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1.
RECIIS (Online) ; 15(3): 648-664, jul.-set. 2021. tab
Artigo em Português | LILACS | ID: biblio-1342690

RESUMO

O câncer de mama é uma das principais enfermidades que acomete a saúde das mulheres no mundo e as estratégias destinadas à melhoria do acesso das mulheres às informações sobre prevenção são fundamentais. O objetivo do estudo apresentado neste artigo foi avaliar a qualidade de vídeos relacionados ao tema do câncer de mama. A busca dos vídeos ocorreu a partir da palavra-chave 'câncer de mama' na plataforma YouTube. Os dados referentes às informações de cunho técnico foram obtidos por meio da análise das informações contidas na descrição dos vídeos e, posteriormente, foi realizada sua análise de conteúdo. Para serem analisados, foram extraídos os 200 primeiros vídeos mais vistos. A maioria (72%) e aqueles com intuito de divulgar conteúdo informativo ao leigo (73%) e com foco na prevenção secundária (71,5%) são considerados ruins ou péssimos (53%). Conclui-se, que o YouTube se apresenta como uma ferramenta limitada a ser utilizada no processo de educação de mulheres visando ao controle do câncer de mama.


Breast cancer is one of the main diseases that affect the health of women in the world and strategies aimed at improving women's access to information on prevention are fundamental. The objective of the study presented in this article was to assess the quality of some videos related to breast cancer. The videos were searched using the keyword 'breast cancer' on the YouTube platform. The data referring to the technical information was obtained through the analysis of the information contained in the description of the videos and subsequently their content analysis was carried out. The first 200 most viewed videos were extracted for analysis. The majority (72%) and those aiming to disseminate informative content to laypeople (73%) and focusing on secondary prevention (71.5%) are considered bad or very bad (53%). It was concluded that YouTube is a limited tool to be used in the process of educating women about the control of breast cancer.


El cáncer de mama es una de las principales enfermedades que afectan la salud de las mujeres en el mundo y las estrategias destinadas a mejorar el acceso de las mujeres a la información sobre prevención son fundamentales. El objetivo del estudio presentado en este artículo fue evaluar la calidad de videos relacionados con el tema del cáncer de mama. Los videos fueran buscados utilizando la palabra clave 'cáncer de mama' en la plataforma de YouTube. Los datos referentes a la información técnica se obtuvieron mediante el análisis de la información contenida en la descripción de los videos y posteriormente se realizó su análisis de contenido. Fueron extraídos los primeros 200 videos más vistos para hacer su análisis. La mayoría (72%) y aquellos que tienen la finalidad de difundir contenidos informativos al lego en la materia (73%) y enfocon la prevención secundaria (71,5%) son considerados de poca calidade o pésimos (53%). Se concluye que YouTube se revela una herramienta limitada para ser utilizada en el proceso de educación de las mujeres destinada al control del cáncer de mama.


Assuntos
Humanos , Medicina Preventiva , Doença Crônica , Internet , Comunicação em Saúde , Redes Sociais Online , Neoplasias da Mama/prevenção & controle , Filme e Vídeo Educativo , Mídia Audiovisual
2.
Multimedia | Recursos Multimídia | ID: multimedia-9189

RESUMO

Na década de 70, Arouca dava aulas e não usava barba.


Assuntos
Fotografia , Pessoas Famosas , Docentes de Medicina , Medicina Preventiva/educação , Medicina Social/educação
3.
Multimedia | Recursos Multimídia | ID: multimedia-9134

RESUMO

Sérgio Arouca e Roberto Freire na campanha presidencial de 1989. Fotografia extraída da página do projeto Memória e Patrimônio da Saúde Pública no Brasil: a trajetória de Sérgio Arouca, seção "Fases da trajetória: a trajetória de Sérgio Arouca", fase 4 - O sonho é a herança (1989-2003). Esta seção traz informações sobre a infância, o contato com a política e atuação de Sérgio Arouca como médico sanitarista.


Assuntos
Pessoas Famosas , Medicina Preventiva/história , Medicina Social/história , Fotografia
4.
Multimedia | Recursos Multimídia | ID: multimedia-9129

RESUMO

Sérgio Arouca quando treinou nas categorias de base do Botafogo/RP. Fotografia extraída da página do projeto Memória e Patrimônio da Saúde Pública no Brasil: a trajetória de Sérgio Arouca, seção "Fases da trajetória: a trajetória de Sérgio Arouca", fase 1 - A gestação do sonho: primeiros passos de Sérgio Arouca: a gestação do sonho (1941-1966). Esta seção traz informações sobre a infância, o contato com a política e atuação de Sérgio Arouca como médico sanitarista.


