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5.
Artigo em Inglês | MEDLINE | ID: mdl-34444123

RESUMO

Health in all policies is a key approach to promote health and calls for cooperation between diverse levels of government and different sectors. In this paper, we analyze how a network called 'Healthy Region Plus' in Southern Germany addresses intersectoral cooperation at city and county levels. We aim to analyze the different roles of actors involved in the network based on the promoter model. We conducted two socio-material network mappings based on the Net-map approach by Schiffer and Hauck. The analysis followed three steps: data visualization, descriptive analysis of network properties, and interpretation of findings. Our findings reveal a complex intersectoral cooperation structure, with county and city level clusters, with network members who act as diverse power, expert, process, or relationship promoters. We also identified certain relevant sectors not to be part of the network. We discuss that the success of the network depends on the members' active participation in and their outreach beyond the existing network, between city and county levels, and across sectors to promote health and build health-promoting structures in the region.


Assuntos
Promoção da Saúde , Análise de Rede Social , Alemanha , Governo , Política de Saúde , Colaboração Intersetorial
6.
Mol Cell ; 81(16): 3229-3236, 2021 08 19.
Artigo em Inglês | MEDLINE | ID: mdl-34416134

RESUMO

Here, Elçin Ünal and Gloria Brar tell us how the Br-Ün Lab came to be, the cons, but mostly the pros, of running a joint lab and things to consider, as well as their philosophies in research and mentoring a diverse group of scientists.


Assuntos
Biologia Molecular/história , Ciência/história , Feminino , História do Século XXI , Humanos , Colaboração Intersetorial
7.
Int J Equity Health ; 20(1): 187, 2021 08 21.
Artigo em Inglês | MEDLINE | ID: mdl-34419053

RESUMO

Intersectionality is a widely adopted theoretical orientation in the field of women and gender studies. Intersectionality comes from the work of black feminist scholars and activists. Intersectionality argues identities such as gender, race, sexuality, and other markers of difference intersect and reflect large social structures of oppression and privilege, such as sexism, racism, and heteronormativity. The reach of intersectionality now extends to the fields of public health and knowledge translation. Knowledge translation (KT) is a field of study and practice that aims to synthesize and evaluate research into an evidence base and move that evidence into health care practice. There have been increasing calls to bring gender and other social issues into the field of KT. Yet, as scholars outline, there are few guidelines for incorporating the principles of intersectionality into empirical research. An interdisciplinary, team-based, national health research project in Canada aimed to bring an intersectional lens to the field of knowledge translation. This paper reports on key moments and resulting tensions we experienced through the project, which reflect debates in intersectionality: discomfort with social justice, disciplinary divides, and tokenism. We consider how our project advances intersectionality practice and suggests recommendations for using intersectionality in health research contexts. We argue that while we encountered many challenges, our process and the resulting co-created tools can serve as a valuable starting point and example of how intersectionality can transform fields and practices.


Assuntos
Equidade em Saúde , Colaboração Intersetorial , Racismo , Pesquisa Médica Translacional , Afro-Americanos , Feminino , Feminilidade , Feminismo , Humanos , Pesquisa Interdisciplinar , Justiça Social
8.
Nutrients ; 13(7)2021 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-34206265

RESUMO

The Kingdom of Saudi Arabia (KSA) is a leading country worldwide in the prevalence of non-communicable diseases (NCDs), which alone can explain 73% of mortality in the country. In response to the heavy burden of NCDs, the Saudi Food and Drug Authority (SFDA), in collaboration with other government entities, developed a healthy food strategy (HFS) aimed at enhancing healthy lifestyles and reducing the intake of salt, sugar, saturated fatty acids (SSF) and trans fatty acids (TFA). The objectives of the HFS, to facilitate consumers' identification of SSF and reduce the SSF and TFA content in food items, were addressed in collaboration with key stakeholders in the public and private sectors of the food industry. These reforms included voluntary and mandatory schemes to display nutrition information in food and beverage establishments, display allergens on food menus, encourage the adoption of front of pack nutrient labels (FoPNLs) on food products, ban the use of partially hydrogenated oils and establish limits for sodium composition in breads and selected food products. This manuscript contextualizes the HFS and presents the results of monitoring initiatives undertaken by the SFDA to assess compliance with these reforms.


