Análise do perfil epidemiológico dos exames citopatológico do colo do útero em Altamira no período de 2014 a 2020: dados a partir do SISCAN / Analysis of the epidemiological profile of cervical cytopathological exams in Altamira in the period from 2014 to 2020: data from SISCAN / Análisis del perfil epidemiológico de los exámenes citopatológicos de cérvix en Altamira en el periodo de 2014 a 2020: datos del SISCAN

OBJETIVO: Este trabalho aborda sobre características referente aos exames citopatológicos do colo do útero em Altamira, coletado no Sistema de Informação do Câncer, dentro do período de 2014 a 2020. Observou-se também a qualidade da interpretação dos principais resultados encontrados, sobre a técnica de coleta e qualidade de exames. O objetivo é analisar o perfil epidemiológico dos exames citopatológicos do colo do útero do município. MÉTODO: A metodologia realizada foi estudo quantitativo, de corte transversal, epidemiológico, descritiva e analítico. RESULTADOS: Verificou- se um crescimento anual na taxa de cobertura do exame do preventivo no período de 2014 a 2019, que está ligado à implementação do Plano de Desenvolvimento Regional Sustentável do Xingu, e que esse crescimento mostra uma diferença estatística significativa entre a taxa de cobertura de Altamira, Pará, Brasil. Observou-se presença de falhas no preenchimento da ficha de notificação é referente ao campo da escolaridade das pacientes que não apresentam registro. Quanto a faixa etária mais frequente que realizam o exame do preventivo está entre 25 a 34 anos e as lesões intraepiteliais do colo uterino mais frequentes são: a de baixo grau que corresponde à população jovem (<34 anos) e de alto grau entre 25 a 44 anos.

OBJECTIVE: This paper deals with characteristics related to cytopathological examinations of the cervix in Altamira, collected in the Cancer Information System, within the period from 2014 to 2020. It was also observed the quality of interpretation of the main results found, on the technique collection and quality of exams. The objective is to analyze the epidemiological profile of cytopathological tests of the cervix in the city. METHOD: The methodology used was a quantitative, cross- sectional, epidemiological study, descriptive and analytical approach. RESULTS: As a result, there was an annual growth in the coverage rate of the preventive exam in the period from 2014 to 2019, which is linked to the implementation of the Xingu Sustainable Regional Development Plan, and that this growth shows a significant statistical difference between the coverage rate of Altamira, Pará, Brazil. It was observed the presence of failures in completing the notification form referring to the field of education of patients who do not have a record. As for the most frequent age group that undergoes the preventive examination, it is between 25 and 34 years old and the most frequent intraepithelial lesions of the uterine cervix are: low-grade, which corresponds to the young population (<34 years) and high-grade, between 25 and 34 years old. 44 years.

OBJETIVO: En este trabajo se abordan las características relacionadas con los exámenes citopatológicos de cérvix en Altamira, recogidos en el Sistema de Información del Cáncer, en el periodo comprendido entre 2014 y 2020. También se observó la calidad de interpretación de los principales resultados encontrados, sobre la técnica de recolección y calidad de los exámenes. El objetivo es analizar el perfil epidemiológico de los exámenes citopatológicos de cuello uterino en la ciudad. MÉTODO: La metodología utilizada fue un estudio cuantitativo, transversal, epidemiológico, de abordaje descriptivo y analítico. RESULTADOS: Como resultado, se observó un crecimiento anual de la tasa de cobertura del examen preventivo en el período de 2014 a 2019, que está vinculado a la implementación del Plan de Desarrollo Regional Sostenible Xingu, y que este crecimiento muestra una diferencia estadística significativa entre la tasa de cobertura de Altamira, Pará, Brasil. Se observó la presencia de fallas en el llenado del formulario de notificación referente al campo de la educación de los pacientes que no tienen un registro. En cuanto al grupo de edad más frecuente que se somete al examen preventivo, es entre 25 y 34 años y las lesiones intraepiteliales del cuello uterino más frecuentes son: de bajo grado, que corresponde a la población joven (<34 años) y de alto grado, entre 25 y 44 años.

