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Sample records for brazilian public emergency

  1. The Emergence of Viagra in the Brazilian Public Scenario: Discourses on Body, Gender and Sexuality in the Media

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    Mauro Brigeiro

    2009-01-01

    Full Text Available This work proposes an anthropological reflection on the images and discourses of the body and the sexuality in the Brazilian society, focusing on a particular social phenomenon: the emergence of the Viagra in the national public scenario. This article explores the connotations constructed and confirmed by the Brazilian media press about this drug. Two Brazilian newspapers belonging to the same publisher but aimed at different publics were analyzed from April 1998 to April 1999, period that corresponds to the beginning – and apex – of the debate on the Viagra in the country. The discussion focuses on the symbolism and discursive strategies utilized by the newspapers when presenting this medication to the general public. This article also draws the attention to an appeal to traditional logics of gender, despite a contemporary scenario of issues concerning the relationships among the sexes and the sexuality.

  2. Hypertension control in brazilian publications

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    Pinho, Natália de Alencar; Pierin, Angela Maria Geraldo, E-mail: pierin@usp.br [Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP (Brazil)

    2013-09-15

    Hypertension is a major public health problem due to its high prevalence and cardiovascular complications. Its treatment is aimed at reducing cardiovascular morbidity and mortality, its goal being to maintain blood pressure levels below 140/90 mm Hg. Hypertension control in Brazil is low, and nationwide rates are unknown. The objective of this review was to provide an overview on hypertension control in Brazil from publications in a database. We identified 45 publications. In population-based studies, the highest control rate (57.6%) was reported in a multicenter study in 100 municipalities and the city of São José do Rio Preto, São Paulo state (52.4%), while the lowest rates (around 10%) were identified in microregions of the Rio Grande do Sul state and in the city of Tubarão, Santa Catarina state. In conclusion, the studies assessed showed a wide variation in hypertension control rates. It is worth noting that the comparison between studies was a major limiting factor, because of the different methods used.

  3. The Brazilian Public Health in Contemporary Capitalism.

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    Junqueira, Virgínia; Mendes, Áquilas N

    2018-01-01

    This article examines some political and economic facts that led to an intensification of austerity measures by the Brazilian government, including ones against the Unified Health System (SUS) and its progressive dismantling. In a country where fundamental human rights were never fully respected, nowadays social and labor rights are under severe attacks. The deepening of the capital crisis and the rise of interest-bearing capital dominance have been causing unemployment, social insecurity growth, and resulting public fund appropriation by the private capital. The Brazilian governments in the 1990s and 2000s have implemented deeper cuts in social policy expenditure, freezing security benefits, privatizing services, and prioritizing the payment of public debt interests. The right wing's project involves the demoralization of not only the Workers' Party but also the left as a whole, so that the adoption of austerity measures could be achieved without popular resistance. It is the duty of the Brazilian left wing to denounce such a project and to provoke firm initiatives to rebuild its bonds with the working class.

  4. Brazilian medical publications: citation patterns for Brazilian-edited and non-Brazilian literature

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    J.R. Cunha-Melo

    2006-08-01

    Full Text Available Today, the quality of a scientific article depends on the periodical in which it is published and on the number of times the article is cited in the literature. In Brazil, the criteria for the evaluation of this scientific production are improving. However, there is still some resistance, with authors arguing that Brazilian publications must be preferentially addressed to the national readers and, therefore, they should ideally be written in Portuguese. In order to determine the kind of scientific journals cited in the reference lists of articles published in medical periodicals edited in Brazil, in the present study we determine the rate of Portuguese/English citations. Three issues of 43 periodicals (19 indexed in SciELO, 10 in PubMed, 10 in LILACS, and 4 in the ISI-Thompson base of different medical specialties were analyzed, and the number of both Portuguese and English citations in the reference list of each article was recorded. The results showed that in Brazilian-edited journals the mean number of citations/article was 20.9 ± 6.9 and the percentage of citations of international non-Brazilian periodicals was 86.0 ± 11.2%. Of the latter, 94.4 ± 7.0 are indexed by ISI-Thompson. Therefore, we conclude that Brazilian medical scientists cite the international non-Brazilian periodicals more than the national journals, and most of the cited papers are indexed by ISI-Thompson.

  5. Brazilian medical publications: citation patterns for Brazilian-edited and non-Brazilian literature.

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    Cunha-Melo, J R; Santos, G C; Andrade, M V

    2006-08-01

    Today, the quality of a scientific article depends on the periodical in which it is published and on the number of times the article is cited in the literature. In Brazil, the criteria for the evaluation of this scientific production are improving. However, there is still some resistance, with authors arguing that Brazilian publications must be preferentially addressed to the national readers and, therefore, they should ideally be written in Portuguese. In order to determine the kind of scientific journals cited in the reference lists of articles published in medical periodicals edited in Brazil, in the present study we determine the rate of Portuguese/English citations. Three issues of 43 periodicals (19 indexed in SciELO, 10 in PubMed, 10 in LILACS, and 4 in the ISI-Thompson base) of different medical specialties were analyzed, and the number of both Portuguese and English citations in the reference list of each article was recorded. The results showed that in Brazilian-edited journals the mean number of citations/article was 20.9 +/- 6.9 and the percentage of citations of international non-Brazilian periodicals was 86.0 +/- 11.2%. Of the latter, 94.4 +/- 7.0 are indexed by ISI-Thompson. Therefore, we conclude that Brazilian medical scientists cite the international non-Brazilian periodicals more than the national journals, and most of the cited papers are indexed by ISI-Thompson.

  6. Brazilian medical publications: citation patterns for Brazilian-edited and non-Brazilian literature

    OpenAIRE

    Cunha-Melo, J.R.; Santos, G.C.; Andrade, M.V.

    2006-01-01

    Today, the quality of a scientific article depends on the periodical in which it is published and on the number of times the article is cited in the literature. In Brazil, the criteria for the evaluation of this scientific production are improving. However, there is still some resistance, with authors arguing that Brazilian publications must be preferentially addressed to the national readers and, therefore, they should ideally be written in Portuguese. In order to determine the kind of scien...

  7. Uncited articles in Brazilian public health journals.

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    Cuenca, Angela Maria Belloni; Barbosa, Milena Maria de Araújo Lima; Oliveira, Karoline de; Quinta, Fernanda Paranhos; Alvarez, Maria do Carmo Avamilano; França, Ivan

    2017-12-04

    Here, we describe the percentage of non-citation in Brazilian public health journals, a field that, until now, had not been investigated nationally or internationally. We analyzed articles, published between 2008 and 2012, of eight public health journals indexed in the scopus database. The percentage of non-citation differs between journals (from 5.7% to 58.1%). We identified four statistically distinct groups: História, Ciência, Saúde - Manguinhos (58% uncited articles); Physis: Revista de Saúde Coletiva, Interface, and Saúde e Sociedade (32% to 37%); Ciência & Saúde Coletiva and Revista Brasileira de Epidemiologia (16% to 17%); and Cadernos de Saúde Pública and Revista de Saúde Pública (6%). The non-citation in the first three years post-publication also varies according to journal. Four journals have shown a clear decline of non-citation: Cadernos de Saúde Pública, Ciência & Saúde Coletiva, Revista Brasileira de Epidemiologia, and Physis. Another three (Revista de Saúde Pública, Saúde e Sociedade, and Interface) presented an oscillation in non-citation, but the rates of 2008 and 2012 are similar, with different magnitudes. In turn, the journal História, Ciência, Saúde - Manguinhos maintains high rates of non-citation. Multidisciplinary journals attract more citation, but a comprehensive citation model still needs to be formulated and tested.

  8. Access to emergency care services: a transversal ecological study about Brazilian emergency health care network.

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    Rocha, T A H; da Silva, N C; Amaral, P V; Barbosa, A C Q; Rocha, J V M; Alvares, V; de Almeida, D G; Thumé, E; Thomaz, E B A F; de Sousa Queiroz, R C; de Souza, M R; Lein, A; Toomey, N; Staton, C A; Vissoci, J R N; Facchini, L A

    2017-12-01

    Studies of health geography are important in the planning and allocation of emergency health services. The geographical distribution of health facilities is an important factor in timely and quality access to emergency services; therefore, the present study analyzed the emergency health care network in Brazil, focusing the analysis at the roles of small hospitals (SHs). Cross-sectional ecological study. Data were collected from 9429 hospitals of which 3524 were SHs and 5905 were high-complexity centers (HCCs). For analytical purposes, we considered four specialties when examining the proxies of emergency care capability: adult, pediatrics, neonatal, and obstetric. We analyzed the spatial distribution of hospitals, identifying municipalities that rely exclusively on SHs and the distance of these cities from HCCs. More than 14 and 30 million people were at least 120 km away from HCCs with an adult intensive care unit (ICU) and pediatric ICU, respectively. For neonatal care distribution, 12% of the population was more than 120 km away from a health facility with a neonatal ICU. The maternities situation is different from other specialties, where 81% of the total Brazilian population was within 1 h or less from such health facilities. Our results highlighted a polarization in distribution of Brazilian health care facilities. There is a concentration of hospitals in urban areas more developed and access gaps in rural areas and the Amazon region. Our results demonstrate that the distribution of emergency services in Brazil is not facilitating access to the population due to geographical barriers associated with great distances. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  9. Green supply chain management: analysis of brazilian academic publications

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    José Carlos Barbieri

    2014-08-01

    Full Text Available This paper deals with environmental issues from the perspective of Supply Chain Management. With the incorporation of environmental concerns in a systematic manner the concept of Green Supply Chain Management (GSCM has emerged. The subject GSCM interests not only to academics but also to professional audience especially with regard to new legal obligations, and social pressures of various types of stakeholders, as well as issues related to the competitiveness of enterprises and their supply chains. However, the way in which this knowledge is being produced in Brazil is not clear, hence the need for a mapping which areas and sub-areas of GSCM has been studied most frequently. Thus, this work can be characterized as a desk research that aims to analyze the Brazilian academic publications on green supply chain management. In order to delimit the scope of the research, we collected articles published from 2006 to 2010 in specific Brazilian congresses of Management and Production Engineering, as EnANPAD, SIMPOI and SIMPEP. 110 papers were collected and analyzed.The area of Green Operations represents 81% of published articles and 45% of these focus on Reverse Logistics. 70% of total papers are empirical and 77% use a qualitative approach, while 57% of the total are case studies

  10. Emerging arboviruses and public health challenges in Brazil

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    Lima-Camara,Tamara Nunes

    2016-01-01

    ABSTRACT Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country’s public health. The Brazilian population is exposed to infections caused by th...

  11. Violence against Brazilian Women in Public and Mediatic Spheres

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    Souza-Leal, Bruno; de-Carvalho, Carlos-Alberto; Antunes, Elton

    2018-01-01

    This paper explores the capacity of the media to incorporate controversies in circulation in the public sphere. For that, it is based on the analysis of a set of 607 news stories about violence against women in context of gender relations and proximity, collected in nine Brazilian media during the years of 2013 and 2014. Recognized as one of the…

  12. [The organizational culture of a Brazilian public hospital].

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    Rocha, Fernanda Ludmilla Rossi; Marziale, Maria Helena Palucci; de Carvalho, Michele Cristina; Cardeal Id, Samira de Fátima; de Campos, Monica Chiodi Toscano

    2014-04-01

    The objective of this research was to analyze the organizational culture of a Brazilian public hospital. It is a descriptive study with quantitative approach of data, developed in a public hospital of São Paulo State, Brazil. The sample was composed by 52 nurses and 146 nursing technicians and auxiliaries. Data were collected from January to June 2011 using the Brazilian Instrument for Assessing Organizational Culture - IBACO. The analysis of the organizational values showed the existence of hierarchical rigidity and centralization of power within the institution, as well as individualism and competition, which hinders teamwork. The values concerning workers' well-being, satisfaction and motivation were not highly valued. In regard to organizational practices, the promotion of interpersonal relationship, continuous education, and rewarding practices were not valued either. It becomes apparent that traditional models of work organization support work practices and determine the organizational culture of the hospital.

  13. Ethnic Identity and Power: Quilombos in Brazilian Public Policy

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    Felipe Peres Calheiros

    2010-06-01

    Extension Assistance (Pnater, this article examines the relation of power between public policies and ethnic identities. It discusses how the reformulated concept of development influences government activity in rural contexts and the adoption of compensatory actions for excluded portions of the population. It briefly presents the social, legal and conceptual trajectory of the quilombos, localizing the dynamics of power in the construction of quilombola identity, a project in constant re-elaboration by Brazilian society.

  14. Profiling alumni of a Brazilian public dental school

    OpenAIRE

    Nunes Maria F; Silva Erica T; Santos Laura B; Queiroz Maria G; Leles Cláudio R

    2010-01-01

    Abstract Background Follow-up studies of former students are an efficient way to organize the entire process of professional training and curriculum evaluation. The aim of this study was to identify professional profile subgroups based on job-related variables in a sample of former students of a Brazilian public dental school. Methods A web-based password-protected questionnaire was sent to 633 registered dentists who graduated from the Federal University of Goias between 1988 and 2007. Job-r...

  15. Analysis of undergraduate cell biology contents in Brazilian public universities.

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    Mermelstein, Claudia; Costa, Manoel Luis

    2017-04-01

    The enormous amount of information available in cell biology has created a challenge in selecting the core concepts we should be teaching our undergraduates. One way to define a set of essential core ideas in cell biology is to analyze what a specific cell biology community is teaching their students. Our main objective was to analyze the cell biology content currently being taught in Brazilian universities. We collected the syllabi of cell biology courses from public universities in Brazil and analyzed the frequency of cell biology topics in each course. We also compared the Brazilian data with the contents of a major cell biology textbook. Our analysis showed that while some cell biology topics such as plasma membrane and cytoskeleton was present in ∼100% of the Brazilian curricula analyzed others such as cell signaling and cell differentiation were present in only ∼35%. The average cell biology content taught in the Brazilian universities is quite different from what is presented in the textbook. We discuss several possible explanations for these observations. We also suggest a list with essential cell biology topics for any biological or biomedical undergraduate course. The comparative discussion of cell biology topics presented here could be valuable in other educational contexts. © 2017 The Authors. Cell Biology International Published by John Wiley & Sons Ltd on behalf of International Federation of Cell Biology.

  16. INITIAL PUBLIC OFFERING AND PERFORMANCE OF BRAZILIAN FIRMS

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    Teresa Rodriguez Cao

    2016-07-01

    Full Text Available This paper investigates changes in long-term operational and financial performance for a sample of Brazilian companies made initial public offerings (IPO's shares, in the period 2002-2008. This period showed a historically high number of IPOs, a heavily discontinued phenomenon with the international financial crisis of 2008. As performance measures were chosen six financial indicators usually adopted in the literature in periods of three years pre-IPO, year of listing and three years post-IPO. The indicators evaluated were size, growth rate, profitability, financial leverage, investment level and investment rate. The results show evidence that, on average, there were statistically significant improvements in size, profitability, investment level and investment rate. But there was no evidence statistically significant changes in the growth rate and financial leverage after the IPO of Brazilian firms.

  17. The Supply of Trade Credit by Brazilian Publicly Traded Firms

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    Rafael Felipe Schiozer

    2011-12-01

    Full Text Available This paper investigates the determinants of trade credit supply by Brazilian publicly traded companies between the years of 2005 and 2008. International literature (both theoretical and empirical documents that the main determinants of trade credit supply are the size of the firm and the size of its debt. Both indicate that the availability of resources to the firm is an important factor for the supply of trade credit. In addition, the literature confirms strategic uses of trade credit such as those for price discrimination purposes. The results obtained using a sample of 157 Brazilian companies do not support that size and indebtedness are relevant determinants for trade credit supply, but they confirm the supply of trade credit as a strategic tool for the firms. Additionally we observed a significant decrease in trade credit supply in 2008, the year in which a severe international financial crisis took place.

  18. Earning management: analysis of publications in brazilian accounting journals

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    Débora Gomes Machado

    2014-06-01

    Full Text Available The goal of this study is to identify characteristics, from the perspective of social networks, of the scientific literature on earning management in Brazilian accounting journals. Specifically, were identified: a authors and their social networks of scientific production; b researched topics, models for accruals detection, authors’ networks and the period studied; c methodological procedures used. A bibliometric survey, with a quantitative approach was performed through the analysis of 17 Brazilian accounting journals, since their first edition until the year 2010. Out of them, 10 published articles having the theme earning management in the title, abstract or keywords. The 32 identified articles were submitted to content analysis and then the data were presented from the perspective of social networks. The survey results show that: the authors and their social networks of production originates mostly from Universidade de São Paulo (USP; the most researched theme was the methods or means to conduct earnings management, and accruals measurement models, with emphasis on Kang and Sivaramakrishnan Model; the descriptive research, based on document and quantitative approach were the most commonly used forms in the articles researched. It is noteworthy that structural gaps are the topics, such as compensation plans, political costs and earnings management in different contractual environments. The research results can contribute to academia to highlight some features of the earnings management theme and its researchers, in the field of publications in Brazilian accounting journals.

  19. Understanding Public Responses to Emerging Technologies

    NARCIS (Netherlands)

    Macnaghten, Philip; Davies, S.R.; Kearnes, Matthew

    2015-01-01

    Previous studies aimed at understanding public responses to emerging technologies have given limited attention to the social and cultural processes through which public concerns emerge. When probed, these have tended to be explained either in cognitive social psychological terms, typically in the

  20. Domestic violence against women, public policies and community health workers in Brazilian Primary Health Care.

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    Signorelli, Marcos Claudio; Taft, Angela; Pereira, Pedro Paulo Gomes

    2018-01-01

    Domestic violence creates multiple harms for women's health and is a 'wicked problem' for health professionals and public health systems. Brazil recently approved public policies to manage and care for women victims of domestic violence. Facing these policies, this study aimed to explore how domestic violence against women is usually managed in Brazilian primary health care, by investigating a basic health unit and its family health strategy. We adopted qualitative ethnographic research methods with thematic analysis of emergent categories, interrogating data with gender theory and emergent Brazilian collective health theory. Field research was conducted in a local basic health unit and the territory for which it is responsible, in Southern Brazil. The study revealed: 1) a yawning gap between public health policies for domestic violence against women at the federal level and its practical application at local/decentralized levels, which can leave both professionals and women unsafe; 2) the key role of local community health workers, paraprofessional health promotion agents, who aim to promote dialogue between women experiencing violence, health care professionals and the health care system.

  1. Teratogens: a public health issue – a Brazilian overview

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    Thiago Mazzu-Nascimento

    2017-05-01

    Full Text Available Abstract Congenital anomalies are already the second cause of infant mortality in Brazil, as in many other middle-income countries in Latin America. Birth defects are a result of both genetic and environmental factors, but a multifactorial etiology has been more frequently observed. Here, we address the environmental causes of birth defects – or teratogens – as a public health issue and present their mechanisms of action, categories and their respective maternal-fetal deleterious effects. We also present a survey from 2008 to 2013 of Brazilian cases involving congenital anomalies (annual average of 20,205, fetal deaths (annual average of 1,530, infant hospitalizations (annual average of 82,452, number of deaths of hospitalized infants (annual average of 2,175, and the average cost of hospitalizations (annual cost of $7,758. Moreover, we report on Brazilian cases of teratogenesis due to the recent Zika virus infection, and to the use of misoprostol, thalidomide, alcohol and illicit drugs. Special attention has been given to the Zika virus infection, now proven to be responsible for the microcephaly outbreak in Brazil, with 8,039 cases under investigation (from October 2015 to June 2016. From those cases, 1,616 were confirmed and 324 deaths occurred due to microcephaly complications or alterations on the central nervous system. Congenital anomalies impact life quality and raise costs in specialized care, justifying the classification of teratogens as a public health issue.

  2. IFRS ADOPTION AND EARNINGS MANAGEMENT IN BRAZILIAN PUBLICLY TRADED COMPANIES

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    Roberto Midoguti Joia

    2014-03-01

    Full Text Available In 2007, Brazil adopted the International Financial Reporting Standards (IFRS. Studies involving publicly traded companies in different countries around the world indicate that these new standards tend to improve the information quality and make it more comparable and transparent. This study was aimed at verifying any changes in the earnings management levels after 2010 and whether this happened in function of the full adoption of the IFRS by the Brazilian publicly traded companies (except for financial institutions. The data were extracted from the three-monthly financial statements of the databases from Economática and the Brazilian Securities Commission for the period from 2006 till 2011. To achieve the research objectives, two tests were applied. The first showed that the average discretionary accruals, calculated through the Modified Jones Model, were lower after 2010. Next, the regression analysis was elaborated, using panel data with Newey-West’s correction. The results did not confirm the hypothesis that the adoption of the IFRS affected the earnings management level in the period under analysis, but showed that the size and indebtedness significantly explain the discretionary accruals, independently of the adoption of the IFRS. The results suggest that larger companies with a large proportion of own capital tend to produce higher quality reports, independently of the adoption of the IFRS.

  3. Unconditional conservatism in Brazilian public companies and tax neutrality

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    Juliana Pinhata Sanches do Vale

    2017-03-01

    Full Text Available ABSTRACT Law n. 11,638/2007 legitimized the International Financial Reporting Standards (IFRS adoption process in Brazil and introduced an accounting system detached from tax purposes in the country. This law aims to reduce the influence of tax law on accounting standards and improve the quality of financial reporting, as IFRS are considered to be higher quality standards. International literature shows a reduction in earnings quality in environments where accounting and tax rules are strongly linked. Moreover, the influence of tax legislation on financial accounting is seen to encourage unconditional conservatism, a bias with no advantages for financial market efficiency. Thus, tax neutrality is expected to provide a more favorable institutional environment for quality financial reporting by detaching corporate accounting from tax accounting. In light of the above, this study aims to verify whether the advent of tax neutrality influences unconditional conservatism in Brazilian public companies. The methodology used involves panel data regressions. The sample consists of non-financial publicly-traded companies with information published in Economática® covering 2002 to 2014. The results show differences in the relationship between taxation and financial reporting between firms that are subject to different levels of monitoring in the Brazilian stock market. Evidence of unconditional conservatism is only found in companies that are subject to greater market monitoring. In this group, it is observed that taxation does not induce unconditional conservatism in reported earnings, which is expected in a tax neutrality context.

  4. Wuchereria bancrofti infection in Haitian immigrants and the risk of re-emergence of lymphatic filariasis in the Brazilian Amazon

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    Edson Fidelis da Silva Junior

    Full Text Available Abstract INTRODUCTION: Lymphatic filariasis (LF is a public health problem in Haiti. Thus, the emigration of Haitians to Brazil is worrisome because of the risk for LF re-emergence. METHODS: Blood samples of Haitian immigrants, aged ≥18 years, who emigrated to Manaus (Brazilian Amazon, were examined using thick blood smears, membrane blood filtration, and immunochromatography. RESULTS: Of the 244 immigrants evaluated, 1 (0.4% tested positive for W. bancrofti; 11.5% reported as having received LF treatment in Haiti. CONCLUSIONS: The re-emergence of LF in Manaus is unlikely, due to its low prevalence and low density of microfilaremia among the assessed Haitian immigrants.

  5. Governance in managing public health resources in Brazilian municipalities.

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    Avelino, George; Barberia, Lorena G; Biderman, Ciro

    2014-09-01

    This study contributes to the health governance discussion by presenting a new data set that allows for comparisons of the management of health resources among Brazilian municipalities. Research on Brazil is particularly important as the provision of health services was decentralized in 1988 and since then municipalities have been given greater responsibilities for the management of fiscal resources for public health service provision. Based on detailed information on corruption practices (such as over-invoicing, illegal procurement and fake receipts) from audit reports of health programmes in 980 randomly selected Brazilian municipalities, this study deepens understanding of the relationship between health governance institutions and the incidence of corruption at the local level by exploring the extent to which horizontal and vertical accountabilities contribute to reducing the propensity of municipal government officials to divert public health resources for private gain. The results of our multiple regression analysis suggest that the experience of health municipal councils is correlated with reductions in the incidence of corruption in public health programmes. This impact is significant over time, with each additional year of health council experience reducing corruption incidence levels by 2.1% from baseline values. The findings reported in this study do not rely on the subjectivity of corruption measures which usually conflate the actual incidence of corruption with its perception by informants. Based on our results, we provide recommendations that can assist policy makers to reduce corruption. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved.

  6. Costs for in hospital treatment of urinary lithiasis in the Brazilian public health system.

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    Korkes, Fernando; Silva Ii, Jarques Lúcio da; Heilberg, Ita Pfeferman

    2011-12-01

    To estimate costs associated to hospital treatment of urinary lithiasis in the Brazilian public health system as well as to evaluate demographic and epidemiological data referred to hospital admissions in the Brazilian public health system (or unified health care system). Data from the Informatic Department of Brazilian public health system were obtained as referred to costs in hospital admissions for urinary lithiasis during 2010 and also epidemiological data from 1996 through 2010. There were 69,039 hospital admissions for urinary lithiasis, totaling 0.61% of all hospital admissions in the Brazilian public health system. The mean cost of each of these hospital admissions was US$ 240,23 or R$ 423.42 having as result an overall cost of US$ 16,240,378.00 or R$ 29.232.682,56. Hospital admissions for urinary lithiasis in the Brazilian public health system increased 69% from 1996 to 2010 (43,176 versus 69,309; p lithiasis in Brazil.

  7. Aparição do Viagra na cena pública brasileira: discursos sobre corpo, gênero e sexualidade na mídia The emergence of Viagra in the Brazilian public scenario: discourses on body, gender and sexuality in the media

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    Mauro Brigeiro

    2009-04-01

    Full Text Available Este trabalho propõe uma reflexão antropológica sobre os discursos e imagens do corpo e da sexualidade na sociedade brasileira com base em um fenômeno social particular: o surgimento do Viagra na esfera pública nacional. Explora as conotações construídas e/ou ratificadas pela mídia impressa em torno deste medicamento, a partir da análise de conteúdo de reportagens publicadas em dois jornais de grande circulação, pertencentes à mesma organização empresarial e dirigidos a públicos distintos. O material analisado data de abril de 1998 a abril de 1999, período correspondente ao início - e ápice - do debate sobre o medicamento no país. O artigo trata dos simbolismos e das estratégias discursivas utilizadas pelos jornais na apresentação do remédio para o público geral e chama a atenção para um apelo a lógicas tradicionais de gênero, a despeito de um cenário contemporâneo de questionamentos acerca das relações entre os sexos e da sexualidade.This work proposes an anthropological reflection on the images and discourses of the body and the sexuality in the Brazilian society, focusing on a particular social phenomenon: the emergence of the Viagra in the national public scenario. This article explores the connotations constructed and confirmed by the Brazilian media press about this drug. Two Brazilian newspapers belonging to the same publisher but aimed at different publics were analyzed from April 1998 to April 1999, period that corresponds to the beginning - and apex - of the debate on the Viagra in the country. The discussion focuses on the symbolism and discursive strategies utilized by the newspapers when presenting this medication to the general public. This article also draws the attention to an appeal to traditional logics of gender, despite a contemporary scenario of issues concerning the relationships among the sexes and the sexuality.

  8. Next Generation Public Safety and Emergency Technologies

    DEFF Research Database (Denmark)

    Bonde, Camilla; Tadayoni, Reza; Skouby, Knud Erik

    2014-01-01

    The paper researches the existing European standards for Public Safety and Emergency (PSE) services (also called Public Protection Disaster Relief “PPDR”), and identifies based on user studies in Denmark conflicts between the current deployments of the standards and the user requirements. The aim...

  9. The brazilian nuclear policy with respect to the public opinion

    International Nuclear Information System (INIS)

    Freitas Brandao Bittencourt, C.

    1988-01-01

    Four decades of the Brazilian nuclear history have been analysed with special emphasis placed on government policy and its repercussion on public opinion. The implications of the new constitutional regulations which rule the issue are discussed. it is also studied the change in the nuclear program structure, enforced in August 1988. At different times, the government decisions on nuclear energy could be classified as miser, extravagant, dissimulated and frank, successively. Their aftermaths, which show little consistency with the expectations laid on them, have led to discredit by part of the society, which is controlled by a scientific - intellectual elite. However, recent successes are likely to reverse this trend, if the government explores them properly. (author) [pt

  10. The Emergence of Quality Assessment in Brazilian Basic Education

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    Kauko, Jaakko; Centeno, Vera Gorodski; Candido, Helena; Shiroma, Eneida; Klutas, Anni

    2016-01-01

    The focus in this article is on Brazilian education policy, specifically quality assurance and evaluation. The starting point is that quality, measured by means of large-scale assessments, is one of the key discursive justifications for educational change. The article addresses the questions of how quality evaluation became a significant feature…

  11. Challenges facing Brazilian economy in the emerging market ...

    African Journals Online (AJOL)

    The literature relates to the discussions on the trade relationship and patterns between Brazil as one of the BRICs countries, and Malaysia as one of the developing countries. This paper also reviews expectations for the Brazilian economy in the next few years and what challenges awaits Brazil ahead. The aim of this paper ...

  12. Georges Canguilhem and the development of Brazilian Public Heatlh field

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    José Ricardo de Carvalho Mesquita Ayres

    2016-05-01

    Full Text Available Historical epistemology has played an important role in the development of modern Brazilian Public Health or “Saúde Coletiva” (Collective Health. Born as an academic search for new conceptual foundations of a social committed field of scientific knowledge, as well as a social political movement against civil-military dictatorship implanted in Brazil in 1964, the so called Brazilian Sanitary Reform Movement found in the French historical epistemology, particularly in the works of Georges Canguilhem, a powerful ally. This paper aims to revisit the main features of this relationship, focusing in particular the inaugural works of Sergio Arouca and Cecília Donnangelo and the Health Work Process Theory as developed in the Department of Preventive Medicine of the Medical School of the University of São Paulo. The discussion is centered in the way Canguilhem’s philosophical concepts, such as the normative character of life and of its knowledge, the qualitative discontinuity between normal and pathological phenomena and the value oriented definition of health on one hand, and on the other hand, Canguilhem’s historiographical method, focused on the rational development of concepts as the core subject of the historical-epistemological research, the acknowledge of “external” influences over scientific developments, such as social and technological conditions, and the positive role attributed to obstacles, failures and accidents in the progress of a scientific discipline were all crucial to promote the intertwining of the political and academic goals of the Movement and still remain a challenging element for the development of the philosophical and historical reflections of the field of “Saúde Coletiva”.

  13. Emerging arboviruses and public health challenges in Brazil

    Directory of Open Access Journals (Sweden)

    Tamara Nunes Lima-Camara

    2016-01-01

    Full Text Available ABSTRACT Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country’s public health. The Brazilian population is exposed to infections caused by these three arboviruses widely distributed on the national territory and associated with humans. Without effective vaccine and specific treatment, the maintainance and integration of a continuos entomological and epidemiological surveillance are important so we can set methods to control and prevent these arboviruses in the Country.