Assuntos
Pessoas Famosas , Medicina Preventiva/história , Medicina Social/história , Fotografia
5.
Multimedia | Recursos Multimídia | ID: multimedia-9130

RESUMO

Foto do casamento com Anamaria. Fotografia extraída da página do projeto Memória e Patrimônio da Saúde Pública no Brasil: a trajetória de Sérgio Arouca, seção "Fases da trajetória: a trajetória de Sérgio Arouca", fase 2 - Arouca em Campinas: os caminhos possíveis (1967-1975). Esta seção traz informações sobre a infância, o contato com a política e atuação de Sérgio Arouca como médico sanitarista.


Assuntos
Pessoas Famosas , Medicina Preventiva/história , Medicina Social/história , Fotografia
6.
Multimedia | Recursos Multimídia | ID: multimedia-9131

RESUMO

Sérgio Arouca com seus alunos na FIOCRUZ. Sarah Escorel está sentada logo abaixo dele. Fotografia extraída da página do projeto Memória e Patrimônio da Saúde Pública no Brasil: a trajetória de Sérgio Arouca, seção "Fases da trajetória: a trajetória de Sérgio Arouca", fase 3 - Chegada ao Rio de Janeiro: consolidação como referência na Medicina Social (1976-1988). Esta seção traz informações sobre a infância, o contato com a política e atuação de Sérgio Arouca como médico sanitarista.


Assuntos
Pessoas Famosas , Medicina Preventiva/história , Medicina Social/história , Fotografia
8.
J Fam Pract ; 70(4): 182-188, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34339361

RESUMO

Assess risk factors, then work to address modifiable ones, such as wearing the right running shoes and building up slowly. Don't let overweight or OA dampen enthusiasm.


Assuntos
Lesões Acidentais/prevenção & controle , Medicina de Família e Comunidade/normas , Guias de Prática Clínica como Assunto , Medicina Preventiva/normas , Corrida/lesões , Corrida/normas , Sapatos/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Estados Unidos
9.
J Fam Pract ; 70(4): 189-204, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34339362

RESUMO

The Task Force has expanded the age range for screening for hepatitis C virus infection in adolescents and adults, and now endorses behavioral counseling for all adults with any CVD risk factors.


Assuntos
Terapia Comportamental/normas , Doenças Cardiovasculares/prevenção & controle , Doenças Cardiovasculares/terapia , Hepatite C/diagnóstico , Programas de Rastreamento/normas , Guias de Prática Clínica como Assunto , Medicina Preventiva/normas , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Estados Unidos , Adulto Jovem
11.
Med Arch ; 75(2): 149-153, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34219876

RESUMO

Background: In the early postoperative period after cardiac surgery the heart may be temporarily dysfunctional and prone to arrhythmias due to the phenomenon of myocardial stunning, vasoplegic syndrome, systemic inflammatory response syndrome (SIRS), electrolyte disturbances, operative trauma and myocardial edema. Most cases of cardiac arrest after cardiac surgery are reversible. Objective: To analyse the factors that may influence the outcome of cardiac arrest after adult and pediatric cardiac surgery. Methods: Retrospective analysis that included cardiac surgical procedures (886 adult and 749 pediatric patients) performed during the 18 month period of this study at Queen Alia Heart Institute/ Amman, Jordan. All cardiac arrest events were recorded and analysed. Data was collected on Utstein style templates designed for the purpose of this study. The outcome of cardiac arrest is examined as an early outcome (ROSC or lethal outcome) and late outcome (full recovery, recovery with complications, or in-hospital mortality). Factors that may influence the outcome of cardiac arrest were recorded and statistically analysed. Ethical committee approval obtained. Results: The overall mortality rate was 3.3%. Cardiac arrest occurred in 114 patients (6.97%). The age of patients ranged from 5 days to 82 years and constituted 66 pediatric and 48 adult patients. Most pediatric cardiac arrests manifested as non-shockable rhythms (77%). Most in-hospital cardiac arrests occurred in the intensive care unit (86.5%). The majority of patients were mechanically ventilated at the time of occurrence of arrest (62.5% and 54.5% in adult and pediatric patients, respectively). Average time of cardiopulmonary resuscitation was 32.24 minutes. Overall, CA survival was 20% higher in the paediatric sub-group (full recovery rate of 51.5%). Neurological injury was slightly lower in pediatric than adult cardiac arrest survivals. (2% vs. 3%). Conclusion: Shockable rhythms are more common in adult cardiac arrest, while non-shockable rhythms are more frequent in the pediatric sub-population. Hemodynamic monitoring, witnessed-type of cardiac arrest, non-interrupted cardiac massage, and early recognition of cardiac tamponade are the factors associated with higher rates of survival.


