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3.
Lima; Perú. Ministerio de Salud; 20200100. 84 p. graf, tab.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1050369

RESUMO

El documento contiene la finalidad, objetivos, base legal, ámbito de aplicación y el contexto del modelo de cuidado integral por curso de vida y la financiación del modelo de cuidado integral de salud.


Assuntos
Família , Características de Residência , Assistência Integral à Saúde
4.
JAMA Netw Open ; 3(1): e1919928, 2020 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-31995211

RESUMO

Importance: An association between social and neighborhood characteristics and health outcomes has been reported but remains poorly understood owing to complex multidimensional factors that vary across geographic space. Objectives: To quantify social determinants of health (SDOH) as multiple dimensions across the continental United States (the 48 contiguous states and the District of Columbia) at a small-area resolution and to examine the association of SDOH with premature mortality within Chicago, Illinois. Design, Setting, and Participants: In this cross-sectional study, census tracts from the US Census Bureau from 2014 were used to develop multidimensional SDOH indices and a regional typology of the continental United States at a small-area level (n = 71 901 census tracts with approximately 312 million persons) using dimension reduction and clustering machine learning techniques (unsupervised algorithms used to reduce dimensions of multivariate data). The SDOH indices were used to estimate age-adjusted mortality rates in Chicago (n = 789 census tracts with approximately 7.5 million persons) with a spatial regression for the same period, while controlling for violent crime. Main Outcomes and Measures: Fifteen variables, measured as a 5-year mean, were selected to characterize SDOH as small-area variations for demographic characteristics of vulnerable groups, economic status, social and neighborhood characteristics, and housing and transportation availability at the census-tract level. This SDOH data matrix was reduced to 4 indices reflecting advantage, isolation, opportunity, and mixed immigrant cohesion and accessibility, which were then clustered into 7 distinct multidimensional neighborhood typologies. The association between SDOH indices and premature mortality (defined as death before age 75 years) in Chicago was measured by years of potential life lost and aggregated to a 5-year mean. Data analyses were conducted between July 1, 2018, and August 30, 2019. Results: Among the 71 901 census tracts examined across the continental United States, a median (interquartile range) of 27.2% (47.1%) of residents had minority status, 12.1% (7.5%) had disabilities, 22.9% (7.6%) were 18 years and younger, and 13.6% (8.1%) were 65 years and older. Among the 789 census tracts examined in Chicago, a median (interquartile range) of 80.4% (56.3%) of residents had minority status, 10.2% (8.2%) had disabilities, 23.2% (10.9%) were 18 years and younger, and 9.5% (7.1%) were 65 years and older. Four SDOH indices accounted for 71% of the variance across all census tracts in the continental United States in 2014. The SDOH neighborhood typology of extreme poverty, which is of greatest concern to health care practitioners and policy advocates, comprised only 9.6% of all census tracts across the continental United States but characterized small areas of known public health crises. An association was observed between all SDOH indices and age-adjusted premature mortality rates in Chicago (R2 = 0.63; P < .001), even after accounting for violent crime and spatial structures. Conclusions and Relevance: The modeling of SDOH as multivariate indices rather than as a singular deprivation index may better capture the complexity and spatial heterogeneity underlying SDOH. During a time of increased attention to SDOH, this analysis may provide actionable information for key stakeholders with respect to the focus of interventions.


Assuntos
Nível de Saúde , Grupos Minoritários/estatística & dados numéricos , Características de Residência/estatística & dados numéricos , Determinantes Sociais da Saúde/estatística & dados numéricos , População Urbana/estatística & dados numéricos , Adulto , Idoso , Chicago , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Qualidade de Vida , Fatores de Risco , Fatores Socioeconômicos , Adulto Jovem
5.
JAMA Netw Open ; 3(1): e1920053, 2020 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-31995216