  14. Enhancing crisis leadership in public health emergencies.

    Science.gov (United States)

    Deitchman, Scott

    2013-10-01

    Reviews of public health emergency responses have identified a need for crisis leadership skills in health leaders, but these skills are not routinely taught in public health curricula. To develop criteria for crisis leadership in public health, published sources were reviewed to identify attributes of successful crisis leadership in aviation, public safety, military operations, and mining. These sources were abstracted to identify crisis leadership attributes associated with those disciplines and compare those attributes with crisis leadership challenges in public health. Based on this review, the following attributes are proposed for crisis leadership in public health: competence in public health science; decisiveness with flexibility; ability to maintain situational awareness and provide situational assessment; ability to coordinate diverse participants across very different disciplines; communication skills; and the ability to inspire trust. Of these attributes, only competence in public health science is currently a goal of public health education. Strategies to teach the other proposed attributes of crisis leadership will better prepare public health leaders to meet the challenges of public health crises.

  15. THE MAN CATEGORY IN PUBLIC POLICIES AND BRAZILIAN LAWS

    Directory of Open Access Journals (Sweden)

    Samantha Alflen Banin

    2016-11-01

    Full Text Available This article discusses the view of man as a gender category in public policies and national laws, especially those focused on violence against women. With this objective, it contextualizes the studies of feminisms and masculinities as theories and epistemology that guide the analysis of 17 official Brazilian documents selected for this study. This analysis seeks to clarify how the gendered man has been understood in various documents over the years. It discusses how the formulation of laws can provide a new accountability approach beyond the punishment of these men. It also investigates the regulation of some of the existing groups of men who have used violence against women in the country. It finalizes claiming the importance of these reflections for the debate on gender and masculinities in pursuit of a more effective system of prevention and eradication of violence against women. It discusses and argues in favor of both changing the way this category is addressed in official documents, and formalizing spaces for reflection for men who have used violence against women.

  16. Determinants of Audit fees by Brazilian Companies Publicly Traded

    Directory of Open Access Journals (Sweden)

    Victor Placeres Borges

    2017-08-01

    Full Text Available The studies on the determinants of audit fees in Brazil became possible with the mandatory disclosure of audit expenses in 2009. Thus, the objective of this research was to identify the determinants of the fees paid by Brazilian publicly traded companies to independent auditors in 2010 to 2014. The analysis took place through regression with data arranged in panel. Size, performance, complexity, audit firm size, adoption of corporate governance practices, audit rotation, industry and litigation risks have all been found to have an impact on the fees. Therefore, the aspects that can be used by companies for the purpose of information management or that require more auditing timefor signaling points of greater risks are highlighted. In addition, understanding the determinants allows companies to plan future expenditures with audit fees and assists regulators and inspectors in defining and comparing key determinants of firms for identifying abnormal payments. These results complement the research in Brazil, Australia, Bangladesh, Norway, Bahrain, England, Jordan, Kuwait, USA, Malaysia, Nigeria, Abu Dhabi, Italy and Indonesia.

  17. Will you give birth in pain? Integrative review of obstetric violence in Brazilian public units

    OpenAIRE

    Martins, Aline de Carvalho; Barros, Geiza Martins

    2016-01-01

    ABSTRACT BACKGROUND AND OBJECTIVES: The study aimed at providing further visibility to discussions about obstetric violence suffered by Brazilian women in public health institutions. CONTENTS: This was an integrative review of the last decade, where 100 articles were evaluated to identify how Obstetric Violence is in Brazilian public health units. CONCLUSION: Identified obstetric violences were: institutional violence, moral violence, physical violence, sexual violence, psychological and v...

  18. Applications of artificial intelligence and expert systems in ANGRA-I emergency preparedness - The Brazilian case

    International Nuclear Information System (INIS)

    Alvarenga, M.A.B.; Guimaraes, A.C.F.

    1991-01-01

    This study describes a system to follow a nuclear accident and points the areas where the presence of artificial intelligence could be necessary: diagnostics systems, emergency classification, accident management strategies and protective actions. Logical rules could be combined with deterministic equations to provide an expert system prototype to manage a nuclear emergency preparedness for nuclear reactors (fast or thermal) in the Brazilian Nuclear Energy National Commission. (CNEN). (author)

  19. Assessing the evolution of publications by Brazilian spine surgeons in the last decade.

    Science.gov (United States)

    Falavigna, Asdrubal; Botelho, Ricardo Vieira; Teles, Alisson Roberto; da Silva, Pedro Guarise; Defino, Helton Luiz Aparecido

    2013-09-01

    To evaluate the scientific contribution of Brazilian Spine Surgeons not only in number of publications but also in their quality between January 2000 to December 2011. A literature search of publications by Brazilian spinal surgeons on topics concerning the spine or spinal cord was performed using an online database; Pubmed.gov. The results were limited to articles published from January 2000 to December 2011. A total of 1,778 articles were identified after a Medline search. After exclusion criteria, the study comprised 206 articles. The quality of the Journals was assessed with IF and the article quality using the Oxford classification. An increasing number of publications by Brazilian spine surgeons was observed in recent years: 45.1 % of those papers were published during the last 4 years (2008-2011). Clinical studies and case reports were the most frequent types of article published (37.5 vs 31.1 %). An increasing number of Brazilian publications in non-Brazilian journals has been observed in recent years (linear-by-linear association: 5.449, P = 0.020). The Arquivos de Neuro-Psiquiatria was the most frequent journal in which the papers were published (N = 67, 32 %). The IF of the publications varied from 0.021 to 8.017. The analysis of quality of the articles using the Oxford classification demonstrated that most of them provided LOE 4 (N = 113, 54.9 %) or 5 (N = 45, 21.8 %). There have been an increasing number of publications by Brazilian spine surgeons in recent years and the quality of the articles published has improved. Also the number of publications by Brazilians in non-Brazilian journals has increased in recent years.

  20. References from Brazilian medical journals in national publications.

    Science.gov (United States)

    Teixeira, Renan Kleber Costa; Botelho, Nara Macedo; Petroianu, Andy

    2013-01-01

    To assess whether there is a preference for international journal citation to the detriment of national ones in ten Brazilian medical journals, in two different periods. All references in the articles published in Arquivos Brasileiros de Oftalmologia, Revista Brasileira de Cirurgia Cardiovascular, Revista da Associação Médica Brasileira, São Paulo Medical Journal, Arquivos Brasileiros de Endocrinologia e Metabologia, Clinics, Jornal Brasileiro de Pneumologia, Revista da Sociedade Brasileira de Medicina Tropical, Revista Brasileira de Psiquiatria e Acta Ortopédica Brasileira in the years 2011 and 2007 were analyzed, assessing the number of articles published in national and international journals. A total of 36,125 references from 1,462 articles published in the 10 aforementioned journals were analyzed. Of the total number, 4.242 (11.74%) were from Brazilian journals. There was no significant difference between the two analyzed periods. A total of 453 (30,98%) of the articles studied non-cited brazilian papers,and 81 (5.54%) articles had more Brazilian than international references. Of total references analyzed, 11.74% were related to articles published in Brazilian journals. This number, when compared to the percentage of Brazilian articles published in the medical area, demonstrates a good number of citations of national articles. Copyright © 2012 Elsevier Editora Ltda. All rights reserved.

  1. Security planning for public health emergencies.

    Science.gov (United States)

    Warren, Bryan

    2015-01-01

    In this article the author identifies the security sensitive areas of a hospital during a public health emergency event, and the need to have processes and plans in place to mitigate the security and traffic related problems that accompany such events. He describes a number of specialized security and safety guidelines and tools that have been designed by and provided to healthcare security professionals free of charge.

  2. Unveiling the Mirror: Afro-Brazilian Identity and the Emergence of the Community School Movement.

    Science.gov (United States)

    Jones de Almeida, Adjoa Florencia

    2003-01-01

    Afro-Brazilian residents of urban favelas (outlying, unincorporated slums) have established community schools in response to lack of public schools. A study of three such community schools in Salvador, Bahia, focused on social justice issues, school efforts to rescue a Black identity denied by Brazil's official "racial democracy"…

  3. Profiling alumni of a Brazilian public dental school.

    Science.gov (United States)

    Nunes, Maria F; Silva, Erica T; Santos, Laura B; Queiroz, Maria G; Leles, Cláudio R

    2010-08-18

    Follow-up studies of former students are an efficient way to organize the entire process of professional training and curriculum evaluation. The aim of this study was to identify professional profile subgroups based on job-related variables in a sample of former students of a Brazilian public dental school. A web-based password-protected questionnaire was sent to 633 registered dentists who graduated from the Federal University of Goias between 1988 and 2007. Job-related information was retrieved from 14 closed questions, on subjects such as gender, occupational routine, training, profits, income status, and self-perception of professional career, generating an automatic database for analysis. The two-step cluster method was used for dividing dentists into groups on the basis of minimal within-group and maximal between-group variation, using job-related variables to represent attributes upon which the clustering was based. There were 322 respondents (50.9%), predominantly female (64.9%) and the mean age was 34 years (SD = 6.0). The automatic selection of an optimal number of clusters included 289 cases (89.8%) in 3 natural clusters. Clusters 1, 2 and 3 included 52.2%, 30.8% and 17.0% of the sample respectively. Interpretation of within-group rank of variable importance for cluster segmentation resulted in the following characterization of clusters: Cluster 1 - specialist dentists with higher profits and positive views of the profession; Cluster 2 - general dental practitioners in small cities; Cluster 3 - underpaid and less motivated dentists with negative views of the profession. Male dentists were predominant in cluster 1 and females in cluster 3. One-way Anova showed that age and time since graduation were significantly lower in Cluster 2 (P solutions with 4 and 5 clusters revealed specific discrimination of Cluster 1 by gender and dental education professionals. Cluster analysis was a valuable method for identifying natural grouping with relatively homogeneous

  4. Profiling alumni of a Brazilian public dental school

    Directory of Open Access Journals (Sweden)

    Nunes Maria F

    2010-08-01

    Full Text Available Abstract Background Follow-up studies of former students are an efficient way to organize the entire process of professional training and curriculum evaluation. The aim of this study was to identify professional profile subgroups based on job-related variables in a sample of former students of a Brazilian public dental school. Methods A web-based password-protected questionnaire was sent to 633 registered dentists who graduated from the Federal University of Goias between 1988 and 2007. Job-related information was retrieved from 14 closed questions, on subjects such as gender, occupational routine, training, profits, income status, and self-perception of professional career, generating an automatic database for analysis. The two-step cluster method was used for dividing dentists into groups on the basis of minimal within-group and maximal between-group variation, using job-related variables to represent attributes upon which the clustering was based. Results There were 322 respondents (50.9%, predominantly female (64.9% and the mean age was 34 years (SD = 6.0. The automatic selection of an optimal number of clusters included 289 cases (89.8% in 3 natural clusters. Clusters 1, 2 and 3 included 52.2%, 30.8% and 17.0% of the sample respectively. Interpretation of within-group rank of variable importance for cluster segmentation resulted in the following characterization of clusters: Cluster 1 - specialist dentists with higher profits and positive views of the profession; Cluster 2 - general dental practitioners in small cities; Cluster 3 - underpaid and less motivated dentists with negative views of the profession. Male dentists were predominant in cluster 1 and females in cluster 3. One-way Anova showed that age and time since graduation were significantly lower in Cluster 2 (P Conclusions Cluster analysis was a valuable method for identifying natural grouping with relatively homogeneous cases, providing potentially meaningful information for

  5. Emergency contraception in a public health emergency: exploring pharmacy availability in Brazil.

    Science.gov (United States)

    Tavares, Marilia P; Foster, Angel M

    2016-08-01

    Dedicated progestin-only emergency contraceptive pills (ECPs) have been available with a prescription in Brazil since 1999. However, utilization of emergency contraception has been limited. We conducted a mystery client study at retail pharmacies in three regions to assess current availability. Using a predetermined client profile, we approached a random sample of chain and independent pharmacies in urban areas in the southeastern, northeastern and central-west regions. We documented product availability, price and the client-pharmacy representative interaction at each site. We analyzed these data with descriptive statistics and for content and themes. We visited 122 pharmacies in early 2016. All but three pharmacies (97.5%) had ECPs in stock at the time of the interaction and offered our client the medication without a prescription. In general, pharmacy representatives did not ask questions or provide our client with information about emergency contraception. When prompted, over one third of the pharmacy representatives (37.7%) inaccurately reported that levonorgestrel ECPs could only be used immediately or within 12, 24 or 48h from the time of intercourse. Despite the current regulatory status, our findings suggest that progestin-only ECPs are widely available without a prescription. Additional efforts to ensure that women have up-to-date and medically accurate information about progestin-only ECPs appear warranted. Our findings suggest that more work needs to be done to align national regulatory policies with international standards and evidence-based practices. The Zika virus epidemic has shined a spotlight on the importance of providing timely access to emergency contraception in Latin America. This public health emergency offers a window of opportunity to advance national policies and practices to ensure that Brazilian women have access to a full range of reproductive health services. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Citations of Brazilian physical therapy journals in national publications.

    Science.gov (United States)

    Teixeira, Renan K C; Yamaki, Vitor N; Botelho, Nara M; Teixeira, Renato C

    2014-01-01

    Quotations in Brazilian journals are mainly obtained from national articles (articles from Brazilian journals); thus, it is essential to determine how frequently these articles reference Brazilian journals. This study sought to verify how frequently national papers are cited in the references of three Brazilian physical therapy journals. All references for articles published in Fisioterapia em Movimento, Fisioterapia e Pesquisa and Revista Brasileira de Fisioterapia between 2010 and 2012 were evaluated. In particular, the numbers of national articles and international articles (articles from international journals) cited in these references were determined. A total of 13,009 references cited by 456 articles were analyzed, and 2,924 (22.47%) of the cited works were national articles. There were no significant differences among the three examined years. A total of 36 (7.89%) articles did not cite national articles, whereas 65 (13.25%) articles cited more national articles than international articles. On average, 22.47% of the works cited by the evaluated articles were national articles. No significant differences were detected among the three analyzed years.

  7. Brazilian Science between National and Foreign Journals: Methodology for Analyzing the Production and Impact in Emerging Scientific Communities.

    Science.gov (United States)

    Strehl, Letícia; Calabró, Luciana; Souza, Diogo Onofre; Amaral, Lívio

    2016-01-01

    In recent decades, we have observed an intensification of science, technology and innovation activities in Brazil. The increase in production of scientific papers indexed in international databases, however, has not been accompanied by an equivalent increase in the impact of publications. This paper presents a methodology for analyzing production and the impact of certain research areas in Brazil related to two aspects: the origin of the journals (national or foreign) and international collaboration. These two variables were selected for being of particular importance in understanding the context of scientific production and communication in countries with emerging economies. The sample consisted of papers written by Brazilian researchers in 19 subfields of knowledge published from 2002 to 2011, totaling 85,082 papers. To calculate the impact, we adopted a normalized indicator called the relative subfield citedness (Rw) using a window of 5 years to obtain measurements evaluated in 2 different years: 2007 and 2012. The data on papers and citations were collected from the Web of Science database. From the results, we note that most of the subfields have presented, from one quinquennium to another, improved performance in the world production rankings. Regarding publication in national and foreign journals, we observed a trend in the distribution maintenance of production of the subfields based on the origin of the journal. Specifically, for impact, we identified a lower Rw pattern for Brazilian papers when they were published in national journals in all subfields. When Brazilian products are published in foreign journals, we observed a higher impact for those papers, even surpassing the average global impact in some subfields. For international collaboration, we analyzed the percentage of participation of foreign researchers and the connection between collaboration and the impact of papers, especially emphasizing the distinction of hyperauthorship papers in terms of

  8. Brazilian Science between National and Foreign Journals: Methodology for Analyzing the Production and Impact in Emerging Scientific Communities

    Science.gov (United States)

    Calabró, Luciana; Souza, Diogo Onofre; Amaral, Lívio

    2016-01-01

    In recent decades, we have observed an intensification of science, technology and innovation activities in Brazil. The increase in production of scientific papers indexed in international databases, however, has not been accompanied by an equivalent increase in the impact of publications. This paper presents a methodology for analyzing production and the impact of certain research areas in Brazil related to two aspects: the origin of the journals (national or foreign) and international collaboration. These two variables were selected for being of particular importance in understanding the context of scientific production and communication in countries with emerging economies. The sample consisted of papers written by Brazilian researchers in 19 subfields of knowledge published from 2002 to 2011, totaling 85,082 papers. To calculate the impact, we adopted a normalized indicator called the relative subfield citedness (Rw) using a window of 5 years to obtain measurements evaluated in 2 different years: 2007 and 2012. The data on papers and citations were collected from the Web of Science database. From the results, we note that most of the subfields have presented, from one quinquennium to another, improved performance in the world production rankings. Regarding publication in national and foreign journals, we observed a trend in the distribution maintenance of production of the subfields based on the origin of the journal. Specifically, for impact, we identified a lower Rw pattern for Brazilian papers when they were published in national journals in all subfields. When Brazilian products are published in foreign journals, we observed a higher impact for those papers, even surpassing the average global impact in some subfields. For international collaboration, we analyzed the percentage of participation of foreign researchers and the connection between collaboration and the impact of papers, especially emphasizing the distinction of hyperauthorship papers in terms of

  9. Emergence of cooperation in public goods games.

    Science.gov (United States)

    Kurokawa, Shun; Ihara, Yasuo

    2009-04-07

    Evolution of cooperation has been a major issue in evolutionary biology. Cooperation is observed not only in dyadic interactions, but also in social interactions involving more than two individuals. It has been argued that direct reciprocity cannot explain the emergence of cooperation in large groups because the basin of attraction for the 'cooperative' equilibrium state shrinks rapidly as the group size increases. However, this argument is based on the analysis of models that consider the deterministic process. More recently, stochastic models of two-player games have been developed and the conditions for natural selection to favour the emergence of cooperation in finite populations have been specified. These conditions have been given as a mathematically simple expression, which is called the one-third law. In this paper, we investigate a stochastic model of n-player games and show that natural selection can favour a reciprocator replacing a population of defectors in the n-player repeated Prisoner's Dilemma game. We also derive a generalized version of the one-third law (the {2/[n(n+1)]}1/(n-1) law). Additionally, contrary to previous studies, the model suggests that the evolution of cooperation in public goods game can be facilitated by larger group size under certain conditions.

  10. Accelerated Internationalization in Emerging Markets: Empirical Evidence from Brazilian Technology-Based Firms

    Directory of Open Access Journals (Sweden)

    Fernanda Ferreira Ribeiro

    2014-04-01

    Full Text Available This paper offers an analysis into the external factors influencing the accelerated internationalization of technology-based firms (TBFs in the context of an emerging country, Brazil. This type of firm is typically called born global and has been reported mainly in high technology sectors and from developed countries. A survey was applied to small and medium Brazilian TBFs. Logistic regression was used to test the research hypotheses. The results suggest that new and small Brazilian technology-based firms, which followed an accelerated internationalization process, are most likely to be integrated into a global production chain. Results also show that TBFs which take more than five years to enter the international market, benefit more from the location in an innovation habitat, the partnerships in the home country, and the pro-internationalization government policies. Therefore, this research contributes to a better understanding of the phenomenon and points to new perspectives of studies.

  11. Clinical investigations for SUS, the Brazilian public health system.

    Science.gov (United States)

    Paula, Ana Patrícia de; Giozza, Silvana Pereira; Pereira, Michelle Zanon; Boaventura, Patrícia Souza; Santos, Leonor Maria Pacheco; Sachetti, Camile Giaretta; Tamayo, César Omar Carranza; Kowalski, Clarissa Campos Guaragna; Elias, Flavia Tavares Silva; Serruya, Suzanne Jacob; Guimarães, Reinaldo

    2012-01-01

    Scientific and technological development is crucial for advancing the Brazilian health system and for promoting quality of life. The way in which the Brazilian Ministry of Health has supported clinical research to provide autonomy, self-sufficiency, competitiveness and innovation for the healthcare industrial production complex, in accordance with the National Policy on Science, Technology and Innovation in Healthcare, was analyzed. Descriptive investigation, based on secondary data, conducted at the Department of Science and Technology, Ministry of Health. The Ministry of Health's research management database, PesquisaSaúde, was analyzed from 2002 to 2009, using the key word "clinical research" in the fields "primary sub-agenda" or "secondary sub-agenda". The 368 projects retrieved were sorted into six categories: basic biomedical research, preclinical studies, expanded clinical research, clinical trials, infrastructure support and health technology assessment. From a structured review on "clinical research funding", results from selected countries are presented and discussed. The amount invested was R$ 140 million. The largest number of projects supported "basic biomedical research", while the highest amounts invested were in "clinical trials" and "infrastructure support". The southeastern region had the greatest proportion of projects and financial resources. In some respects, Brazil is ahead of other BRICS countries (Russia, India, China and South Africa), especially with regard to establishing a National Clinical Research Network. The Ministry of Health ensured investments to encourage clinical research in Brazil and contributed towards promoting cohesion between investigators, health policies and the healthcare industrial production complex.

  12. From Non-Cultural to Intercultural Principles: A Proposal for English Classes in Brazilian Public Schools

    Science.gov (United States)

    Mota Pereira, Fernanda

    2016-01-01

    This article focuses on English language teaching in Brazilian public schools, based on experiences in primary and secondary education, as well as in Teaching Practicum courses at a university. Through these experiences, the article critiques the overemphasis on grammar and the lack of an intercultural approach. The author engages the reader with…

  13. [Publications on pain and nursing diagnosis in a Brazilian database].

    Science.gov (United States)

    Batista, Deyse Conceição Santoro; da Cruz, Diná de Almeida Lopes Monteiro; Pimenta, Cibele Andrucioli de Mattos

    2008-09-01

    The practical utilization of nursing diagnostics and interventions during professional practice and the analysis of the scientific production on diagnosis can help outline published knowledge. The objective of this study was to identify references related to the diagnosis of pain by nurses in a Brazilian nursing database (BDEnf). A systematic literature survey was carried out by electronic search, using the combination of the words "pain" and "nursing diagnosis". A total number of 21 references were found until December, 2006. Eighteen references were included in the study. In 12 studies, pain was one of the diagnoses found in articles that aimed making diagnosis in different populations. It was concluded that the studies included in that nursing database show that pain diagnosis by nurses has become a trend in the nurses' clinical practice.

  14. Clinical investigations for SUS, the Brazilian public health system

    Directory of Open Access Journals (Sweden)

    Ana Patrícia de Paula

    Full Text Available CONTEXT AND OBJECTIVE: Scientific and technological development is crucial for advancing the Brazilian health system and for promoting quality of life. The way in which the Brazilian Ministry of Health has supported clinical research to provide autonomy, self-sufficiency, competitiveness and innovation for the healthcare industrial production complex, in accordance with the National Policy on Science, Technology and Innovation in Healthcare, was analyzed. DESIGN AND SETTING: Descriptive investigation, based on secondary data, conducted at the Department of Science and Technology, Ministry of Health. METHODS: The Ministry of Health's research management database, PesquisaSaúde, was analyzed from 2002 to 2009, using the key word "clinical research" in the fields "primary sub-agenda" or "secondary sub-agenda". The 368 projects retrieved were sorted into six categories: basic biomedical research, preclinical studies, expanded clinical research, clinical trials, infrastructure support and health technology assessment. From a structured review on "clinical research funding", results from selected countries are presented and discussed. RESULTS: The amount invested was R$ 140 million. The largest number of projects supported "basic biomedical research", while the highest amounts invested were in "clinical trials" and "infrastructure support". The southeastern region had the greatest proportion of projects and financial resources. In some respects, Brazil is ahead of other BRICS countries (Russia, India, China and South Africa, especially with regard to establishing a National Clinical Research Network. CONCLUSION: The Ministry of Health ensured investments to encourage clinical research in Brazil and contributed towards promoting cohesion between investigators, health policies and the healthcare industrial production complex.

  15. Configurations of power relations in the Brazilian emergency care system: analyzing a context of visible practices.

    Science.gov (United States)

    Velloso, Isabela; Ceci, Christine; Alves, Marilia

    2013-09-01

    In this paper, we make explicit the changing configurations of power relations that currently characterize the Brazilian Emergency Care System (SAMU) team in Belo Horizonte, Brazil. The SAMU is a recent innovation in Brazilian healthcare service delivery. A qualitative case study methodology was used to explore SAMU's current organizational arrangements, specifically the power relations that have developed and that demonstrate internal team struggles over space and defense of particular occupational interests. The argument advanced in this paper is that these professionals are developing their work in conditions of exposure, that is, they are always being observed by someone, and that such observational exposure provides the conditions whereby everyday emergency care practices are enacted such that practice is shaped by, as well as shapes, particular, yet recognizable power relationships. Data were collected through the observation of the SAMU's work processes and through semi-structured interviews. Research materials were analyzed using discourse analysis. In the emergency care process of work, visibility is actually embedded in the disciplinary context and can thus be analyzed as a technique applied to produce disciplined individuals through the simple mechanisms elaborated by Foucault such as hierarchical surveillance, normalizing judgment, and the examination. © 2012 John Wiley & Sons Ltd.

  16. The influence of Goiania radiological accident on Brazilian public opinion concerning new nuclear electric plants

    International Nuclear Information System (INIS)

    Meldonian, Nelson Leon; Mattos, Luis Antonio Terribile de

    1997-01-01

    The Brazilian society is against applications of nuclear energy, mainly respecting to construction of new nuclear power plants, believing that they are harmful to population's welfare and the environment. By this reason, Brazilian nuclear sector would promote a more intensive program of public discussion, not limited to technical and scientific community. Intending to contribute to a better judgment by society about the differences between diverse employment of nuclear energy, arguments concerned to its benefits are presented, pointing out that adverse accounts to nuclear electricity based on Goiania radiological accident, are not justified

  17. Making tenofovir accessible in the brazilian public health system: patent conflicts and generic production.

    Science.gov (United States)

    Veras, Juliana

    2014-08-01

    In May 2011, the Brazilian Ministry of Health announced the distribution of the first batch of locally produced generic tenofovir disoproxil fumarate (TDF) to support its program of universal and free access for the treatment of HIV/AIDS. The inclusion of TDF in the public health program illustrates what has been considered the 'Brazilian model' of HIV/AIDS response, as it illustrates the current phase of the Brazilian pharmaceutical economy. Brazil is known for having managed to control the expansion of HIV/AIDS through a unique initiative combining the public health and the industrial production of generics. But, if at first local manufacturers could freely copy ARVs and produce cheaper generic versions that were delivered to the Ministry of Health, since the country started to grant patents on drugs in 1996, the sustainability of this policy has been challenged by the high cost of patented second-line HIV/AIDS treatments. In order to assure continuity of the local production of ARVs, and keep the program of public health alive, Brazilians are now forced to deal with conflicts of drugs' intellectual property rights in order to open the path to generic production. This article aims to describe the experiences surrounding TDF in Brazil and the unprecedented conflicts and challenges it has brought for our different interviewees. Blurring the frontier between the public and the private, the TDF case was driven at the same time by an ethic of drug access and regulation of drug quality, which has inspired Brazilians to intervene and transform the world they live in. © 2014 John Wiley & Sons Ltd.

  18. Transparency during public health emergencies: from rhetoric to reality

    Science.gov (United States)

    O’Malley, P; Thompson, A

    2009-01-01

    Abstract Effective management of public health emergencies demands open and transparent public communication. The rationale for transparency has public health, strategic and ethical dimensions. Despite this, government authorities often fail to demonstrate transparency. A key step in bridging the gap between the rhetoric and reality is to define and codify transparency to put in place practical mechanisms to encourage open public health communication for emergencies. The authors demonstrate this approach using the example of the development and implementation process of a public health emergency information policy. PMID:19705012

  19. Analysis of the Methods and Research Topics in a Sample of the Brazilian Distance Education Publications, 1992 to 2007

    Science.gov (United States)

    de Oliveira Neto, Jose Dutra; dos Santos, Elaine Maria

    2010-01-01

    The objective of this study was to identify the methodological approaches employed in a sample of Brazilian distance education scientific literature and compare with similar publications in the United States. Brazilian sample articles (N = 983) published in several journals and meetings were compared with a sample of articles published in…

  20. COMPARATIVE ANALYSIS OF FIVE BRAZILIAN FEDERAL UNIVERSITIES: RELATION BETWEEN BUDGETS, PUBLIC SERVANTS AND STUDENTS

    Directory of Open Access Journals (Sweden)

    Julio Eduardo Ornelas Silva

    2016-11-01

    Full Text Available The main objective of this study was to point relation between quantitative of public servants, students and budget of Brazilian federal universities, through document analysis of management reports of Annual Budget Law and Plan of Institutional Development. Were select one university of each Brazilian region considering at the biggest budget. Although of use of quantitative data, this study was classified as qualitative, because does not have a propose to realize statistical calculations, but interpretative analysis with support of numerical data. The results shows there was not direct relation between quantitative of public servants, students and budget of Brazilian federal universities, because all the universities that was analysed, only one demonstrated nonstandard datas. Only two varieties, quantitative of students and budget of Brazilian universities have relation if separately analysed. It is noted of personnel budget is  the most large representation on budgets, bearing in mind the people are the main agent on the higher education, structuring the universities to have an organ relevant for the management people.

  1. APPLICATION OF VSM IN A PUBLIC BRAZILIAN HOSPITAL

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    Guilherme Luz Tortorella

    2015-12-01

    Full Text Available During the last decade, there has been a demand for public services to enhance management practices and attain results comparable to those experienced in the private sector. The need for achieving higher quality standards in public services has highlighted the importance of exploring new management techniques to account for the obsolescence in those organizations’ administrative models, with particular emphasis on healthcare services. This paper reports the application of one such new management technique, named Value Stream Mapping (VSM, in the sterilized unit of a public healthcare organization. We present here the benefits of analyzing healthcare processes using VSM, contributing to the existing body of knowledge on Lean management by examining the validity of applying its principles and practices in contexts other than manufacturing.