Assuntos
Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Procedimentos Cirúrgicos Cardíacos/mortalidade , Parada Cardíaca/etiologia , Parada Cardíaca/mortalidade , Parada Cardíaca/prevenção & controle , Guias de Prática Clínica como Assunto , Medicina Preventiva/normas , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Estudos Retrospectivos , Adulto Jovem
13.
PLoS One ; 16(6): e0253446, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34138946

RESUMO

BACKGROUND: COVID-19 is a novel respiratory disease associated with severe morbidity and high mortality in the elderly population and people with comorbidities. Studies have suggested that pregnant women are more susceptible to COVID-19 compared to non-pregnant women. However, it's unclear whether pregnant women in Ghana are knowledgeable about COVID-19 and practice preventive measures against it. This study sought to assess the knowledge and preventive practices towards COVID-19 among pregnant women seeking antenatal services in Northern Ghana. METHODS: A cross-sectional study was conducted using a structured questionnaire in the Nabdam district in Ghana. A total of 527 pregnant women were randomly sampled from health facilities offering antenatal care services in the district. Multivariable logistic regression analysis was used to assess the association between the predictors and outcome variables. RESULTS: The prevalence of adequate knowledge and good COVID-19 preventive practices were 85.6%, (95% CI: 82.57, 88.59) and 46.6%, (95% CI: 42.41, 50.95) respectively. Having at least a primary education, residing in an urban area, and receiving COVID-19 education at a health facility were positively associated with adequate knowledge on COVID-19. Factors positively associated with good COVID-19 preventive practices were older age, having at least a primary education, pregnant women with a chronic disease, and living in an urban area. Multiparity was negatively associated with good COVID-19 preventive practices. CONCLUSION: Although majority of women had adequate knowledge of COVID-19, less than half of them were engaged in good COVID-19 preventive practices. Education of pregnant women on COVID-19 preventive practices should be intensified at health facilities while improving upon the water, sanitation and hygiene need particularly in rural communities.


Assuntos
COVID-19/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Gestantes , Cuidado Pré-Natal/estatística & dados numéricos , Medicina Preventiva/estatística & dados numéricos , SARS-CoV-2/isolamento & purificação , Adulto , COVID-19/epidemiologia , COVID-19/virologia , Estudos Transversais , Escolaridade , Feminino , Gana/epidemiologia , Humanos , Modelos Logísticos , Análise Multivariada , Pandemias/prevenção & controle , Gravidez , Cuidado Pré-Natal/métodos , Medicina Preventiva/métodos , População Rural/estatística & dados numéricos , SARS-CoV-2/fisiologia , Inquéritos e Questionários , Adulto Jovem
15.
Aust N Z J Public Health ; 45(4): 344-347, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33970555

RESUMO

OBJECTIVE: We report a survey in regional Queensland to understand the reasons for suboptimal uptake of the COVIDSafe app. METHODS: A short five-minute electronic survey disseminated to healthcare professionals, mining groups and school communities in the Central Queensland region. Free text responses and their topics were modelled using natural language processing and a latent Dirichlet model. RESULTS: We received a total of 723 responses; of these, 69% had downloaded the app and 31% had not. The respondents' reasons for not downloading the app were grouped under four topics: lack of perceived risk of COVID-19/lack of perceived need and privacy issues; phone-related issues; tracking and misuse of data; and trust, security and credibility. Among the 472 people who downloaded the app and provided text amenable to text mining, the two topics most commonly listed were: to assist with contact tracing; and to return to normal. CONCLUSIONS: This survey of a regional population found that lack of perceived need, concerns around privacy and technical difficulties were the major barriers to users downloading the application. Implications for public health: Health promotion campaigns aimed at increasing the uptake of the COVIDSafe app should focus on promoting how the app will assist with contact tracing to help return to 'normal'. Additionally, health promotors should address the app's impacts on privacy, people's lack of perceived need for the app and technical barriers.


