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4.
Harefuah ; 158(12): 826-831, 2019 Dec.
Artigo em Hebraico | MEDLINE | ID: mdl-31823540

RESUMO

INTRODUCTION: Preventive medical services for mothers and infants or "Tipat Halav" (Mother & Child clinics) - as they have been known since the earliest times in Eretz Yisrael (pre-statehood Israel) - have been based over many years on a tradition of quality service that assures public health in Israel. This paper presents the policy and services over the years and highlights its contribution to the development of preventive medicine in Israel. This is due to the renewed debate concerning the existence of preventive services within the structure of the health system, and also for the sake of historical truth. The material presented here is based on the examination of documents and research studies conducted within the medical services in years that were fateful for public health in Israel. Two medical institutions - Hadassah and Clalit Health Services (known as Kupat Holim Clalit until 1995) - laid the foundations for the health system in Eretz Yisrael at a time when health-promoting measures consisted of no more than treating illness and preventing infections and the spread of epidemics. In the years before statehood in 1948, mortality rates in Eretz Yisrael were falling. Infant mortality, had declined to 48 deaths per 1,000 live births, was one of the world's lowest rates. It was a significant improvement, since in 1927, for example, infant mortality in Eretz Yisrael had reached 108 per 1,000 live births - one of the world's highest rates at the time. These dramatically improved statistics resulted from the development of Jewish health services in Eretz Yisrael during the British Mandate period. With the declaration of Israel's independence, Hadassah and Kupat Holim Clalit were the chief factors supplying neonatal services in Israel. Following statehood, the Ministry of Health started acting as the state organ that supervised all those entities. In the 1990s, following the recommendations of the Netanyahu Committee that had been appointed to examine the health system, and according to whose recommendations the State Health Law was legislated in 1995, it was decided to transfer preventive personal medical services (Mother & Child) to the various health funds, and to leave the Ministry of Health with a purely supervisory role. In the final decade of the previous century, and in the early years of the present one, that same recommendation was repeated by additional committees and other professional bodies but has still not been implemented.


Assuntos
Serviços de Saúde Materno-Infantil , Serviços Preventivos de Saúde , Criança , Feminino , Humanos , Lactente , Mortalidade Infantil , Israel , Judeus , Mães
6.
J Forensic Nurs ; 15(4): 214-221, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31764525

RESUMO

The practice of trauma-informed care (TIC) allows nurses in any setting to identify and intervene with traumatized individuals and to create a continuum of care when forensic nursing services are needed. The purpose of this article is to suggest ways to incorporate TIC content into baccalaureate nursing programs. We begin with an overview of baccalaureate nursing curricula and common types of traumatic experience important for students to understand. We then propose specific strategies for inclusion of TIC content in baccalaureate nursing education, using the American Association of Colleges of Nursing Essentials of Baccalaureate Education for Professional Nursing Practice. With a solid foundation in TIC, baccalaureate-prepared nursing students can provide effective patient care and better support forensic nursing practice. This will increase the capacity of the nursing profession in general to meet the needs of those affected by trauma, violence, and abuse.


Assuntos
Currículo , Bacharelado em Enfermagem , Trauma Psicológico/enfermagem , Comunicação , Vítimas de Crime/psicologia , Prática Clínica Baseada em Evidências , Política de Saúde , Humanos , Relações Interprofissionais , Segurança do Paciente , Serviços Preventivos de Saúde , Profissionalismo , Qualidade da Assistência à Saúde , Determinantes Sociais da Saúde , Estados Unidos , Populações Vulneráveis
7.
Artigo em Russo | MEDLINE | ID: mdl-31765538