Pharmacotherapeutic follow-up of a patient with multimorbities: experience report / Acompanhamento farmacoterapêutico em paciente com multimorbidades: um relato de experiência / Seguimiento farmacoterapéutico en pacientes con multimorbilidad: informe de una experiencia

Chronic non-communicable diseases are growing global health problems. The objective of this study was to promote pharmaceutical care for a patient with multimorbidities in order to improve its quality of life. A pharmacotherapeutic follow-up was performed using the SOAP method, registered in the form of clinical evolution, along with laboratory tests, anthropometric measurements and application of validated instruments to assess pharmacological adherence, mental health and quality of life. The report deals with a female patient, 55 years old, obese and dyslipidemic, sedentary, hypertensive, diabetic and on the control phase of breast cancer. Self-medication with antibiotics and a proton pump inhibitor was identified. Despite the good pharmacological adherence, the patient had decompensated diabetes, accompanied by dyslipidemia without treatment and interruption of supplements. After pharmacological and non- pharmacological interventions, the patient showed a significant improvement in the reduction of anthropometric measurements and in biochemical parameters. At the end of the follow-up, pharmaceutical care proved to be fundamental in identifying the patient's health problems, contributing to obtain a more rational pharmacotherapy.

As doenças crônicas não transmissíveis são problemas de saúde globais crescentes. O objetivo deste estudo foi promover a assistência farmacêutica a um paciente com multimorbidades, a fim de melhorar sua qualidade de vida. Foi realizado acompanhamento farmacoterapêutico pelo método SOAP e aplicação de instrumentos validados para avaliar adesão farmacológica, saúde mental e qualidade de vida. O relato trata de uma paciente do sexo feminino, 55 anos, obesa e dislipidêmica, sedentária, hipertensa, diabética e em fase de controle do câncer de mama. Foi identificada automedicação com antibióticos e inibidor de bomba de prótons. Apesar da boa adesão farmacológica, a paciente apresentava diabetes descompensado, acompanhada de dislipidemia sem tratamento e interrupção das suplementações. Após intervenções farmacológicas e não farmacológicas, a paciente apresentou melhora significativa na redução das medidas antropométricas e nos parâmetros bioquímicos. Ao final do acompanhamento, a assistência farmacêutica mostrou-se fundamental na identificação dos problemas de saúde do paciente.

Las enfermedades crónicas no transmisibles constituyen un creciente problema de salud mundial. El objetivo de este estudio fue promover la asistencia farmacéutica a un paciente con multimorbilidades para mejorar su calidad de vida. Se realizó seguimiento farmacoterapéutico por el método SOAP y aplicación de instrumentos validados para evaluar adherencia farmacológica, salud mental y calidad de vida. O relato trata de uma paciente do sexo feminino, 55 anos, obesa e dislipidêmica, sedentária, hipertensa, diabética e em fase de controle do câncer de mama. Se identificó automedicación con antibióticos e inhibidor de la bomba de protones. A pesar del buen cumplimiento farmacológico, la paciente presentó diabetes descompensada, acompañada de dislipidemia no tratada e interrupción de la suplementación. Tras intervenciones farmacológicas y no farmacológicas, la paciente mostró una mejoría significativa en la reducción de las medidas antropométricas y los parámetros bioquímicos. Al final del seguimiento, la asistencia farmacéutica demostró ser fundamental en la identificación de los problemas de salud del paciente.

Strengthening theories of change in women's group interventions to improve learning.