Assuntos
Programas Gente Saudável/métodos , Política Nutricional , Programas Gente Saudável/organização & administração , Humanos , Colaboração Intersetorial , Arábia Saudita , Participação dos Interessados
9.
Anticancer Res ; 41(7): 3561-3565, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34230151

RESUMO

AIM: Radiation therapy is a cornerstone of oncological treatment and oncological patients show greater risk of developing complications related to COVID-19 infection. Stringent social restrictions have ensured a significant reduction in the spread of the virus, but also gave rise to a number of critical issues for radiation oncology wards. For this reason, the Directors of the Radiation Oncology Departments (RODs) of Lazio, Abruzzo and Molise regions shared their experience and ideas in order to create a common document that may assist in facing the negative impacts of the pandemic on radiation oncology wards and patients. PATIENTS AND METHODS: The study was conducted according to the Estimate-Talk-Estimate method. Five issues were proposed and rated. Among approved issues, statements were proposed anonymously, then harmonized and finally voted on according to a Likert scale from 1 to 9. Those for which an agreement of 7-9 was observed were finally approved. RESULTS: The document was developed with 42 statements dealing about safety measures for patients and staff, organization of clinical and work activities, usage of Information Technology systems for meetings/smart working. An agreement was recorded for 34 statements. CONCLUSION: This document sets out some recommendations for RODs and can provide valuable management information for Oncological Radiotherapy wards.


Assuntos
COVID-19/epidemiologia , Oncologia/estatística & dados numéricos , Pandemias/estatística & dados numéricos , Radioterapia (Especialidade)/estatística & dados numéricos , Humanos , Colaboração Intersetorial , SARS-CoV-2/patogenicidade
11.
PLoS One ; 16(7): e0253978, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34310606

RESUMO

Coronavirus disease 2019(COVID-19) has brought great disasters to humanity, and its influence continues to intensify. In response to the public health emergencies, prompt relief supplies are key to reduce the damage. This paper presents a method of emergency medical logistics to quick response to emergency epidemics. The methodology includes two recursive mechanisms: (1) the time-varying forecasting of medical relief demand according to a modified susceptible-exposed-infected- Asymptomatic- recovered (SEIAR) epidemic diffusion model, (2) the relief supplies distribution based on a multi-objective dynamic stochastic programming model. Specially, the distribution model addresses a hypothetical network of emergency medical logistics with considering emergency medical reserve centers (EMRCs), epidemic areas and e-commerce warehousing centers as the rescue points. Numerical studies are conducted. The results show that with the cooperation of different epidemic areas and e-commerce warehousing centers, the total cost is 6% lower than without considering cooperation of different epidemic areas, and 9.7% lower than without considering cooperation of e-commerce warehousing centers. Particularly, the total cost is 20% lower than without considering any cooperation. This study demonstrates the importance of cooperation in epidemic prevention, and provides the government with a new idea of emergency relief supplies dispatching, that the rescue efficiency can be improved by mutual rescue between epidemic areas in public health emergency.


Assuntos
COVID-19/epidemiologia , COVID-19/prevenção & controle , Defesa Civil/organização & administração , Serviços Médicos de Emergência/organização & administração , Pandemias , Saúde Pública/métodos , COVID-19/transmissão , COVID-19/virologia , China/epidemiologia , Defesa Civil/economia , Emergências/epidemiologia , Serviços Médicos de Emergência/economia , Humanos , Colaboração Intersetorial , Modelos Estatísticos , SARS-CoV-2/patogenicidade , SARS-CoV-2/fisiologia
12.
Ann Glob Health ; 87(1): 57, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34249619