  2. Emerging arboviruses and public health challenges in Brazil.

    Science.gov (United States)

    Lima-Camara, Tamara Nunes

    2016-06-27

    Environmental modification by anthropogenic actions, disordered urban growth, globalization of international exchange and climate change are some factors that help the emergence and dissemination of human infectious diseases transmitted by vectors. This review discusses the recent entry of three arboviruses in Brazil: Chikungunya, West Nile, and Zika virus, focusing on the challenges for the Country's public health. The Brazilian population is exposed to infections caused by these three arboviruses widely distributed on the national territory and associated with humans. Without effective vaccine and specific treatment, the maintainance and integration of a continuos entomological and epidemiological surveillance are important so we can set methods to control and prevent these arboviruses in the Country. RESUMO A modificação do ambiente por ações antrópicas, o crescimento urbano desordenado, o processo de globalização do intercâmbio internacional e as mudanças climáticas são alguns fatores que vêm facilitando a emergência e disseminação de doenças infecciosas humanas transmitidas por vetores. Este comentário aborda a recente entrada de três arbovírus no Brasil, Chikungunya (CHIKV), West Nile (WNV) e Zika (ZIKV), com enfoque nos desafios para a Saúde Pública do País. Transmitidos por mosquitos vetores amplamente distribuídos no território nacional e associados ao homem, a população brasileira encontra-se exposta à infecção por esses três arbovírus. Na ausência de vacina eficaz e tratamento específico, são importantes a manutenção e integração de uma vigilância entomológica e epidemiológica contínua, a fim de direcionarmos métodos de controle e prevenção contra essas arboviroses no País.

  3. Occupational Health and Safety in Aquaculture: Insights on Brazilian Public Policies.

    Science.gov (United States)

    de Oliveira, Pedro Keller; Cavalli, Richard Souto; Kunert Filho, Hiran Castagnino; Carvalho, Daiane; Benedetti, Nadine; Rotta, Marco Aurélio; Peixoto Ramos, Augusto Sávio; de Brito, Kelly Cristina Tagliari; de Brito, Benito Guimarães; da Rocha, Andréa Ferretto; Stech, Marcia Regina; Cavalli, Lissandra Souto

    2017-01-01

    Aquaculture has many occupational hazards, including those that are physical, chemical, biological, ergonomic, and mechanical. The risks in aquaculture are inherent, as this activity requires particular practices. The objective of the present study was to show the risks associated with the aquaculture sector and present a critical overview on the Brazilian public policies concerning aquaculture occupational health. Methods include online research involved web searches and electronic databases including Pubmed, Google Scholar, Scielo and government databases. We conducted a careful revision of Brazilian labor laws related to occupational health and safety, rural workers, and aquaculture. The results and conclusion support the idea that aquaculture requires specific and well-established industry programs and policies, especially in developing countries. Aquaculture still lacks scientific research, strategies, laws, and public policies to boost the sector with regard to occupational health and safety. The establishment of a safe workplace in aquaculture in developing countries remains a challenge for all involved in employer-employee relationships.

  4. The prevalence of developmental dyscalculia in Brazilian public school system

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    José Alexandre Bastos

    2016-03-01

    Full Text Available ABSTRACT The goal of the study was to assess public school children at the end of the first stage of elementary school. We used a protocol applied concurrently with a writing test in the form of an unexpected activity in 28 public schools; 2,893 children assessed, 687 exhibited performance below 58 points, 184 were excluded due to change of address or lack of consent; 503 children subjected to a test of intellectual capacity and reading assessment and 71 considered intellectually disabled were excluded. 226 (7.8% children, who could read, write, and had normal intellectual level, met the criteria of developmental dyscalculia (DD, 98 female and 128 male. The most influential factors in the prevalence were socioeconomic levels of the schools neighborhood, education level of parents, and being male, as demonstrated by the odds ratio and multiple logistic regression analysis. Further studies should be done so that educational policies are taken.

  5. Oral Care during Pregnancy: Attitudes of Brazilian Public Health Professionals

    OpenAIRE

    Alves, Renata Toledo; Ribeiro, Rosangela Almeida; Costa, Luciane Rezende; Leles, Claudio Rodrigues; Freire, Maria do Carmo Matias; Paiva, Saul Martins

    2012-01-01

    There is little information about health professionals’ behavior regarding oral health care during pregnancy. We evaluated attitudes of obstetricians/gynecologists, nurses, and dentists working at a public community service towards pregnant women’s oral health. Health professionals responded to a self-applied questionnaire. Cluster analysis identified two clusters of respondents; Chi-square, Student’s t test, and logistic regression were used to compare the two clusters in terms of the indepe...

  6. Epidemiology of strabismus surgery in a public hospital of the Brazilian Federal District

    OpenAIRE

    Rohr, Juliana Tessari Dias; Isaac, Cassiano Rodrigues; Correia, Cristiano dos Santos

    2017-01-01

    Abstract Purpose: to determine the prevalence of different types of strabismus submitted to a surgical procedure in a public hospital in the Brazilian Federal District. Methods: Retrospective cross-sectional review of medical records of patients who underwent strabismus surgery performed by the same surgeon from 2004 to 2014. Incomplete records were excluded from the study. Variables included sex, age, type of strabismus, type of surgery, and re-surgeries. Strabismus was classified into thr...

  7. Overcoming Barriers to Frugal Innovation: Emerging Opportunities for Finnish SMEs in Brazilian Markets

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    Mirva Hyypiä

    2018-04-01

    Full Text Available Frugal innovation has become a popular concept, in academia but also in industry at large. Although there has been a great deal of discussion about the relevance of frugal innovation to the developed world, the notion’s full acceptance within small and medium-sized enterprises (SMEs still seems far in the distance. The opportunities and barriers seen with practical implementation of frugal innovation during the development processes have received little attention. This article considers these opportunities and barriers in the context of Finnish SMEs, providing insight specifically into the approaches these companies take in Brazilian markets. Qualitative data were drawn from a case study forming part of an extensive action research-based development project called SCALA, aimed at creating suitable and scalable mobile learning services for global markets. The concepts of frugal innovation and proceeding from user needs – essential parts of the development processes – are examined by observing three Finnish SMEs and their top managers, with particular focus on their interaction with Brazilian partners. Development sessions and meetings shed light on how the companies perceived and responded to testing their products/services with six individual schools in Brazil. Although frugal innovation is seen as essential for guaranteeing long-term competitiveness of Finnish SMEs – and access to rapidly growing, unsaturated emerging markets such as Brazil can be a step in the right direction – our study highlights numerous barriers and ways to overcome them in the real-world implementation of frugality in SMEs’ development processes.

  8. Security in Brazilian Universities: Compared Prospects of Public Institutions

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    Christiane de Holanda Camilo

    2016-12-01

    Full Text Available This article is a presentation of preliminary results of the data collected in the "Research Project Violence, Conflict and Crime: Subsidies for the Formulation of UFG Security Policy" held between 2014-2015. The objective is to analyze policies to prevent violence in universities. The methodology used was an exploratory and documental research and are based public information available on institutional websites. The five universities surveyed were: UFSC, USP, UFMT, UFMG and UNILA. The results allowed certain approximation and divergence on the concepts of security on campuses, as the statistical record and the presence of military police at the university.

  9. 21 CFR 25.16 - Public health and safety emergencies.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Public health and safety emergencies. 25.16... ENVIRONMENTAL IMPACT CONSIDERATIONS Agency Actions Requiring Environmental Consideration § 25.16 Public health... importance to the public health or safety, may make full adherence to the procedural provisions of NEPA and...

  10. Public Value Mapping of Equity in Emerging Nanomedicine

    Science.gov (United States)

    Slade, Catherine P.

    2011-01-01

    Public values failure occurs when the market and the public sector fail to provide goods and services required to achieve the core values of society such as equity (Bozeman 2007). That public policy for emerging health technologies should address intrinsic societal values such as equity is not a novel concept. However, the ways that the public…

  11. Manual on public health action in radiation emergencies

    International Nuclear Information System (INIS)

    1994-01-01

    Over the years, the World Health Organization (WHO) has issued a series of reports and publications providing guidance on the public health aspects of nuclear power production, in line with target 11 of the European policy for health for all, which calls for the reduction of injury, disability and death from accidents. Immediately after the nuclear accident at Chernobyl in April 1986, the WHO Regional Office for Europe established an emergency operation to provide technical cooperation and communication links with Member States. A special project on the public health dimensions of radiation emergencies was subsequently established, which included a series of activities related both directly to the Chernobyl accident and to emergency planning for future accidents. This manual brings together the experience gained in the special project to improve the planning for and response to emergencies. It has been prepared to meet public health needs arising from all types of major radiation emergency in the European Region. The manual describes the guiding principles and advises on the practical application of measures to protect and inform the public in a radiation emergency. It is hoped that the manual will promote close interaction between the WHO Member States in this field. The advice given in earlier WHO publications on radiation emergencies has been examined and revised in the light of recent experience

  12. Work conditions and occupational health of dentists in Brazilian Public Health System

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    Suzely Adas Saliba Moimaz

    2014-03-01

    Full Text Available Introduction: work healthy conditions are essential for a great professional performance. Objective: To verify the perception of dentists regarding structural and healthy conditions of dental offices in the Brazilian Public Health System (SUS and their satisfaction with work and public job. Material and Method: In this cross-sectional study, type inquiry, 24 Brazilian dentists were interviewed. The follow variables were asked: cleaning and asepsis; maintenance and time of use of dental equipment; satisfaction with work and public job. Results: The professionals were "satisfied" or "very satisfied" with cleaning and asepsis (66.67%; Dental equipment (54.17%, reflectors (54.17% and the dental chairs (54.17% had more than 24 years of use; 20% of all professionals said that the equipment had maintenance but only to fix them. Of total, 58.33% had already given no attendance for patients and broken equipment was the most frequent cause (92.86%. It was observed satisfaction with work (79.1% and public job (95.83%. It was concluded that dentists who worked in SUS were satisfied with public job, although they had said the need for improvement on structural and healthy work conditions.

  13. The public transportation system security and emergency preparedness planning guide

    Science.gov (United States)

    2003-01-01

    Recent events have focused renewed attention on the vulnerability of the nation's critical infrastructure to major events, including terrorism. The Public Transportation System Security and Emergency Preparedness Planning Guide has been prepared to s...

  14. Material and human resources for neonatal resuscitation in public maternity hospitals in Brazilian state capitals

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    Maria Fernanda Branco de Almeida

    Full Text Available CONTEXT AND OBJECTIVE: In 2002, the early neonatal mortality rate in Brazil was 12.42 per thousand live births. Perinatal asphyxia was the greatest cause of neonatal death (about 23%. This study aimed to evaluate the availability of the resources required for neonatal resuscitation in delivery rooms of public hospitals in Brazilian state capitals. DESIGN AND SETTING: Multicenter cross-sectional study involving 36 hospitals in 20 Brazilian state capitals in June 2003. METHODS: Each Brazilian region was represented by 1-4% of its live births. A local coordinator collected data regarding physical infrastructure, supplies and professionals available for neonatal resuscitation in the delivery room. The information was analyzed using the Statistical Package for the Social Sciences, version 10. RESULTS: Among the 36 hospitals, 89% were referral centers for high-risk pregnancies. Each institution had a monthly mean of 365 live births (3% < 1,500 g and 15% < 2,500 g. The 36 hospitals had 125 resuscitation tables (3-4 per hospital, all with overhead radiant heat, oxygen and vacuum sources. Appropriate equipment for pulmonary ventilation was available for more than 90% of the 125 resuscitation tables. On average, one pediatrician, three nurses and five nursing assistants per shift worked in the delivery rooms of each institution. Out of the 874 pediatricians and 1,037 nursing personnel that worked in the delivery rooms of the 36 hospitals, 94% and 22%, respectively, were trained in neonatal resuscitation. CONCLUSIONS: The main public maternity hospitals in Brazilian state capitals have the resources to resuscitate neonates at birth.

  15. Media and public relation. Part of emergency planning

    International Nuclear Information System (INIS)

    Jurkovic, I.A.; Debrecin, N.; Feretic, D.; Skanata, D.

    2000-01-01

    In the event of an emergency, media relation should be considered as one of the most important functions in emergency management. Individuals should be trained to be able to provide factual information to the media and the citizens during nuclear emergencies. Media can be also acquainted with the scope, ways and means of providing information related to nuclear emergencies during the predefined and regular media training or workshops, or as a part of regular training routine of involved organizations and institutions. This paper is through various approaches trying to present one of the possible ways that media and public relation can be treated during the emergencies and inside the developed emergency plans and procedures. It also represents an idea, based on the authors' experience, on a way in which things can be organized in the Croatian Technical Support Center when it comes to the media/public relation issue. (author)

  16. Ebola disease: an international public health emergency

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    Saurabh RamBihariLal Shrivastava

    2015-04-01

    Full Text Available Ebola virus disease (EVD, previously known as Ebola hemorrhagic fever, is a severe illness caused by Ebola filovirus, and is often fatal if left untreated. The first case of the current EVD was diagnosed in Guinea in March 2014, and since then it has spread to Sierra Leone, Liberia, Nigeria, and Senegal. The current review has been performed with an objective to explore the magnitude of the current Ebola virus epidemic and identify the multiple determinants that have resulted in the exponential growth of the epidemic. An extensive search of all materials related to the topic was done for almost two months (August-October in Pubmed, Medline, World Health Organization website and Google Scholar search engines. Relevant documents, reports, recommendations, guidelines and research articles focusing on the different aspects of Ebola virus and its current outbreak, published in the period 2002-2014 were included in the review. Keywords used in the search include Ebola virus, Ebola virus disease, Ebola hemorrhagic fever, Ebola vaccine, and Ebola treatment. The current EVD epidemic has turned out to be extensive, severe, and uncontrollable because of a delayed response and ineffective public health care delivery system. In fact, multiple challenges have also been identified and thus a range of interventions have been proposed to control the epidemic. In conclusion, the 2014 epidemic of EVD has shown to the world that in absence of a strong public health care delivery system even a rare disease can risk the lives of millions of people. The crux of this epidemic is that a large scale and coordinated international response is the need of the hour to support affected and at-risk nations in intensifying their response activities and strengthening of national capacities.

  17. One Health Perspectives on Emerging Public Health Threats

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    Sukhyun Ryu

    2017-11-01

    Full Text Available Antimicrobial resistance and emerging infectious diseases, including avian influenza, Ebola virus disease, and Zika virus disease have significantly affected humankind in recent years. In the premodern era, no distinction was made between animal and human medicine. However, as medical science developed, the gap between human and animal science grew deeper. Cooperation among human, animal, and environmental sciences to combat emerging public health threats has become an important issue under the One Health Initiative. Herein, we presented the history of One Health, reviewed current public health threats, and suggested opportunities for the field of public health through better understanding of the One Health paradigm.

  18. The underpricing of Brazilian IPOs and the adjustment to public and private information

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    Ricardo R.G. Avelino

    2013-03-01

    Full Text Available This paper examines the underwriters' treatment of information throughout the IPO pricing process based on a sample of Brazilian companies that went public between 2004 and 2011. There is evidence that the offer price partially incorporates the information contained into the Bovespa index during the book-building period, reacting symmetrically to upward and downward movements. The first-day return, as a result, is predictable on the basis of this information. Positive private information disclosed during the book-building period is also partially incorporated into the offer price. Issues priced above the midpoint of the initial price range are associated with higher initial returns.

  19. Gender and Public Understanding of Science: Darwinism in the 19th Century Brazilian Press

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    Moema de Rezende Vergara

    2007-05-01

    Full Text Available In the recent works about Brazilian public understanding of science, gender has been poorly used as an analytical category. This paper has as its main goal to bridge this gap by analyzing a section called ‘Letters for a Lady‘, in the journal O Vulgarizador that sought to teach all about Darwinism to women in the Brazil of the 19th century. So the notion of gender will help us understand the tension between masculinity and femininity in the text written by the literary critic Rangel S. Paio.

  20. School, a Place of Disrespect: Intolerance Against African Religions in Brazilian Public Schools

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    Thula Rafaela de Oliveira Pires

    2016-06-01

    Full Text Available Schools have been a privileged place of violence for blacks in Brazil. Starting from the contingent treatment of religious freedom, this article aims to denounce the perverse relationship between religious intolerance and racism, and how it has impacted the routine of children and adolescents in public schools in Brazil. The analysis of the systematization of the normative framework against religious discrimination in schools intends to reaffirm the commitment of Brazilian democracy with freedom and an education oriented towards respect, autonomy and emancipation.

  1. PERCEPTION OF HEALTH´S STUDENTS ABOUT THE BRAZILIAN PUBLIC HEALTH SYSTEM

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    Pâmela Billig Mello-Carpes

    2012-05-01

    Full Text Available The aim of this study was to investigate the perceptions of health’s students of University of Cruz Alta - RS about the Brazilian Health Public System (SUS. The sample consisted of one hundred and sixteen students, most between 18 and 20 years (53% who answered a questionnaire with open and closed questions. Among the main results we verified that: 60.8% of students do not have private health plan, being dependent of SUS, the majority (87.9% identified the SUS as a set of actions and free health services, but other students do confusion between SUS and the brazilian social security system, 27.1% see the SUS as a system focused on lowincome people, 95.2% had never attended a meeting of the Municipal Council Health and 44% believe that those who exercise SUS’s social control is the government. We verified realized difficulty that students have to define and insert into your professional practice important concepts of public health; we verify, thus, the importance of implementation of public policies that involve higher education institutions and enable the transformation of these ideas.

  2. Prevalence of substance use among trauma patients treated in a Brazilian emergency room

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    Reis Alessandra Diehl

    2006-01-01

    Full Text Available OBJECTIVE: Although there is a considerable amount of data in the literature regarding the association between alcohol consumption and injuries treated in emergency rooms, little is known about the relationship between such injury and the use of other substances. The objective of this study was to estimate the prevalence of substance use in patients admitted to the emergency room for non-fatal injuries. METHOD: A prospective cross-sectional study assessing all patients admitted to the emergency room within 6 hours after a non-fatal injury was conducted over a three-month period. The following were used as measures of alcohol and drug use: a standardized World Health Organization questionnaire; a self-administered questionnaire related to drug consumption within the 24 hours preceding contact; the Drug Abuse Screening Test; urine screens for cannabis, cocaine and benzodiazepines; and determination of blood alcohol concentration. Descriptive analyses were performed and the confidence interval used was 95%. RESULTS: A total of 353 patients were included. Cannabis and cocaine screens were conducted for 242 patients and benzodiazepine screens were conducted for 166. Blood alcohol concentrations reached the level of positivity in 11% (n = 39, and 10% (n = 33 presented some degree of intoxication. Among the 242 patients screened, 13.6% (n = 33 tested positive for cannabis, and 3.3% (n = 8 tested positive for cocaine, whereas 4.2% (n = 7 of the 166 patients screened tested positive for benzodiazepines. CONCLUSIONS: Substance use was highly prevalent among these individuals. In this sample, the frequency for the use of cannabis (an illicit drug was comparable to that of alcohol. More studies are needed in order to characterize such use among Brazilians and to develop proper approaches to such cases, with the aim of reducing substance use and its consequences.

  3. External control of the public water supply in 29 Brazilian cities

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    Suzely Adas Saliba Moimaz

    2012-02-01

    Full Text Available The fluoridation of public water supplies is considered the most efficient public health measure for dental caries prevention. However, fluoride levels in the public water supply must be kept constant and adequate for the population to gain preventive benefit. The aim of this study was to analyze fluoride levels in the public water supply of 29 Brazilian municipalities during a 48-month period from November 2004 to October 2008. Three collection sites were defined for each source of municipal public water supply. Water samples were collected monthly and analyzed at the Research Laboratory of the Nucleus for Public Health (NEPESCO, Public Health Postgraduate Program, Araçatuba Dental School (UNESP. Of the 6862 samples analyzed, the fluoride levels of 53.5% (n = 3671 were within the recommended parameters, those of 30.4% (n = 2084 were below these parameters, and those of 16.1% (n = 1107 were above recommended values. Samples from the same collection site showed temporal variability in fluoride levels. Variation was also observed among samples from collection sites with different sources within the same municipality. Although 53.5% of the samples contained the recommended fluoride levels, these findings reinforce the importance of monitoring to minimize the risk of dental fluorosis and to achieve the maximum benefit in the prevention of dental caries.

  4. Attitudes and Perceptions of the Brazilian Public Health System by Transgender Individuals

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    Kátia Bones Rocha

    2009-05-01

    Full Text Available This study aims to describe how transgender people perceive services offered by the Brazilian Public Health System (SUS. This qualitative study, using the phenomenological technique, is based on eight semi-structured interviews conducted with individuals whose gender identity and/or gender expression differs from the sex they were assigned at birth. Each interview was evaluated by two interviewers and a content analysis performed by all members of the research group. The analysis identified the following categories as having high relevance to the participants’ experiences: homophobia, receptiveness, and humanization, access to health care, and suggestions to improve the SUS. Information shared by participants emphasized their belief that health care professionals are not adequately prepared to assist transgendered individuals and that health care providers should use a more sensitive approach towards them. A recurrent theme was the need to use appropriate and socially acceptable terminology when providing health care services in order to facilitate transgendered individuals' inclusive treatment. Despite the effort of Brazilian authorities, there is a need for significant improvement in health care practices in order to comply with SUS quality standards. This study highlights the importance of qualitative investigations to improve planning and to help define public health policies with the goal of including the most vulnerable and marginalized groups of the population. URN: urn:nbn:de:0114-fqs0902281

  5. Financial statement in the Brazilian public sector: The perception of the professionals that prepare that information.

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    João Eudes de Souza Calado

    2016-12-01

    Full Text Available The objective of this paper is to identify the perception of the developers of the financial statements of public sector in respect to their difficulties in producing and disseminating such information, after the convergence of Brazil to the international standards IPSAS. Our methodological approach used multivariate descriptive techniques. Data was obtained through a survey, applied to professionals involved in the process of preparing the financial statement in the Brazilian public sector. The sample had 69 respondents, which corresponds to the perception of 85% of states and 46% of Brazilian cities. Data analysis was conducted using exploratory factor analysis. Results indicated that two perceptions of difficulties stood out: 1 the relevance of the information - its quality was not considered as being able to guide the internal user (decision-making or external user; 2 and the process of adaptation to the new standards - relationship between time and cost for adaptation. They also indicated the predominant focus on the Budget and the low adhesion to the Cash Flow Statement.

  6. Implementation of a trauma registry in a brazilian public hospital: the first 1,000 patients

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    Paulo Roberto Lima Carreiro

    Full Text Available OBJECTIVE: Show the steps of a Trauma Registry (TR implementation in a Brazilian public hospital and evaluate the initial data from the database.METHODS: Descriptive study of the a TR implementation in João XXIII Hospital (Hospital Foundation of the state of Minas Gerais and analysis of the initial results of the first 1,000 patients.RESULTS: The project was initiated in 2011 and from January 2013 we began collecting data for the TR. In January 2014 the registration of the first 1000 patients was completed. The greatest difficulties in the TR implementation were obtaining funds to finance the project and the lack of information within the medical records. The variables with the lowest completion percentage on the physiological conditions were: pulse, blood pressure, respiratory rate and Glasgow coma scale. Consequently, the Revised Trauma Score (RTS could be calculated in only 31% of cases and the TRISS methodology applied to 30.3% of patients. The main epidemiological characteristics showed a predominance of young male victims (84.7% and the importance of aggression as a cause of injuries in our environment (47.5%, surpassing traffic accidents. The average length of stay was 6 days, and mortality 13.7%.CONCLUSION: Trauma registries are invaluable tools in improving the care of trauma victims. It is necessary to improve the quality of data recorded in medical records. The involvement of public authorities is critical for the successful implementation and maintenance of trauma registries in Brazilian hospitals.

  7. Implementation of a trauma registry in a Brazilian public hospital: the first 1,000 patients.

    Science.gov (United States)

    Carreiro, Paulo Roberto Lima; Drumond, Domingos André Fernandes; Starling, Sizenando Vieira; Moritz, Mônica; Ladeira, Roberto Marini

    2014-01-01

    Show the steps of a Trauma Registry (TR) implementation in a Brazilian public hospital and evaluate the initial data from the database. Descriptive study of the a TR implementation in João XXIII Hospital (Hospital Foundation of the state of Minas Gerais) and analysis of the initial results of the first 1,000 patients. The project was initiated in 2011 and from January 2013 we began collecting data for the TR. In January 2014 the registration of the first 1000 patients was completed. The greatest difficulties in the TR implementation were obtaining funds to finance the project and the lack of information within the medical records. The variables with the lowest completion percentage on the physiological conditions were: pulse, blood pressure, respiratory rate and Glasgow coma scale. Consequently, the Revised Trauma Score (RTS) could be calculated in only 31% of cases and the TRISS methodology applied to 30.3% of patients. The main epidemiological characteristics showed a predominance of young male victims (84.7%) and the importance of aggression as a cause of injuries in our environment (47.5%), surpassing traffic accidents. The average length of stay was 6 days, and mortality 13.7%. Trauma registries are invaluable tools in improving the care of trauma victims. It is necessary to improve the quality of data recorded in medical records. The involvement of public authorities is critical for the successful implementation and maintenance of trauma registries in Brazilian hospitals.

  8. Preoperative multidisciplinary program for bariatric surgery: a proposal for the Brazilian Public Health System

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    Elinton Adami CHAIM

    Full Text Available ABSTRACT BACKGROUND Bariatric surgery has become the gold standard treatment for morbid obesity, but access to surgery remains difficult and low compliance to postoperative follow-up is common. To improve outcomes, enable access and optimize follow-up, we developed a multidisciplinary preoperative approach for bariatric surgery. OBJECTIVE To determine the impact of this program in the outcomes of bariatric surgery in the Brazilian public health system. METHODS A prospective evaluation of the individuals who underwent a preoperative multidisciplinary program for bariatric surgery and comparison of their surgical outcomes with those observed in the prospectively collected historical database of the individuals who underwent surgery before the beginning of the program. RESULTS There were 176 individuals who underwent the multidisciplinary program and 226 who did not. Individuals who underwent the program had significantly lower occurrence of the following variables: hospital stay; wound dehiscence; wound infection; pulmonary complications; anastomotic leaks; pulmonary thromboembolism; sepsis; incisional hernias; eventrations; reoperations; and mortality. Both loss of follow-up and weight loss failure were also significantly lower in the program group. CONCLUSION The adoption of a comprehensive preoperative multidisciplinary approach led to significant improvements in the postoperative outcomes and also in the compliance to the postoperative follow-up. It represents a reproducible and potentially beneficial approach within the context of the Brazilian public health system.

  9. [Market and public policy network failures: challenges and possibilities for the Brazilian Unified Health System].

    Science.gov (United States)

    Pinheiro Filho, Francisco Percival; Sarti, Flávia Mori

    2012-11-01

    The principles and guidelines of the Brazilian Unified Health System (SUS) impose a healthcare service structure based on public policy networks which, combined with the financing model adopted, leads to market failings. This imposes barriers to the management of the public health system and the enactment of SUS objectives. The institutional characteristics and the heterogeneity of players, allied to the existence of different healthcare approaches, generate analytical complexity in the study of the global dynamics of the SUS network. There are limitations in the use of quantitative methods based on static analysis of retrospective SUS data. Thus, an approach taking SUS as a complex system using innovative quantitative methodology based on computational simulation is proposed. This paper sought to analyze challenges and possibilities of the combined application of cellular automata modeling and agent-based modeling for simulation of the evolution of the SUS healthcare service network. This approach should permit better understanding of the organization, heterogeneity and structural dynamics of the SUS service network and a minimization of the effects of market failings on the Brazilian health system.

  10. Preparedness of public authorities for emergencies at nuclear power plants

    International Nuclear Information System (INIS)

    1982-01-01

    The safety guide lays down the requirements for the establishment of suitable procedures to be followed in the event of an emergency situation at a nuclear power plant. Many of the procedures would also be applicable at other nuclear facilities such as fuel manufacturing plants, irradiated fuel processing plants and the like. The guide defines reponsibilities for emergency planning, organization and action, protective measures to be taken, information and instruction of the public, training and cooperation across boundaries

  11. Case Study in Public Administration: A Critical Review of Brazilian Scientific Production

    Directory of Open Access Journals (Sweden)

    Mariana Guerra

    2015-03-01

    Full Text Available This paper presents a critical review of 47 articles published between 2006 and 2011 to identify how case studies have been applied in Brazilian research on public administration. In addition to their theoretical and methodological characteristics, four further specific topics of interest were addressed: (a what is meant by case study; (b the relationship between the phenomenon of interest and the case under investigation; (c the possibility of replication; and (d how the supposed method contributes towards the development of the field of public administration. The main inconsistencies found were: the methodological descriptions are confusing; the results are inconsistent compared with data gathering procedures and data analysis techniques; a lack of information about the number of interviewed individuals; and no descriptions of research variables. The results suggest the reviewed case studies present methodological inconsistencies and limitations, which undermine their scientific value and relevance to academic work in Brazil.

  12. [Brazilian bibliographical output on public oral health in public health and dentistry journals].

    Science.gov (United States)

    Celeste, Roger Keller; Warmling, Cristine Maria

    2014-06-01

    The scope of this paper is to describe characteristics of the scientific output in the area of public oral health in journals on public health and dentistry nationwide. The Scopus database of abstracts and quotations was used and eight journals in public health, as well as ten in dentistry, dating from 1947 to 2011 were selected. A research strategy using key words regarding oral health in public health and key words about public health in dentistry was used to locate articles. The themes selected were based on the frequency of key words. Of the total number of articles, 4.7% (n = 642) were found in oral health journals and 6.8% (n = 245) in public health journals. Among the authors who published most, only 12% published in both fields. There was a percentile growth of public oral health publications in dentistry journals, though not in public health journals. In dentistry, only studies indexed as being on the topic of epidemiology showed an increase. In the area of public health, planning was predominant in all the phases studied. Research to evaluate the impact of research and postgraduate policies in scientific production is required.

  13. Indirect and direct costs of treating patients with ankylosing spondylitis in the Brazilian public health system.

    Science.gov (United States)

    Azevedo, Valderilio Feijó; Rossetto, Chayanne N; Lorencetti, Pedro G; Tramontin, Mariana Y; Fornazari, Bruna; Araújo, Denizar V

    2016-01-01

    Patients with ankylosing spondylitis require a team approach from multiple professionals, various treatment modalities for continuous periods of time, and can lead to the loss of labour capacity in a young population. So, it is necessary to measure its socio-economic impact. To describe the use of public resources to treat AS in a tertiary hospital after the use of biological medications was approved for treating spondyloarthritis in the Health Public System, establishing approximate values for the direct and indirect costs of treating this illness in Brazil. 93 patients selected from the ambulatory spondyloarthritis clinic at the Hospital de Clínicas of the Federal University of Paraná between September 2011 and September 2012 had their direct costs indirect treatment costs estimation. 70 patients (75.28%) were male and 23 (24.72%) female. The mean age was 43.95 years. The disease duration was calculated based on the age of diagnosis and the mean was 8.92 years (standard deviation: 7.32); 63.44% were using anti-tumour necrotic factor drugs. Comparing male and female patients the mean Bath Ankylosing Spondylitis Disease Activity Index was 4.64 and 5.49 while the mean Bath Ankylosing Spondylitis Functional Index was 5.03 and 6.35 respectively. The Brazilian public health system's spending related to ankylosing spondylitis has increased in recent years. An important part of these costs is due to the introduction of new, more expensive health technologies, as in the case of nuclear magnetic resonance and, mainly, the incorporation of anti-tumour necrotic factor therapy into the therapeutic arsenal. The mean annual direct and indirect cost to the Brazilian public health system to treat a patient with ankylosing spondylitis, according to our findings, is US$ 23,183.56. Copyright © 2015 Elsevier Editora Ltda. All rights reserved.