Assuntos
Atitude Frente aos Computadores , COVID-19/prevenção & controle , Confidencialidade/psicologia , Confiabilidade dos Dados , Aplicativos Móveis/estatística & dados numéricos , Medicina Preventiva/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Queensland , Fatores de Risco , SARS-CoV-2 , Inquéritos e Questionários
16.
Rheumatology (Oxford) ; 60(9): 3977-3985, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34003926

RESUMO

Much is said about precision medicine, but its real significance and potential are far from certain. Several studies in each of the autoimmune diseases have provided important insights into molecular pathways, but the use of molecular studies, particularly those looking into transcriptome pathways, has seldom approached the possibility of using the data for disease stratification and then for prediction, or for diagnosis. Only the type I IFN signature has been considered for therapeutic purposes, particularly in the case of SLE. This review provides an update on precision medicine, on what can be translated into clinical practice and on what single-cell molecular studies contribute to our knowledge of autoimmune diseases, focusing on a few examples. The main message is that we should try to move from precision medicine of established diseases to preventive medicine in order to predict the development of disease.


Assuntos
Doenças Autoimunes/terapia , Medicina de Precisão/métodos , Medicina Preventiva/métodos , Humanos
17.
Diabetes Res Clin Pract ; 176: 108849, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33957144

RESUMO

People with type 2 diabetes (T2DM) are recognized as having a 2-4 times increased risk of heart failure (HF). Ambulatory diabetes care has long concentrated on the prevention of microvascular and arterial disease, and surveillance for manageable problems such as with the feet and retinae. Accordingly, management of heart failure has never been a specific focus, although the preventative management of cardiac and kidney disease through glucose-lowering, blood pressure (BP) control, and blood lipid control, have had a positive impact on its incidence. Indeed, the very complexity of routine diabetes care, and its enormous prevalence, has generally excluded the management of any of the advanced late complications, whether cardiac, arterial, retinal, renal, or neurodegenerative. Furthermore, advances in HF management itself, in diagnostics, medications, and technology, has carried it deeper into the remit of specialist cardiological care. More recently and in addition to medications already routinely used in diabetes care such as renin-angiotensin system (RAS) blockers, some glucose-lowering therapies such as sodium glucose transporter inhibitors 2 (SGLT-2 inhibitors), have been found to have very positive effects on hospitalization for HF, indeed even in people who do not have T2DM. Here, from the perspective of the diabetologist, we review the clinical scenario of ambulatory diabetes care, in regard of how HF prevention and management should fit in to clinical practice.


Assuntos
Diabetes Mellitus Tipo 2/terapia , Insuficiência Cardíaca/terapia , Atenção à Saúde/métodos , Diabetes Mellitus Tipo 2/tratamento farmacológico , Diabetes Mellitus Tipo 2/epidemiologia , Angiopatias Diabéticas/epidemiologia , Angiopatias Diabéticas/terapia , Insuficiência Cardíaca/epidemiologia , Insuficiência Cardíaca/etiologia , Hospitalização , Humanos , Hipoglicemiantes/uso terapêutico , Medicina Preventiva/métodos , Inibidores do Transportador 2 de Sódio-Glicose/uso terapêutico
18.
Value Health ; 24(5): 632-640, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33933231

RESUMO

OBJECTIVE: To estimate the overall quality-adjusted life-years (QALYs) gained by averting 1 coronavirus disease 2019 (COVID-19) infection over the duration of the pandemic. METHODS: A cohort-based probabilistic simulation model, informed by the latest epidemiological estimates on COVID-19 in the United States provided by the Centers for Disease Control and Prevention and literature review. Heterogeneity of parameter values across age group was accounted for. The main outcome studied was QALYs for the infected patient, patient's family members, and the contagion effect of the infected patient over the duration of the pandemic. RESULTS: Averting a COVID-19 infection in a representative US resident will generate an additional 0.061 (0.016-0.129) QALYs (for the patient: 0.055, 95% confidence interval [CI] 0.014-0.115; for the patient's family members: 0.006, 95% CI 0.002-0.015). Accounting for the contagion effect of this infection, and assuming that an effective vaccine will be available in 3 months, the total QALYs gains from averting 1 single infection is 1.51 (95% CI 0.28-4.37) accrued to patients and their family members affected by the index infection and its sequelae. These results were robust to most parameter values and were most influenced by effective reproduction number, probability of death outside the hospital, the time-varying hazard rates of hospitalization, and death in critical care. CONCLUSION: Our findings suggest that the health benefits of averting 1 COVID-19 infection in the United States are substantial. Efforts to curb infections must weigh the costs against these benefits.