RESUMO

Globally, 10-20% of children and adolescents experience mental health conditions, but most of them do not receive the appropriate care when it is needed. The COVID-19 deaths and prevention measures, such as the lockdowns, economic downturns, and school closures, have affected many communities physically, mentally, and economically and significantly impacted the already-neglected children and adolescents' mental health. As a result, evidence has shown that many children and adolescents are experiencing psychological effects such as depression and anxiety without adequate support. The consequences of not addressing the mental health conditions in children and adolescents extend through adulthood and restrict them from reaching their full potential. The effects of COVID-19 on children and adolescents' mental health highlight the urgent need for multisectoral home-grown solutions to provide early diagnosis and treatment and educate caregivers on home-based interventions and community outreach initiatives to address children and adolescents' mental health challenges during this pandemic and beyond.


Assuntos
COVID-19 , Serviços Comunitários de Saúde Mental , Intervenção Médica Precoce/organização & administração , Transtornos Mentais , Quarentena/psicologia , Adolescente , COVID-19/epidemiologia , COVID-19/prevenção & controle , Criança , Controle de Doenças Transmissíveis/métodos , Serviços Comunitários de Saúde Mental/métodos , Serviços Comunitários de Saúde Mental/tendências , Educação à Distância , Saúde Global , Necessidades e Demandas de Serviços de Saúde , Humanos , Colaboração Intersetorial , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Saúde Mental/tendências , Carência Psicossocial , Ruanda/epidemiologia , SARS-CoV-2
16.
Epidemiol Infect ; 149: e146, 2021 06 16.
Artigo em Inglês | MEDLINE | ID: mdl-34130770

RESUMO

Characteristics and research collaboration of registered systematic reviews (SRs) on treatment modalities for coronavirus disease-2019 (COVID-19) remain unclear. This study analysed research collaboration, interventions and outcome measures in registered SRs on COVID-19 treatments and pointed out the relevant problems. PROSPERO (international prospective register of systematic reviews) was searched for SRs on COVID-19 treatments as of 2 June 2020. Excel 2016 was used for descriptive analyses of the extracted data. VOSviewer 1.6.14 software was used to generate network maps for collaborations between countries and institutions. A total of 189 SRs were included, which were registered by 301 institutions from 39 countries. China (69, 36.50%) exhibited the highest output. Cooperation between countries was not close enough. As an institution, the Chengdu University of Traditional Chinese Medicine (7, 3.70%) had the highest output. There was close cooperation between institutions. Interventions included antiviral therapy (81, 42.86%), respiratory support (16, 8.47%), circulatory support (11, 5.82%), plasma therapy for convalescent patients (11, 5.82%), immunotherapy (9, 4.76%), TCM (traditional Chinese medicine) treatment (9, 4.76%), rehabilitation treatment (5, 2.65%), anti-inflammatory treatment (16, 8.47%) and other treatments (31, 16.40%). Concerning antiviral therapy (81, 42.86%), the most commonly used antiviral agents were chloroquine/hydroxychloroquine (26, 13.76%), followed by remdesivir (12, 6.35%), lobinavir/ritonavir (11, 5.82%), favipiravir (5, 2.65%), ribavirin (5, 2.65%), interferon (5, 2.65%), abiron (4, 2.12%) and abidor (4, 2.12%). The most frequently used primary and secondary outcomes were the mortality rate (92, 48.68%) and hospital stay length (48, 25.40%), respectively. The expression of the outcomes was not standardised. Many COVID-19 SRs on treatment modalities have been registered, with a low completion rate. Although there was some collaboration between countries and institutions in the currently registered SRs on treatment modalities for COVID-19 on PROSPERO, cooperation between countries should be further enhanced. More attention should be directed towards identifying deficiencies of outcome measures, and the standardisation of results should be maximised.