  14. Applying educational gaming to public health workforce emergency preparedness.

    Science.gov (United States)

    Barnett, Daniel J; Everly, George S; Parker, Cindy L; Links, Jonathan M

    2005-05-01

    From natural disasters to terrorism, the demands of public health emergency response require innovative public health workforce readiness training. This training should be competency-based yet flexible, and able to foster a culture of professional and personal readiness more traditionally seen in non-public health first-response agencies. Building on the successful applications of game-based models in other organizational development settings, the Johns Hopkins Center for Public Health Preparedness piloted the Road Map to Preparedness curriculum in 2003. Over 1500 employees at six health departments in Maryland have received training via this program through November 2004. Designed to assist public health departments in creating and implementing a readiness training plan for their workforce, the Road Map to Preparedness uses the core competencies of the Centers for Disease Control and Prevention for all public health workers as its basic framework.

  15. Ethics in the publication of studies on human visceral leishmaniasis in Brazilian periodicals.

    Science.gov (United States)

    Malafaia, Guilherme; Rodrigues, Aline Sueli de Lima; Talvani, André

    2011-02-01

    To analyze ethical aspects of Brazilian articles on human visceral leishmaniasis, published after Resolution CNS 196/1996, and to analyze the policy on Brazilian periodicals on research ethics. An explanatory study with a bibliographical and documental nature was conducted. Selection of publications on research involving human beings since 1996 was performed in the SciELO Brazil database. Gaps associated with editorial policies on medical periodicals, based on information obtained from the "Instructions to authors" section of each periodical, were analyzed. While there were no articles on the compliance with ethical aspects in the first four-year period (from 1997 to 2000), 75% fulfilled at least one of the ethical requirements evaluated in the first year (2009) of a subsequent four-year period (from 2009 to 2012). A total of six out of 11 periodicals indicated that the information about ethical aspects should be mentioned in the body of the article. There were three periodicals that required a letter or document, informing about compliance with these aspects and signed by the author(s), to be sent; two that requested a copy of the document used to obtain the free and informed consent; one that clarified the need of a copy to authorize the approval by the Committee on Ethics in Research; and four in which no requirements of ethical aspects were found. There was an improvement in the description of compliance with ethical aspects found in articles. Standardization of ethical requirements for human research in Brazilian periodicals is suggested. This could promote compliance with the presuppositions of documents regulating human research.

  16. Materiality in Public Sector Financial Audit: International Practice and the Opinion of Brazilian Experts

    Directory of Open Access Journals (Sweden)

    Juliane Madeira Leitão

    2016-04-01

    Full Text Available Materiality in private sector financial audit is a topic that has been relatively well developed in the literature. Specific research in this regard in public sector auditing, on the other hand, is scarce at the international level and absent in Brazil. In view of this, the purpose of this study was to identify the parameters used to determine materiality in public sector financial audit. To this end, we sent questionnaires to the 192 Supreme Audit Institutions that are members of INTOSAI and to 36 Brazilian public auditors, specialists in financial audit, who are staff members of the TCU or the CGU seeking information with respect to the Institutions’ guidelines and the auditors’ perceptions about materiality. Results reveal that expenditures, revenues and total assets are the benchmarks most recommended by respondents for defining materiality in the public sector. In addition, they recommended the adoption of percentages of up to 2% for each of these parameters in defining what is material. It was observed, as well, especially with respect to the effectiveness of internal control and to public expectations or interests, that qualitative aspects should be also taken into account in determining materiality, although a lesser degree of importance is attributed to this than to the quantitative aspects,. The study contributes to the accounting literature on the development of audits, particularly with respect to the use of a concept, materiality, that is always emphasized in professional standards, but about which there are few objective guidelines.

  17. The Emergence of Public Spheres in Colonial Cameroon: The Case ...

    African Journals Online (AJOL)

    Using the case of colonial Bamenda township, this study examines the emergence and functioning of palm wine drinking joints as public spaces par excellence. These palm wine joints were comparable to European coffee shops and salons which were areas where various people could gather and discuss matters that ...

  18. Hantaviruses: an emerging public health threat in India? A review

    Indian Academy of Sciences (India)

    PRAKASH KUMAR

    is to increase awareness of these emerging pathogens and the threats they pose to the public health system. [Chandy S, Abraham P and ..... distribution of the hosts through international shipping routes. The majority of SEOV-related .... Dalrymple J M 1994 Serological relationships among viruses in the Hantavirus genus, ...

  19. Role Of Public Transportation Operations In Emergency Management: Research Report

    Science.gov (United States)

    1999-12-01

    This project examines the possible roles that public transit agencies can fulfill in the emergency management plans of their cities and/or counties. This report summarizes the first two phases of the project, which incorporate a review of available l...

  20. International health law : an emerging field of public international law

    NARCIS (Netherlands)

    Toebes, Brigit

    This article discusses the nature and scope of international health law as an emerging field of public international law. It is argued that the protection of health reflects a pressing social need that should now be spoken of in the vocabulary of international law. Furthermore, there is an urgent

  1. Chronic dietary aflatoxins exposure in Kenya and emerging public ...

    African Journals Online (AJOL)

    Chronic dietary aflatoxins exposure in Kenya and emerging public health concerns of impaired growth and immune suppression in children. ... Aflatoxins have been detected mainly in the staple foods such as cereals and legumes commodities, which form the main gruel ingredients used to compose weaning foods in most ...

  2. The Double-entry Bookkeeping Committee of 1914 and the Brazilian Public Accounting System

    Directory of Open Access Journals (Sweden)

    Tiago Villac Adde

    2014-12-01

    Full Text Available The history of Brazilian accounting has not been explored at length. Through a historical survey, this article presents the history of the Double-entry Bookkeeping Committee of 1914. After the Proclamation of the Republic was announced in 1889, the government started to expand its administrative bodies, necessitating the introduction of a bureaucracy able to perform new functions. In the same period, Brazil experienced a strong economic development with the development of its coffee industry. In 1905, under the leadership of Carlos de Carvalho, São Paulo State Treasury bookkeeping tasks were introduced under a double-entry bookkeeping system and through accrual and financial accounting. Double-entry bookkeeping practices in the federal public accounting system, although enshrined in law since 1808, were only fully realized after the creation of the Double-entry Bookkeeping Committee in 1914. In that same year, due to the negotiation of a second funding loan, English creditor bank auditors requested a balance of the National Treasury from the Minister of Finance Rivadávia Corrêa. Because the balance had not been prepared in eight years, the Double-entry Bookkeeping Committee was established in June of 1914, and this body completed a technical audit of Revenues and Expenditures. The committee also conducted the state administration's first Asset and Liability audit since the colonial era. The Double-entry Bookkeeping Committee of 1914 spearheaded changes to the Brazilian public accounting system, including the creation of the Public Accounting Code in 1922 and the approval of Central Accounting Office of the Republic regulation in 1924, strengthening and ascribing perpetuity to practices adopted after 1914.

  3. The organizational commitment of emergency physicians in Spanish public hospitals

    Science.gov (United States)

    Noval de la Torre, A; Bulchand Gidumal, J; Melián González, S

    2016-12-30

    Background. There are not too many studies that deal with the organizational commitment of emergency physicians. This commitment has been shown to impact organizational performance. The aim of this paper is to analyse the degree of commitment of the emergency physicians in Spanish public hospitals and the factors that may influence it. Method. Online survey using SurveyMonkey to emergency physicians in Spanish public hospitals. Results. Two hundred and five questionnaires were received, 162 from physicians and 43 from heads of the emergency service. Results show an intermediate level of commitment, with affective commitment showing the lowest level and continuance commitment showing the highest level. The capabilities of the physician have an influence on their affective commitment; specific training in emergency procedures and seniority has an influence on their continuance commitment; and the opinion they hold about the organization of their service influences affective commitment. Conclusions. Emergency physicians show an average involvement in the hospital in which they work (average 3.8 on a range of 1 to 5), feel an average affection for it (3.4), and have a high intention to keep working there (4.0). The resources the hospital has due to its level do not have an influence on this commitment, while the training and perceptions of the service do have an influence.

  4. Communication with the Public in a Nuclear or Radiological Emergency. Emergency Preparedness and Response (Arabic Edition)

    International Nuclear Information System (INIS)

    2014-01-01

    The aim of this publication is to provide practical guidance for public information officers on the preparation for and response to a nuclear or radiological emergency, and to fulfil in part functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), as well as meeting requirements stated in IAEA Safety Standards Series No. SF-1, Fundamental Safety Principles, and in IAEA Safety Standards No. GS-R-2, Preparedness and Response for a Nuclear or Radiological Emergency. Under Article 5(a)(ii) of the Assistance Convention, one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. IAEA Safety Standards Series No. GS-R-2 establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, and specifies that 'All practicable steps shall be taken to provide the public with useful, timely, truthful, consistent and appropriate information throughout a nuclear or radiological emergency' in the response phase. It also requires 'responding to incorrect information and rumours; and responding to requests for information from the public and from the news and information media'. This publication provides guidance in the form of action guides and information sheets that can be easily applied by a State to build a basic capability to respond to a nuclear or radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This publication is published as part of the IAEA's Emergency Preparedness and Response series and complements the Manual for First Responders to a Radiological Emergency in the parts related to the tasks of public information officers. It takes

  5. Communication with the Public in a Nuclear or Radiological Emergency. Emergency Preparedness and Response (French Edition)

    International Nuclear Information System (INIS)

    2013-01-01

    The aim of this publication is to provide practical guidance for public information officers on the preparation for and response to a nuclear or radiological emergency, and to fulfil in part functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), as well as meeting requirements stated in IAEA Safety Standards Series No. SF-1, Fundamental Safety Principles, and in IAEA Safety Standards No. GS-R-2, Preparedness and Response for a Nuclear or Radiological Emergency. Under Article 5(a)(ii) of the Assistance Convention, one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. IAEA Safety Standards Series No. GS-R-2 establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, and specifies that 'All practicable steps shall be taken to provide the public with useful, timely, truthful, consistent and appropriate information throughout a nuclear or radiological emergency' in the response phase. It also requires 'responding to incorrect information and rumours; and responding to requests for information from the public and from the news and information media'. This publication provides guidance in the form of action guides and information sheets that can be easily applied by a State to build a basic capability to respond to a nuclear or radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This publication is published as part of the IAEA's Emergency Preparedness and Response series and complements the Manual for First Responders to a Radiological Emergency in the parts related to the tasks of public information officers. It takes

  6. Communication with the Public in a Nuclear or Radiological Emergency. Emergency Preparedness and Response (Chinese Edition)

    International Nuclear Information System (INIS)

    2013-01-01

    The aim of this publication is to provide practical guidance for public information officers on the preparation for and response to a nuclear or radiological emergency, and to fulfil in part functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), as well as meeting requirements stated in IAEA Safety Standards Series No. SF-1, Fundamental Safety Principles, and in IAEA Safety Standards No. GS-R-2, Preparedness and Response for a Nuclear or Radiological Emergency. Under Article 5(a)(ii) of the Assistance Convention, one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. IAEA Safety Standards Series No. GS-R-2 establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, and specifies that 'All practicable steps shall be taken to provide the public with useful, timely, truthful, consistent and appropriate information throughout a nuclear or radiological emergency' in the response phase. It also requires 'responding to incorrect information and rumours; and responding to requests for information from the public and from the news and information media'. This publication provides guidance in the form of action guides and information sheets that can be easily applied by a State to build a basic capability to respond to a nuclear or radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This publication is published as part of the IAEA's Emergency Preparedness and Response series and complements the Manual for First Responders to a Radiological Emergency in the parts related to the tasks of public information officers. It takes

  7. Communication with the Public in a Nuclear or Radiological Emergency. Emergency Preparedness and Response

    International Nuclear Information System (INIS)

    2012-05-01

    The aim of this publication is to provide practical guidance for public information officers on the preparation for and response to a nuclear or radiological emergency, and to fulfil in part functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), as well as meeting requirements stated in IAEA Safety Standards Series No. SF-1, Fundamental Safety Principles, and in IAEA Safety Standards No. GS-R-2, Preparedness and Response for a Nuclear or Radiological Emergency. Under Article 5(a)(ii) of the Assistance Convention, one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. IAEA Safety Standards Series No. GS-R-2 establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, and specifies that 'All practicable steps shall be taken to provide the public with useful, timely, truthful, consistent and appropriate information throughout a nuclear or radiological emergency' in the response phase. It also requires 'responding to incorrect information and rumours; and responding to requests for information from the public and from the news and information media'. This publication provides guidance in the form of action guides and information sheets that can be easily applied by a State to build a basic capability to respond to a nuclear or radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This publication is published as part of the IAEA's Emergency Preparedness and Response series and complements the Manual for First Responders to a Radiological Emergency in the parts related to the tasks of public information officers. It takes

  8. Communication with the Public in a Nuclear or Radiological Emergency. Emergency Preparedness and Response (Spanish Edition)

    International Nuclear Information System (INIS)

    2013-01-01

    The aim of this publication is to provide practical guidance for public information officers on the preparation for and response to a nuclear or radiological emergency, and to fulfil in part functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), as well as meeting requirements stated in IAEA Safety Standards Series No. SF-1, Fundamental Safety Principles, and in IAEA Safety Standards No. GS-R-2, Preparedness and Response for a Nuclear or Radiological Emergency. Under Article 5(a)(ii) of the Assistance Convention, one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. IAEA Safety Standards Series No. GS-R-2 establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, and specifies that 'All practicable steps shall be taken to provide the public with useful, timely, truthful, consistent and appropriate information throughout a nuclear or radiological emergency' in the response phase. It also requires 'responding to incorrect information and rumours; and responding to requests for information from the public and from the news and information media'. This publication provides guidance in the form of action guides and information sheets that can be easily applied by a State to build a basic capability to respond to a nuclear or radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This publication is published as part of the IAEA's Emergency Preparedness and Response series and complements the Manual for First Responders to a Radiological Emergency in the parts related to the tasks of public information officers. It takes

  9. Brazilian abstracts presented at the American Urological Association annual meetings: contribution, publication rates, and comparison with oncology abstracts.

    Science.gov (United States)

    Arap, Marco A; Reis, Rodolfo Borges dos; Torricelli, Fábio César Miranda; Masson, André L S; Saad, Everardo D

    2014-01-01

    Scientific research originating from Brazil appears to be rising in several medical fields. Research results are often presented at scientific meetings before publication in peer-reviewed journals. We investigated the publication rate of Brazilian studies presented in American Urological Association (AUA) meetings and compared with the rate of publication of Brazilian oncological studies presented at the American Society of Clinical Oncology (ASCO) meetings. a hand search of 12,454 abstracts presented at aua meetings 2001-2007 was conducted. abstracts for which at least two-thirds of institutions were from brazil were considered as brazilian. final publication was searched in pubmed and lilacs databases. oncological abstracts were also hand searched in the asco meetings proceedings in the same years. There was no significant temporal trend in the proportion of AUA studies originating from Brazil along those 7 years. A total of 195 abstracts (1.57%) were from Brazil. One hundred (51.3%) abstracts were published in full, and the estimated 5-year publication rate was 48.2%. There was a progressive increase in publication rates for studies categorized as video, poster, and podium presentations. Considering abstracts presented in years 2001-2005, urologic publication rate was significantly higher than for abstracts presented at the ASCO meeting. Our results suggest that the Brazilian contribution to AUA meetings is at a plateau and that the Brazilian literature contribution is greater in urology than in oncology. Efforts must be invested towards raising this plateau and understanding qualitative aspects of the urology scientific output from Brazil.

  10. Social Networking for Emergency Management and Public Safety

    Energy Technology Data Exchange (ETDEWEB)

    Lesperance, Ann M.; Olson, Jarrod; Godinez, Melanie A.

    2010-08-31

    On March 10, 2010 the workshop titled Social Networking for Emergency Management and Public Safety was held in Seattle, WA. The objective of this workshop was to showcase ways social media networking technologies can be used to support emergency management and public safety operations. The workshop highlighted the current state of social networking and where this dynamic engagement is heading, demonstrated some of the more commonly used technologies, highlighted case studies on how these tools have been used in a variety of jurisdictions and engaged the private sector on how these tools might serve as a conduit for two way communication between with the public sector to address regional recovery issues and decision making.

  11. FISH REPRODUCTION: BIBLIOMETRIC ANALYSIS OF WORLDWIDE AND BRAZILIAN PUBLICATIONS IN SCOPUS DATABASE

    Directory of Open Access Journals (Sweden)

    Marcella Costa RADAEL

    2015-12-01

    Full Text Available Reproduction is a fundamental part of life being and studies related to fish reproduction have been much accessed. The aim of this study was to perform a bibliometric analysis in intend to identify trends in this kind of publication. During June 2013, were performed searches on Scopus Database, using the term “fish reproduction”, being compiled and presented information related to the number of publications per year, number of publications by country, publications by author, by journal, by institution and most used keywords. Based on the study, it was possible to obtain the following results: Brazil occupies a highlight position in number of papers, being that the Brazilian participation compared to worldwide publishing production is having an exponential increase; in Brazil, there is a high concentration of articles when concerning the top 10 authors and institutions. The present study allows verifying that the term “fish reproduction” has been focused by many scientific papers, being that in Brazil there is a special research effort related to this subject, especially in the last few years. The main contribution concerns to the use of bibliometric methods to describe the growth and concentration of researches in the area of fishfarm and reproduction.

  12. Comparison of neuropsychological performance between students from public and private Brazilian schools.

    Science.gov (United States)

    Casarin, Fabíola Schwengber; Wong, Cristina Elizabeth Izábal; Parente, Maria Alice de Mattos Pimenta; de Salles, Jerusa Fumagalli; Fonseca, Rochele Paz

    2012-11-01

    Neuropsychological assessment reveals that certain cognitive changes that take place during the neural development process may be associated with biopsychosocial issues. A substantial body of research has focused on cognitive development in children and adults, but few such studies have been carried out on adolescents. Therefore, research into the processing of neuropsychological functions in adolescents, taking into account the role of major socio-cultural factors such as school type (public vs. private), is highly relevant. The present study sought to assess whether differences in neuropsychological development exist between adolescent students of public (government-funded) and private schools. A total of 373 grade-matched students between the ages of 12 and 18, 190 from public schools and 183 from private schools, took part in the study. All subjects had no self-reported neurologic or psychiatric conditions and sensory disorders. The NEUPSILIN Brazilian Brief Neuropsychological Assessment Battery was administered to this sample. Comparison of mean scores (one-way ANCOVA with socioeconomic score and age as covariates) showed that adolescents attending private schools generally outperformed their public-school peers in tasks involving sustained attention, memory (working and visual), dictated writing, and constructional and reflective abilities. We conclude that school type should be taken into account during standardization of neuropsychological assessment instruments for adolescent and, probably, child populations.

  13. Analysis of Brazilian publications on distance education in nursing: integrative review.

    Science.gov (United States)

    Tavares, Ana Paula Cardoso; Leite, Bruna Silva; Silveira, Isabelle Andrade; Santos, Thayane Dias Dos; Brito, Willian de Andrade Pereira de; Camacho, Alessandra Conceição Leite Funchal

    2018-01-01

    To analyze the publications that focus on distance education in nursing in Brazil from 2010 to 2016. Integrative review of the literature with data collection in June 2016 in the following databases: LILACS, MEDLINE via PUBMED, CINAHL and SCOPUS. For the data analysis and interpretation, the thematic categorization was chosen. We selected 18 articles for discussion, whose textual analysis permitted the construction of three thematic categories: use of virtual technologies for distance education in nursing; construction of virtual learning environments with the aid of virtual technologies for distance education in nursing; and evaluation of the learning process through virtual technologies for distance education of nurses. Distance Education stands out as an effective teaching-learning strategy in this type of education in Brazilian nursing, focused mainly on the improvement and complement of traditional teaching.

  14. Analysis of Brazilian publications on distance education in nursing: integrative review

    Directory of Open Access Journals (Sweden)

    Ana Paula Cardoso Tavares

    Full Text Available ABSTRACT Objective: To analyze the publications that focus on distance education in nursing in Brazil from 2010 to 2016. Method: Integrative review of the literature with data collection in June 2016 in the following databases: LILACS, MEDLINE via PUBMED, CINAHL and SCOPUS. For the data analysis and interpretation, the thematic categorization was chosen. Results: We selected 18 articles for discussion, whose textual analysis permitted the construction of three thematic categories: use of virtual technologies for distance education in nursing; construction of virtual learning environments with the aid of virtual technologies for distance education in nursing; and evaluation of the learning process through virtual technologies for distance education of nurses. Conclusion: Distance Education stands out as an effective teaching-learning strategy in this type of education in Brazilian nursing, focused mainly on the improvement and complement of traditional teaching.

  15. Insufficient free-time physical activity and occupational factors in Brazilian public school teachers.

    Science.gov (United States)

    Dias, Douglas Fernando; Loch, Mathias Roberto; González, Alberto Durán; Andrade, Selma Maffei de; Mesas, Arthur Eumann

    2017-07-20

    To evaluate if perceived occupational factors are associated with insufficient free-time physical activity in Brazilian public school teachers. The relationship between insufficient physical activity (contrato de trabalho temporário (RP = 1,13; IC95% 1,03-1,25). Ministrar disciplina de educação física associou-se com menor prevalência de atividade física insuficiente (RP = 0,78; IC95% 0,64-0,95). A percepção de condições de trabalho negativas associa-se à maior prevalência de atividade física insuficiente em professores e devem ser consideradas para a promoção de atividade física nessa população.

  16. Internal Communication in the Public Management: The Case of a Brazilian Federal Public Authority

    Directory of Open Access Journals (Sweden)

    Priscila Reinaldo Marson

    2013-03-01

    Full Text Available The intention of this article is to present a case study on the adoption and use of new channels of internal communication in a federal public autarchy. The study was conducted at the National Institute of Social Security, in São Paulo, between July 2008 and July 2009, and aimed to monitor the period in which a new internal communication plan was developed and implemented in its initial phase. The research methodology used was the case study, consisting of documentary analysis, field research and in-depth interviews conducted with the institution’s public employees. As a result, it was possible to observe the internal resistance and the difficulties encountered in the management of the new plan. Among its conclusions, the study highlights the need for a previous study on the conditions of relationships and practices developed in a public service unit at the adoption of new communication tools. It also highlights the importance of planning and management actions in the implementation of the intended communication actions, including internal marketing efforts to sensitize users about the meaning and importance of internal communication in promoting greater agility and efficiency in the workplace, in order to offer best public services to users.

  17. Return to work after renal transplantation: a study of the Brazilian Public Social Security System.

    Science.gov (United States)

    Messias, Alexandre Augusto; Reichelt, Angela J; Dos Santos, Edson F; Albuquerque, Galton C; Kramer, José S P; Hirakata, Vania N; Garcia, Valter D

    2014-12-15

    Return to work is an objective parameter used worldwide to evaluate the success of organ transplantation and is especially feasible after renal transplantation. This study sought to describe the frequency of return to work after renal transplantation and related characteristics. Retrospective cohort of 511 isolated kidney transplant recipients was recruited from a Brazilian referral center from January 2005 to December 2009; all were matched to the public social security database to determine inclusion and benefit awards, as well as the rate of resumption of contributions to the public social security system, a surrogate marker of work rehabilitation. Characteristics associated with work return were analyzed. No social security records were found for 28 subjects. The remaining 483 subjects had a mean age of 45±13 years; 62% were male; 401 (83%) received some public social security benefit; 298 were paying dues and could, therefore, receive temporary or permanent disability benefits. Of these, 78 subjects made social security payments after transplantation, resulting in a work return rate of 26% (95% confidence interval, 21-32). Younger age, living donor graft, and chronic glomerulonephritis were significantly associated with return to work. In Brazil, most renal transplant recipients are on social security benefits, but only a small proportion return to work after surgery. Clinical characteristics may help define work resumption trends.

  18. Analysis of Long-Term Performance of Initial Public Offerings in the brazilian stock market

    Directory of Open Access Journals (Sweden)

    Elisa Elaine Moreira Teixeira

    2012-07-01

    Full Text Available DOI: http://dx.doi.org/10.5007/2175-8077.2012v14n33p79 This paper describes the results of a twofold study that compared the performance of Initial Public Offering (IPOs in the Brazilian stock market with that of incorporated company in 2004 and 2005 and also checked if these IPOs were included in the Bovespa Index (IBOV in this period. We first collected data on stock price variations every year subsequent to the public offering. Thereafter, we compared the IPOs’ rates with those of the public corporations. The results show that 81.25% of the IPOs had positive returns in the first and the second years of anniversary, and only 50% of them had positive return in the third year. The youngest companies had the highest returns, and 45% of them were included in the IBOV in the period under scrutiny. The comparison of the ratios showed that IPOs of any age are more valued than the comparison companies. As a conclusion, we can say that the IPOs’ performance was significantly better than that of the comparison companies in the period studied.

  19. The promises and facts of emergent strategy in public management

    DEFF Research Database (Denmark)

    Aagaard, Peter

    Public managers are experiencing a growing demand for innovation. One of the promising approaches to instigating innovation is that of emergent strategic patterns (ESPs). According to the literature, the institutional barriers and drivers of ESPs are shaped by the two dominant public management...... models, NPM (the barriers) and governance (the drivers). However, based on an empirical case study of the institutional barriers and drivers for ESPs in the Danish Crime Prevention Council, this article concludes that ESPs are in fact enabled by a much more mixed management model....

  20. Emerging Insights on Brazilian Pepper Tree (Schinus terebinthifolius) Invasion: The Potential Role of Soil Microorganisms.

    Science.gov (United States)

    Dawkins, Karim; Esiobu, Nwadiuto

    2016-01-01

    Invasive plant species constitute a major ecological and economic problem worldwide, often distorting trophic levels and ecosystem balance. Numerous studies implicate factors ranging from environmental plasticity, competition for nutrient and space, and allelopathy in the success of invasive species in general. The Brazilian Pepper tree (BP) was introduced to the United States in the 1800s and has since become a category one invasive plant in Florida. It has aggressively spread to about 3000 km(2) of terrestrial surface, fueled in part by the prevalence of the hybrid genotypes and environmental perturbations. It displays some of the well-established invasive mechanisms but there is a serious dearth of knowledge on the plant-microbe-soil interactions and whether the rhizobiome plays any roles in the displacement of native flora and the range expansion of BP. Several control measures, including chemical, mechanical, and biological antagonism have been used with limited success while restoration of natives in soils from which BP was removed has proved problematic partly due to a poorly understood phenomenon described as the "BP legacy effect." Emerging evidence suggests that allelopathy, selective recruitment of beneficial soil microbes, disruption of microbial community structure and alteration of nutrient cycling, exhibited by many other invasive plant species may also be involved in the case of BP. This brief review discusses the well-established BP invasion mechanisms and highlights the current understanding of the molecular, below-ground processes. It also points out the gaps in studies on the potential role of microbial interactions in the success of BP invasion. These hitherto poorly studied mechanisms could further explain the aggressive spread of BP and could potentially contribute significantly to effective control measures and enable appropriate strategies for restoring native plants. The review advocates for the use of cutting-edge techniques in advancing

  1. Brazilian economic performance since the emergence of the great recession: The effects of income distribution on consumption

    Directory of Open Access Journals (Sweden)

    Arestis Philip

    2016-01-01

    Full Text Available After a long period of unstable and low economic activity, Brazil achieved a relatively high economic growth with low inflation from 2004 to 2008, when the world scenario was favourable for the Brazilian trade balance. An incomes policy, focused on real increases in the minimum wage along with a credit boom, led to a decade of high consumption growth rates. High levels of consumption and exports, in turn, induced investment and stimulated manufacturing production, despite the real appreciation of the national currency. However, the Great Recession that emerged after the global financial crisis of 2007/2008 brought challenges to the Brazilian economic performance, with unpleasant consequences for the country’s GDP growth. Consumption, investment and exports have decelerated, despite anti-cyclical macroeconomic policies. In this setting, manufacturing production stagnated and GDP growth slowed down substantially, while imports continued rising considerably. The aim of this paper is to provide an explanation to the slowdown of Brazilian growth rates after the Great Recession. The main hypothesis is that consumption was the main source of effective demand in the country since 2003. However, Brazil has not yet been able to sustain manufacturing and economic growth without a more active government policy to stimulate productive investment.

  2. A systematic review of retracted publications in emergency medicine.

    Science.gov (United States)

    Chauvin, Anthony; De Villelongue, Cedric; Pateron, Dominique; Yordanov, Youri

    2017-08-18

    The objective of this study was to characterize retracted publications in emergency medicine. We searched MEDLINE, Web of Science and Cochrane Central Register of Controlled Trials to identify all retracted publications in the field of emergency medicine. We also searched an independent website that reports and archives retracted scientific publications. Two researchers independently screened titles, abstracts and full text of search results. Data from all included studies were then independently extracted. We identified 28 retraction notes. Eleven (39%) articles were published by authors from Europe. The oldest retracted article was published in 2001. The 28 retracted papers were published by 22 different journals. Two authors were named on multiples retractions. The median impact factor of journals was 1.03 (0.6-1.9). Almost all studies were available online [26/28 (93%)], but only 40% had watermarking on the article. The retraction notification was available for all articles. Three (11%) retraction notices did not clearly report the retraction reasons, and most retraction notices were issued by the editors [14 (56%)]. The most frequent retraction reasons were plagiarism [eight (29%)], duplicate publication [three (11%)] and overlap [two (2%)]. Retracted articles were cited on average 14 times. In most cases, the retraction cause did not invalidate the study's results [17 (60%)]. The most common reason for retraction was related to a misconduct by the authors. These results can question the necessity to normalize retraction procedures among the large number of biomedical editors and to educate future researchers on research integrity.

  3. A Decision Support System for Land Allocation under Multiple Objectives in Public Production Forests in the Brazilian Amazon

    Directory of Open Access Journals (Sweden)

    Marco W. Lentini

    2010-01-01

    Full Text Available Logging in natural forests is a vital economic activity in the Brazilian Amazon. However, illegal and unplanned logging is exhausting forests rapidly. In 2006, a new forestry law in Brazil (Lei 11,284/2006 established the legal framework to develop state and national public forests for multiple uses. To support public forest planning efforts, we combine spatially explicit data on logging profits, biodiversity, and potential for community use for use within a forest planning optimization model. While generating optimal land use configurations, the model enables an assessment of the market and nonmarket tradeoffs associated with different land use priorities. We demonstrate the model's use for Faro State Forest, a 636,000 ha forest embedded within a large mosaic of conservation units recently established in the state of Pará. The datasets used span the entire Brazilian Amazon, implying that the analysis can be repeated for any public forest planning effort within the region.