RESUMO

Importance: Access to reproductive health services is a public health goal. It is unknown how geographic and health plan network availability of Catholic and non-Catholic hospitals may be associated with access to reproductive health services in the United States. Objective: To characterize the market share of Catholic hospitals in the United States, both overall and within Marketplace health insurance plans' hospital networks. Design, Setting, and Participants: This cross-sectional study of US counties used data on hospitals' Catholic affiliation and discharges, hospital networks in Marketplace health insurance plans, and US Census population data to construct a national, county-level data set. The Catholic hospital market share overall in each county and in Marketplace plans' hospital networks in each county were calculated. The study examined whether the Catholic hospital market share was different within Marketplace networks compared with the counties they served. Data analysis was conducted in May and June 2018. Main Outcomes and Measures: The overall Catholic hospital market share was calculated on the basis of the share of discharges in Catholic hospitals in a county compared with all hospital discharges. Overall market share was categorized as minimal (≤2%), low (>2% to ≤20%), high (>20% to ≤70%), or dominant (>70%). The Catholic hospital market share in Marketplace networks was calculated as the share of Catholic hospital discharges in each Marketplace network. Results: The sample included 4450 hospitals in 3101 counties. Overall, 26.1% of US counties had minimal Catholic hospital market share, 38.6% had low Catholic hospital market share, and 35.3% had high or dominant Catholic hospital market share; 38.7% of US reproductive-aged women resided in counties with high or dominant Catholic hospital market share. Among counties with Catholic hospital market share greater than 2%, the distribution of the median Marketplace network's Catholic hospital market share (median [interquartile range], 4.6% [0%-24.3%]) was lower than overall Catholic hospital market share (median [interquartile range], 18.5% [8.1%-36.5%]). The median Marketplace hospital network had a lower Catholic hospital market share than the county overall in 68.0% of US counties with Catholic hospital market share greater than 2%. Conclusions and Relevance: In this national study, 35.3% of counties had high or dominant Catholic hospital market share serving an estimated 38.7% of US women of reproductive age. Marketplace health insurance plans' hospital networks included a lower share of Catholic hospitals than the counties they serve.


Assuntos
Acesso aos Serviços de Saúde/estatística & dados numéricos , Hospitais Religiosos/organização & administração , Unidade Hospitalar de Ginecologia e Obstetrícia/provisão & distribução , Serviços de Saúde Reprodutiva/estatística & dados numéricos , Características de Residência/estatística & dados numéricos , Catolicismo , Feminino , Humanos , Gravidez , Complicações na Gravidez/prevenção & controle , Qualidade da Assistência à Saúde/estatística & dados numéricos , Estados Unidos
6.
Acta Odontol Scand ; 78(1): 26-30, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31329013

RESUMO

Objective: This study investigates the association between the prevalence and severity of dental fluorosis, the socio-economic status (SES) and area of residence among 12-year-old schoolchildren in Uruguay.Material and methods: The study was descriptive, cross-sectional, explanatory and observational. Subjects considered eligible were born in 1999 and had their parents' or guardian's prior consent. A questionnaire was used to identify SES according to Centro de Investigaciones Económicas Institute on four levels. Dental fluorosis was determined using the Thylstrup-Fejerskov (TF) index.Results: Of the 1544 students examined, 45.0% showed dental fluorosis. A TF index 1-2 was recorded in 29.3% of the subjects, TF 3 in 20.9%, TF 4 in 6.7% and TF 5-9 in 2.1%. In area 1 (the capital Montevideo city), 84.8% of the subjects had dental fluorosis, a value that was significantly higher than in the inland region (area 2, 24.4%) and border departments (area 3, 22.5%) (x2 = 27.92, p < .0001). Students from families with a low socio-economic level showed less prevalence of dental fluorosis than those with a high level (x2 = 14.58, p = .002).Conclusion: Significant differences exist in the prevalence of dental fluorosis in relation to place of residence and socio-economic level.


Assuntos
Fluoretos/efeitos adversos , Fluorose Dentária/epidemiologia , Características de Residência , Classe Social , Estudantes/estatística & dados numéricos , Criança , Estudos Transversais , Humanos , Prevalência , Índice de Gravidade de Doença , Uruguai/epidemiologia , Abastecimento de Água
7.
J Homosex ; 67(3): 305-314, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-30335583

RESUMO

Increasingly popular in the neoliberal university, community-engaged service-learning (CESL) courses offer rich yet contradictory opportunities for LGBTQ studies students to synthesize queer critiques of community and identity with experiences in LGBTQ communities. Much CESL scholarship has focused on the tensions between benefits to community and to students, prioritizing either radical social change or student satisfaction. Beside such debates, I propose the queer ethical, pedagogical, and political value of disappointment in the tedium and contradictions of community itself. Such queer disappointment, I contend, might enable students to cultivate the emotional and critical capacities to engage in community work on sustainable, dedramatized, and unentitled terms.