Assuntos
COVID-19/terapia , Bases de Dados Factuais/estatística & dados numéricos , Antivirais/uso terapêutico , Humanos , Internacionalidade , Colaboração Intersetorial , SARS-CoV-2 , Revisões Sistemáticas como Assunto , Resultado do Tratamento
17.
Artigo em Inglês | PAHO-IRIS | ID: phr-54418

RESUMO

[ABSTRACT]. The Health Equity Network of the Americas (HENA) is a multidisciplinary network that promotes knowledge sharing and intersectoral action for equity in health and human rights in the Americas. The objectives of HENA are: 1) to share successful experiences in the development of interventions, considering the social determinants and determination of health, to achieve participatory and community-based health responses; 2) to analyze the health, social, political, environmental and economic impacts of the COVID-19 pandemic; 3) to identify the effects of pandemic care on populations most at risk because of their age and pre-existing health conditions; 4) examine the situation at borders and population movements in the spread of the pan-demic and its effects on migrant populations; 5) propose strategies to ensure access to comprehensive care for pregnant women in order to reduce maternal and neonatal suffering, morbidity, and mortality; and 6) ana-lyze violations of human rights and the right to health of historically marginalized populations, including street dwellers and other communities that depend on public spaces and the street for survival. The analytical and intervention models for health equity at HENA are based on various approaches, including social medicine, social epidemiology, medical anthropology, human ecology, and One Health.


[RESUMEN]. La Red de las Américas para la Equidad en Salud (RAES) es una red multidisciplinaria que promueve el intercambio de conocimientos y la acción intersectorial para la equidad en salud y los derechos humanos en las Américas. Los objetivos de la RAES consisten en: 1) compartir experiencias exitosas en el desa rrollo de inter-venciones, considerando la determinación y los determinantes sociales, para lograr respuestas participativas y comunitarias en salud; 2) analizar los impactos sanitarios, sociales, políticos, ambientales y económicos de la pandemia de COVID-19; 3) identificar los efectos de la atención de la pandemia en las poblaciones de mayor riesgo por su edad y las condiciones de salud preexistentes; 4) examinar la situación de las fronteras y de los movimientos de población en la propagación de la pandemia y de sus efectos en las poblaciones migrantes; 5) proponer estrategias para asegurar el acceso a la atención integral de las mujeres gestantes, con el fin de reducir el sufrimiento, la morbilidad y la mortalidad materna y neonatal; y 6) analizar vulneraciones de derechos humanos y del derecho a la salud de poblaciones históricamente marginalizadas, incluyendo habitantes en situación de calle y otras comunidades que dependen de los espacios públicos y de la calle para sobrevivir. Los modelos analíticos y de intervención para la equidad en salud de la RAES se desarrollan desde varios enfoques, como la medicina social, la epidemiologia social, la antropología médica, la ecología humana y el de Una sola salud.


Assuntos
Equidade em Saúde , Saúde Única , Colaboração Intersetorial , Determinantes Sociais da Saúde , América , Equidade em Saúde , Saúde Única , Colaboração Intersetorial , Determinantes Sociais da Saúde
18.
Washington, D.C.; PAHO; 2021-06-08. (PAHO/FPL/IM/21-0017).
Não convencional em Inglês | PAHO-IRIS | ID: phr-54186

RESUMO

In Bolivia (Plurinational State of), public participation in the decision making, management, and monitoring of the public health system is enshrined in the national constitution. The Family, Community, and Intercultural Health Model (Salud Familiar Comunitaria Intercultural—SAFCI) provides a guiding framework for such involvement through the establishment of the nonpartisan SAFCI social structure and participatory spaces of deliberation to assess public health priorities, policy compliance, and quality of care. Reflecting the Regional Immunization Action Plan’s strategic objective 2.1 to ensure that “immunization benefits extend equitably to all people and social groups,” the Expanded Program on Immunization (EPI) in Sucre, Bolivia (Plurinational State of), has applied the SAFCI model to promoting immunization equity...