  4. The macro-environment for liquid Biofuels in Brazilian science and public policies

    OpenAIRE

    E. Talamini; H. Dewes

    2012-01-01

    The purpose of this study is to identify the macro-environmental dimensions through which Brazilian scientists and government officials have framed issues surrounding liquid biofuels over a period of time. This study analyzes scientific papers published by researchers affiliated with Brazilian institutions and official documents of the Brazilian government related to liquid biofuels. Documents published during a ten-year period (1997--2006) were collected from electronic sources. Text-mining ...

  5. Accessibility to Specialized Public Oral Health Services from the Perspective of Brazilian Users

    Science.gov (United States)

    de Castro, Ricardo Dias; Rangel, Marianne de Lucena; da Silva, Marcos André Azevedo; de Lucena, Brunna Thaís Lucwu; Cavalcanti, Alessandro Leite; Bonan, Paulo Rogério Ferreti; Oliveira, Julyana de Araújo

    2016-01-01

    The Specialized Dental Clinics (SDCs) represent the first government initiative in Latin America aimed at providing specialized oral health services. This study sought to evaluate the organizational accessibility to specialized oral health care services in Brazil and to understand the factors that may be associated with accessibility from the user’s perspective. This epidemiological, cross-sectional and quantitative study was conducted by means of interviews with individuals who sought specialized public oral health services in the city of João Pessoa, Paraíba, Brazil, and consisted of a sample of 590 individuals. Users expressed a favorable view of the classification and resolutive nature of specialized services offered by Brazilian public health. The binary logistic regression analysis revealed weak points highlighting the difficulty involved in obtaining such treatments leading to unfavorable evaluations. In the resolutive nature item, difficulty in accessing the location, queues and lack of materials and equipment were highlighted as statistically significant unfavorable aspects. While many of the users considered the service to be resolutive, weaknesses were mentioned that need to be detected to promote improvements and to prevent other health models adopted worldwide from reproducing the same flaws. PMID:27775584

  6. Community Assessment Tool for Public Health Emergencies Including Pandemic Influenza

    Energy Technology Data Exchange (ETDEWEB)

    HCTT-CHE

    2011-04-14

    The Community Assessment Tool (CAT) for Public Health Emergencies Including Pandemic Influenza (hereafter referred to as the CAT) was developed as a result of feedback received from several communities. These communities participated in workshops focused on influenza pandemic planning and response. The 2008 through 2011 workshops were sponsored by the Centers for Disease Control and Prevention (CDC). Feedback during those workshops indicated the need for a tool that a community can use to assess its readiness for a disaster—readiness from a total healthcare perspective, not just hospitals, but the whole healthcare system. The CAT intends to do just that—help strengthen existing preparedness plans by allowing the healthcare system and other agencies to work together during an influenza pandemic. It helps reveal each core agency partners' (sectors) capabilities and resources, and highlights cases of the same vendors being used for resource supplies (e.g., personal protective equipment [PPE] and oxygen) by the partners (e.g., public health departments, clinics, or hospitals). The CAT also addresses gaps in the community's capabilities or potential shortages in resources. While the purpose of the CAT is to further prepare the community for an influenza pandemic, its framework is an extension of the traditional all-hazards approach to planning and preparedness. As such, the information gathered by the tool is useful in preparation for most widespread public health emergencies. This tool is primarily intended for use by those involved in healthcare emergency preparedness (e.g., community planners, community disaster preparedness coordinators, 9-1-1 directors, hospital emergency preparedness coordinators). It is divided into sections based on the core agency partners, which may be involved in the community's influenza pandemic influenza response.

  7. Behavioral aspects of emergency management and public involvement

    International Nuclear Information System (INIS)

    Dombrowsky, W.R.

    1999-01-01

    The importance of risk communication is undisputed. Although communication problems result less from little or poor planning but more from false assumptions and prejudice. The ideologies of the masses and of dangerous mass behavior during crisis and emergencies as well as a so-called 'false' risk perception of lay-people are seen and analyzed as major misconceptions which prevent from including the perspective of the affected population and their basic needs. The traditional risk communication, which is based on definitions of experts, condemns the fears and outrage of the people as irrational and inappropriate, who therefore feel excluded and not taken seriously. Thus, risk communication does not match both the problem and the addressee. Consequently, enhancing crisis communication becomes important to industry, government and the public. Better knowledge and preparedness will increase public acceptance of and confidence in ability to manage high consequence technologies as well as emergency situations, whereas failed communications increase public skepticism with the tendency to result in general risk avoidance. (orig.) [de

  8. Manual for first responders to a radiological emergency. Emergency preparedness and response. Publication date: June 2007

    International Nuclear Information System (INIS)

    2007-08-01

    Under Article 5.a(ii) of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. As stated in IAEA Safety Standards Series No. GS-R-2 'Preparedness and Response for a Nuclear or Radiological Emergency', which establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, 'first responders shall take all practicable and appropriate actions to minimize the consequences of a nuclear or radiological emergency'. The IAEA General Conference, in resolution GC(49)/RES/9, continues to encourage Member States 'to adopt the relevant Agency standards, procedures and practical tools' and underlines 'the need for first responders to have appropriate training for dealing with ionizing radiation during nuclear and radiological emergencies'. This publication is intended to assist in meeting these requirements and to fulfil Article 5 of the Assistance Convention. Its aim is to provide practical guidance for those who will respond during the first few hours to a radiological emergency (referred to here as 'first responders') and for national officials who would support this early response. It provides guidance in the form of action guides, instructions, and supporting data that can be easily applied by a State to build a basic capability to respond to a radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This report, published as part of the IAEA Emergency Preparedness and Response Series, replaces and builds on IAEA-TECDOC-1162 in the area of early response and first responders' actions. It takes account of the

  9. Manual for first responders to a radiological emergency. Emergency preparedness and response. Publication date: October 2006

    International Nuclear Information System (INIS)

    2006-10-01

    Under Article 5.a(ii) of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to nuclear or radiological emergencies. As stated in IAEA Safety Standards Series No. GS-R-2 'Preparedness and Response for a Nuclear or Radiological Emergency', which establishes the requirements for an adequate level of preparedness for and response to a nuclear or radiological emergency in any State, 'first responders shall take all practicable and appropriate actions to minimize the consequences of a nuclear or radiological emergency'. The IAEA General Conference, in resolution GC(49)/RES/9, continues to encourage Member States 'to adopt the relevant Agency standards, procedures and practical tools' and underlines 'the need for first responders to have appropriate training for dealing with ionizing radiation during nuclear and radiological emergencies'. This publication is intended to assist in meeting these requirements and to fulfil Article 5 of the Assistance Convention. Its aim is to provide practical guidance for those who will respond during the first few hours to a radiological emergency (referred to here as 'first responders') and for national officials who would support this early response. It provides guidance in the form of action guides, instructions, and supporting data that can be easily applied by a State to build a basic capability to respond to a radiological emergency. This guidance should be adapted to fit the user State's organizational arrangements, language, terminology, concept of operation and capabilities. This report, published as part of the IAEA Emergency Preparedness and Response Series, replaces and builds on IAEA-TECDOC-1162 in the area of early response and first responders' actions. It takes account of the

  10. Marketing and public relations in the emergency department.

    Science.gov (United States)

    Mayer, T A; Tilson, W; Hemingway, J

    1987-02-01

    This article outlines the elements of successful ED marketing, as well as providing definitions for terms used within the marketing process. In today's competition and rapidly changing environment, marketing and public relations are tools that every ED Medical Director may want to consider. Because the marketing process requires a great deal of time and effort, as well as a high degree of intellectual honesty, it should never be entered into without a strong commitment. However, marketing the ED can be among the most productive, stimulating, and gratifying experiences for the ED Medical Director, the emergency department physicians, and all ED service personnel.

  11. AN EXPLORATION OF THE IMPACT FACTOR OF BRAZILIAN PUBLICATIONS IN INDEXED JOURNALS ON HOMEOPATHY AND HIGH DILUTIONS APPLIED IN PLANTS

    Directory of Open Access Journals (Sweden)

    Geyse SANTOS

    2015-12-01

    Full Text Available In recent years, increasing concerns about toxicity residues in agricultural products have stimulated an increased interest in new agricultural strategies. While considering new strategies, the question arises if homeopathic preparations could be of use in plants. Homeopathy was born as an experimental discipline, and, generally, plants are able to react to homeopathic substances. In this paper, we conduct an up-to-date review of the existing in literature on Brazilian basic research in homeopathy applied in plants and agroecosystems to raise the profiles of Brazilian publications, according QUALIS methods and H index of Journals. The results of this research are useful not only for those who are interested in the homeopathy itself, but also to analyze the expanding that through experiments attending mainly agroecological production, aimed at improving on the level of publications.

  12. Species distribution and susceptibility profile of Candida species in a Brazilian public tertiary hospital

    Directory of Open Access Journals (Sweden)

    Montelli Augusto

    2010-01-01

    Full Text Available Abstract Background Species identification and antifungal susceptibility tests were carried out on 212 Candida isolates obtained from bloodstream infections, urinary tract infections and dialysis-associated peritonitis, from cases attended at a Brazilian public tertiary hospital from January 1998 to January 2005. Findings Candida albicans represented 33% of the isolates, Candida parapsilosis 31.1%, Candida tropicalis 17.9%,Candida glabrata 11.8%, and others species 6.2%. In blood culture, C. parapsilosis was the most frequently encountered species (48%. The resistance levels to the antifungal azoles were relatively low for the several species, except for C. tropicalis and C. glabrata. Amphotericin B resistance was observed in 1 isolate of C. parapsilosis. Conclusions The species distribution and antifungal susceptibility herein observed presented several epidemiological features common to other tertiary hospitals in Latin American countries. It also exhibited some peculiarity, such as a very high frequency of C. parapsilosis both in bloodstream infections and dialysis-associated peritonitis. C. albicans also occurred in an important number of case infections, in all evaluated clinical sources. C. glabrata presented a high proportion of resistant isolates. The data emphasize the necessity to carry out the correct species identification accompanied by the susceptibility tests in all tertiary hospitals.

  13. Meta-analysis of scientific publications hei with brazilian environmental management system

    Directory of Open Access Journals (Sweden)

    Alexandre André Feil

    2015-02-01

    Full Text Available The Higher Education Institutions (HEIs are being pressured by changes towards sustainability and thus awakening to environmental management, they are considered as a leader in promoting sustainability through actions and environmental management practices. Following this logic, this study aims to identify the environmental management practices used in Brazilian HEIs and correlations exist that influence the implementation of Environmental Management Systems (EMS. The quantitative approach is applied through documentary research with secondary data published in proceedings, journals, books and portal Scientific Electronic Library (SciELO. The data analysis occurred through meta-analysis using descriptive statistics and Spearman correlation. The results of 34 scientific studies 23 IES referencing models and practices of waste management published from 2001 to 2012 were identified. The Spearman correlation analysis expressed that HEIs with programs in environmental education performed better ranking General Index of Courses. It is recommended that HEIs that have a waste management deployed, share your experience through scientific publications to disseminate their adaptation practices regarding the SGA.

  14. What is the social gain from competency management? The employees' perception at a Brazilian public university

    Directory of Open Access Journals (Sweden)

    Guilherme Busch Rocha

    Full Text Available Abstract In the present global scenario of strong competitive edge, the Human factor had its relevance enhanced, presenting itself as a key element to enhance organizations' flexibility and performance. Since the 1990s, one of the most widespread and studied Human Resources practices has consisted of the Management Model by Competency, that innovated by changing the "position" reference to the "people" element. Therefore, this paper tries to investigate what are the elements that influence the employees' perception of social gain within an establishment that had taken on the competency management model. This is a quantitative work with survey methodology. The sample consists of 422 employees of a Brazilian public university that had implanted the competency model in 2011. The questionnaire, available in an online environment, used the dimensions developed by Sarsur (2007. The relationships between the actions on corporate education, wage move, career move, managerial positions held, workplace and seniority (independent variables with the perception employees have of social gain (dependent variables were analyzed through non parametric statistical techniques. The results indicate that the employees' perception of social competency gains in the model displays an essentially utilitarian nature. Namely, just the benefited employees demonstrated higher rankings of perception regarding the new proposal.

  15. New drugs in Brazil: do they meet Brazilian public health needs?

    Directory of Open Access Journals (Sweden)

    Carlos Cezar Flores Vidotti

    2008-07-01

    Full Text Available OBJECTIVES: To describe the new drugs marketed in Brazil during the period 2000-2004, compare the description to the country's burden of disease, and suggest initiatives capable of addressing the situation from the perspective of a developing country. METHODS: Records of new drugs were surveyed in an official drug registration database. The new drugs were categorized by Anatomical Therapeutic Chemical classification, indication, and innovation, and compared with the needs of the country's burden of disease. Data on the morbidity and mortality rates of selected diseases (diabetes, Hansen's disease, hypertension, tuberculosis were retrieved from official documents and the literature. RESULTS: During the period investigated, 109 new drugs were launched. Most were general anti-infectives for systemic use (19, followed by antineoplastic and immunomodulating agents (16. The number of new drugs launched in 2004 was roughly one-third that of 2000. Of 65 new drugs, only one-third can be classified as innovative. Most new drugs were intended to treat noninfectious diseases that typically affect developed countries, diseases that constitute only a fraction of the country's challenges. CONCLUSIONS: A mismatch occurs between public health needs and the new drugs launched on the Brazilian market. Not only did the number of new drugs decrease in the study period, but only a few were actually new in therapeutic terms. Developing countries must acquire expertise in research and development to strengthen their capacity to innovate and produce the drugs they need.

  16. Insufficient free-time physical activity and occupational factors in Brazilian public school teachers

    Directory of Open Access Journals (Sweden)

    Douglas Fernando Dias

    Full Text Available ABSTRACT OBJECTIVE To evaluate if perceived occupational factors are associated with insufficient free-time physical activity in Brazilian public school teachers. METHODS The relationship between insufficient physical activity (< 150 minutes/week and variables related to work was analyzed in 978 elementary and high school teachers calculating the prevalence ratio (PR and 95% confidence interval (95%CI in Poisson regression models, adjusted for sociodemographic and health variables. RESULTS The prevalence of insufficient physical activity was 71.9%, and this condition was associated independently with the perception of bad or regular balance between personal and professional life (PR = 1.09; 95%CI 1.01–1.18, perception that standing time affects the work (PR = 1.16; 95%CI 1.01–1.34, low or very low perception of current ability for the physical requirements of work (PR = 1.21; 95%CI 1.08–1.35, and temporary employment contract (PR = 1.13; 95%CI 1.03–1.25. The teaching of physical education was associated with lower prevalence of insufficient physical activity (PR = 0.78; 95%CI 0.64–0.95. CONCLUSIONS The perception of adverse working conditions is associated with increased prevalence of insufficient physical activity in teachers and should be considered for the promotion of physical activity in this population.

  17. Profile of the appendectomies performed in the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    FERNANDA DOS SANTOS

    Full Text Available ABSTRACT Objective: to analyze the profile of appendectomies performed in the Brazilian Public Health System (SUS and to compare the laparoscopic and laparotomic techniques of appendectomy. Methods: This work used information from DataSus from 2008 to 2014 (http://datasus.saude.gov.br. We compared the data of patients submitted to laparotomic appendectomy with those submitted to laparoscopic one. Results: when comparing the total growth of appendectomies, the laparoscopic route increased 279.7%, while the increase in laparotomic surgery was 25% (p <0.001 in the study period. With regard to medical and hospital costs, laparoscopic appendectomy accounted for only 2.6% of the total expenditure on appendectomies performed by the Unified Health System (SUS hospitals, with an average cost 7.6% lower than that of laparotomy procedures, but without statistical significance. The mortality rate was 57.1% lower in the laparoscopic approach when compared with laparotomy. Conclusion: there has been a significant increase in the laparoscopic route in the treatment of appendicitis, but the method is still rarely used in SUS patients. The costs of laparoscopic appendectomy were similar to those observed in laparotomic access.

  18. Cost-effectiveness of insulin analogs from the perspective of the Brazilian public health system

    Directory of Open Access Journals (Sweden)

    Maurílio de Souza Cazarim

    2017-11-01

    Full Text Available ABSTRACT Human insulin is provided by the Brazilian Public Health System (BPHS for the treatment of diabetes, however, legal proceedings to acquire insulin analogs have burdened the BPHS health system. The aim of this study was to perform a cost-effectiveness analysis to compare insulin analogs and human insulins. This is a pharmacoeconomic study of cost-effectiveness. The direct medical cost related to insulin extracted from the Ministry of Health drug price list was considered. The clinical results, i.e. reduction in glycated hemoglobin (HbA1c, were extracted by meta-analysis. Different scenarios were structured to measure the uncertainties regarding the costs and reduction in HbA1c. Decision tree was developed for sensitivity of Incremental Cost Effectiveness Ratio (ICER. A total of fifteen scenarios were structured. Given the best-case scenario for the insulin analogs, the insulins aspart, lispro, glargine and detemir showed an ICER of R$ 1,768.59; R$ 3,308.54; R$ 11,718.75 and R$ 2,685.22, respectively. In all scenarios in which the minimum effectiveness was proposed, lispro, glargine and detemir were dominant strategies. Sensitivity analysis showed that the aspart had R$ 3,066.98 [95 % CI: 2339.22; 4418.53] and detemir had R$ 6,163.97 [95% CI: 3919.29; 11401.57] for incremental costs. We concluded there was evidence that the insulin aspart is the most cost-effective.

  19. Alternative management of diabetic ketoacidosis in a Brazilian pediatric emergency department

    Directory of Open Access Journals (Sweden)

    Savoldelli Roberta D

    2010-06-01

    Full Text Available Abstract DKA is a severe metabolic derangement characterized by dehydration, loss of electrolytes, hyperglycemia, hyperketonemia, acidosis and progressive loss of consciousness that results from severe insulin deficiency combined with the effects of increased levels of counterregulatory hormones (catecholamines, glucagon, cortisol, growth hormone. The biochemical criteria for diagnosis are: blood glucose > 200 mg/dl, venous pH 3 mmol/L and presence of ketonuria. A patient with DKA must be managed in an emergency ward by an experienced staff or in an intensive care unit (ICU, in order to provide an intensive monitoring of the vital and neurological signs, and of the patient's clinical and biochemical response to treatment. DKA treatment guidelines include: restoration of circulating volume and electrolyte replacement; correction of insulin deficiency aiming at the resolution of metabolic acidosis and ketosis; reduction of risk of cerebral edema; avoidance of other complications of therapy (hypoglycemia, hypokalemia, hyperkalemia, hyperchloremic acidosis; identification and treatment of precipitating events. In Brazil, there are few pediatric ICU beds in public hospitals, so an alternative protocol was designed to abbreviate the time on intravenous infusion lines in order to facilitate DKA management in general emergency wards. The main differences between this protocol and the international guidelines are: intravenous fluid will be stopped when oral fluids are well tolerated and total deficit will be replaced orally; if potassium analysis still indicate need for replacement, it will be given orally; subcutaneous rapid-acting insulin analog is administered at 0.15 U/kg dose every 2-3 hours until resolution of metabolic acidosis; approximately 12 hours after treatment initiation, intermediate-acting (NPH insulin is initiated at the dose of 0.6-1 U/kg/day, and it will be lowered to 0.4-0.7 U/kg/day at discharge from hospital.

  20. Government-to-business: the Brazilian Public Digital Bookkeeping System (Sped) and the eSocial Project

    OpenAIRE

    Ramos Junior, Helio Santiago; Galiotto, Simone

    2014-01-01

    This paper presents some initiatives of government-to-business in Brazil: The Sped and its project called eSocial. The Sped Fiscal is the Brazilian Public Digital Bookkeeping System and it can be considered an innovation in the relation between the government and the corporate taxpayers, especially in the informatization area. In this research, we explain how it works and its regulatory legislation. After that, we show some benefits of this system. The eSocial Project is the Digital Bookkeepi...

  1. Brazilian Cinema: A Comparative Study between Fundraising Through Mechanisms of Public Incentive versus the Selling Revenue on the Brazilian Box Offices

    Directory of Open Access Journals (Sweden)

    Inácio Alaiola Nogueira Dos Santos Júnior

    2014-12-01

    Full Text Available Responsible for maintaining active the actual cinematographic production, the politics of incentive to cinema do not guarantee an equal state of recourse capture for all the movies produced in the country as well as provoke discussion which relate production quality to volume capture, in which has taken to the creation of the common sense that says that movies which present elevated recourse fund must present best-selling results. Therefore, this study has the objective of analyzing the relation between the recourse volume captured from the mechanisms of public incentive and the selling volume on the Brazilian box offices. Due to that, descriptive research was made, with documentary character and quantitative approach. The data used in this study is related to information towards fundraising and income about the box office of 666 brazilian movies released between 1995 and 2012, while the statistical analysis used was the 'Spearman correlation' coefficient. The results showed that there is a strong positive correlation between the two variablesanalyzed, revealing a trend of movies with high fundraising are the ones that register the highest grossing box office. Data analysis also revealed that there is a concentration of both incentive funds (61% as income at the box office (75% in films with volume greater uptake of R $ 3 million.

  2. Global Public Goods and The Role of Emerging Power: Considering the Concept of Impure Public Goods

    Directory of Open Access Journals (Sweden)

    Liu Rieshøj Yi

    2016-12-01

    Full Text Available The existing analysis of global public goods over-emphasizes the significance of public. Great power as a main provider has played an active role in these strategic initiatives, which may be ignored. In fact, main power has thought about the possible free-riders when providing public goods and making its foreign strategic plan. China’s announcement to “welcome the neighbouring countries to be a free-rider and benefit from China’s rise” is a good example. It is necessary to think about the theory of public goods and take another look at the free-riding phenomenon. The concept of impure public goods may be useful and effective when we understand the reason why global public goods are being provided and are relatively efficient. As an emerging power, China should have a clear strategy on global public goods with a possible “marketing” viewpoint, including more initiatives and specific measures, so that the global public goods provision may be more diverse and well-planned.

  3. Improvement of Emergency Management Mechanism of Public Health Crisis in Rural China: A Review Article.

    Science.gov (United States)

    Hu, Jiaxiang; Chen, Chao; Kuai, Tingting

    2018-02-01

    With the rapid development of social economy in China, various public health emergencies frequently occur. Such emergencies cause a serious threat to human health and public safety, especially in rural China. Owing to flaws in emergency management mechanism and policy, the government is not capable to effectively deal with public health emergencies. Therefore, this study aimed to discuss the path to improve the emergency management mechanism for public health emergency in rural China. This study was conducted in 2017 to detect the emergency management mechanism of public health crisis (EMMPHC) in Rural China. Data were collected using the following keywords: Rural China, public health emergency, emergency management mechanism, organization mechanism, operation mechanism in the databases of PubMed, Scopus, Web of Science, and CNKI. EMMPHC in rural China can be enhanced from the following three aspects. First, a permanent institution for rural emergency management with public health management function is established. Second, the entire process of emergency management mechanism, including the stages of pre-disaster, disaster, and post-disaster, is improved. Finally, investment in rural public health is increased, and an adequate reserve system for emergency resources is formed. The new path of EMMPHC in rural China can effectively help the local government accomplish the dispatch capability in public health emergency, and it has important research significance for the protection of public health and social stability of residents in rural China.

  4. An analysis of public private partnership in emerging economies

    Directory of Open Access Journals (Sweden)

    Lukamba Muhiya Tshombe

    2016-11-01

    Full Text Available This article examines the significance of Public Private Partnership (PPP in emerging economies. The major focus of the paper is the African continent. The article briefly discusses the origin and implementation PPPs in different continents across the globe. A qualitative research paradigm is adopted to analyse public private partnerships in Sub-Saharan Africa (SSA. Qualitative research is exploratory and is frequently used to investigate a subject area in which there is limited information. This method of investigation sheds light on the different PPP projects. A case study strategy adopted in this study was used create understanding of the different process emanating from the implementation of PPPs in Africa continent. A comprehensive understanding of PPP implementation in SSA is essential. PPPs should be considered in sectors where there is a need to improve infrastructure and service delivery. Every government should have legislation in place as well as a regulatory framework on PPPs to facilitate local and foreign investors to implement new projects. The absence of a legal and regulatory framework on PPPs hinders close collaboration between the public and private sector in certain countries in Sub-Saharan Africa. Anecdotal evidence from interviews with public officials indicates the need for government to focus on a specific project where it (government perceives a need for a private company to participate. This article argues that the Build-Operate-Transfer (BOT project is an excellent model for governments in SSA where there is a deficit infrastructure, required to provide improved service delivery. Most BOT projects require sizeable financial investment. Most governments prefer to use BOT to construct specific infrastructure such as new electricity power plants, toll roads, prisons, dams and water plants. Experience has revealed that BOT agreements tend to reduce market and credit risk for the private sector because in most instances

  5. Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing burch and synthetic sling techniques.

    Science.gov (United States)

    Limberger, Leo Francisco; Faria, Fernanda Pacheco; Campos, Luciana Silveira; Anzolch, Karin Marise Jaeger; Fornari, Alexandre

    2018-01-01

    Surgical treatment of urinary incontinence progressed significantly with the introduction of synthetic slings. However, in some public Brazilian hospitals, the costs of these materials prevent their routine use. To compare the costs of ambulatory synthetic sling surgery with an historical series of patients submitted to Burch surgery in a Brazilian public hospital. Twenty nine incontinent patients were selected to synthetic sling surgery. Demographic data were prospectively collected and also the costs of the procedure, including drugs and materials, use of surgical and recovery wards, medical staff and hospitalization. These data were compared to the costs of 29 Burch surgeries performed before the introduction of synthetic slings. Demographic data were similar, although median age was lower in the group submitted to Burch surgery (46.3±8.6 versus 56.2±11.3 (pCost was significantly lower in patients submitted to sling in all items, except for time spent in recovery ward. Total value of 29 Burch surgeries was R$ 217.766.12, and of R$ 68.049.92 of 29 patients submitted to sling surgery (pcost of the synthetic sling was considered. Copyright® by the International Brazilian Journal of Urology.

  6. Risk factors for maxillofacial injuries in a Brazilian emergency hospital sample

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    José Luiz Rodrigues Leles

    2010-02-01

    Full Text Available BACKGROUND: Maxillofacial injuries occur in a significant number of trauma patients. Epidemiological assessments are essential to reaffirm patterns, identify new trends and develop clinical and research priorities for effective treatment and prevention of these injuries. OBJECTIVE: The aim of this study was to identify the epidemiological profile and risk factors associated with maxillofacial trauma treated at a referral emergency hospital for the Public Health System in the State Capital of Goiás, Brazil. MATERIAL AND METHODS: A cross-sectional study was designed including 530 patients with maxillofacial trauma, 76% male, with a mean age of 25.5±15.0 years. Data were collected between May 2003 and August 2004 over weekly shift-working periods. RESULTS: The main causes of trauma were traffic accidents (45.7% and physical assaults (24.3%, and differences in etiological factors were identified according to gender (p<0.001. The distribution of patients according to age and etiology showed significant differences for traffic accidents (p<0.01, physical assaults (p<0.001, falls (p<0.001 and sport injuries (p<0.01. In the multinomial logistic regression analysis (R² = 0.233; p<0.05, age was associated with injury in traffic accidents and falls (p<0.01, sports-related accidents were associated with males (p<0.05, and alcohol consumption with assaults and traffic accidents (p<0.001. Facial soft tissue lesions were found in 98% of patients and facial fractures in 51%. CONCLUSIONS: The significant association of maxillofacial trauma with young males and alcohol consumption reinforces the need for educational strategies and the development of policies for the prevention and reduction of associated damage in this specific risk group.

  7. Inadequate management of natural ecosystem in the Brazilian Amazon region results in the emergence and reemergence of arboviruses

    Directory of Open Access Journals (Sweden)

    Pedro F. C. Vasconcelos

    Full Text Available A total of 187 different species of arboviruses and other viruses in vertebrates were identified at the Evandro Chagas Institute (IEC from 1954 to 1998, among more than 10,000 arbovirus strains isolated from humans, hematophagous insects, and wild and sentinel vertebrates. Despite intensive studies in the Brazilian Amazon region, especially in Pará State, very little is known about most of these viruses, except for information on date, time, source, and method of isolation, as well as their capacity to infect laboratory animals. This paper reviews ecological and epidemiological data and analyzes the impact of vector and host population changes on various viruses as a result of profound changes in the natural environment. Deforestation, mining, dam and highway construction, human colonization, and urbanization were the main manmade environmental changes associated with the emergence and/or reemergence of relevant arboviruses, including some known pathogens for humans.

  8. Inadequate management of natural ecosystem in the Brazilian Amazon region results in the emergence and reemergence of arboviruses

    Directory of Open Access Journals (Sweden)

    Vasconcelos Pedro F. C.

    2001-01-01

    Full Text Available A total of 187 different species of arboviruses and other viruses in vertebrates were identified at the Evandro Chagas Institute (IEC from 1954 to 1998, among more than 10,000 arbovirus strains isolated from humans, hematophagous insects, and wild and sentinel vertebrates. Despite intensive studies in the Brazilian Amazon region, especially in Pará State, very little is known about most of these viruses, except for information on date, time, source, and method of isolation, as well as their capacity to infect laboratory animals. This paper reviews ecological and epidemiological data and analyzes the impact of vector and host population changes on various viruses as a result of profound changes in the natural environment. Deforestation, mining, dam and highway construction, human colonization, and urbanization were the main manmade environmental changes associated with the emergence and/or reemergence of relevant arboviruses, including some known pathogens for humans.

  9. Energy drinks: an emerging public health hazard for youth.

    Science.gov (United States)

    Pomeranz, Jennifer L; Munsell, Christina R; Harris, Jennifer L

    2013-05-01

    Energy drinks are emerging as a public health threat and are increasingly consumed by youth internationally. Energy drinks contain high levels of caffeine, sugar, and novel ingredients, and are often marketed through youth-oriented media and venues. We review these practices and the current inconsistent state of labeling. We also examine international support for regulation of these products, including a survey showing that 85 per cent of United States parents agreed that regulations requiring caffeine content disclosure and warning labels on energy drinks are warranted. We then examine the regulatory structure for energy drinks in the United States, analyzing legal and self-regulatory strategies to protect consumers, especially youth, from these potentially dangerous products. Recommended government interventions include revised labeling requirements, addressing problematic ingredients, and enacting retail restrictions. We conclude by identifying areas for future research.