Background: Supporting women's groups is increasingly seen as an important intervention strategy for advancing women's empowerment, economic outcomes, and family health in low- and middle-income countries. We argue that learning from investments in women's group platforms is often limited by the lack of a well-articulated, evaluable theory of change (ToC) developed by those designing the programmes. Methods: We first identify a simple set of steps important to specifying a ToC that is evaluable and supports learning (what could be done). We then propose a framework in which we hope social scientists can find a common starting point (reconciling what could be and is being done). The framework emphasises identifying untested assumptions around pathways for introducing and adopting new knowledge, opportunities, technologies, interventions or implementation approaches, and pathways from group participation to behaviour change. Finally, we apply this framework to a portfolio of 46 women's groups investments made by the Bill and Melinda Gates Foundation between 2005 and 2017 to understand the prevalence and clarity of their grantees' theories of change (some of what is done). Results: The majority of the investment documents reviewed did not make clear the embedded assumptions or hypothesised pathways from decisions to join a group, to women's group participation, to behaviour change and and whether pathways are connected or work independently. Conclusions: We use an example from an actual investment to illustrate how this framework can support accounting for assumptions in the ToC used to guide the evaluation, the testing and measuring of mechanisms assumed to be driving behaviour change and disentangling the effects of implementationfrom context. A ToC for group-based programmes should specify in what capacities the group-based model is essential to the hypothesised pathways of impact vs. its role as an efficient delivery mechanism for programmes that would potentially generate impacts even if delivered directly to individuals. In addition, without fully specifying the motivation for individuals to change behaviour in terms of their risk/return calculus and testing underlying assumptions, we miss an opportunity to better understand the pathways for how the programme influences or fails to influence individuals' health behaviours. However, fully specifying (and measuring) every link in the programme's ToC is not costless. We present suggestions for developing ToCs with testable hypotheses that foster learning about why a women's group intervention achieved or failed to achieve its intended impact.

Nurture Early for Optimal Nutrition (NEON) participatory learning and action women's groups to improve infant feeding and practices in South Asian infants: pilot randomised trial study protocol.

INTRODUCTION: Feeding practices developed in early life can impact a child's nutrition, growth, dental health, cognitive development and lifetime risk of chronic diseases. Substantial evidence suggests ethnic health inequalities, and non-recommended complementary infant feeding practices among UK's South Asian (SA) population. Nurture Early for Optimal Nutrition aims to use women's group participatory learning and action (PLA) cycles to optimise infant feeding, care and dental hygiene practices in SA infants <2 years in East London. METHODS AND ANALYSIS: A three-arm pilot feasibility cluster randomised controlled trial will assess feasibility, acceptability, costs and explore preliminary effectiveness for proposed primary outcome (ie, reporting on body mass index (BMI) z-score). Multilingual SA community facilitators will deliver the intervention, group PLA Cycle, to mothers/carers in respective ethnic/language groups. 12 wards are randomised to face-to-face PLA, online PLA and usual care arms in 1:1:1 ratio. Primary outcomes are feasibility and process measures (ie, BMI z-score, study records, feedback questionnaires, direct observation of intervention and sustainability) for assessment against Go/Stop criteria. Secondary outcomes are cluster-level and economic outcomes (ie, eating behaviour, parental feeding practices, network diffusion, children development performance, level of dental caries, general practitioner utilisation, costs, staff time). Outcomes are measured at baseline, every 2 weeks during intervention, 14 weeks and at 6 months by blinded outcome assessors where possible. This study will use concurrent mixed-methods evaluation. Quantitative analyses include descriptive summary with 95% CI and sample size calculation for the definitive trial. The intervention effect with CI will be estimated for child BMI z-score. Implementation will be evaluated qualitatively using thematic framework analysis. ETHICS AND DISSEMINATION: Ethics approval was obtained from University College London (UCL), National Health Service (Health Research Authority (HRA) and Health and Care Research Wales (HRCW)). Results will be published in peer-reviewed journals, presented at scientific conferences/workshops with commissioners, partners and participating communities. Plain language summaries will be disseminated through community groups, websites and social media. TRIAL REGISTRATION NUMBER: IRAS-ID-296259 (ISRCTN10234623).

Evaluation of impact of engaging federations of women groups to improve women's nutrition interventions- before, during and after pregnancy in social and economically backward geographies: Evidence from three eastern Indian States.