Assuntos
Satisfação Pessoal , Minorias Sexuais e de Gênero/psicologia , Estudantes/psicologia , Universidades , Feminino , Identidade de Gênero , Homossexualidade/psicologia , Humanos , Aprendizagem , Masculino , Características de Residência , Minorias Sexuais e de Gênero/educação , Mudança Social
8.
Sci Total Environ ; 702: 135040, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-31726339

RESUMO

Living in greener places may protect against obesity, but epidemiological evidence is inconsistent and mainly comes from developed nations. We aimed to investigate the association between greenness and obesity in Chinese adults and to assess air pollution and physical activity as mediators of the association. We recruited 24,845 adults from the 33 Communities Chinese Health Study in 2009. Central and peripheral obesity were defined by waist circumference (WC) and body mass index (BMI), respectively, based on international obesity standards. The Normalized Difference Vegetation Index (NDVI) was used to quantify community greenness. Two-level logistic and generalized linear mixed regression models were used to evaluate the association between NDVI and obesity, and a conditional mediation analysis was used also performed. In the adjusted models, an interquartile range increase in NDVI500-m was significantly associated with lower odds of peripheral 0.80 (95% confidence interval [CI]: 0.74-0.87) and central obesity 0.88 (95% CI: 0.83-0.93). Higher NDVI values were also significantly associated with lower BMI. Age, gender, and household income significantly modified associations between greenness and obesity, with stronger associations among women, older participants, and participants with lower household incomes. Air pollution mediated 2.1-20.8% of the greenness-obesity associations, but no mediating effects were observed for physical activity. In summary, higher community greenness level was associated with lower odds of central and peripheral obesity, especially among women, older participants, and those with lower household incomes. These associations were partially mediated by air pollutants. Future well-designed longitudinal studies are needed to confirm our findings.


Assuntos
Obesidade/epidemiologia , Desenvolvimento Sustentável , Poluição do Ar , Índice de Massa Corporal , China/epidemiologia , Cidades/epidemiologia , Exercício , Humanos , Características de Residência , Fatores Socioeconômicos , População Urbana/tendências
9.
Disasters ; 44(1): 125-151, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31231816

RESUMO

Resilience has become a dominant disaster governance discourse. It has been criticised for insufficiently addressing systemic vulnerabilities while urging the vulnerable to self-organise. The urban resilience discourse involves a particular disconnect: it evokes 'robustness' and unaffectedness at the city scale on the one hand, and self-organisation of disaster-affected people and neighbourhoods on the other. This paper explains and illustrates the dual discourse through a case study on the reconstruction of informal and low-income settlements in the aftermath of the fire in Valparaíso, Chile, in 2014, focusing on the communication contents of two non-governmental organisations (NGOs). These NGOs deployed the discourse differently, yet both called for affected neighbourhoods to build a more robust city through self-organisation, and both suggested their work as the missing link between self-organisation and robustness. A danger in deploying the dual discourse is that it requires people who live in informal and low-income settlements to earn their right to the robust city through 'better' self-organisation based on fragmented visions.


Assuntos
Planejamento em Desastres/organização & administração , Características de Residência , Resiliência Psicológica , População Urbana , Chile , Cidades , Humanos
10.
Ecol Lett ; 23(1): 2-15, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31707763

RESUMO

Changing conditions may lead to sudden shifts in the state of ecosystems when critical thresholds are passed. Some well-studied drivers of such transitions lead to predictable outcomes such as a turbid lake or a degraded landscape. Many ecosystems are, however, complex systems of many interacting species. While detecting upcoming transitions in such systems is challenging, predicting what comes after a critical transition is terra incognita altogether. The problem is that complex ecosystems may shift to many different, alternative states. Whether an impending transition has minor, positive or catastrophic effects is thus unclear. Some systems may, however, behave more predictably than others. The dynamics of mutualistic communities can be expected to be relatively simple, because delayed negative feedbacks leading to oscillatory or other complex dynamics are weak. Here, we address the question of whether this relative simplicity allows us to foresee a community's future state. As a case study, we use a model of a bipartite mutualistic network and show that a network's post-transition state is indicated by the way in which a system recovers from minor disturbances. Similar results obtained with a unipartite model of facilitation suggest that our results are of relevance to a wide range of mutualistic systems.