  10. Modernising higher education: the emergence of European public goods

    Directory of Open Access Journals (Sweden)

    Peter van der Hijden

    2014-12-01

    Full Text Available Universities cater mainly for national audiences. But the days of splendid isolation are over. Students, graduates, faculty and staff vote with their feet. Institutions and system are, increasingly, involved in processes of regionalisation and globalisation. This article describes how a number of European initiatives are transforming the way universities operate in education, research and management. Incentives for change range from earmarked funding to projects grants and loans, from voluntary networking and benchmarking to quality audits and rankings. These instruments for change have become part of the fabric of university life, often consolidated in institutional strategies and national legislation. They are emerging as 'European public goods'. This article highlights a number of these initiatives in the various categories and points at their impact on university practice.

  11. The expansion of "the feminine" within the Brazilian public sphere: telenovelas of the 1970s and 1980s

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    Esther Império Hamburger

    Full Text Available This paper revisits the wide range of critical literature that, from a variety of theoretical perspectives and with an emphasis on different historical periods and countries, deals with the relationships between mass media and representations of gender relations. This review of the literature focuses on works that are particularly suggestive for our ensuing discussion on the major conventions of Brazilian telenovela, a television genre that blends elements of documentary and fiction and treats the nation in melodramatic terms. Analysis of relevant programs that were exhibited during the 70s and the 80s suggests that these soaps constructed the Brazilian public space in terms that expanded what the industry had conventionally defined as "woman's domain".

  12. 76 FR 23810 - Public Safety and Homeland Security Bureau; Federal Advisory Committee Act; Emergency Response...

    Science.gov (United States)

    2011-04-28

    ... FEDERAL COMMUNICATIONS COMMISSION Public Safety and Homeland Security Bureau; Federal Advisory Committee Act; Emergency Response Interoperability Center Public Safety Advisory Committee Meeting AGENCY... Fullano, Associate Chief, Public Safety and Homeland Security Bureau, Federal Communications Commission...

  13. Public private partnerships for emergency obstetric care: Lessons from Maharashtra

    Directory of Open Access Journals (Sweden)

    Sarika Chaturvedi

    2011-01-01

    Full Text Available Background: The National Rural Health Mission of India advocates public private partnerships (PPPs to meet its "service guarantee" of Emergency obstetric care (EmOC provision. The Janani Suraksha Yojana (JSY has a provision of Rs. 1500 for contracting in obstetric specialists. Objectives: The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. Materials and Methods: A cross-sectional study using the rapid assessment approach was conducted in Ahmednagar district of Maharashtra spanning 1-year duration ending in June 2009. Primary data were obtained through interviews with women, providers, and administrators at various levels. Data were analyzed thematically. Results: The PPP scheme for EmOC is restricted to deliveries by Caesarean section. The administrators prefer subsidization of costs for services in private facilities to contracting in. There are no PPPs executed in the study district. This study identifies barriers to women in accessing the benefit and the difficulties faced by administrators in implementing the scheme. Conclusion: The PPPs for EmOC under the JSY have minimally influenced the out-of-pocket payments for EmOC. Infrastructural inadequacies and passive support of the implementers are major barriers to the implementation of contracting-in model of PPPs. Capacities in the public health system are inadequate to design and manage PPPs.

  14. Public private partnerships for emergency obstetric care: lessons from maharashtra.

    Science.gov (United States)

    Chaturvedi, Sarika; Randive, Bharat

    2011-01-01

    The National Rural Health Mission of India advocates public private partnerships (PPPs) to meet its "service guarantee" of Emergency obstetric care (EmOC) provision. The Janani Suraksha Yojana (JSY) has a provision of Rs. 1500 for contracting in obstetric specialists. The study aimed to understand the issues in the design and implementation of the PPPs for EmOC under the JSY in Maharashtra and how they affect the availability of EmOC services to women. A cross-sectional study using the rapid assessment approach was conducted in Ahmednagar district of Maharashtra spanning 1-year duration ending in June 2009. Primary data were obtained through interviews with women, providers, and administrators at various levels. Data were analyzed thematically. The PPP scheme for EmOC is restricted to deliveries by Caesarean section.The administrators prefer subsidization of costs for services in private facilities to contracting in. There are no PPPs executed in the study district. This study identifies barriers to women in accessing the benefit and the difficulties faced by administrators in implementing the scheme. The PPPs for EmOC under the JSY have minimally influenced the out-of-pocket payments for EmOC. Infrastructural inadequacies and passive support of the implementers are major barriers to the implementation of contracting-in model of PPPs. Capacities in the public health system are inadequate to design and manage PPPs.

  15. Community Assessment Tool for Public Health Emergencies Including Pandemic Influenza

    Energy Technology Data Exchange (ETDEWEB)

    ORAU' s Oak Ridge Institute for Science Education (HCTT-CHE)

    2011-04-14

    The Community Assessment Tool (CAT) for Public Health Emergencies Including Pandemic Influenza (hereafter referred to as the CAT) was developed as a result of feedback received from several communities. These communities participated in workshops focused on influenza pandemic planning and response. The 2008 through 2011 workshops were sponsored by the Centers for Disease Control and Prevention (CDC). Feedback during those workshops indicated the need for a tool that a community can use to assess its readiness for a disaster - readiness from a total healthcare perspective, not just hospitals, but the whole healthcare system. The CAT intends to do just that - help strengthen existing preparedness plans by allowing the healthcare system and other agencies to work together during an influenza pandemic. It helps reveal each core agency partners (sectors) capabilities and resources, and highlights cases of the same vendors being used for resource supplies (e.g., personal protective equipment [PPE] and oxygen) by the partners (e.g., public health departments, clinics, or hospitals). The CAT also addresses gaps in the community's capabilities or potential shortages in resources. This tool has been reviewed by a variety of key subject matter experts from federal, state, and local agencies and organizations. It also has been piloted with various communities that consist of different population sizes, to include large urban to small rural communities.

  16. Geographic distribution of Research Groups and their publications on diet and exercise interventions in cancer in the Brazilian territory

    Directory of Open Access Journals (Sweden)

    Marco Aurélio Ferreira de Jesus Leite

    2017-11-01

    Full Text Available ABSTRACT Aims This study promoted a screening of the geographical distribution and scientific production of the Brazilian research groups on interventions with diet and/or exercise in cancer. Methods A systematic search on the current basis of the Directory of Research Groups of the National Council for Scientific and Technological Development was done to collect information such as name of group; name of leader; unit of federation; institution; year of creation; number of researchers, students and technicians; and the group's knowledge sub-area. All leaders' curricula were accessed to screen their general publications on cancer and their specific publications on nutrition, exercise and cancer. The publications were classified according to the QUALIS (2015 criteria of the Coordination of Improvement of Higher Education Personnel in the Physical Education area. Results The Southeast has the highest number of active groups, but the North has no registered groups. The Midwest concentrates the largest number of members in its research groups and the largest overall scientific production on cancer, but the Southeast presents the largest specific production on nutrition, physical exercise and cancer. Most of the specific publications were B2. Conclusion Research groups and scientific contributions involving this knowledge field need to be encouraged and better distributed geographically throughout the Brazilian territory.

  17. Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians.

    Science.gov (United States)

    Tallo, Fernando Sabia; de Campos Vieira Abib, Simone; de Andrade Negri, Alexandre Jorgi; Cesar, Paulo; Lopes, Renato Delascio; Lopes, Antônio Carlos

    2017-02-01

    To present self-assessments of knowledge about mechanical ventilation made by final-year medical students, residents, and physicians taking qualifying courses at the Brazilian Society of Internal Medicine who work in urgent and emergency settings. A 34-item questionnaire comprising different areas of knowledge and training in mechanical ventilation was given to 806 medical students, residents, and participants in qualifying courses at 11 medical schools in Brazil. The questionnaire's self-assessment items for knowledge were transformed into scores. The average score among all participants was 21% (0-100%). Of the total, 85% respondents felt they did not receive sufficient information about mechanical ventilation during medical training. Additionally, 77% of the group reported that they would not know when to start noninvasive ventilation in a patient, and 81%, 81%, and 89% would not know how to start volume control, pressure control and pressure support ventilation modes, respectively. Furthermore, 86.4% and 94% of the participants believed they would not identify the basic principles of mechanical ventilation in patients with obstructive pulmonary disease and acute respiratory distress syndrome, respectively, and would feel insecure beginning ventilation. Finally, 77% said they would fear for the safety of a patient requiring invasive mechanical ventilation under their care. Self-assessment of knowledge and self-perception of safety for managing mechanical ventilation were deficient among residents, students and emergency physicians from a sample in Brazil.

  18. TERLIPRESSIN VERSUS NORADRENALINE FOR HEPATORENAL SYNDROME. Economic evaluation under the perspective of the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Ângelo Zambam de MATTOS

    Full Text Available ABSTRACT Background - Terlipressin and noradrenaline are the best studied treatments for hepatorenal syndrome, and there is no evidence of superiority of one over the other regarding to efficacy. While the former drug is more costly, the latter requires admission into an intensive care unit. Objective - The aim of this study was to perform an economic evaluation, comparing treatments for hepatorenal syndrome with terlipressin and noradrenaline. Methods - For the economic evaluation, a cost-minimization analysis was performed. Direct medical costs of the two treatment strategies were compared under the perspective of the Brazilian Public Health System as the third-party payer. A probabilistic sensitivity analysis was performed. Results - The costs of treatments with terlipressin or noradrenaline were 287.77 and 2,960.45 International Dollars (Int$ respectively. Treatment using terlipressin would save Int$2,672.68 for the Public Health System for each hospital admission related to hepatorenal syndrome. In the probabilistic sensitivity analysis, it was verified that the cost of the treatment with noradrenaline could vary between Int$2,326.53 and Int$3,644.16, while costs related to the treatment using terlipressin are not variable. Conclusion - The treatment strategy using terlipressin was more economical than that using noradrenaline under the perspective of the Brazilian Public Health System as the third-party payer.

  19. ELT in Brazilian Public Schools: History, Challenges, New Experiences and Perspectives

    Science.gov (United States)

    Teixeira de Almeida, Ricardo Luiz

    2016-01-01

    Historically speaking, the teaching of English was never a part of Brazilian primary schools programmes. Foreign language teaching as an obligatory school subject appears only in the sixth year of basic education, and its goal is more connected to the development of critical citizens, rather than to the promotion of proficient speakers of the…

  20. Triazole Resistance Is Still Not Emerging in Aspergillus fumigatus Isolates Causing Invasive Aspergillosis in Brazilian Patients

    NARCIS (Netherlands)

    Negri, C.E.; Goncalves, S.S.; Sousa, A.C.P.; Bergamasco, M.D.; Martino, M.D.V.; Queiroz-Telles, F.; Aquino, V.R.; Castro, P.T.O.; Hagen, F.; Meis, J.F.G.M.; Colombo, A.L.

    2017-01-01

    Aspergillus fumigatus azole resistance has emerged as a global health problem. We evaluated the in vitro antifungal susceptibility of 221 clinical A. fumigatus isolates according to CLSI guidelines. Sixty-one isolates exhibiting MICs at the epidemiological cutoff value (ECV) for itraconazole or

  1. A call for science preparedness for pregnant women during public health emergencies.

    Science.gov (United States)

    Faherty, Laura J; Rasmussen, Sonja A; Lurie, Nicole

    2017-01-01

    Science preparedness, or the ability to conduct scientific research early in a public health emergency, is essential to increase the likelihood that important research questions regarding pregnant women will be addressed during future public health emergencies while the window of opportunity for data collection is open. Science preparedness should include formulation and human subject approval of generic protocols, which could be rapidly updated at the time of the public health emergency; development of a preexisting study network to coordinate time-sensitive research during a public health emergency; and identification of mechanisms for funding these studies. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Behavioral and biological correlates of medicine use in type 2 diabetic patients attended by Brazilian public healthcare system

    Directory of Open Access Journals (Sweden)

    Jamile Sanches Codogno

    2013-01-01

    Full Text Available DOI: http://dx.doi.org/10.5007/1980-0037.2013v15n1p82 The relationship between physical activity and the use of medicines is not clear. The purpose of this study was to investigate this relationship between the level of physical activity and the use of medications by type 2 diabetic patients who were attended in the Brazilian public healthcare system. The sample was composed of 121 Brazilian diabetic patients, of both genders, attended by the public healthcare system. Body fat (estimated by anthropometry and bioelectrical impedance, physical activity (measured by Baecke’s questionnaire, and the participant’s use of medicines (during the 15 days before evaluation were assessed. There was a relationship between the use of medicines and: gender (r = 0.18; p = 0.045, body mass index (BMI (r = 0.22; p = 0.012, waist circumference (r = 0.19; p = 0.029, body fat percentage (r = 0.21; p = 0.016, age (r = 0.23; p = 0.009, and level of physical activity (r = -0.22; p = 0.012. Linear regression included in the multivariate model only age (β = 0.718; p = 0.057, BMI (β= 0.057; p = 0.022, and level of physical activity (β = -0.176; p = 0.044. In conclusion, physical activity decreases medicinal use independent of age or obesity.

  3. Value Relevance vis-à-vis Disclosure on Business Combinations and Goodwill Recognized by Publicly Traded Brazilian Companies

    Directory of Open Access Journals (Sweden)

    Maíra Melo de Souza

    Full Text Available Abstract The objective of this study is to examine the value relevance of the level of disclosure on business combinations and goodwill recognized by publicly traded Brazilian companies. The research sample is composed of publicly traded Brazilian companies that carried out any type of business combination, as the acquiring entity, between 2010 and 2013, yielding a total sample of 202 observations. To measure the disclosure level of each, a metric was created based on CPC-15 R1 (2011 to examine certain disclosure items in order to render a greater level of detail. Data collection was carried out using the footnotes to the annual consolidated standardized financial statements (DFPs available from the São Paulo Stock Exchange (BM&FBOVESPA website. The results revealed that disclosure levels for business combinations are positively and significantly associated with the stock price of the companies analyzed. As to the recognition of goodwill during business combinations, despite the fact that it represents a significant share of the value of the transactions, no statistical significance explaining stock price behavior was found. It also bears mentioning that the average level of disclosure identified in the explanatory notes in the sample was very low, indicating that companies need to improve when it comes to transparency of information.

  4. Hygienic, sanitary, physical, and functional conditions of Brazilian public school food services

    OpenAIRE

    Almeida,Kênia Machado de; André,Maria Cláudia Porfirio; Campos,Maria Raquel Hidalgo; Díaz,Mário Ernesto Piscoya

    2014-01-01

    OBJECTIVE: To verify the physical, functional, hygienic, and sanitary conditions of the food services of municipal schools located in the Brazilian Midwest region. METHODS: This is a cross-sectional study of 296 school food services conducted from February to June 2012. The food services were assessed by a semi-structured check list divided into the following sections: physical conditions, available equipment, food handlers' conduct, and food service cleaning processes and procedures. Th...

  5. Public Policy and Gender Inequality in Brazilian Society: Considerations From the Realms of Labor, Politics and Science.

    Directory of Open Access Journals (Sweden)

    Janaina Xavier do Nascimento

    2016-06-01

    Full Text Available The present text focuses on issues of gender inequality and public policy in Brazil today. My major goals are as follows: 1 to provide an analysis of gender inequality in Brazilian society through an examination of the three key arenas of labor, political representation and science and 2 to examine both the advances and the challenges that persist in confronting inequality through public policies on gender. To these ends, I employ secondary data, obtained from three different official sources (IBGE, TSE and CNPq. Lastly, I argue that while the policies that have been implemented can be linked to significant progress in the three above-mentioned arenas, we are still quite far from a real reversal of the current situation of deep inequality, persisting, above all, in the field of political representation.

  6. Medication Overdoses at a Public Emergency Department in Santiago, Chile

    Directory of Open Access Journals (Sweden)

    Pablo Aguilera, MD

    2016-01-01

    Full Text Available Introduction: While a nationwide poison control registry exists in Chile, reporting to the center is sporadic and happens at the discretion of the treating physician or by patients’ self-report. Moreover, individual hospitals do not monitor accidental or intentional poisoning in a systematic manner. The goal of this study was to identify all cases of intentional medication overdose (MO that occurred over two years at a large public hospital in Santiago, Chile, and examine its epidemiologic profile. Methods: This study is a retrospective, explicit chart review conducted at Hospital Sótero del Rio from July 2008 until June 2010. We included all cases of identified intentional MO. Alcohol and recreational drugs were included only when they were ingested with other medications. Results: We identified 1,557 cases of intentional MO and analyzed a total of 1,197 cases, corresponding to 0.51% of all emergency department (ED presentations between July 2008 and June 2010. The median patient age was 25 years. The majority was female (67.6%. Two peaks were identified, corresponding to the spring of each year sampled. The rate of hospital admission was 22.2%. Benzodiazepines, selective serotonin reuptake inhibitors, and tricyclic antidepressants (TCA were the causative agents most commonly found, comprising 1,044 (87.2% of all analyzed cases. Acetaminophen was involved in 81 (6.8% cases. More than one active substance was involved in 35% of cases. In 7.3% there was ethanol co-ingestion and in 1.0% co-ingestion of some other recreational drug (primarily cocaine. Of 1,557 cases, six (0.39% patients died. TCA were involved in two of these deaths. Conclusion: Similar to other developed and developing nations, intentional MO accounts for a significant number of ED presentations in Chile. Chile is unique in the region, however, in that its spectrum of intentional overdoses includes an excess burden of tricyclic antidepressant and benzodiazepine overdoses, a

  7. Full-text publication of abstracts in emergency medicine in Denmark

    DEFF Research Database (Denmark)

    Ravn, Anne Katrine; Petersen, Dan Brun; Folkestad, Lars

    2014-01-01

    presented at the Danish Emergency Medicine Conferences in 2009, 2010 and 2011. METHODS: Abstracts presented at the conferences were identified and authors contacted to obtain publication information. A further search was conducted using relevant databases. RESULTS: Publication rates for the 2009 and 2010....../or research courses provided by the Danish Society of Emergency Medicine....

  8. The social construction of risk and the controversial Brazilian Nuclear Program: among scientific, political and public

    International Nuclear Information System (INIS)

    Camelo, Ana Paula

    2015-01-01

    This research aims to investigate the Brazilian Nuclear Program (PNB) stating as reference the Fukushima nuclear accident. Its main purpose is to analyze how the Japanese accident impacted the PNB. Therefore, the program will be analyzed within 10-years (2004-2014) in order to answer this question. The discussion launched in this thesis is based on the framework of the Social Studies of Science and Technology, which enables the understanding of socio-technical controversies beyond the social or technological determinism. Through the discussion of the concepts of framing, socio-technical imaginary, risk and governance of science and technology, the research shows how the controversy in focus has resulted in the opportunity to consider not only economic, technological, environmental issues about nuclear energy, but also its political dimensions and challenges. Among these challenges, and from very different perspectives, arise questions about the role nuclear energy plays in the Brazilian context, the future of the program and the decision making process on these issues. Despite the central purpose of this study is essentially on risks, PNB and on the Brazilian context, it should be pointed that it is impossible to consider it in isolation of what is happening internationally (considering interests, tensions, relations between actors, etc.) The research thereby identifies key implications of Fukushima in the international context, but focuses on the disputes regarding possible review of the PNB. It also highlights how the socio-technical controversies, such as the nuclear energy, demand or impose a discussion on the governance of science and technology, risk and on the engagement of different sectors and actors in decision-making on issues, that are at the same time about energy, technology and nationality relevance. All this reflection is made from multi-sited analysis, which allowed following the controversy surrounding nuclear energy, reheated by the Fukushima

  9. Technological integration in Brazilian public basic education: an analysis of the temporal evolution and the interdisciplinarity of the theme

    Directory of Open Access Journals (Sweden)

    Priscila Cadorin Nicolete

    2016-12-01

    Full Text Available The complexity inherent to technological integration in the context of basic education in the current reality of the students and the digital culture that permeates society today features a transformation in the dynamics of knowledge construction. It is difficult to connect students, fully involving them in this process when using traditional teaching and learning methods. This new context requires interdisciplinary research for better understanding, involving experts in the field of sciences and more technical areas such as engineering and computer science. To answer the question of how to handle the evolution of interdisciplinary theoretical and empirical studies related to the subject, it was developed a survey in order to understand the evolution, interdisciplinarity and the theoretical and empirical variables related to the integration of technologies in the Brazilian basic education. This article presents the results of the exploratory survey of systematic review procedures of literature in electronic databases, then bibliometric and descriptive analyzes. Among the obtained results, were identified as strategies for the integration of technologies in Brazilian public basic education: Remote Experimentation for Physics, Mobile Learning and Software teaching for practices in Mathematics classes. The studies are divided into six large areas of knowledge: Social Sciences, Decision Science, Computer Science, Engineering, Business and Mathematics, demonstrating the interdisciplinarity of the theme.

  10. Emerging theoretical understanding of pluricentric coordination in public governance

    DEFF Research Database (Denmark)

    Reff Pedersen, Anne; Sehested, Karina; Sørensen, Eva

    2011-01-01

    institutionally or functionally demarcated units that follows a specific pregiven rational logic of consequentiality. This view is apparent in public administration theory, organization theory, and planning theory. In recent years, this unitary, rationalist understanding of coordination has been challenged......: public administration theory, organizational theory, and planning theory to show how each of them are currently contributing to the development of what we define as a theory of pluricentric coordination in public governance....

  11. Full text publication rates of studies presented at an international emergency medicine scientific meeting.

    Science.gov (United States)

    Chan, Jannet W M; Graham, Colin A

    2011-09-01

    The publication rate of full text papers following an abstract presentation at a medical conference is variable, and few studies have examined the situation with respect to international emergency medicine conferences. This retrospective study aimed to identify the publication rate of abstracts presented at the 2006 International Conference on Emergency Medicine (ICEM) held in Halifax, Canada. The full text publication rate was 33.2%, similar to previous emergency medicine meetings. English language barriers may play a role in the low publication rate seen.

  12. The emergence of new latitudes in the art world: the Latitude project and the insertion of Brazilian art in a global market

    Directory of Open Access Journals (Sweden)

    Bruna Wulff Fetter

    2014-12-01

    Full Text Available Based on the increasing participation of Brazilian contemporary art in the international market, this article aims to understand the role of the Latitude project as a major tool of internationalization of this production. Acting under the setting of public-private partnership, the Latitude project presents itself as a business platform (for galleries and also as a visibility one (for artists that range from assistance in exportation bureaucratic issues to organizingvisits of institution directors and international collectors to Brazilian museums, institutions, fairs and galleries. However, this type of partnership leads us to question the current public policies for the development of the sector, its sphere of action, results and actual beneficiaries.

  13. Legal suits: pharmaceutical industry strategies to introduce new drugs in the Brazilian public healthcare system.

    Science.gov (United States)

    Chieffi, Ana Luiza; Barata, Rita de Cássia Barradas

    2010-06-01

    To assess the distribution rate of legal suits according to drug (manufacturer), prescribing physician, and attorney filing the lawsuit. A descriptive study was carried out to assess the lawsuits in the São Paulo State (Southeastern Brazil) courts registry in 2006, and amounts spent in complying with these lawsuits, and total costs with medication thus resulting. In 2006, the São Paulo State Administration spent 65 million Brazilian reais in compliance with court decisions to provide medication to approximately 3,600 individuals. The total cost of the medication was 1.2 billion Brazilian reais. In the period studied, 2,927 lawsuits were examined. These lawsuits were filed by 565 legal professionals, among which 549 were attorneys engaged by private individuals (97.17% of the total legal professionals). The drugs scope of the lawsuits had been prescribed by 878 different physicians. By assessing the number of lawsuits filed per attorney, it was found that 35% of them were brought before the courts by 1% of them. The data related to the lawsuits and to the medication classified according to manufacturer, show that a small number of attorneys is responsible for the largest number of lawsuits filed to obtain these drugs. The finding that more than 70% of the lawsuits filed for certain drugs are the responsibility of one single attorney, may suggest a close connection between this professional and the manufacturer.

  14. Communication with the Public in a Nuclear or Radiological Emergency - Training Materials. Training for Radiation Emergency. Preparedness and Response

    International Nuclear Information System (INIS)

    2012-01-01

    The IAEA training course on Communication with the Public in a Nuclear or Radiological Emergency was developed by the IAEA Incident and Emergency Centre (IEC). It is a 5-day training course, which can be delivered at the national or regional level in IAEA Member States. The course consists of lectures, work sessions and a tabletop exercise. The course is led by two experts who deliver the lectures and facilitate the work sessions and tabletop exercise.

  15. [Epidemiology and Public Health: tendencies of the Brazilian epidemiology production regarding volume, indexation and investigation areas - 2001 to 2006].

    Science.gov (United States)

    Turci, Silvana Rubano Barretto; Guilam, Maria Cristina Rodrigues; Câmara, Maria Clara Coelho

    2010-07-01

    This article examines and interprets the trends of epidemiological production in Brazil in the Public Health context. CAPES indicators from 2001 to 2006 were used as database. We analyzed 26 programs and select the 10 major ones to analyze their bibliographic production in indexed journals. It was observed that the total production of epidemiological articles accounted for 40% of production in Public Health and 55% of the production was published in international journals, especially Cadernos de Saúde Pública, Revista de Saúde Pública and Ciência & Saúde Coletiva. The most prevalent themes were public health nutrition, maternal and infant health and, infectious diseases, particularly AIDS. Environmental e worker's heath, oral health, violence and health of the elderly have been ratified as objects of study for the discipline, while meta-analysis and geoprocessing appear as a useful tool for health services. We conclude that the epidemiological production tends to increase in indexed publications, covering various topics and a wide spectrum of relevant issues to Brazilian health policy.

  16. Spatio-temporal evaluation of emerging contaminants and their partitioning along a Brazilian watershed.

    Science.gov (United States)

    de Sousa, Diana Nara Ribeiro; Mozeto, Antonio Aparecido; Carneiro, Renato Lajarim; Fadini, Pedro Sergio

    2018-02-01

    The occurrence, partitioning, and spatio-temporal distribution of seven pharmaceuticals for human use, three steroid hormones and one personal care product were determined in surface water, suspended particulate matter (SPM), and sediment of Piraí Creek and Jundiaí River (Jundiaí River Basin, São Paulo, Brazil). The maximum average detected concentrations of the compounds in the Piraí River samples were caffeine (222 ng L -1 ). In Jundiaí River samples, most of the compounds were frequently detected, wherein caffeine had the highest concentration, with maximum average concentrations of 14,050 ng L -1 , followed by atenolol (431 ng L -1 ), ibuprofen (268 ng L -1 ) and diclofenac (214 ng L -1 ). Atenolol, propranolol, estrone, and triclosan were the contaminants most frequently detected in sediment and SPM samples. Triclosan had the highest average proportion of SPM as opposed to in the aqueous phase (> 75%). Contaminants with acid functional groups showed, in general, a lower tendency to bind to particulate matter and sediments. In addition, hydrophobicity had an important effect on their environmental partitioning. The spatial distribution of contaminants along the Jundiaí River was mainly affected by the higher concentration of contaminants in water samples collected downstream from a sewage treatment plant (STP). The results obtained here clearly showed the importance of the analysis of some contaminants in the whole water, meaning both dissolved and particulate compartments in the water, and that the partitioning is ruled by a set of parameters associated to the physicochemical characteristics of contaminants and the matrix properties of the studied, which need be considered in an integrated approach to understand the fate of emerging chemical contaminants in aquatic environments.

  17. Public health in Australasian emergency departments: Attitudes, barriers and current practices.

    Science.gov (United States)

    Egerton-Warburton, Diana; Gosbell, Andrew; Moore, Katie; Jelinek, George A

    2015-12-01

    To understand the attitudes of consultant emergency medicine physicians and advanced trainees and the perceived barriers to public health interventions in Australasian EDs. This was a voluntary cross-sectional, mixed-methods online survey of consultant emergency physicians and advanced trainees of the ACEM, conducted between December 2011 and March 2012. Eight hundred and fifty-six ACEM members responded to the survey - a response rate of 33%. A similar number of consultants (70%) and trainees (75%) believed public health initiatives should be provided in the ED. Barriers identified by a similar majority of consultants and trainees to the implementation of public health interventions in EDs included dedicated time available for staff to be involved; available public health resources; available funding; clinical staff skills and expertise in public health; and the availability of staff training. Public health and health promotion are perceived by the majority of emergency medicine physicians as important in emergency medicine; however, substantial barriers exists to their implementation. Development of an evidence-based approach to public health interventions, which are effective and feasible in the ED environment, will facilitate a more comprehensive approach to public health initiatives in emergency medicine. © 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  18. Tensions between approach paradigms in public policies on drugs: an analysis of Brazilian legislation in 2000-2016.

    Science.gov (United States)

    Teixeira, Mirna Barros; Ramôa, Marise de Leão; Engstrom, Elyne; Ribeiro, José Mendes

    2017-05-01

    Brazilian public policy on drugs has been permeated by two diametrically opposing approaches: one focusing on prohibition and the other on non- prohibition. Similarly, there have been two opposing approaches to mental healthcare, one centered on hospitalization and the other psychosocial care and development. In the context of these different paradigms, this article presents an analysis of twenty-two documents sourced by the legislative rules over the last sixteen years. After the year 2000, a renewed focus by healthcare community on drugs was noticeable as was the immersion of a harm reducing approach. Following international trends, although there are still considerable divergencies between (a) psychosocial care and(b) residential care in the therapeutic communities there seems to be an alignment to anti- prohibition approaches.

  19. Can public health registry data improve Emergency Medical Dispatch?

    DEFF Research Database (Denmark)

    Andersen, M S; Christensen, E F; Jepsen, S B

    2016-01-01

    BACKGROUND: Emergency Medical Dispatchers make decisions based on limited information. We aimed to investigate if adding demographic and hospitalization history information to the dispatch process improved precision. METHODS: This 30-day follow-up study evaluated time-critical emergencies...... in contact with the emergency phone number 112 in Denmark during 18 months. 'Time-critical' was defined as suspected First Hour Quintet (FHQ) (cardiac arrest, chest pain, stroke, difficulty breathing, trauma). The association of age, sex, and hospitalization history with adverse outcomes was examined using......-59 was associated with increased adjusted odds ratio (OR) of death on day 1 of 3.59 [2.88-4.47]. Male sex was associated with an increased adjusted OR of death on day 1 of 1.37 [1.28-1.47]. Previous hospitalization with nutritional deficiencies (adjusted OR 2.07 [1.47-2.92]) and severe chronic liver disease...

  20. How to Manage Public Information in Case of Nuclear Emergency

    International Nuclear Information System (INIS)

    Caldarovic, O.