RESUMO

In order to optimize economic and organizational technologies for the provision of medical care to the population and to increase the effectiveness of preventive programs, an analysis of the accumulated morbidity and prevalence of monogenic hereditary diseases (MHDs) has been carried out in 13 federal subjects of the Russian Federation representing 11 ethnic groups: Russians of 6 regions, Tatars, Maris, Chuvashs, Bashkirs, Udmurts, Abazins, Adygeans, Nogays, Circassians and Karachays. The study of the population was carried out according to the developed protocol of complex genetic and epidemiological studies in the Research Center for Medical Genetics, which remains unchanged throughout the study. Here we have studied the structure of the genetic load and diversity of MHDs depending on the prevalence of diseases and in accordance with the classification by organ and system types of disease: neurological, ophthalmological, genodermatosis, skeletal, hereditary syndromes, and other hereditary pathology (metabolic hereditary diseases, disorders of blood, hearing, etc.). It is shown that the maximum number of patients (61.81%) falls in the group of frequent forms of MHDs, which differ by federal subjects / ethnic groups of the Russian Federation. There are frequent forms of MHDs for all populations, and "specific" forms for particular federal subjects of the Russian Federation/ethnic groups. Only for a small group of hereditary diseases there is treatment. Most of the detected diseases-psychiatric, neurological, hematological, and hereditary syndromes-significantly reduce life expectancy. Hereditary diseases of the skeleton, eyes, ears and metabolism affect the quality of life, adaptation in society and public health. On average, 65% of patients are diagnosed with MHDs for the first time. This situation implies changes in medical thinking, changes in education and development of both common for all regions and specific prevention programs. Thus, fundamental research in medicine can improve the quality of medical services and contribute to the improvement of public health.


Assuntos
Doenças Genéticas Inatas , Serviços Preventivos de Saúde , Qualidade de Vida , Doenças Genéticas Inatas/prevenção & controle , Doenças Genéticas Inatas/terapia , Humanos , Prevalência , Federação Russa
8.
BMC Public Health ; 19(1): 1423, 2019 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-31666036

RESUMO

BACKGROUND: Sexual and reproductive health and rights (SRHR) have historically been regarded as a woman's issue. It is likely that these gender norms also hinder health care providers from perceiving boys and men as health care recipients, especially within the area of SRHR. The aim of this study was to explore midwives' thoughts and experiences regarding preventive work for men's sexual and reproductive health and rights in the primary care setting. METHODS: An exploratory qualitative study. Five focus group interviews, including 4-5 participants in each group, were conducted with 22 midwives aged 31-64, who worked with reproductive, perinatal and sexual health within primary care. Data were analysed by latent content analysis. RESULTS: One overall theme emerged, in everybody's interest, but no one's assigned responsibility, and three sub-themes: (i) organisational aspects create obstacles, (ii) mixed views on the midwife's role and responsibility, and (iii) beliefs about men and women: same, but different. CONCLUSIONS: Midwives believed that preventive work for men's sexual and reproductive health and rights was in everybody's interest, but no one's assigned responsibility. To improve men's access to sexual and reproductive health care, actions are needed from the state, the health care system and health care providers.


Assuntos
Atitude do Pessoal de Saúde , Saúde do Homem , Enfermeiras Obstétricas , Atenção Primária à Saúde , Papel Profissional , Saúde Reprodutiva , Saúde Sexual , Adolescente , Adulto , Assistência à Saúde , Feminino , Grupos Focais , Direitos Humanos , Humanos , Masculino , Homens , Pessoa de Meia-Idade , Tocologia , Gravidez , Serviços Preventivos de Saúde , Reprodução , Comportamento Sexual , Suécia , Adulto Jovem
9.
BMC Public Health ; 19(1): 1420, 2019 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-31666042