Assuntos
Ecossistema , Modelos Biológicos , Previsões , Características de Residência , Simbiose
11.
Ecol Lett ; 23(1): 160-171, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31698546

RESUMO

Among the local processes that determine species diversity in ecological communities, fluctuation-dependent mechanisms that are mediated by temporal variability in the abundances of species populations have received significant attention. Higher temporal variability in the abundances of species populations can increase the strength of temporal niche partitioning but can also increase the risk of species extinctions, such that the net effect on species coexistence is not clear. We quantified this temporal population variability for tree species in 21 large forest plots and found much greater variability for higher latitude plots with fewer tree species. A fitted mechanistic model showed that among the forest plots, the net effect of temporal population variability on tree species coexistence was usually negative, but sometimes positive or negligible. Therefore, our results suggest that temporal variability in the abundances of species populations has no clear negative or positive contribution to the latitudinal gradient in tree species richness.


Assuntos
Biodiversidade , Árvores , Biota , Características de Residência
12.
Bioresour Technol ; 296: 122290, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31677404

RESUMO

Three-dimensional biofilm electrode reactors (3D-BERs) with high treatment efficiency were constructed to treat wastewater containing sulfadiazine (SDZ) and ciprofloxacin (CIP) coexposure with Zinc (Zn). The results showed that coexposure to target antibiotics and Zn increased the absolute and relative abundances of target antibiotic resistance genes (ARGs). Additionally, the target ARG abundances were higher on cathode of 3D-BER compared with ordinary anaerobic reactor while the abundances of total ARGs were decreased in the effluent. Meanwhile, redundancy analysis results revealed that the composition of bacteria carrying ARGs was greatly influenced in the cathode by the accumulation of Zn and antibiotic, which dominated the changes of ARG abundances. Additionally, ARGs with their host bacteria revealed by network analysis were partially deposited on electrode substrates when being removed from wastewater. Thus, 3D-BER exhibits capability of simultaneously eliminating antibiotic and Zn, and greatly reduces the risks of ARGs spread.


Assuntos
Antibacterianos , Ciprofloxacino , Bactérias , Biofilmes , Resistência Microbiana a Medicamentos , Eletrodos , Genes Bacterianos , Características de Residência , Sulfadiazina , Águas Residuárias , Zinco
13.
Bioresour Technol ; 296: 122336, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31704603

RESUMO

Bauhinia variegate flower (BVF) was supposed to improve silage fermentation due to its abundant active components. Thus, corn stalk and stylo were ensiled with addition of 0, 5% or 10% BVF, and then ensiling characteristics, protein fraction and bacterial community were analyzed after 60-day fermentation. The contents of butyric acid (2.9 vs not detected, 13.2 vs 3.0 g/kg DM in corn stalk and stylo silage, respectively), ammonia-N (100.2 vs 83.2, 110.8 vs 61.9 g/kg total N) and free amino acid (35.6 vs 16.5, 35.0 vs 16.4 g/kg total N) were decreased in 10% BVF treated silages. The bacterial diversity was increased, where the relative abundance of Enterobacter or Clostridium decreased and that of lactic acid producing bacteria such as Lactobacillus, Weissella or Enterococcus increased. It is suggested that BVF could be used to improve fermentation quality and nutrient preservation of high-moisture corn stalk and stylo silage.


Assuntos
Bauhinia , Silagem , Bactérias , Fermentação , Flores , Proteólise , Características de Residência , Zea mays
15.
JAMA ; 322(21): 2115-2124, 2019 12 03.
Artigo em Inglês | MEDLINE | ID: mdl-31794624