Assuntos
COVID-19/prevenção & controle , Custos de Cuidados de Saúde/estatística & dados numéricos , Medicina Preventiva/normas , Anos de Vida Ajustados por Qualidade de Vida , COVID-19/epidemiologia , Análise Custo-Benefício , Custos de Cuidados de Saúde/tendências , Humanos , Pandemias/prevenção & controle , Pandemias/estatística & dados numéricos , Medicina Preventiva/economia , Medicina Preventiva/métodos , Estados Unidos
19.
BMJ Mil Health ; 167(3): 187-191, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34021066

RESUMO

INTRODUCTION: According to data released by the Korea National Statistical Office, the number of accidents has been decreasing since 2012. However, a considerable number of deaths related to safety accidents (23-46 deaths) are still reported annually. This study aimed to observe the correlation between accident prevention activities in the Republic of Korea (ROK) military and the incidence of safety accidents. METHODS: The study used data from the 2014-2015 Military Health Survey and included 13 618 responses (Army: 8414 (61.8%); Navy/Marine: 2262 (16.6%); Air Force: 2942 (21.6%)) from the ROK military personnel. Accident experiences and thoughts on accident prevention activities were self-reported. Multiple logistic regression analysis was used to examine the validity of accident prevention activity and accident experience. RESULTS: Of the 13 618 military personnel who responded, 12.0% reported experiencing safety accidents in the military and 1020 (7.5%) felt that accident prevention activities in the military were insufficient. On logistic regression analysis, we found a significant difference (insufficiency OR=1.56, CI 1.31 to 1.86). In particular, military personnel who belong to the Army and Navy were more likely to think that accident prevention activities were insufficient. In addition, military personnel who experienced falls/slips, crash, and laceration/puncture wound/amputation/penetrating wound accidents were more likely to think accident prevention activities were insufficient. CONCLUSIONS: Our study found that accident prevention activities in the military and accident experiences were related. It is necessary for the ROK Ministry of Defense, Army, Navy and Air Force headquarters to re-evaluate their accident prevention systems.


Assuntos
Prevenção de Acidentes/métodos , Medicina Militar/métodos , Medicina Preventiva/métodos , Prevenção de Acidentes/tendências , Adulto , Estudos Transversais , Feminino , Humanos , Incidência , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Medicina Militar/tendências , Medicina Preventiva/tendências , República da Coreia , Fatores de Risco , Autorrelato , Inquéritos e Questionários
20.
Cell Host Microbe ; 29(6): 879-893, 2021 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-33945798

RESUMO

The most widespread intracellular bacteria in the animal kingdom are maternally inherited endosymbionts of the genus Wolbachia. Their prevalence in arthropods and nematodes worldwide and stunning arsenal of parasitic and mutualistic adaptations make these bacteria a biological archetype for basic studies of symbiosis and applied outcomes for curbing human and agricultural diseases. Here, we conduct a summative, centennial analysis of living in the Wolbachia world. We synthesize literature on Wolbachia's host range, phylogenetic diversity, genomics, cell biology, and applications to filarial, arboviral, and agricultural diseases. We also review the mobilome of Wolbachia including phage WO and its essentiality to hallmark reproductive phenotypes in arthropods. Finally, the Wolbachia system is an exemplar for discovery-based science education using biodiversity, biotechnology, and bioinformatics lessons. As we approach a century of Wolbachia research, the interdisciplinary science of this symbiosis stands as a model for consolidating and teaching the integrative rules of endosymbiotic life.


Assuntos
Interações entre Hospedeiro e Microrganismos , Simbiose , Wolbachia/citologia , Wolbachia/fisiologia , Wolbachia/virologia , Animais , Bacteriófagos/fisiologia , Evolução Biológica , Feminização , Especificidade de Hospedeiro , Humanos , Masculino , Fenótipo , Filogenia , Medicina Preventiva
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