RESUMO

BACKGROUND: Understanding levels of community readiness can result in prevention efforts that align with communities' ability and capacity for change and, therefore, be more effective and sustainable. Our study aimed to use baseline (pre-intervention) community readiness scores to assist with the development of obesity prevention strategies, and to assess changes in community readiness over time (pre/post- intervention), to provide evidence of intervention impact. METHOD: Our study was located in a rural and remote area of Victoria, Australia. Community readiness was part of a broader obesity prevention intervention designed to create healthier food and physical activity environments through the combination of systems thinking and collaborative community-led solutions. Interviews were conducted using the community readiness to change tool in 2016 (pre) and 2018 (post) with a community representative sample. Baseline data informed the development of community relevant strategies and the pre/post results formed part of the overall evaluation. RESULTS: The tool generated both quantitative and qualitative (quotes) data. A final readiness score was calculated that corresponded to one of the nine stages of readiness. Four of the five domains of the community readiness to change tool showed statistically significant improvements over time (p < 0.05): knowledge of effort, knowledge of issue, community climate, and leadership. The resources domain that did not improve pre/post intervention. CONCLUSION: Community readiness to change interviews, pre- and post- intervention, provided essential information related to the appropriate targeting and pitch of the prevention strategies, as well as providing an overall evaluation of the positive movement in the community's readiness to implement change.


Assuntos
Atitude , Pesquisa Participativa Baseada na Comunidade , Obesidade/prevenção & controle , Serviços Preventivos de Saúde , População Rural , Adulto , Dieta , Exercício , Humanos , Liderança , Vitória
10.
Methodist Debakey Cardiovasc J ; 15(3): 179-184, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31687096

RESUMO

Vitamins and minerals are dietary supplements used by almost half of the US adult population based on the presumption that they help prevent or treat cardiovascular disease. Many studies, including randomized trials, have investigated the possible role of these substances in cardiovascular disease. We reviewed the available data on multivitamins/multiminerals, antioxidants, folic acid, vitamin E, niacin (B3), and beta-carotene. Despite extensive investigation, the evidence to date fails to support the use of exogenous supplements of vitamins and minerals for the prevention or treatment of cardiovascular disease. Here, we review some of the common supplements used by adults for cardiovascular health and the available evidence for risks/benefits.


Assuntos
Doenças Cardiovasculares/prevenção & controle , Suplementos Nutricionais , Minerais/uso terapêutico , Serviços Preventivos de Saúde , Vitaminas/uso terapêutico , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/mortalidade , Suplementos Nutricionais/efeitos adversos , Medicina Baseada em Evidências , Humanos , Minerais/efeitos adversos , Estudos Observacionais como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Risco , Resultado do Tratamento , Vitaminas/efeitos adversos
12.
BMC Public Health ; 19(1): 1460, 2019 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-31694609

RESUMO

BACKGROUND: Monitoring inequalities in chronic disease prevalence and their preventive care can help build effective strategies to improve health equality. Using hypertension and diabetes as a model, this study measures and decomposes socioeconomic inequalities in their prevalence and preventive care among Chinese adults aged 45 years and older in Shaanxi Province, an underdeveloped western region of China. METHODS: Data of 27,728 respondents aged 45 years and older who participated in the fifth National Health Services Survey conducted in 2013 in Shaanxi Province were analyzed. The relative indexes of inequalities based on Poisson regressions were used to assess disparities in the prevalence of hypertension and diabetes and their preventive care between those with the lowest and the highest socioeconomic status, and the concentration index was used to measure the magnitude of the socioeconomic-related inequality across the entire socioeconomic spectrum. The contribution of each factor to the inequality was further estimated via the concentration index decomposition. RESULTS: Our results indicate a higher prevalence of hypertension and diabetes among the rich than the poor individuals aged 45 years and older in Shaanxi Province, China. Among individuals with hypertension or diabetes, significant inequalities favoring the rich were observed in the use of preventive care, i.e. in adequate use of medication and of blood pressure/blood glucose monitoring. Furthermore, economic status, educational level, employment status, and urban-rural areas were identified as the key socioeconomic indicators for monitoring the inequalities in the patient preventive care. CONCLUSIONS: Our study suggests that the existence of clear inequities in the prevalence of chronic diseases and preventive care among adults aged 45 and older in Shaanxi Province, China. These inequalities in chronic diseases could be as much a cause as a consequence of socioeconomic inequalities.