Assuntos
Programas de Imunização , Programas Nacionais de Saúde , Equidade em Saúde , Equidade em Cobertura , Colaboração Intersetorial , Sociedade Civil , Bolívia
19.
Salud Colect ; 17: e3341, 2021 05 28.
Artigo em Espanhol | MEDLINE | ID: mdl-34105329

RESUMO

This article critically analyzes local governments' abilities to face the COVID-19 pandemic by examining an instance of technical-scientific cooperation between a municipality and a university located in the northern Rio de Janeiro (state) beginning in April 2020. This collaboration included: the implementation of a situation room, data processing and analysis for decision making and for public communication, a telemonitoring center, ongoing training with territorial healthcare teams, and an epidemiological study of COVID-19 in the municipality, among other actions. We situate our analysis within a conceptual framework that adopts a micropolitical view of concepts such as experience, pragmatism, "live work in action," and desire. The notion of "planning-doing" is deployed as an inventive form of planning that is only narrated a posteriori, as an imperative act, a live government in action that depends on the movement of desire oriented by life, and that only takes place in collective spaces of management practices and health care.


Assuntos
COVID-19/prevenção & controle , Planejamento em Saúde Comunitária/organização & administração , Colaboração Intersetorial , Governo Local , Pandemias/prevenção & controle , Universidades/organização & administração , Brasil/epidemiologia , COVID-19/epidemiologia , Pesquisa Participativa Baseada na Comunidade , Política de Saúde , Humanos
20.
Comunidad (Barc., Internet) ; 23(1): 0-0, mar.-jun. 2021. tab, graf, ilus
Artigo em Espanhol | IBECS | ID: ibc-201952

RESUMO

Buscar el bienestar de la población y la equidad en salud requiere actuar sobre los determinantes sociales de la salud (DSS). El enfoque de salud en todas las políticas es el más idóneo para ello, y la evaluación del impacto en salud, la técnica cada vez más extendida, como instrumento de ayuda en la toma de decisiones. El objetivo principal de este trabajo es hacer un análisis prospectivo del impacto que puede tener el Plan de Movilidad Urbana Sostenible de Almussafes en la salud y equidad en salud de su población. Para ello, se ha empleado la herramienta Fem Salut al nostre municipi? junto con técnicas participativas, poniendo en valor el papel tanto de profesionales y personal técnico municipal como de la propia ciudadanía. A partir del análisis de su discurso, y en base a la evidencia científica, se identificaron los principales impactos del Plan sobre los Determinantes Sociales de la Salud: disminución de la contaminación ambiental y acústica, incremento de los desplazamientos activos y del bienestar emocional, etc. También se recogieron recomendaciones de mejora para potenciar los impactos positivos y su distribución equitativa. La participación ciudadana es un elemento clave en la evaluación de impacto en salud (EIS) de las políticas no sanitarias, y el ámbito local ofrece una oportunidad única para incorporarla en el proceso de toma de decisiones. Con ello, es posible desarrollar políticas públicas saludables y equitativas


Seeking the well-being of the population and health equity requires acting on the social determinants of health. The Health in All Policies approach is the most suitable for this, and Health Impact Assessment is the increasingly widespread technique, as a tool to assist in decision-making. The main objective of this work is to perform a prospective analysis of the impact that the Sustainable Urban Mobility Plan of Almussafes can have on the health and health equity of its population. For this purpose, the tool Fem Salut al nostre municipi? has been used, together with participatory techniques, which highlights the role of both professionals and municipal technical staff, as well as the role of citizens themselves. From the analysis of its discourse, and based on scientific evidence, the most important impacts of the Plan on the social determinants of health were identified: decrease in environmental and noise pollution, increase in active mobility and emotional well-being, among others. Recommendations for improvement to enhance positive impacts and their equitable distribution were also collected. Community participation is a key element in HIA of non-health policies, and the local scope offers a unique opportunity to incorporate this into the decision-making process. With HIA, it is possible to carry out healthy and equitable public policies


Assuntos
Humanos , Avaliação do Impacto na Saúde/métodos , Saúde da População Urbana/normas , Equidade em Saúde , Determinantes Sociais da Saúde , Participação da Comunidade/métodos , Estudos Prospectivos , Colaboração Intersetorial , Identificação Social , Condições Sociais , Relações Interpessoais
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