    2000-01-01

    In the paper the problem of efficient, adequate and full information and education of the population as one of the most important aspects of nuclear emergency situations si discussed. It is shown that information and education in these situation must follow major principles of democratic information, that all decisions must be made in advance and in full co-ordination as well as with a full responsibility of the development of the situation. Furthermore, effective information is seen as a missing link in different nuclear emergency situation so far. A model of effective information is discussed and proposed. (author)

  1. Iniciativas públicas de redução da violência escolar no Brasil Public initiatives for reducing violence in Brazilian schools

    Directory of Open Access Journals (Sweden)

    Luiz Alberto Oliveira Gonçalves

    2002-03-01

    Full Text Available Este artigo apresenta algumas ações do Poder Público que buscaram reduzir a violência em meio escolar. Tomando como exemplo as cidades de São Paulo, Porto Alegre e Belo Horizonte, examina algumas das modalidades de práticas que nascem a partir da década de 80, início do processo de democratização política do Brasil. Oscilando entre medidas de caráter educativo e iniciativas relacionadas à área de segurança, as ações ainda demandam continuidade e maior capacidade de impacto nas escolas públicas dessas cidades. No entanto, já é possível, a partir dessas experiências, traçar a trajetória emergente das políticas públicas destinadas à diminuição da violência nos estabelecimentos de ensino na sociedade brasileira.This article presents some of the initiatives taken by the public authorities to reduce violence in the school environment. Taking São Paulo, Porto Alegre and Belo Horizonte as examples, it examines some of the practices in place since the 1980s, when the democratization process began in Brazil. Oscillating between educational measures and those strictly related to security, the activities still require continuity and a greater capacity for having an impact on the public schools in these cities. Nevertheless, based on these experiences, it is possible to discern the emerging profile of public policies intended to reduce violence in the teaching establishments of Brazilian society.

  2. Cultivating sustainable development? An analysis of the Brazilian public policy for biodiesel within the context of sustainable development and environmental management

    Energy Technology Data Exchange (ETDEWEB)

    Gucciardi Garcez, C.A.

    2007-07-01

    The objective of this article is to contribute to the analysis of the Brazilian public policy related to biodiesel within the context of sustainable development and environmental management. Biofuels have been steadily increasing in popularity on a global scale. Brazil, a country that boasts abundant natural resources and agricultural land, has emerged as a world leader in the production of biofuels. In order to verify biodiesel's potential to contribute to sustainable development, it is necessary to analyze the biofuel in a larger social, environmental, and economic context. The methodology applied to this study included a brief review of the evolution of the concept of sustainable development and instruments of environmental management, which served as a basis to evaluate the policy documents and data relating to the policy's implementation. Although the implementation is still within its initial stage, significant weakness has been found in the policy. One consequence is the domination of soy as a primary material for biodiesel. Other weaknesses identified are related to the Selo (''certification of a socially inclusive fuel'') to promote social inclusion, as well as a lack of support for family-based agriculture to aggregate value to the primary material that they produce. (auth)

  3. Cyclosporiasis: an emerging public health concern around the world ...

    African Journals Online (AJOL)

    Background: Cyclosporiasis is an emerging gastro-enteric disease caused by the coccidia protozoan Cyclospora cayetanensis . It isassociated with diarrhoea among children in developing countries, in the Americas where C. cayetanensis is endemic, traveller\\'s diarrhoeaand/or food and waterborne outbreaks in the ...

  4. Antibiotic resistance in bacteria - an emerging public health problem ...

    African Journals Online (AJOL)

    The discovery and eventual introduction of anti-microbial agents to clinical medicine was one of the greatest medical triumphs of the twentieth century that revolutionized the treatment of bacterial diseases. However, the gradual emergence of populations of antibiotic-resistant bacteria resulting from use, misuse and outright ...

  5. Emerging markets for satellite data communications in the public service

    Science.gov (United States)

    Potter, J. G.

    1978-01-01

    The paper discusses some of the current and potential markets for satellite data communications as projected by the Public Service Satellite Consortium (PSSC). Organizations in the public service sector are divided into three categories, depending on their expected benefits and organizational changes due to increased satellite telecommunications use: A - modest institutional adjustments are necessary and significant productivity gains are likely; B - institutional requirements picture is promising, but more information is needed to assess benefits and risk; and C - major institutional adjustments are needed, risks are high but possible benefits are high. These criteria are applied to the U.S. health care system, continuing education, equipment maintenance, libraries, environmental monitoring, and other potential markets. The potential revenues are seen to be significant, but what is needed is a cooperative effort by common carriers and major public service institutions to aggregate the market.

  6. Negotiating Gender and Diversity in an Emerging European Public Sphere

    DEFF Research Database (Denmark)

    Mokre, Monika; Siim, Birte

    2013-01-01

    The European Parliament (EP) as an institution can be understood as having the potential for becoming ‘a strong public’ which is undergoing a process of building a wider general public: ‘The EP can be conceived of as an incipient transnational public sphere’ (Liebert 2007: 268). This makes the EP...... (Ferree et al. 2002) by looking both at the gender composition of the EP and the framing of debates about women´s representation within the EP and its Committee on Women’s Rights and Gender Equality (FEMM) during the period 2000-2011....

  7. Expert consensus (SBC/SBHCI) on the use of drug-eluting stents: recommendations of the Brazilian society of interventional cardiology/ Brazilian society of cardiology for the Brazilian public single healthcare system.

    Science.gov (United States)

    Lima, Valter C; Mattos, Luiz Alberto P; Caramori, Paulo R A; Perin, Marco A; Mangione, José A; Machado, Bruno M; Coelho, Wilson M C; Bueno, Ronaldo R L

    2006-10-01

    The authors review percutaneous coronary intervention (PCI) evolution and its growing application in myocardial revascularization for patients with coronary heart disease in Brazil and worldwide. PCI was introduced in 1977 using only the catheter balloon. Limitations of this method (acute occlusion and coronary restenosis) led to the adoption of coronary stents and more recently the advent of drug-eluting stents2, which were developed to drastically reduce restenosis rates. These developments allowed the exponential growth of percutaneous coronary intervention (PCI) procedures in Brazil which have replaced many bypass surgery procedures and have become the gold standard for the majority of symptomatic patients suffering from coronary artery disease. The preference for this procedure gained new dimensions in 2000 when the Brazilian Public Healthcare System (SUS) began reimbursing for stent procedures. This measure exemplified the importance of the Public Healthcare System's participation in incorporating medical advances and offering a high standard of cardiovascular treatment to a large portion of the Brazilian population. It is emphasized that prevention of in-stent restenosis is complex due to its unpredictable and ubiquitous occurrence. Control of this condition improves quality of life and reduces the recurrence of angina pectoris, the need to perform new revascularization procedures and hospital readmissions. The overall success of the drug-eluting stents has proven to be reliable and consistent in overcoming restenosis and has some beneficial impact for all clinical and angiographic conditions. This paper discusses the adoption and criteria for the use of drug-eluting stents in other countries as well as the recommendations established by the Brazilian Society of Interventional Cardiology for their reimbursement by SUS. The incorporation of new healthcare technology involves two distinct stages. During the first stage, the product is registered with the

  8. Method for Developing a Communication Strategy and Plan for a Nuclear or Radiological Emergency. Emergency Preparedness and Response. Publication Date: July 2015

    International Nuclear Information System (INIS)

    2015-08-01

    The aim of this publication is to provide a practical resource for emergency planning in the area of public communication in the development of a radiation emergency communication plan (RECP). The term 'public communication' is defined as any activity that communicates information to the public and the media during a nuclear or radiological emergency. To avoid confusion, the term public communication has been used in this publication rather than public information, which may be used in other IAEA publications and documents to ensure consistency with the terminology used in describing the command and control system. This publication also aims to fulfil in part functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), as well as meeting requirements stated in IAEA Safety Standards Series No. GS-R-2, Preparedness and Response for a Nuclear or Radiological Emergency. Under Article 5(a)(11) of the Assistance Convention, one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research with regard to the response to nuclear or radiological emergencies. This publication is intended to provide guidance to national and local authorities on developing an RECP which incorporates the specific functions, arrangements and capabilities that will be required for public communication during a nuclear or radiological emergency. The two main features of this publication are the template provided to develop an RECP and detailed guidance on developing a communication strategy for emergency preparedness and response to nuclear or radiological emergencies. The template is consistent with the outline of the national radiation emergency plan proposed in Method for Developing Arrangements for Response to a Nuclear or Radiological Emergency (EPR-Method 2003). This publication is part of the IAEA

  9. Transparency of the municipal public management: a study from the homepages of the large Brazilian municipalities

    OpenAIRE

    Cruz, Cláudia Ferreira; Ferreira, Aracéli Cristina de Sousa; Silva, Lino Martins da; Macedo, Marcelo Álvaro da Silva

    2012-01-01

    This study attempts to check the transparency level of information in public administration published in the homepages of 96 municipalities included among the 100 most populous in Brazil and what characteristics and socioeconomic indicators of the municipalities can contribute to explain the level of transparency observed. The level of transparency in public administration was established from a research model called Transparency Index Municipal Public Management (ITGP-M) constructed based on...

  10. The unexamined faiths and the public place of religion: Emerging ...

    African Journals Online (AJOL)

    ... vivendi rather than “convergence” in which the attempt is to eradicate legally allowable positions from the public sphere and place those who hold them, and their communities, at a disadvantage. The law must not, by inflating its own role, put added pressures on the liberty that accommodation and subsidiarity require.

  11. Cardiac Surgery Costs According to the Preoperative Risk in the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    David Provenzale Titinger

    2015-01-01

    Full Text Available Abstract Background: Heart surgery has developed with increasing patient complexity. Objective: To assess the use of resources and real costs stratified by risk factors of patients submitted to surgical cardiac procedures and to compare them with the values reimbursed by the Brazilian Unified Health System (SUS. Method: All cardiac surgery procedures performed between January and July 2013 in a tertiary referral center were analyzed. Demographic and clinical data allowed the calculation of the value reimbursed by the Brazilian SUS. Patients were stratified as low, intermediate and high-risk categories according to the EuroSCORE. Clinical outcomes, use of resources and costs (real costs versus SUS were compared between established risk groups. Results: Postoperative mortality rates of low, intermediate and high-risk EuroSCORE risk strata showed a significant linear positive correlation (EuroSCORE: 3.8%, 10%, and 25%; p < 0.0001, as well as occurrence of any postoperative complication EuroSCORE: 13.7%, 20.7%, and 30.8%, respectively; p = 0.006. Accordingly, length-of-stay increased from 20.9 days to 24.8 and 29.2 days (p < 0.001. The real cost was parallel to increased resource use according to EuroSCORE risk strata (R$ 27.116,00 ± R$ 13.928,00 versus R$ 34.854,00 ± R$ 27.814,00 versus R$ 43.234,00 ± R$ 26.009,00, respectively; p < 0.001. SUS reimbursement also increased (R$ 14.306,00 ± R$ 4.571,00 versus R$ 16.217,00 ± R$ 7.298,00 versus R$ 19.548,00 ± R$935,00; p < 0.001. However, as the EuroSCORE increased, there was significant difference (p < 0.0001 between the real cost increasing slope and the SUS reimbursement elevation per EuroSCORE risk strata. Conclusion: Higher EuroSCORE was related to higher postoperative mortality, complications, length of stay, and costs. Although SUS reimbursement increased according to risk, it was not proportional to real costs.

  12. Arboviruses emerging in Brazil: challenges for clinic and implications for public health

    Directory of Open Access Journals (Sweden)

    Maria Rita Donalisio

    Full Text Available ABSTRACT Arboviruses have been emerging in different parts of the world due to genetic changes in the virus, alteration of the host and vector population dynamics, or because of anthropogenic environmental factors. These viruses’ capacity for adaptation is notable, as well as the likelihood of their emergence and establishment in new geographic areas. In Brazilian epidemiologic scenario, the most common arboviruses are DENV, CHIKV, and ZIKV, although others may spread in the country. Little is yet known of the impact of viral co-circulation, which would theoretically result in more intense viremia or other immunological alterations that could trigger autoimmune diseases, such as Guillain-Barré syndrome. The impact on morbidity and mortality intensifies as extensive epidemics lead to a high number of affected individuals, severe cases, and implications for health services, mainly due to the absence of treatment, vaccines, and effective prevention and control measures.

  13. Public participation and rural management of Brazilian waters: an alternative to the deficit model

    Directory of Open Access Journals (Sweden)

    Alessandro Luís Piolli

    2008-12-01

    Full Text Available The knowledge deficit model with regard to the public has been severely criticized in the sociology of the public perception of science. However, when dealing with public decisions regarding scientific matters, political and scientific institutions insist on defending the deficit model. The idea that only certified experts, or those with vast experience, should have the right to participate in decisions can bring about problems for the future of democracies. Through a type of "topography of ideas", in which some concepts from the social studies of science are used in order to think about these problems, and through the case study of public participation in the elaboration of the proposal of discounts in the fees charged for rural water use in Brazil, we will try to point out an alternative to the deficit model. This alternative includes a "minimum comprehension" of the scientific matters involved in the decision on the part of the participants, using criteria judged by the public itself.

  14. Update on Emergency Department Visits Involving Energy Drinks: A Continuing Public Health Concern

    Science.gov (United States)

    ... the risks involved with their use, gaining additional information about these beverages is important. The Drug Abuse Warning Network (DAWN) is a public health surveillance system that monitors drug-related emergency department (ED) visits ...

  15. Role definition among public officials and emergency workers in a nuclear evacuation

    International Nuclear Information System (INIS)

    Metz, W.C.

    1983-01-01

    How public officials and emergency workers will resolve conflict between their official duties and assigned tasks and their family and conscience responsibilities is discussed in the context of the Indian Point nuclear station, and the Shoreham nuclear station

  16. Hygienic, sanitary, physical, and functional conditions of Brazilian public school food services

    Directory of Open Access Journals (Sweden)

    Kênia Machado de Almeida

    2014-06-01

    Full Text Available OBJECTIVE: To verify the physical, functional, hygienic, and sanitary conditions of the food services of municipal schools located in the Brazilian Midwest region. METHODS: This is a cross-sectional study of 296 school food services conducted from February to June 2012. The food services were assessed by a semi-structured check list divided into the following sections: physical conditions, available equipment, food handlers' conduct, and food service cleaning processes and procedures. The study variables were classified as compliant or noncompliant with the regulations passed by the National Sanitary Surveillance Agency. RESULTS: Noncompliances were found in all study food services, especially with respect to food service conditions, and the wiring and plumbing in the food preparation area. In this section, 62.7 to 95.9% of the food services did not comply with nine out of the thirteen study items. The main problems were: poorly cleaned external areas, deteriorated walls, floors, ceilings, roofs, drains, and roof gutters; and unscreened doors and windows, allowing the entrance of insects; among others. The main noncompliance regarding processes and procedures was the uncontrolled temperature of the ready-to-eat foods. CONCLUSION: The conditions of the study food services are unsatisfactory for the production of safe meals, possibly compromising meal quality, food safety, and the effectiveness of the School Food Program.

  17. Distribution and classification of Serine β-lactamases in Brazilian Hospital Sewage and Other Environmental Metagenomes deposited in Public Databases

    Directory of Open Access Journals (Sweden)

    Adriana Fróes

    2016-11-01

    Full Text Available β-lactam is the most used antibiotic class in the clinical area and it acts on blocking the bacteria cell wall synthesis, causing cell death. However, some bacteria have evolved resistance to these antibiotics mainly due the production of enzymes known as β-lactamases. Hospital sewage is an important source of dispersion of multidrug-resistant bacteria in rivers and oceans. In this work, we used next-generation DNA sequencing to explore the diversity and dissemination of serine β-lactamases in two hospital sewage from Rio de Janeiro, Brazil (South -SZ- and North Zone -NZ, presenting different profiles, and to compare them with public environmental data available. Also, we propose a Hidden-Markov-Model approach to screen potential serine β-lactamases genes (in public environments samples and generated hospital sewage data, exploring its evolutionary relationships. Due to the high variability in β-lactamases, we used a position-specific scoring matrix search method (RPS-BLAST against conserved domain database profiles (CDD, Pfam, and COG followed by visual inspection to detect conserved motifs, to increase the reliability of the results and remove possible false positives. We were able to identify novel β-lactamases from Brazilian hospital sewage and to estimate relative abundance of its types. The highest relative abundance found in SZ was the Class A (50%, while Class D is predominant in NZ (55%. CfxA (65% and ACC (47% types were the most abundant genes detected in SZ, while in NZ the most frequent were OXA-10 (32%, CfxA (28%, ACC (21%, CEPA (20% and FOX (19%. Phylogenetic analysis revealed β-lactamases from Brazilian hospital sewage grouped in the same clade and close to sequences belonging to Firmicutes and Bacteroidetes groups, but distant from potential β-lactamases screened from public environmental data, that grouped closer to β-lactamases of Proteobacteria. Our results demonstrated that HMM-based approach identified homologs of

  18. Balance between education- and research-oriented publications from a Brazilian University Hospital

    Directory of Open Access Journals (Sweden)

    Mendonça de Araujo K.

    2005-01-01

    Full Text Available We analyzed the trends of scientific output of the University Hospital, Federal University of Rio de Janeiro. A total of 1420 publications were classified according to pattern and visibility. Most were non-research publications with domestic visibility. With time, there was a tendency to shift from non-research (or education-oriented publications with domestic visibility to research publications with international visibility. This change may reflect new academic attitudes within the institution concerning the objectives of the hospital and the establishment of scientific research activities. The emphasis of this University Hospital had been on the training of new physicians. However, more recently, the production of new knowledge has been incorporated as a new objective. The analysis of the scientific production of the most productive sectors of the hospital also showed that most are developing non-research studies devoted to the local public while a few of the sectors are carrying out research studies published in journals with international status. The dilemma of quality versus quantity and of education versus research-oriented publication seems, however, to continue to exist within the specialized sectors. The methodology described here to analyze the scientific production of a university hospital can be used as a tool to better understand the evolution of medical research in Brazil and also to help formulate public policies and new strategies to include research among the major objectives of University Hospitals.

  19. Communication self-assessment by public prosecutors in a north-eastern Brazilian state.

    Science.gov (United States)

    Sales, Neuza Josina; Castaneda, Daniel Francisco Neyra; Barreto, Íkaro Daniel de Carvalho; Paoliello, Marina; Campanha, Silvia Márcia Andrade

    2016-01-01

    To describe how public prosecutors self-assess their communication approaches and how listeners react to them; to analyze how this relates to gender, age, and work experience. Descriptive, transversal study. A questionnaire was developed and sent to 126 public prosecutors for completion. Thirty-three completed questionnaires were sent back. The independent variables were gender, age, and number of years of professional experience. The dependent variables were communication self-assessment throughout the years of work, communication parameters used, and listeners' reactions. A descriptive analyzis and Fisher's Exact Test was carried out. the sample contained both male and female participants with a median age of 43 years and an average of 20 years of professional experience. Most of the respondents claimed they had experienced demotivation, insecurity, tension, and difficulty when trying to convince listeners. More women than men reported they felt that their communication had worsened throughout their careers. All the women reported they experienced insecurity when speaking in public. One third of the public prosecutors stated they suffered from disorders on their voice. Those respondents aged over 43, experienced greater proportion on voice change than younger ones. In contrast to their younger colleagues, the majority of public prosecutors with more than 20 years of professional experience revealed that they felt insecure when speaking in public. the public prosecutors identified their strong and weak communication parameters. Gender, age, and work experience affect communicative performance.

  20. 77 FR 74024 - Notice of Proposed Information Collection for Public Comment; Emergency Solutions Grant Data...

    Science.gov (United States)

    2012-12-12

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment; Emergency Solutions...: Emergency Solutions Grants Program Record Keeping Requirements. Description of the need for the information... Solutions Grants (ESG) program recipients will be expected to implement and retain. This submission is...

  1. Method for Expressing Public Opinions Concerning the Introduction of an Emerging Technology to Society

    Science.gov (United States)

    Yamamoto, Satoshi; Ito, Kyoko; Ohnishi, Satoshi; Nishida, Shogo

    Emerging technology may have considerable social impact. Because emerging technology has not yet been introduced in society, it is needed general public express its opinions on emerging technology. It is important that expressing opinion must have social spirit. A method to limit facility of the Internet and activate social spirit is proposed. Evaluation experiment were conducted to test the effectiveness of the proposed method, and the participant could express opinion with social spirit.

  2. Zika virus disease: a public health emergency of international concern.

    Science.gov (United States)

    Lupton, Kelly

    The emergence of Zika virus disease (ZIKV) in the Americas, mainly Brazil, has required the World Health Organization to take action to halt the spread of the virus by implementing preventive measures. This has resulted in increased surveillance of the virus and its potential complications. In the UK, cases of ZIKV have been reported in returning travellers. With the importance of this disease increasing, it is vital that nurses and other health professionals take the time to learn about ZIKV in order to pass on this knowledge to patients, enabling them to make informed choices about travel to affected areas. This article will discuss the ZIKV, its complications and what to advise travellers, including pregnant women, to prevent transmission and spread.

  3. Materiality in Public Sector Financial Audit: International Practice and the Opinion of Brazilian Experts

    OpenAIRE

    Juliane Madeira Leitão; José Alves Dantas

    2016-01-01

    Materiality in private sector financial audit is a topic that has been relatively well developed in the literature. Specific research in this regard in public sector auditing, on the other hand, is scarce at the international level and absent in Brazil. In view of this, the purpose of this study was to identify the parameters used to determine materiality in public sector financial audit. To this end, we sent questionnaires to the 192 Supreme Audit Institutions that are members of INTOSAI and...

  4. Childhood constipation as an emerging public health problem

    Science.gov (United States)

    Rajindrajith, Shaman; Devanarayana, Niranga Manjuri; Crispus Perera, Bonaventure Jayasiri; Benninga, Marc Alexander

    2016-01-01

    Functional constipation (FC) is a significant health problem in children and contrary to common belief, has serious ramifications on the lives of children and their families. It is defined by the Rome criteria which encourage the use of multiple clinical features for diagnosis. FC in children has a high prevalence (0.7%-29%) worldwide, both in developed and developing countries. Biopsychosocial risk factors such as psychological stress, poor dietary habits, obesity and child maltreatment are commonly identified predisposing factors for FC. FC poses a significant healthcare burden on the already overstretched health budgets of many countries in terms of out-patient care, in-patient care, expenditure for investigations and prescriptions. Complications are common and range from minor psychological disturbances, to lower health-related quality of life. FC in children also has a significant impact on families. Many paediatric clinical trials have poor methodological quality, and drugs proved to be useful in adults, are not effective in relieving symptoms in children. A significant proportion of inadequately treated children have similar symptoms as adults. These factors show that constipation is an increasing public health problem across the world with a significant medical, social and economic impact. This article highlights the potential public health impact of FC and the possibility of overcoming this problem by concentrating on modifiable risk factors rather than expending resources on high cost investigations and therapeutic modalities. PMID:27570423

  5. The new public governance?: emerging perspectives on the theory and practice of public governance

    National Research Council Canada - National Science Library

    Osborne, Stephen P

    2010-01-01

    ... 'This text, edited by Stephen Osborne, may do as much for critical insight to Europe's public service delivery as the David Osborne and Ted Gaebler text on Reinventing Government did for the United States in the 1990s in refocusing the public sector for improvement.' Dean F. Eitel DePaul University, USA Despite predictions that 'new public managem...

  6. Public-Private Collaboration in the Emergence of a National Electronic Identification Policy

    DEFF Research Database (Denmark)

    Medaglia, Rony; Hedman, Jonas; Eaton, Ben

    2017-01-01

    Governments envisioning large-scale national egovernment policies increasingly draw on collaboration with private actors, yet the relationship between dynamics and outcomes of public-private partnership (PPP) is still unclear. The involvement of the banking sector in the emergence of a national...... of governance models between government and the banking sector shaped the emergence of the Danish national e-ID. We propose a process model to conceptualize paths towards the emergence of public-private collaboration for digital information infrastructure – a common good....

  7. The emergence of surgery as a major force in the public health arena

    African Journals Online (AJOL)

    This paper refutes some of the misconceptions surrounding the role of surgery in public health, and explores the key messages of DCP3. In conclusion, it suggests that the provision of essential and emergency surgical services be considered a benchmark for public health standards. There is a pressing need for surgeons ...

  8. Problems related to public perceptions of radiological emergency planning and response

    International Nuclear Information System (INIS)

    Reilly, Margaret A.

    1989-01-01

    Beyond the scientific, the administrative and procedural issues of radiological emergency planning and response there is the issue of public perception. This paper emphasises that, radiation crises being a rare occurrence there is no enough database for generating scholarly quantitative reports. It suggests the need for disseminating timely and accurate information through a single spokesman from a responsible public agency

  9. Emerging metagovernance as an institutional framework for public private partnership networks in Denmark

    DEFF Research Database (Denmark)

    Koch, Christian; Buser, Martine

    2006-01-01

    Implementing private public partnerships in Denmark has been a long and reluctant process. PPP developed among municipalities from the late nineties, but was halted because of a scandal in 2002. In 2004 the government launched an action plan, and PPP are emerging again. Drawing on new public...

  10. Emerging Metagovernance as an Institutional Framework for Public Private Partnership Network in Denmark

    DEFF Research Database (Denmark)

    Buser, Martine; Koch, Christian

    2006-01-01

    Implementing private public partnerships in Denmark has been a long and reluctant process. PPP developed among municipalities from the late nineties, but was halted because of a scandal in 2002. In 2004 the government launched an action plan, and PPP are emerging again. Drawing on new public...

  11. Differences in allocation patterns and in the use of distributive principles emerge from children of Brazilian parents in Brazil and in the United States

    Directory of Open Access Journals (Sweden)

    Leonardo Rodrigues Sampaio

    2015-01-01

    Full Text Available This study aimed to investigate differences in the way children in Brazil and USA allocate resources and justify their decisions in a fictional situation. The sample was composed by 178 children of Brazilian parents: 98 Brazilian, living in Brazil, and 80 American children, who had low familiarity with Brazilian culture. Participants were requested to resolve a distributive dilemma during which characters with different personal attributes reunited to a picnic in a public park. The results showed that most children preferred equality or near-equality patterns of distribution to allocate the food among the characters of the dilemma. Preference for other patterns of distribution like equity and need was related to age and nationality. Also, children who used equality as justification for their distributions were more consistent (that is, they distributed the food using an allocation system who matched their justification than children who used other types of justifications. Results are discussed in light of recent works on sharing and processes of socialization during childhood.

  12. Public Health System Research in Public Health Emergency Preparedness in the United States (2009-2015): Actionable Knowledge Base.

    Science.gov (United States)

    Savoia, Elena; Lin, Leesa; Bernard, Dottie; Klein, Noah; James, Lyndon P; Guicciardi, Stefano

    2017-09-01

    In 2008, the Institute of Medicine released a letter report identifying 4 research priority areas for public health emergency preparedness in public health system research: (1) enhancing the usefulness of training, (2) improving timely emergency communications, (3) creating and maintaining sustainable response systems, and (4) generating effectiveness criteria and metrics. To (1) identify and characterize public health system research in public health emergency preparedness produced in the United States from 2009 to 2015, (2) synthesize research findings and assess the level of confidence in these findings, and (3) describe the evolution of knowledge production in public health emergency preparedness system research. Search Methods and Selection Criteria. We reviewed and included the titles and abstracts of 1584 articles derived from MEDLINE, EMBASE, and gray literature databases that focused on the organizational or financial aspects of public health emergency preparedness activities and were grounded on empirical studies. We included 156 articles. We appraised the quality of the studies according to the study design. We identified themes during article analysis and summarized overall findings by theme. We determined level of confidence in the findings with the GRADE-CERQual tool. Thirty-one studies provided evidence on how to enhance the usefulness of training. Results demonstrated the utility of drills and exercises to enhance decision-making capabilities and coordination across organizations, the benefit of cross-sector partnerships for successfully implementing training activities, and the value of integrating evaluation methods to support training improvement efforts. Thirty-six studies provided evidence on how to improve timely communications. Results supported the use of communication strategies that address differences in access to information, knowledge, attitudes, and practices across segments of the population as well as evidence on specific

  13. Emerging zoonoses and pathogens of public health significance--an overview.

    Science.gov (United States)

    Brown, C

    2004-08-01

    Emerging zoonotic diseases have assumed increasing importance in public and animal health, as the last few years have seen a steady stream of new diseases, each emerging from an unsuspected quarter and causing severe problems for animals and humans. The reasons for disease emergence are multiple, but there are two main factors--expansion of the human population and globalisation of trade. Current issues such as the increasing movement of a variety of animal species, ecological disruption, uncultivatable organisms, and terrorism, all imply that emerging zoonotic diseases will in all probability, not only continue to occur, but will increase in the rate of their emergence. The recurring nature of the crises dictates that closer integration of veterinary and medical communities is warranted, along with improved education of the general public and policy makers.

  14. Public Awareness - Calendar with Information about Emergency Preparedness

    International Nuclear Information System (INIS)

    Podhraski Benkovic, S.; Novosel, N.

    2008-01-01

    State Office for Nuclear Safety in co-operation with the Ministry of Science, Education and Sport, Nuclear Power Plant Krsko (in Slovenia) and Agency for Education during the years 2002 till now realized the project of preparing the calendar for families living in the circle 25 km from the Nuclear Power Plant Krsko (Slovenia) and in the circle of 100 km from Nuclear Power Plant Paks (Hungary). The calendars are containing primary school pupils' paintings about energy, environment, nuclear technology and additional information about preparedness in the Republic of Croatia in the case of nuclear accident and recommendation for acting. Collecting of paintings is carried out each year between pupils from second to eight grades in the schools near Nuclear Power Plant Krsko and Nuclear Power Plant Paks. Expert commission chose twelve best paintings for the following year. This kind of project is only one way of public relations and awareness which helps in expanding knowledge about successful living close to nuclear and other energy technologies. In this poster presentation more about this project will be presented.(author)

  15. Public awareness - calendar with information about emergency preparedness

    International Nuclear Information System (INIS)

    Podhraski Benkovic, S.; Novosel, N.

    2009-01-01

    State Office for Nuclear Safety in co-operation with the Ministry of Science, Education and Sport, Nuclear Power Plant Krsko (in Slovenia) and Agency for Education during the years 2002 till now realized the project of preparing the calendar for families living in the circle 25 km from the Nuclear Power Plant Krsko (Slovenia) and in the circle of 100 km from Nuclear Power Plant Paks (Hungary). The calendars are containing primary school pupils' paintings about energy, environment, nuclear technology and additional information about preparedness in the Republic of Croatia in the case of nuclear accident and recommendation for acting. Collecting of paintings is carried out each year between pupils from second to eight grades in the schools near Nuclear Power Plant Krsko and Nuclear Power Plant Paks. Expert commission chose twelve best paintings for the following year. This kind of project is only one way of public relations and awareness which helps in expanding knowledge about successful living close to nuclear and other energy technologies. In this poster presentation more about this project will be presented.(author)

  16. 78 FR 60283 - Guidance for Temporary Reassignment of State and Local Personnel During a Public Health Emergency

    Science.gov (United States)

    2013-10-01

    ... Personnel During a Public Health Emergency AGENCY: Department of Health and Human Services, Office of the... and Local Personnel during a Public Health Emergency.'' Section 201 of the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (PAHPRA), Public Law 113-5, amends section 319 of the Public Health...