RESUMO

Importance: Although neighborhoods are thought to be an important health determinant, evidence for the relationship between neighborhood poverty and health care use is limited, as prior studies have largely used observational data without an experimental design. Objective: To examine whether housing policies that reduce exposure to high-poverty neighborhoods were associated with differences in long-term hospital use among adults and children. Design, Setting, and Participants: Exploratory analysis of the Moving to Opportunity for Fair Housing Demonstration Program, a randomized social experiment conducted in 5 US cities. From 1994 to 1998, 4604 families in public housing were randomized to 1 of 3 groups: a control condition, a traditional Section 8 voucher toward rental costs in the private market, or a voucher that could only be used in low-poverty neighborhoods. Participants were linked to all-payer hospital discharge data (1995 through 2014 or 2015) and Medicaid data (1999 through 2009). The final follow-up date ranged from 11 to 21 years after randomization. Exposures: Receipt of a traditional or low-poverty voucher vs control group. Main Outcomes and Measures: Rates of hospitalizations and hospital days, and hospital spending. Results: Among 4602 eligible individuals randomized as adults, 4072 (88.5%) were linked to health data (mean age, 33 years [SD, 9.0 years]; 98% female; median follow-up, 11 years). There were no significant differences in primary outcomes among adults randomized to receive a voucher compared with the control group (unadjusted hospitalization rate, 14.0 vs 14.7 per 100 person-years, adjusted incidence rate ratio [IRR], 0.95 [95% CI, 0.84-1.08; P = .45]; hospital days, 62.8 vs 67.0 per 100 person-years; IRR, 0.93 [95% CI, 0.77-1.13; P = .46]; yearly spending, $2075 vs $1977; adjusted difference, -$129 [95% CI, -$497 to $239; P = .49]). Among 11 290 eligible individuals randomized as children, 9118 (80.8%) were linked to health data (mean age, 8 years [SD, 4.6 years]; 49% female; median follow-up, 11 years). Receipt of a housing voucher during childhood was significantly associated with lower hospitalization rates (6.3 vs 7.3 per 100 person-years; IRR, 0.85 [95% CI, 0.73-0.99; P = .03]) and yearly inpatient spending ($633 vs $785; adjusted difference, -$143 [95% CI, -$256 to -$31; P = .01]) and no significant difference in hospital days (25.7 vs 28.8 per 100 person-years; IRR, 0.92 [95% CI, 0.77-1.11; P = .41]). Conclusions and Relevance: In this exploratory analysis of a randomized housing voucher intervention, adults who received a housing voucher did not experience significant differences in hospital use or spending. Receipt of a voucher during childhood was significantly associated with lower rates of hospitalization and less inpatient spending during long-term follow-up.


Assuntos
Gastos em Saúde/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Habitação/economia , Habitação Popular , Adulto , Criança , Feminino , Seguimentos , Hospitalização/economia , Humanos , Masculino , Áreas de Pobreza , Habitação Popular/economia , Características de Residência , Estados Unidos
16.
Rev Bras Epidemiol ; 22Suppl 3(Suppl 3): e19006.supl.3, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31800858

RESUMO

INTRODUCTION: The term "garbage code" (GC) is used to designate an underlying cause of death that is not very useful for the health policy, since it does not adequately identify actions to prevent and control diseases and health problems. OBJECTIVE: To evaluate the results of GC investigation on changing causes of death in 17 municipalities in the Brazilian Northern region in 2017. METHODS: This is a cross-sectional study on the results of the investigation of deaths with GC in selected hospitals in 17 cities in the seven states of the Northern region, as part of the Data for Health Initiative of the Ministry of Health (MH). In these hospitals, the underlying causes of deaths occurring in 2017 were reviewed, and the GC investigation protocol was applied to deaths with GC. RESULTS: In 2017, 37,082 deaths occurred in the 17 municipalities studied, of which 29.3% (n = 10,878) were GC and 83.2% were priority GC. Among the priority GCs, 25.9% were investigated, of which 79.1% had a change in the underlying cause. DISCUSSION: There is great variation among the 17 municipalities in relation to the proportion of GC. In 13 of the municipalities studied, the underlying cause of death was reclassified in at least 70% of the cases investigated for the priority GC. CONCLUSION: Despite the improvement in reducing the proportion of underlying causes of death with GC in this study, there is still a need for greater investment in training professionals and increasing services to carry out death investigations, in order to ensure the sustainability of the project in the region.


Assuntos
Causas de Morte , Sistemas de Informação/normas , Brasil/epidemiologia , Cidades/epidemiologia , Estudos Transversais , Confiabilidade dos Dados , Atestado de Óbito , Feminino , Geografia , Hospitais Públicos/estatística & dados numéricos , Humanos , Masculino , Características de Residência
17.
Rev Saude Publica ; 53: 112, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31800909