Assuntos
Doença Crônica/epidemiologia , Disparidades nos Níveis de Saúde , Serviços Preventivos de Saúde/estatística & dados numéricos , Fatores Socioeconômicos , Idoso , Idoso de 80 Anos ou mais , China/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Inquéritos e Questionários
13.
Evid. actual. práct. ambul ; 22(3): e002018, nov. 2019. ilus.
Artigo em Espanhol | LILACS | ID: biblio-1046953

RESUMO

En este comentario editorial, la autora repasa la controversia sobre la promoción del rastreo mamográfico del cáncer de mama en el contexto de las campañas de des-información durante el octubre rosa. (AU)


In this editorial comment, the author reviews the controversy over the promotion of mammographic screening of breastcancer in the context of misinformation campaigns during the pink October. (AU)


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Neoplasias da Mama/prevenção & controle , Mamografia/efeitos adversos , Programas de Rastreamento/efeitos adversos , Comunicação em Saúde/métodos , Serviços Preventivos de Saúde/tendências , Comunicação em Saúde/tendências , Prevenção Quaternária , Promoção da Saúde/tendências
14.
Aten. prim. (Barc., Ed. impr.) ; 51(9): 562-570, nov. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-185932

RESUMO

Objetivo: Conocer la oferta de actividades preventivas propuestas por médicos residentes de medicina familiar en la consulta a demanda de Atención Primaria y su relación con las habilidades comunicacionales. Diseño: Estudio descriptivo multicéntrico mediante videograbación de la consulta médica. Emplazamiento: Ocho centros de salud de Jaén (Andalucía). Participantes: Setenta y tres médicos residentes de cuarto año. Mediciones principales: Se valora la oferta de actividades preventivas (según el Programa español de actividades preventivas y promoción de la salud -PAPPS-) y las características del médico, el paciente y la consulta. Valoración por pares de la comunicación médico-paciente mediante la escala CICAA. Análisis descriptivo, bivariable y de regresión logística. Resultados: Se valoran 260 entrevistas (duración 8,5 ± 4,0 min) de 73 residentes (50,7% mujeres, edad media 32,9 ± 7,7 años, 79% medio urbano). El paciente es más frecuentemente mujer (60%), que acude sola (72%) por procesos agudos (80%) y con 2,1 ± 1,0 motivos de consulta. Se ofertan actividades preventivas en un 47% (duración inferior al minuto) de tipo primario (70%) y secundario (59%) mediante consejo (72%) o cribado (52%), centradas en el área cardiovascular (52%) y estilos de vida (53%). Un 80% se relaciona con el motivo de consulta. Habilidades en comunicación: 41% mejorables, 26% adecuadas, 23% excelentes. La oferta de actividades preventivas se relaciona con la duración de la consulta (OR = 1,1; IC 95% 1,01; 1,16) y la puntuación del CICAA (OR = 1,03; IC 95% 1,01; 1,10). Conclusiones: Se realizan actividades preventivas en casi la mitad de las consultas, aunque centradas en consejo y cribado y ligadas a la demanda del paciente. El tiempo de consulta y las habilidades de comunicación favorecen una mayor oferta preventiva