BACKGROUND: Undernutrition-before, during and after pregnancy endangers the health and well-being of the mother and contributes to sub-optimal fetal development and growth. A non-randomized controlled evaluation was undertaken to assess the impact of engaging federations of women's group on coverage of nutrition interventions and on nutrition status of women in the designated poverty pockets of three Indian states-Bihar, Chhattisgarh, and Odisha. METHOD: The impact evaluation is based on two rounds of cross-sectional data from 5 resource poor blocks across 3 States, assigning 162 villages to the intervention arm and 151 villages to the control arm. The cross-sectional baseline (2016-17) and endline survey (2021-22) covered a total of 10491 adolescent girls (10-19 years), 4271 pregnant women (15-49 years) and 13521 mothers of children under age two years (15-49 years). Exposure was defined based on participation in the participatory learning and action meetings, and fixed monthly health camps (Adolescent Health Days (AHDs) and Village Health Sanitation and Nutrition Days (VHSNDs)). Logistic regression models were applied to establish the association between exposure to programme activities and improvement in coverage of nutrition interventions and outcomes. RESULTS: In the intervention area at endline, 27-38% of women participated in the participatory learning and action meetings organized by women's groups. Pregnant women participating in programme activities were two times more likely to receive an antenatal care visit in the first trimester of pregnancy (Odds ratio: 2.55 95% CI-1.68-3.88), while mothers of children under 2 were 60% more likely to receive 4 ANC visits (Odds ratio: 1.61, 95% CI- 1.30-2.02). Odds of consuming a diversified diet was higher among both pregnant women (Odds ratio: 2.05, 95% CI- 1.41-2.99) and mother of children under 2 years of age (Odds ratio: 1.38, 95% CI- 1.08-1.77) among those participating in programme activities in the intervention arm. Access to commodities for WASH including safe sanitation services (Odds ratio: 1.80, 95% CI- 1.38-2.36) and sanitary pads (Odds ratio: 1.64, 95% CI- 1.20-2.22) was higher among adolescent girls participating in programme activities. CONCLUSION: Women's groups led participatory learning and action approaches coupled with strengthening of the supply side delivery mechanisms resulted in higher coverage of health and nutrition services. However, we found that frequency of participation was low and there was limited impact on the nutritional outcomes. Therefore, higher frequency of participation in programme activities is recommended to modify behaviour and achieve quick gains in nutritional outcomes.

Marilene Ferreira | Elas por Elas

[IN MEMORIAN] A Marilene Ferreira é agente de prevenção do projeto Elas por Elas no SAE Herbert de Souza (Betinho), que fica na Zona Leste de São Paulo. Ela conta como faz a abordagem com as mulheres que vivem na região de Sapopemba, com orientação, informação e acesso aos insumos de prevenção ao HIV e às outras infecções sexualmente transmissíveis (ISTs), como camisinhas, a testagem, a Profilaxia Pós-Exposição (PEP) para casos de violência sexual ou sexo consentido em que o preservativo sai, rompe ou não é utilizado, além da realização do pré-natal para prevenção à transmissão vertical, que acontece da mãe para o bebê. A Marilene destaca também em seu depoimento como a pandemia impactou esse trabalho de prevenção, que tem acontecido de forma virtual.

Cinthya Silva Santos | Elas por Elas

Hoje a nossa convidada é Cinthya Silva Santos, agente de prevenção do projeto Elas por Elas. Cynthia realiza a abordagem sobre prevenção ao HIV e às outras infecções sexualmente transmissíveis (ISTs) com as mulheres na comunidade onde mora e atua, no extremo lesta da cidade. Confira!

How to Be a Successful Businesswoman in Dermatology.

Successful businesswomen in dermatology know what type of practice they want and create a plan to make it happen. They align their business with their life and surround themselves with people who support their goals. They accept support but know how to delegate. They do the hard work required to be successful, gaining knowledge and strength from the experience. When they make mistakes, they learn from them. They try to make the most of each patient's experience, while acknowledging that relationships with family, friends, and colleagues, as well as personal growth, are of utmost significance outside of their practices.

Knowledge & attitudes toward fertility preservation (Medical and social freezing) among Lebanese women between the ages of 18 and 39 years.