RESUMO

OBJECTIVE: To analyze the association between sociodemographic characteristics of census tracts and the presence/quality of public open spaces and physical activity facilities. METHODS: A cross-sectional study was conducted in 643 census tracts in Florianópolis, Brazil, the presence and quality of public open spaces and physical activity facilities were objectively analyzed and the data by census tracts using Geographic Information Systems was treated. Outcomes were analyzed considering the census tracts as having: ≥ 1 public open spaces; ≥ 1 public open spaces with high quality; ≥ 2 physical activity facilities and high-quality physical activity facilities. Sociodemographic characteristics were the independent variables. Logistic regression analysis was performed. RESULTS: Census tracts with a medium-income (OR = 1.8; 95%CI 1.1-3.0) and high-income (OR = 2.4; 95%CI 1.4-4.0), in those with medium (OR = 1.7; 95%CI 1.0-2.7) and high residential density (OR = 2.0; 95%CI 1,2-3.3), and with higher proportions of older adults (OR = 3.3; 95%CI 1.9-5.7) had a higher proportion of public open spaces. Census tracts with higher proportions of children/adolescents (OR = 0.3; 95%CI 0.2-0.6) and non-white residents (OR= 0.6; 95%CI 0.3-0.9) were less likely to contain public open spaces. The tracts with medium (OR = 4.0; 95%CI 1.4-11.3) and high-income (OR = 3.6; 95%CI 1.2-10.2) were more likely to contain public open spaces with ≥ 2 structures for physical activity, compared with those with low-income. We observed the inverse in sectors with a high proportion of non-white residents (OR = 0.3; 95%CI 0.1-0.9). CONCLUSIONS: Census tracts with higher proportions of children or adolescents, non-white individuals and those in the low-income strata had lower odds of containing public open spaces and physical activity facilities.


Assuntos
Exercício/fisiologia , Logradouros Públicos/estatística & dados numéricos , Instalações Esportivas e Recreacionais/estatística & dados numéricos , Adulto , Fatores Etários , Brasil , Censos , Estudos Transversais , Feminino , Sistemas de Informação Geográfica , Humanos , Masculino , Pessoa de Meia-Idade , Características de Residência , Meio Social , Fatores Socioeconômicos , Adulto Jovem
18.
Ludovica pediátr ; 22(3): 18-19, sept. 2019.
Artigo em Espanhol | LILACS, BDNPAR, ARGMSAL | ID: biblio-1046958

RESUMO

La Residencia de Medicina Física y Rehabilitación del HIAEP Sor Maria Ludovica surge en el año 1985 siendo la primera residencia de la especialidad a nivel provincial. Nuestro servicio data del año 1973 comenzando como Sala de Rehabilitación, encabezada por la Dra. Graciela Giglio de Guerrini, referente de la especialidad. En 1983 toma su categoría de Servicio.Es una residencia médica básica con formación pediátrica, en adultos y gerontes, de tres años de duración, con un ingreso de dos profesionales por año. Contamos con Instructor y Jefe de Residentes. Hasta el presente año, se han formado un total de 79 médicos especialistas.Como médicos especialistas en Medicina Física y Rehabilitación, actuamos en la prevención del deterioro físico y mental, identificando de manera oportuna los procesos invalidantes de todo tipo, realizando diagnóstico y certificación de discapacidad, prescripción, coordinación y supervisión de programas terapéuticos integrales de rehabilitación e investigación que aporte a la especialidad,promoviendo la inclusión o reinserción social del paciente.Nuestra formación contempla intervención en los tres niveles de atención de la salud. Realizamos el seguimiento ambulatorio de pacientes pediátricos por consultorio externo, asistimos como médicos interconsultores en las salas de internación en periodo agudo, subagudo y crónico, concurrimos a Centro de Atención Temprana del Desarrollo Infantil, formamos parte de actividades multidisciplinarias como Ateneo de Neuroortopedia, Comité de Mielomeningocele,Grupo de Nervio Periférico, Comité de Espasticidad, Grupo de Hemofilia, entre otros. Realizamos rotaciones curriculares y extracurriculares en otras instituciones de diferentes niveles de complejidad.La actividad diaria en rehabilitación nos brinda la experiencia del trabajo en equipo, manteniendo un contacto permanente con el equipo de trabajo, desde las diferentes áreas que conforman el servicio, siendo de vital importancia para el abordaje integral del paciente, conciliando objetivos terapéuticos que enriquecen nuestra formación, contando con el apoyo de médicos de planta, jefe de sala, jefe de servicio y equipo terapéutico.Durante los años transcurridos de residencia, coincidimos en que se nos han otorgado herramientas desde lo académico y profesional, así como también desde el punto de vista humano, que contribuyen a mejorar la calidad de atención de nuestros pacientes


Assuntos
Medicina Física e Reabilitação , Características de Residência
19.
Ludovica pediátr ; 22(4): 19-19, dic.2019.
Artigo em Espanhol | LILACS, BDENF - Enfermagem, ARGMSAL | ID: biblio-1048776
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