Objective: To determine the offer of preventive activities by resident physicians of family medicine in the Primary Care consultations and the relation with their communication habilities. Design: A descriptive multicentre study assessing medical consultations video recording. Location: Eight Primary Healthcare centres in Jaen (Andalucia). Participants: Seventy-three resident physicians (4th year) filmed and observed with patients. Principal measurements: Offer of preventive activities (according to the Spanish Program of Preventive Activities and Health Promotion -PAPPS-). Doctor, patient and consultation characteristics. Peer-review of the communication between physicians and patients, using a CICAA scale. A descriptive, bivariate, logistic regression analysis was performed. Results: Two hundred and sixty interviews were evaluated (duration 8.5 ± 4.0 min) of 73 residents (50.7% women, mean age 32.9 ± 7.7 years, 79% urban environment). The patient is more frequently a woman (60%) who comes alone (72%) due to acute processes (80%) and with 2.1 ± 1.0 demands. Preventive activities are offered in 47% (duration less than one minute) of primary (70%) and secondary (59%) prevention, offered through advice (72%) or screening (52%) and focused on the cardiovascular area (52%) and lifestyles (53%). Eighty percent related to the patient's reason for consultation. Communication skills 41% improvable, 26% adequate, 23% excellent. The offer of preventive activities is related to the duration of the consultation (OR = 1.1, 95% CI 1.01; 1.16) and communication skills (OR = 1.03, 95% CI 1.01; 1.10). Conclusions: Preventive activities are carried out in almost half of the consultations, although focused on advice and screening and linked to the patient's demand. Consultation time and communication skills favor a greater preventive offer


Assuntos
Humanos , Masculino , Feminino , Adulto , Internato e Residência , Serviços Preventivos de Saúde , Medicina Preventiva , Atenção Primária à Saúde , Comunicação , Gravação em Vídeo , Avaliação de Resultado de Ações Preventivas , Relações Médico-Paciente , Promoção da Saúde , Análise de Variância
15.
Zhonghua Liu Xing Bing Xue Za Zhi ; 40(10): 1222-1226, 2019 Oct 10.
Artigo em Chinês | MEDLINE | ID: mdl-31658521

RESUMO

Objective: To evaluate the effectiveness of the "Internet Plus-based AIDS Comprehensive Prevention Service System" among men who have sex with men in Guangzhou. Methods: Data through case-reporting and follow-up programs on MSM HIV/AIDS in Guangzhou was collected from the China Information System for Disease Control and Prevention, which including those from the referral and follow-up treatment compliance programs in 2008-2014 (pre-treatment) and 2017-2018 (post-treatment). According to the types of care services, three groups were set as: with "Internet Plus" service, with 'HIV counseling/testing service' or with 'routine medical service'. General Estimating Equation (GEE) was used to analyze the follow up situation of HIV/AIDS cases, annually. Cox proportional hazard regression model was used to analyze the proportions of treatment referral, within the 30 days of diagnosis. Results: Before the implementation of immediate treatment after HIV diagnosis, 90.6% (707/780) of the HIV/AIDS cases received the first follow up program including the CD(4)(+) T cells counts (CD(4)) test service within 90 days of diagnosis, in the "Internet Plus-based HIV/AIDS care service" group presented 1.19 times (95%CI: 1.14-1.25) of the routine medical service group. The implementation of immediate treatment after HIV diagnosis, compared with the routine medical service group, the "Internet Plus" service group presented 1.71 times (95%CI: 1.03- 2.83) more treatment referrals within the 30 days of diagnosis, when the first testing CD(4) was ≤200 cells/µl. Compared with the routine medical service group, the HIV counseling and testing service group showed 1.37 times (95%CI: 1.20-1.56) more of the treatment referrals within the 30 days of HIV diagnosis, after the first testing CD(4) counts as >200 cells/µl. Conclusion: Standardized care and follow-up service should be promoted as soon as the referral and treatment programs were set after the diagnosis was made, under the "Internet Plus-based AIDS Comprehensive Prevention Service System" for the MSM population, in Guangzhou.