Egg freezing is a relatively new and controversial procedure in the Arab region, challenging traditional perceptions of fertility and motherhood. This study aims to assess Lebanese women's awareness and acceptance of egg freezing and how these attitudes differ according to vary with age, socio-demographic characteristics, and educational level. We conducted a cross-sectional survey targeting Lebanese females aged between 18 and 39, involving 402 Lebanese women from six different institutions representing diverse cultural backgrounds. 65% of the respondents had heard of egg freezing. Younger women (18-30 years old) were 2.09 times more likely to consider egg freezing than those aged 31-39. Single women were 4.31 times more likely to consider egg freezing than women in relationships, while childless women were 5.00 times more likely compared to women who already had children. Overall, medical egg freezing was more widely accepted than social egg freezing. The most supported indication for social egg freezing was to enable women who struggled to find the right partner during their peak fertile years to have children in the future (41.5%). The most common concern that affected women's decision to undergo egg freezing was whether the procedure would be proven safe for their future children and whether it would affect their future fertility. Interestingly, in a relatively conservative country, concerns about hymenal disruption were the least prevalent, (19%). The most common concern by far was limited information on the procedure (62%). In conclusion, the study reveals that awareness and acceptance of social egg freezing among Lebanese women were higher than expected. Limited information on the procedure's details was the main impediment to higher acceptance rates, highlighting the importance of physicians and primary healthcare providers in providing reproductive-aged women with the necessary information to safeguard their reproductive potential.

Jean Irvine and Lesley Yellowlees, first female presidents of the Royal Pharmaceutical Society and of the Royal Society of Chemistry, respectively / Jean Irvine y Lesley Yellowlees, primeras mujeres presidentas de la Royal Pharmaceutical Society y de la Royal Society of Chemistry, respectivamente

Despite the indisputable progress made in the fight against gender inequalities since the last years of the last century, there are still many differences between the roles played by women and men when it comes to holding the top positions on boards of directors of relevant companies or in the presidencies of scientific societies, in which the presence of women does not reach at all the percentage of 40% that is estimated as necessary to achieve that equality. In this article, we show the biographies of Jean Irvine and Lesley Yellowlees, the first female presidents of the Royal Pharmaceutical Society and the Royal Society of Chemistry, respectively, although their appointments occurred many years after the aforementioned societies had been founded. The objective is to make their figures known to society and place them as references and models to be followed by the rest of women who wish to practice a profession. Some brief biographical data of other women who played a prominent role in scientific and academic societies in the early years of the 20th century are also shown.(AU)

A pesar de los indiscutibles avances habidos en la lucha contra las desigualdades de género desde los últimos años del siglo pasado, aún existen muchas diferencias entre los roles que desempeñan las mujeres y los hombres a la hora de ocupar los primeros puestos en los consejos de administración de empresas relevantes o en las presidencias de sociedades científicas, en las que la presencia de mujeres no alcanza en absoluto el porcentaje del 40% que se estima necesario para alcanzar esa igualdad. En este artículo mostramos las biografías de Jean Irvine y Lesley Yellowlees, las primeras mujeres presidentas de la Royal Pharmaceutical Society y de la Royal Society of Chemistry, respectivamente, aunque sus nombramientos se produjeron muchos años después de la fundación de dichas sociedades. El objetivo es dar a conocer sus figuras ante la sociedad y situarlas como referentes y modelos a seguir por el resto de las mujeres que deseen ejercer una profesión. También se muestran algunos breves datos biográficos de otras mujeres que desempeñaron un papel destacado en sociedades científicas y académicas en los primeros años del siglo XX.(AU)

Performance and pacing of professional IRONMAN triathletes: the fastest IRONMAN World Championship ever-IRONMAN Hawaii 2022.

