readiness of the participants of health-preserving activities for intersectoral cooperation in Moscow. MATERIAL AND METHODS: In 2023, a one-time, one-time study of intersectoral responsibility, commitment and awareness, as well as satisfaction with individual health care (original test cards) was conducted among different participants in the health care of the population of the city of Moscow (n = 1007). From among them, participants were identified -workers of «medical¼ infrastructure facilities of urban space, participants-workers of other facilities (sports, culture, industry, waste disposal, transport, food, trade, education and others) and the population as a participant in intersectoral health saving. RESULTS: The research based on the original integrated assessment methodology shows insufficient readiness for intersectoral cooperation to implement health-saving activities for the benefit of Moscow population. Immature intersectoral responsibility, literacy, motivation for teamwork noted among the participants of the unified health-preserving city space determines the lack of internal conviction that it is necessary to deal with both own health, and health of other members of the urban community. CONCLUSION: The data obtained can form basis for new methodological approaches to prioritize control measures to improve intersectoral cooperation between the participants of health-preserving activities in the metropolis.

Prefeitura de São Paulo promove Avança Saúde - Homem | Minuto Saúde

O Minuto Saúde chegou com os principais acontecimentos desta semana na Secretaria Municipal da Saúde (SMS). ✔ Prefeitura de São Paulo promove Avança Saúde - Homem. ✔ Saúde da capital realiza dia D de combate à dengue. ✔ Ações de PrEP na Rua em vários pontos da capital. ✔ Vacinação do fim de semana.

O Minuto Saúde chegou com os principais acontecimentos desta semana na Secretaria Municipal da Saúde (SMS). ✔ Rede municipal promove ações no Dia Mundial da Gentileza. ✔ Saúde da capital realiza live no Dia Mundial do Diabetes. ✔ Agenda do projeto PrEP na Rua. ✔ Zona norte recebe o Centro de Testagem e Aconselhamento, o CTA da Cidade.

O Minuto Saúde chegou com os principais acontecimentos desta semana na Secretaria Municipal da Saúde (SMS). ✔ Rede municipal promove ações no Dia Mundial da Gentileza. ✔ Saúde da capital realiza live no Dia Mundial do Diabetes. ✔ Agenda do projeto PrEP na Rua. ✔ Zona norte recebe o Centro de Testagem e Aconselhamento, o CTA da Cidade.

Jogos abertos dos idosos e mais | Minuto Saúde

O Minuto Saúde chegou com os principais acontecimentos desta semana na rede municipal! ✅ Capital registra 1 mil novas pessoas cadastradas para uso de profilaxia pré-exposição (PrEPs) nas ações extramuros neste ano. ✅ Centro de Testagem e Aconselhamento, o CTA da Cidade, estará no Jardim Helena na zona leste até sábado (11). ✅ Jogos Abertos dos Idosos realizados pelos equipamentos de saúde da região de São Mateus contam com cerca de 600 participantes.

Segunda edição da Virada Odontológica e mais | Minuto Saúde

O Minuto Saúde chegou com os principais acontecimentos desta semana na rede municipal! ✅ Saúde realiza busca ativa de crianças para vacinação contra poliomielite. ✅Prefeitura promove ações de saúde bucal com Virada Odontológica. ✅ Capacitação de médicos e enfermeiros para identificar a doença falciforme. ✅Rede municipal tem aumento de 85% em atendimentos de Práticas Integrativas e Complementares em Saúde (Pics).

Confira as principais notícias desta semana na rede municipal | Minuto Saúde

O Minuto Saúde chegou com os principais acontecimentos desta semana na rede municipal! ✅ Dia Nacional da Vacinação. ✅ Live sobre a campanha Outubro Rosa. ✅ Capital promove ações de vacinação contra raiva em cães e gatos, na segunda quinzena de outubro. ✅ Agenda do Centro de Testagem e Aconselhamento, o CTA da Cidade.

The development of an integrated neighborhood approach for health promotion and prevention: a qualitative exploration of stakeholders' views.

BACKGROUND: Although the promise of integrated neighborhood approaches, including the essential roles of communities and collaboration between the medical and social domains, has been widely acknowledged, the realization of such approaches in practice often remains difficult. To gain insight into the development of integrated neighborhood approaches, this case study describes the experiences of stakeholders involved in such an approach for health promotion and prevention in Rotterdam. METHODS: Interviews with 18 stakeholders (including health and social care professionals, health insurance employees, and policymakers) were conducted, and stakeholders' statements were analyzed thematically. RESULTS: The results reveal a lack of alignment among the professional, organizational, and system levels. Elements needed for collaboration between health and social care professionals are not supported at the organizational and system levels. The lack of integration at the policy and organizational levels encourages competition and self-interest instead of stimulating collaboration. CONCLUSIONS: Intersectoral collaboration and coordination must take place not only between professionals, but also at the organizational and policy levels. As long as integration at the organizational and system levels is lacking, professionals' ability to collaborate and provide coordinated support to neighborhood residents will be compromised.