Assuntos
Síndrome de Imunodeficiência Adquirida/diagnóstico , Infecções por HIV/diagnóstico , Serviços Preventivos de Saúde , Minorias Sexuais e de Gênero , Síndrome de Imunodeficiência Adquirida/prevenção & controle , China , Infecções por HIV/prevenção & controle , Homossexualidade Masculina , Humanos , Internet , Masculino
16.
Zhonghua Liu Xing Bing Xue Za Zhi ; 40(10): 1227-1233, 2019 Oct 10.
Artigo em Chinês | MEDLINE | ID: mdl-31658522

RESUMO

Objective: To evaluate the effect of the "Interner Plus-based AIDS Comprehensive Prevention Service System" among MSM in Guangzhou, during 2010-2017, using a dynamic compartmental model. Methods: A dynamic compartmental model was developed to describe the HIV situation among MSM in Guangzhou. This model was parameterized on data from published literature or surveillance programs from the Guangzhou CDC. The Matlab 7.0 software was used for coding and analysis on collected data. HIV prevalence was analyzed among MSM under the status quo data and estimated the impact by the "Internet Plus" AIDS prevention services project. Results: HIV prevalence would have increased to 22.75% in 2017, and the total number of new HIV infections would have been 11 038, from 2010 to 2017, using the data status quo. Under the Guangzhou "Internet Plus" AIDS prevention services project, the prevalence of HIV among MSM from 2010 to 2017 was estimated to be 8.44%, 9.68%, 10.65%, 11.34%, 11.73%, 11.83%, 11.71% and 11.43% in Guangzhou, which were similar to the surveillance data. The total number of new infections in the past 8 years under the "Internet Plus" scenario was estimated to be 4 009. The "Internet Plus" program would have prevented 7 029 (63.68%) new infections during 2010-2017 as compared to the number, status quo. Conclusions: The fitting result of dynamic compartmental model seemed more reasonable, which was applicable to predict HIV epidemic among MSM in Guangzhou, suggesting that the increase of HIV prevalence had been curbed since the "Internet Plus" project which was launched in 2010, and the "Interner Plus-based AIDS Comprehensive Prevention Service System" had achieved the purpose as planned, epidemiologically.


Assuntos
Síndrome de Imunodeficiência Adquirida/diagnóstico , Infecções por HIV/diagnóstico , Internet , Serviços Preventivos de Saúde , Minorias Sexuais e de Gênero , Síndrome de Imunodeficiência Adquirida/prevenção & controle , China , Infecções por HIV/prevenção & controle , Homossexualidade Masculina , Humanos , Masculino , Modelos Teóricos , Assunção de Riscos
17.
Nihon Koshu Eisei Zasshi ; 66(9): 582-592, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31588094

RESUMO

Objective Many preventive care supporter (e.g. kaigo-yobo supporter) training programs, conducted to train community residents, are developed by municipalities. However, it is not necessary that only municipalities can train people effectively or efficiently. In this paper, we initially reviewed the relevant literature and clarified the definitions of concepts like "program contents" and "evaluation indicators," while also planning our own training programs. Later, we developed a program based on the review and examined the results.Methods The literature of the training program was examined, and the training program was developed based on the result. Four researchers and three public health nurses from a community general support center, in the Otsuchi Town of Iwate Prefecture, developed a training program from June to September 2017. The training program developed was then conducted from October to November 2017. To evaluate the participants' satisfaction with the program, a self-report survey was conducted. To evaluate the outcomes of the program, we measured their degree of comprehension of their community's challenges, before and after the program.Results The training program was divided into two parts following the literature review. In the first part, the content of the supporters' activities following the program was determined (Type A), and, in the second, the same content was evaluated by the participants within the program (Type B). Type A consisted of various aspects including both concrete knowledge and skills needed to conduct care preventiveactivities after the program. In Type B, there were many aspects-including both lectures and exercises-that aimed to increase the participants' awareness of community challenges, as well as inspection to learn about pioneering activities which helped them consider concrete care preventive activities following the program. In Otsuchi Town, we found it to be imperative for participants to consider how to respond to various situations and accordingly plan the training program for use in Type B. To evaluate the results, 12 participants were analyzed. Participants included two men and ten women, with an average age of 71.4±10.0 years [range: 53-88]. Comprehension levels of community challenges (3.1→4.1, P=0.046), as well as the confidence to actively involve themselves in their own preventive care strategies (3.4→4.0, P=0.035), significantly increased after involvement in the program. However, their confidence to work for community preventive care support groups (3.1→3.5, P=0.227) did not increase significantly.Conclusion We clarified certain viewpoints, such as the purpose, content, and evaluation indices of community care training programs, by reviewing the relevant literature. Based on the discovered viewpoints, we were then able to obtain certain results through implementing our own training programs, thereby significantly increasing participant comprehension and confidence levels.