Pacing during cycling and running in an IRONMAN triathlon has been investigated in only one study with elite IRONMAN triathletes. We have, however, no knowledge of how professional triathletes pace during an IRONMAN World Championship. To investigate the split-by-split speed, pacing strategies and pacing variability in professional female and male IRONMAN World Championship participants in the fastest IRONMAN World Championship ever in IRONMAN Hawaii 2022. For both cycling and running, 25 specific split times were recorded in each discipline. The best 30 men and 30 women overall were chosen from the official IRONMAN website database for further analysis. They were divided into three performance groups: Top 10, 11-20th place, and 21st-30th place. Mean speed, individual linear regressions with the corresponding correlation coefficients, and coefficient of variation were calculated to assess split-by-split speed, pacing strategies, and pacing variability, respectively. In both men's and women's cycling and running segments, the top ten participants exhibited faster split times compared to the slower performance groups. Notably, no discernible differences existed between the 11-20th and 21st-30th place in men's cycling and women's running times. Conversely, in men's running and women's cycling segments, those in the 11-20th place displayed quicker times than those in the 21st-30th place. In the cycling segment across all groups, men demonstrated a more negative pacing pattern (indicating an increase in speed), whereas women exhibited more consistent pacing. In the running segment, the top 10 men and all women's groups showcased relatively similar slightly positive pacing profiles. However, men ranking 11-20th and 21st-30th displayed more pronounced positive pacing strategies, implying a more significant decline in speed over time. In terms of cycling, the variability in pacing remained relatively consistent across the three performance groups. Conversely, during the running segment, the top ten male triathletes and those in the 11-20th place displayed lower pacing variability than their counterparts in the 21st-30th position place and all women's groups. In summary, performance and pacing were examined in professional male and female IRONMAN World Championship participants during IRONMAN Hawaii 2022. Top performers showed faster cycling and running split times, with differences in pacing strategies between sexes. The pacing was more consistent in cycling, while running pacing varied more, particularly among male triathletes in different performance groups.

Ser Mulher: Noemi Silva Costa

No mês da mulher, o Programa Municipal de DST/Aids de São Paulo produziu uma série de entrevistas com agentes dos projetos de prevenção às ISTs/Aids da capital paulista. Neste vídeo, Noemi Silva Costa explica para gente o que é o PRD Sampa, um dos projetos de prevenção do programa e que é voltado à redução de danos.

Ser Mulher: Jaqueline Oliveira

No mês da mulher, o Programa Municipal de DST/Aids de São Paulo produziu uma série de entrevistas com agentes dos projetos de prevenção às ISTs/Aids da capital paulista. Neste vídeo, Jaqueline Oliveira explica para gente o que é o Plantão Jovem, um dos projetos de prevenção do programa e que é voltado aos jovens.

Ser Mulher: Rafaela Fini

No último vídeo da série "Ser Mulher", nós vamos conhecer a Rafaela Fini, que faz um trabalho de prevenção entre pares, com travestis e mulheres trans na zona leste da cidade. Como ela mesmo dia: "Força Trans!".

Momento Saúde - Especial Dia internacional da Mulher - Parte ll

O programa Momento Saúde é veiculado nas salas de espera das unidades de saúde do munícipio e traz no dia 08 de março de 2012 o tema "Mulher: A prevenção às DST/Aids também é um direito seu!". Técnicos do PM e as defensoras públicas, Dra. Carolina de Melo Teubl Gagliato e Dra. Claudia Aourin Tanuri, falam sobre saúde e direitos da mulher para os usuários dos serviços.

Momento Saúde - Especial Dia Internacional da Mulher - Parte l

O programa Momento Saúde é veiculado nas salas de espera das unidades de saúde do munícipio e traz no dia 08 de março de 2012 o tema "Mulher: A prevenção às DST/Aids também é um direito seu!". Técnicos do PM e as defensoras públicas, Dra. Carolina de Melo Teubl Gagliato e Dra. Claudia Aouin Tanuri, falam sobre saúde e direitos da mulher para os usuários dos serviços.

Momento Saúde - Especial Dia internacional da Mulher - Parte lll

O programa Momento Saúde é veiculado nas salas de espera das unidades de saúde do munícipio e traz no dia 08 de março de 2012 o tema "Mulher: A prevenção às DST/Aids também é um direito seu!". Técnicos do PM e as defensoras públicas, Dra. Carolina de Melo Teubl Gagliato e Dra. Claudia Aouin Tanuri, falam sobre saúde e direitos da mulher para os usuários dos serviços.

Momento Saúde - Especial Dia internacional da Mulher - Parte IV

O programa Momento Saúde é veiculado nas salas de espera das unidades de saúde do município e traz no dia 08 de março de 2012 o tema: "Mulher: A prevenção às DST/Aids também é um direito seu!". Técnicos do PM e as defensoras públicas, Dra. Carolina de Melo Teubl Gagliato e Dra. Claudia Aouin Tanuri, falam sobre saúde e direitos da mulher para os usuários dos serviços.