Assuntos
Serviços de Saúde Comunitária , Educação em Saúde/métodos , Assistência de Longa Duração , Serviços Preventivos de Saúde/métodos , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Voluntários/educação , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Revisão Sistemática como Assunto
18.
BMC Health Serv Res ; 19(1): 685, 2019 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-31590663

RESUMO

BACKGROUND: Schistosomiasis is endemic in the uMkhanyakude district of KwaZulu-Natal, South Africa. The South Africa Department of Health (DoH) has decided to implement a schistosomiasis preventive mass drug administration program in all affected parts of the country. Quality management is part of the strategic objectives of the treatment program. We conducted a risk assessment and developed guidelines for the quality management of a schistosomiasis preventive treatment program for children aged 5 years and below in the uMkhanyakude District of KwaZulu-Natal. METHODS: We conducted a scenario planning exercise by interviewing 10 child health experts from the uMkhanyakude Health District to establish potential risks associated with a planned schistosomiasis preventive control treatment program for children aged 5 years old and below. The risks were analyzed using a modified Failure Mode and Effect Analysis (FMEA). An FMEA table was produced to guide the quality management of the planned schistosomiasis preventive control treatment program for children aged 5 years and below in the uMkhanyakude Health District. RESULTS: We identified potential risks, failure modes and possible failure corrective/preventive measures in the following activities that would be part of the mass treatment of children aged 5 years and below infected with schistosomiasis in the uMkhanyakude District. These included enrolment of children into the treatment program; general health checks; weight and height measurements; administration of drugs; reporting of side effects and monitoring and evaluation. CONCLUSION: We were able to use FMEA guide quality management and identify potential risks associated with the planned schistosomiasis preventive treatment program for children aged 5 years old and below in the uMkhanyakude District of KwaZulu-Natal. The FMEA for this program will be useful to the quality management of schistosomiasis preventive treatment programs for this age group in other similar settings.


Assuntos
Administração Massiva de Medicamentos/métodos , Esquistossomose/prevenção & controle , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Administração Massiva de Medicamentos/estatística & dados numéricos , Serviços Preventivos de Saúde/organização & administração , Estudos Prospectivos , Medição de Risco , África do Sul/epidemiologia
19.
Rev Med Suisse ; 15(665): 1770-1774, 2019 Oct 02.
Artigo em Francês | MEDLINE | ID: mdl-31580022

RESUMO

Nowadays, new psychotropic treatments might result on rapid onset of weight gain also related to other factors such as individual vulnerability, poor diet and lack of exercise. Many studies have reported that weight gain is only the premise of a series of metabolic disturbances and cardiovascular complications. In this context, we have established since June 2017 in an ambulatory centre in Geneva, a 4F program (Fit, Fun, Feel and Food), to optimize the measures and strategies needed to prevent and reduce weight gain in these patients. This transversal program is naturalistically and systematically centered on physical activity, healthy diet and improved body perception. We will show some preliminary results of 4F program.


Assuntos
Antipsicóticos/efeitos adversos , Terapia por Exercício , Transtornos Mentais/complicações , Transtornos Mentais/terapia , Serviços Preventivos de Saúde , Ganho de Peso , Assistência Ambulatorial , Imagem Corporal , Humanos , Transtornos Mentais/psicologia , Suíça , Ganho de Peso/efeitos dos fármacos
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