  17. EMERGING ANTIMICROBIAL RESISTANCE IN HOSPITAL A THREAT TO PUBLIC HEALTH

    Directory of Open Access Journals (Sweden)

    Vichal Rastogi

    2013-01-01

    Full Text Available Background: Antimicrobial resistance(AMR threatens the health of many throughout the world, since both old and new infectious diseases remain a formidable public health threat. When pathogenic microorganisms can multiply beyond some critical mass in the face of invading antimicrobials, treatment outcome is compromised. This phenomenon is referred as antimicrobial resistance (AMR. Objective: This retrospective study was conducted to assess the overall antimicrobial resistance in bacterial isolates from tertiary care hospitals as majority of patients here receive empirical antibiotics therapy. Method: This retrospective study was carried out in teaching hospital, Greater Noida to determine prevalence of multidrug resistance in patients in relation to empirical antibiotic therapy in hospital. Various samples (pus,urine,blood were collected for bacterial culture and antibiotic sensitivity. Results: Total 500 bacterial strains isolated from ICU, surgery, obstetrics & gynaecology and orthopaedics and their sensitivity pattern was compared in this study. The highest number of resistant bacterias were of pseudomonas sp. i.e. 21(33.87% followed by 16(25.80% of staphylococcus aureus, 12(19.35% of Escherichia coli, Klebseilla sp & Proteus vulgaris were 05(8.06% each & Citrobacter sp. 03(4.83%. Total 62(12.4% bacterial isolates were found to be resistant to multiple drugs. The 31 (50% of these resistant bacteria were prevalent in ICU, 12(19.35% in Surgery, 11(17.74% in Gynaecology, 08(12.90% in Orthopaedics.. All the bacterial strains were resistant to common antibiotics like Penicillin, Amoxicillin, Doxycycline & Cotrimoxazole and some were even resistant to Imipenem. Conclusion: Therefore we have outlined the nature of the antimicrobial resistance problem as an important health issue for national and international community. It is advised to avoid use of empirical antibiotics therapy.

  18. Does public spending affect unemployment in an emerging market?

    Directory of Open Access Journals (Sweden)

    Vincent A. Onodugo

    2017-02-01

    Full Text Available The Nigerian economy in the last two decades up until 2013 has been growing at an average of 6% and yet unemployment was equally growing in the region of 20% within the same period. This paradoxical situation has led to a flurry of studies and postulations aimed at providing explanation and solution to the phenomenon. This study making use of a regression model with annual data from 1980 to 2013, empirically determined the impact of public sector expenditures (CEXP and REXP together with private sector investment (PINV on unemployment (UNEMP in Nigeria. Capital expenditure and private sector investment both in the medium to long-run were found to serve as catalyst towards reduction of unemployment, while recurrent expenditure was not statistically strong enough to do same. The R-2 (0.84 showed that greater proportion of the total variations in UNEMP was brought about by variations in the regressors. Further tests like autocorrelation, hetroscedasticity, specification error, and multicollinearity indicated respectively that there is no presence of autocorrelation hence the model produced a parsimonious result; the variance is constant over time; the link test confirmed by Ramsey reset test suggested there was no specification error; and lastly the variance inflation factor (VIF of the variables implies that there is no evidence of multicollinearity. The study recommends, inter alia, that the proportion of capital expenditure in Nigerian budget profile should be systematically increased while the recurrent expenditure should be reduced; and there is need to stimulate competition among investors through removal of structural and institutional rigidities and government should design clear policy incentives to private sector investment.

  19. [The federal government discourse during the political decentralization process and the obstacles to implement the Brazilian Public Health Care System].

    Science.gov (United States)

    Pellegrini, Bárbara

    2007-01-01

    A discourse analysis carried out on basic operating standard Norma Operacional Básica do Sistema Unico de Saúde (NOB-SUS 01/96) of the Brazilian public health care system aiming at locating signs that could allow to identify lines of thought which have influenced health care policies prioritized by the federal administration. The author points out a peculiarity in the kind of discourse employed by the ministry directive: its structure is based on isolated aspects of legislation and on ideas advocated by other discourse communities, articulated with redefined legal principles - an effort towards authorizing the official reasoning in favor of the relevance in keeping the decentralization process under the control of the federal administration. The analysis concludes that an infra-legal standard can neither grant state and federal administrations a hierarchical superiority (mediation function) over municipal administrations, nor can it transfer the legal responsibilities pertaining to Health Councils over to inter-administration commissions (Comissões Intergestores) , thus making the former mere decision ratifiers. This study found that granting privileges not contemplated in the legislation to state and federal administrations surfaced again and more strongly so in 2001 in yet another operating standard.

  20. Excess control rights: a study about its reflex on the cost of debt of publicly traded Brazilian companies

    Directory of Open Access Journals (Sweden)

    Jonatan Marlon Konraht

    2016-08-01

    Full Text Available This study analyzes the effect of excess control on the cost of debt in publicly traded Brazilian companies. Its objective is to determine whether a higher misalignment between voting rights and cash flow rights held by controlling shareholder causes an increase in agency cost of debt. For the analysis of the research problem, it was used panel data regression with random effects, in which was compared the level of excess control and the firms cost of debt. The results indicate that there is a positive and statistically significant association between excess control and the cost of debt. This suggests that creditors interpret this misalignment as a control entrenchment, which increases the credit risk, and thereby, increases the cost of debt. From the scientific point of view, the contribution to the literature provided by this study is the finding that ownership structure bears an impact in the creditor perceptions of risk, and thus, the cost of debt. These results can assist in developing actions to reduce the cost of debt, which implies the maximization of the economic performance of firms that have third-party capital in its capital structure. Its social contribution is the distinction of the firms exposed to a higher level of cost of debt, identifying ways to maximize resources, that is a relevant aspect especially in times of crisis whose effects can be very varied, such as bankruptcies, massive layoffs and default.

  1. Sedentary lifestyle and its associated factors among adolescents from public and private schools of a Brazilian state capital.

    Science.gov (United States)

    Nascente, Flávia Miquetichuc Nogueira; Jardim, Thiago Veiga; Peixoto, Maria do Rosário Gondim; Carneiro, Carolina de Souza; Mendonça, Karla Lorena; Póvoa, Thaís Inácio Rolim; Sousa, Ana Luiza Lima; Barroso, Weimar Kunz Sebba; Jardim, Paulo César Brandão Veiga

    2016-11-21

    Adolescence is a transition stage between childhood and adulthood and is an important phase for the acquisition of future lifestyles, including the practice of physical activity (PA). The prevalence of sedentary lifestyle in adolescents is often high, creating the need for studies addressing the practice of PA and its associated factors for a better understanding of the phenomenon and possible interventions that would encourage positive changes. Cross-sectional study of a representative sample of students aged 14-18 years enrolled in both public and private schools of a large Brazilian city to determine the level of physical activity (PA) and its associated factors. Sedentary lifestyle was measured by applying the International Physical Activity Questionnaire. The independent variables were gender, age, race, tobacco use and alcohol consumption in the past 30 days, socioeconomic status, body mass index, waist circumference and blood pressure. The crude prevalence ratio was used as a measure of association and was estimated from a Poisson regression. The sample consisted of 862 adolescents with a mean age of 15.4 ± 1.1 years. Females were predominant (52.8%), and the age between 14 and 15 years was the most frequent (52.2%). The majority of the group reported themselves as Caucasians (51.2%), belonging to socioeconomic class C (52.5%) and were attending to public schools (69.1%). The prevalence of sedentary lifestyle was 66.8% (95% confidence interval [CI]: 63.5-69.9), where values of 65.4% and 69.9% were observed among students from public and private schools, respectively (p = 0.196). Sedentary lifestyle was more frequent in females (78.0% vs 54.3%; p sedentary lifestyle was female gender both in public and private schools and the only independent variable related to sedentarism was also female gender. The prevalence of sedentary lifestyle was extremely high in the population of adolescents studied both in public and private schools. Female sex was

  2. Public Open Spaces and Leisure-Time Walking in Brazilian Adults.

    Science.gov (United States)

    Florindo, Alex Antonio; Barrozo, Ligia Vizeu; Cabral-Miranda, William; Rodrigues, Eduardo Quieroti; Turrell, Gavin; Goldbaum, Moisés; Cesar, Chester Luiz Galvão; Giles-Corti, Billie

    2017-05-23

    Access to public open space is important to increase leisure-time walking (LTW) in high-income countries, but there is little evidence in middle-income countries. We conducted a cross-sectional analysis to examine the relationship between LTW and the presence of different public open spaces (parks, bike paths, and squares) and the mix of these recreational destinations near the homes of adults participating in the Sao Paulo Health Survey ( n = 3145). LTW was evaluated by a questionnaire. We delineated buffers (500, 1000, and 1500 m) from the geographic coordinates of the adults' residential addresses using a geographic information system. We used multilevel logistic regression taking account of clustering by census tracts and households, and with adjustment for social, demographics, and health characteristics. The main results showed that the presence of at least two recreational destinations within a 500-m buffer of participants' homes were associated with an increased odds of LTW compared with no destinations present (OR = 1.65; 95% CI 1.09-2.55). No associations were found for destinations further away. These results support actions outlined in the new urban plan for Sao Paulo city and could be used to highlight the importance access to a mix of public open spaces to promote physical activity in megacities of middle-income countries.

  3. Costs of genetic testing: Supporting Brazilian Public Policies for the incorporating of molecular diagnostic technologies

    Directory of Open Access Journals (Sweden)

    Rosane Paixão Schlatter

    2015-09-01

    Full Text Available This study identifies and describes the operating costs associated with the molecular diagnosis of diseases, such as hereditary cancer. To approximate the costs associated with these tests, data informed by Standard Operating Procedures for various techniques was collected from hospital software and a survey of market prices. Costs were established for four scenarios of capacity utilization to represent the possibility of suboptimal use in research laboratories. Cost description was based on a single site. The results show that only one technique was not impacted by rising costs due to underutilized capacity. Several common techniques were considerably more expensive at 30% capacity, including polymerase chain reaction (180%, microsatellite instability analysis (181%, gene rearrangement analysis by multiplex ligation probe amplification (412%, non-labeled sequencing (173%, and quantitation of nucleic acids (169%. These findings should be relevant for the definition of public policies and suggest that investment of public funds in the establishment of centralized diagnostic research centers would reduce costs to the Public Health System.

  4. Public Open Spaces and Leisure-Time Walking in Brazilian Adults

    Directory of Open Access Journals (Sweden)

    Alex Antonio Florindo

    2017-05-01

    Full Text Available Access to public open space is important to increase leisure-time walking (LTW in high-income countries, but there is little evidence in middle-income countries. We conducted a cross-sectional analysis to examine the relationship between LTW and the presence of different public open spaces (parks, bike paths, and squares and the mix of these recreational destinations near the homes of adults participating in the Sao Paulo Health Survey (n = 3145. LTW was evaluated by a questionnaire. We delineated buffers (500, 1000, and 1500 m from the geographic coordinates of the adults’ residential addresses using a geographic information system. We used multilevel logistic regression taking account of clustering by census tracts and households, and with adjustment for social, demographics, and health characteristics. The main results showed that the presence of at least two recreational destinations within a 500-m buffer of participants’ homes were associated with an increased odds of LTW compared with no destinations present (OR = 1.65; 95% CI 1.09–2.55. No associations were found for destinations further away. These results support actions outlined in the new urban plan for Sao Paulo city and could be used to highlight the importance access to a mix of public open spaces to promote physical activity in megacities of middle-income countries.

  5. Lapatinib in patients with metastatic breast cancer following initial treatment with trastuzumab: an economic analysis from the Brazilian public health care perspective

    OpenAIRE

    Einarson, Thomas; Machado,

    2012-01-01

    Marcio Machado,1 Thomas R Einarson21GlaxoSmithKline Brasil Ltd, Rio de Janeiro, Brazil; 2Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, CanadaObjective: To evaluate, from the perspective of the Brazilian public health care system, the cost-effectiveness of lapatinib plus capecitabine (LAP/CAP) versus capecitabine alone (CAP) or trastuzumab plus capecitabine (TRAST/CAP) in the treatment of women with human epidermal growth factor receptor-2-positive metastatic breast cancer pr...

  6. [Consciousness and abilities on health emergency and the roles of emergency response among public at the communities].

    Science.gov (United States)

    Li, Yang; Dong, Xao-mei; Wang, Sheng-yong; Tian, Jun-zhang; Ye, Ze-bing; Yang, Jian; Li, Guan-ming; Peng, Lin; Zhang, Si-heng

    2013-10-01

    To evaluate the consciousness of health emergency and the abilities on self- and mutual medical aids among the public at the community level, as well as the community responses on health-related emergencies and other factors. Random equidistant sampling method was used to extract 617 households before choosing a family member sampled by Kish Grid method. All the members were investigated face to face on a questionnaire-"Health emergency and related ability regarding self and mutual medical aids of the residents". Data were entered into computer database by using software Epi Data 3.1 and were analyzed by SPSS 21.0. Among the 617 households under survey, 47.84% of the public had general awareness on health-related emergencies. Regarding the following items as:prevention and isolation strategies of infectious disease, on safely procedures of earthquake and fires, on prevention of food poisoning, on prevention and first aid of emerging infectious diseases etc., the rates of awareness were 65.04%, 62.92%, 43.62% and 18.79% respectively. Proportions of households which had the first aid supplies were:first aid medicine box as 56.08%; fire extinguisher as 43.60%; spare water and food as 39.40%; having facilities as ropes, whistles and smoke masks for escape were all less than 15%. Rates of awareness on the following items as: correct use of gas switch as 81.52%, knowing the location of the circuit with gear and the fire hydrant as 74.39% and 35.98% , respectively. The correct disposal rates of the residents on the following items were:electric shock and falls (89.63%), patients of infectious diseases (83.31%), gas poisoning (82.98%), suspected symptoms on infectious diseases(82.66%), explosion and burns (66.78%), scald (62.72%)and sprain (57.05%). Scores on the related abilities were as follows: emergency(7.65, out of 10 points), escape(3.55, out of 5 points), self- and mutual medical aids (10.71, out of 16 points). Proportions of having learned and applied of first aid

  7. Public health emergency: social representations among managers of a university hospital

    Directory of Open Access Journals (Sweden)

    Dirciara Barañano Souza

    2013-07-01

    Full Text Available AIM: to comprehend the social representations of public health emergencies among managers who experienced the Influenza A (H1N1 Pandemic of 2009. METHOD: a qualitative case study, with its theoretical and methodological framework based on the Theory of Social Representations. The data was obtained through the techniques of free association and semi-structured interviews, applied individually to managers who worked in different positions of the hierarchical management structure of the institution during the pandemic emergency, a total of 30 participants. RESULTS: thematic content analysis resulted in the following categories: vulnerability, health protection, neglect - gray areas of the public sphere, and integrality. The social representations of public health emergencies attest to continuities that transit the overvalorization of negative discourses linked to the health/education public space, naturalization of the substantial character of the epidemic, and normative managerial action. However, the defense of ongoing education as a necessity associated with emergency management revealed possibilities for change in the technical-scientific perception of the management. CONCLUSIONS: to understand healthcare/nursing workers as political beings, assuming responsibilities in the areas of the macro and micro policies of the State, the university hospitals and the work teams, is a pathway that is emerging for the management of emergencies.

  8. Use of Social Media During Public Emergencies by People with Disabilities

    Directory of Open Access Journals (Sweden)

    John T. Morris

    2014-08-01

    Full Text Available Introduction: People with disabilities are generally more vulnerable during disasters and public emergencies than the general population. Physical, sensory and cognitive impairments may result in greater difficulty in receiving and understanding emergency alert information, and greater difficulty in taking appropriate action. The use of social media in the United States has grown considerably in recent years. This has generated increasing interest on the part of national, state and local jurisdictions in leveraging these channels to communicate public health and safety information. How and to what extent people with disabilities use social and other communications media during public emergencies can help public safety organizations understand the communication needs of the citizens in their jurisdictions, and plan their social media and other communications strategies accordingly. Methods: This article presents data from a survey on the use of social media and other communications media during public emergencies by people with disabilities conducted from November 1, 2012 through March 30, 2013. Results: The data presented here show four key results. First, levels of use of social media in general are high for people with disabilities, as well as for the general population. Second, use of social media during emergencies is still low for both groups. Third, levels of use of social media are not associated with income levels, but are significantly and strongly associated with age: younger people use social media at higher rates than older people in both groups (p,0.001. Fourth, differences in the use of social media during emergencies across disability types are slight, with the exception of deaf and hard-of-hearing respondents, the former more likely to have used social media to receive (p¼0.002, verify (p¼0.092 and share (p¼0.007 emergency information . Conclusion: These last two results suggest that effective emergency communications

  9. Use of social media during public emergencies by people with disabilities.

    Science.gov (United States)

    Morris, John T; Mueller, James L; Jones, Michael L

    2014-08-01

    People with disabilities are generally more vulnerable during disasters and public emergencies than the general population. Physical, sensory and cognitive impairments may result in greater difficulty in receiving and understanding emergency alert information, and greater difficulty in taking appropriate action. The use of social media in the United States has grown considerably in recent years. This has generated increasing interest on the part of national, state and local jurisdictions in leveraging these channels to communicate public health and safety information. How and to what extent people with disabilities use social and other communications media during public emergencies can help public safety organizations understand the communication needs of the citizens in their jurisdictions, and plan their social media and other communications strategies accordingly. This article presents data from a survey on the use of social media and other communications media during public emergencies by people with disabilities conducted from November 1, 2012 through March 30, 2013. The data presented here show four key results. First, levels of use of social media in general are high for people with disabilities, as well as for the general population. Second, use of social media during emergencies is still low for both groups. Third, levels of use of social media are not associated with income levels, but are significantly and strongly associated with age: younger people use social media at higher rates than older people in both groups (psocial media during emergencies across disability types are slight, with the exception of deaf and hard-of-hearing respondents, the former more likely to have used social media to receive (p=0.002), verify (p=0.092) and share (p=0.007) emergency information. These last two results suggest that effective emergency communications strategies need to rely on multiple media types and channels to reach the entire community.

  10. Major emerging vector-borne zoonotic diseases of public health importance in Canada.

    Science.gov (United States)

    Kulkarni, Manisha A; Berrang-Ford, Lea; Buck, Peter A; Drebot, Michael A; Lindsay, L Robbin; Ogden, Nicholas H

    2015-06-10

    In Canada, the emergence of vector-borne diseases may occur via international movement and subsequent establishment of vectors and pathogens, or via northward spread from endemic areas in the USA. Re-emergence of endemic vector-borne diseases may occur due to climate-driven changes to their geographic range and ecology. Lyme disease, West Nile virus (WNV), and other vector-borne diseases were identified as priority emerging non-enteric zoonoses in Canada in a prioritization exercise conducted by public health stakeholders in 2013. We review and present the state of knowledge on the public health importance of these high priority emerging vector-borne diseases in Canada. Lyme disease is emerging in Canada due to range expansion of the tick vector, which also signals concern for the emergence of human granulocytic anaplasmosis, babesiosis, and Powassan virus. WNV has been established in Canada since 2001, with epidemics of varying intensity in following years linked to climatic drivers. Eastern equine encephalitis virus, Jamestown Canyon virus, snowshoe hare virus, and Cache Valley virus are other mosquito-borne viruses endemic to Canada with the potential for human health impact. Increased surveillance for emerging pathogens and vectors and coordinated efforts among sectors and jurisdictions will aid in early detection and timely public health response.

  11. Centers for Disease Control and Prevention Public Health Response to Humanitarian Emergencies, 2007-2016.

    Science.gov (United States)

    Boyd, Andrew T; Cookson, Susan T; Anderson, Mark; Bilukha, Oleg O; Brennan, Muireann; Handzel, Thomas; Hardy, Colleen; Husain, Farah; Cardozo, Barbara Lopes; Colorado, Carlos Navarro; Shahpar, Cyrus; Talley, Leisel; Toole, Michael; Gerber, Michael

    2017-12-01

    Humanitarian emergencies, including complex emergencies associated with fragile states or areas of conflict, affect millions of persons worldwide. Such emergencies threaten global health security and have complicated but predictable effects on public health. The Centers for Disease Control and Prevention (CDC) Emergency Response and Recovery Branch (ERRB) (Division of Global Health Protection, Center for Global Health) contributes to public health emergency responses by providing epidemiologic support for humanitarian health interventions. To capture the extent of this emergency response work for the past decade, we conducted a retrospective review of ERRB's responses during 2007-2016. Responses were conducted across the world and in collaboration with national and international partners. Lessons from this work include the need to develop epidemiologic tools for use in resource-limited contexts, build local capacity for response and health systems recovery, and adapt responses to changing public health threats in fragile states. Through ERRB's multisector expertise and ability to respond quickly, CDC guides humanitarian response to protect emergency-affected populations.

  12. Legitimising Emerging Power Diplomacy: an Analysis of Government and Media Discourses on Brazilian Foreign Policy under Lula

    Directory of Open Access Journals (Sweden)

    Rafael Mesquita

    2016-06-01

    Full Text Available Abstract This study analyses whether Brazilian foreign policy under Lula successfully legitimised the country's international identity as a rising power in the eyes of the domestic and international media. Based on a constructivist framework, we have applied French Discourse Analysis to a corpus of 36 official addresses by the President of the Republic and the Minister of Foreign Relations and 137 news articles from four news outlets, two Brazilian and two international, concerning two diplomatic episodes deemed representative of Brazil's quest for greater pre-eminence: the leadership of MINUSTAH (2004 and the Nuclear Deal signed with Iran and Turkey (2010. Results show that official discourse characterises Brazil's identity as a rising power chiefly by South-South diplomacy, while media discourse was more heterogeneous, being the discursive formation of each news outlet determinant in explaining their interpretation of Brazil's international identity.

  13. Implementation of public policy on alcohol and other drugs in Brazilian municipalities: comparative studies.

    Science.gov (United States)

    Mota, Daniela Belchior; Ronzani, Telmo Mota

    2016-07-01

    One of the challenges with respect to public health and the abuse of alcohol and other drugs is to implement policies in support of greater co-ordination among various levels of government. In Brazil, policies are formulated by the Secretaria Nacional de Políticas sobre Drogas (SENAD - State Department for Policies on Drugs) and the Ministério da Saúde (MS - Ministry of Health). This study aims to compare implementation of policies adopted by SENAD and MS at the municipal level. Three municipalities were intentionally selected: Juiz de Fora having a larger network of treatment services for alcohol and drug users; Lima Duarte, a small municipality, which promotes the political participation of local actors (COMAD - Municipal Council on Alcohol and Drugs); and São João Nepomuceno, also a small municipality, chosen because it has neither public services specialised to assist alcohol and other drugs users, nor COMAD. Data collection was conducted through interviews with key informants (n = 19) and a review of key documents concerned with municipal policies. Data analysis was performed using content analysis. In Juiz de Fora, there are obstacles regarding the integration of the service network for alcohol and other drug users and also the articulation of local actors, who are predominant in the mental health sector. In Lima Duarte, while there is a link between local actors through COMAD, their actions within the local service network have not been effective. In São João Nepomuceno, there were no public actions in the area of alcohol and drugs, and consequently insufficient local debate. However, some voluntary, non-governmental work has been undertaken. There were weaknesses in the implementation of national-level policies by SENAD and the MS, due to the limited supply of available treatment, assistance and the lack of integration among local actors. © 2015 John Wiley & Sons Ltd.

  14. Public Activism As A Social Strategy Of The Brazilian Peasantry: The Movement Of Peasant Women

    Directory of Open Access Journals (Sweden)

    Maria Clara Capel de Ataídes

    2016-12-01

    Full Text Available This paper analyzes the issue of public activism as a social strategy of the Movement of Peasant Women. Explores, therefore, its historical overview as a counter-hegemonic movement. For an analysis of the strategical actions within the social movements, evaluates the legitimate organizations of the English people in the eighteenth century, who acted founded on a moral economy, and the peasantry actions in Brazil. Starts with the hypothesis that there is rationality in the proposals of the Movement of Peasant Women and that it’s dynamic nature must be analyzed under the light of historiographical processes.

  15. Effective communication of public health guidance to emergency department clinicians in the setting of emerging incidents: a qualitative study and framework.

    Science.gov (United States)

    Khan, Yasmin; Sanford, Sarah; Sider, Doug; Moore, Kieran; Garber, Gary; de Villa, Eileen; Schwartz, Brian

    2017-04-28

    Evidence to inform communication between emergency department clinicians and public health agencies is limited. In the context of diverse, emerging public health incidents, communication is urgent, as emergency department clinicians must implement recommendations to protect themselves and the public. The objectives of this study were to: explore current practices, barriers and facilitators at the local level for communicating public health guidance to emergency department clinicians in emerging public health incidents; and develop a framework that promotes effective communication of public health guidance to clinicians during emerging incidents. A qualitative study was conducted using semi-structured interviews with 26 key informants from emergency departments and public health agencies in Ontario, Canada. Data were analyzed inductively and the analytic approach was guided by concepts of complexity theory. Emergent themes corresponded to challenges and strategies for effective communication of public health guidance. Important challenges related to the coordination of communication across institutions and jurisdictions, and differences in work environments across sectors. Strategies for effective communication were identified as the development of partnerships and collaboration, attention to specific methods of communication used, and the importance of roles and relationship-building prior to an emerging public health incident. Following descriptive analysis, a framework was developed that consists of the following elements: 1) Anticipate; 2) Invest in building relationships and networks; 3) Establish liaison roles and redundancy; 4) Active communication; 5) Consider and respond to the target audience; 6) Leverage networks for coordination; and 7) Acknowledge and address uncertainty. The qualities inherent in local relationships cut across framework elements. This research indicates that relationships are central to effective communication between public health

  16. Frequency of Enteroparasites and Bacteria in the Leafy Vegetables Sold in Brazilian Public Wholesale Markets.

    Science.gov (United States)

    Machado, Eleuza R; Maldonade, Iriani R; Riquette, Roberta F R; Mendes, Vinícios S; Gurgel-Gonçalves, Rodrigo; Ginani, Veronica C

    2018-04-01

    The consumption of raw vegetables is related to health benefits. However, these foods might be source of foodborne diseases. The objective of the present study was to perform a microbiological and parasitological evaluation of the leafy vegetables commercially sold in five regions of Brazil at public wholesale markets. The 12 types of leafy vegetables (144 samples) were curly lettuce, looseleaf lettuce, red lettuce, chives, coriander, kale, basil, arugula, parsley, iceberg lettuce, chicory, and bean sprouts. The prevalences of total coliforms (88 to 100%) and thermotolerant coliforms (37 to 100%) were high, but Salmonella was not detected in any of the analyzed samples. All open markets sold vegetables contaminated with enteroparasites, mainly Entamoeba sp., Balantidium coli, Strongyloides sp., Ascaris sp., Enterobius vermicularis, and Ancylostomidae. Contamination was detected in all the regions (north, northeast, central west, southeast, and south) and types of vegetables, with higher prevalences in the northeast region, mainly in basil, lettuce, and chives. Contamination of vegetables by potentially pathogenic microorganisms is a national problem, and the distribution centers should improve quality control of these commercial vegetables. Considering the high frequency of enteroparasites and bacteria and the potential risk of disease transmitted by vegetables, we suggest greater enforcement of the sanitary surveillance of food offered to the public.

  17. Media and Public Communications Policies: An Empirical Analysis of the Brazilian Print Media

    Directory of Open Access Journals (Sweden)

    Guilherme Canela

    2007-12-01

    Full Text Available This essay examines a subject rarely emphasized in the studies on public interest issues reported in the print media. Drawing on a review of the journalistic content produced by 53 newspapers from every state in the federation and 4 national weekly magazines, the paper analyzes a sample of 1,184 articles, editorials, columns, interviews, and reports on subjects of immediate interest to the media, journalism, and/or media companies. Throughout 2003, 2004, and 2005, news pieces were compiled containing keywords, including “media and democracy,” “concentration of ownership,” “television regulation.” The analysis found that the print media provides insufcient and inadequate coverage of these issues, reserving more extensive coverage only to those questions nearest and dearest to it, such as the freedom of expression.

  18. Development policy for the Brazilian health industry and qualification of national public laboratories.

    Science.gov (United States)

    Viana, Ana Luiza d'Ávila; Silva, Hudson Pacifico da; Ibañez, Nelson; Iozzi, Fabíola Lana

    2016-11-03

    Technological innovations play a decisive role in societies' development by contributing to economic growth and the population's welfare. The state has a key role in this process by inducing innovative behavior, strategies, and decisions. This study addresses Brazil's current policy for development of the health industry and its effects on qualification of national public laboratories by contextualizing different cycles of interaction between health policy and the industrial base, discussing the government's development strategy and the transfer and absorption of health technology (through Industrial Development Partnerships), and presenting two current partnerships involving public laboratories in the production of medicines and vaccines. Resumo: As inovações tecnológicas jogam papel decisivo no processo de desenvolvimento das sociedades, visto que contribuem para gerar crescimento econômico e bem-estar da população. O Estado possui grande importância e centralidade nesse processo, pois pode induzir fortemente o comportamento, as estratégias e as decisões relativas à inovação. O presente artigo tem por objetivo investigar a atual política de desenvolvimento produtivo em saúde no Brasil e seus reflexos sobre a capacitação dos laboratórios públicos nacionais. Para essa finalidade, contextualiza os diferentes ciclos de interação entre a política de saúde e a sua base produtiva, discute a estratégia do governo brasileiro para o desenvolvimento, a transferência e a absorção de tecnologia na área da saúde (as parcerias para o desenvolvimento produtivo) e apresenta duas parcerias vigentes envolvendo laboratórios públicos para a produção de medicamentos e vacinas.

  19. Proposals for Radiation (Emergency Preparedness and Public Information) Regulations (Northern Ireland). Consultative document

    International Nuclear Information System (INIS)

    2001-06-01

    This Consultative Document (CD) contains proposals by the Health and Safety Executive for Northern Ireland (HSENI) for the Radiation (Emergency Preparedness and Public Information) Regulations (Northern Ireland) (REPPIR(NI)), to partly implement, for Northern Ireland, the articles on intervention in cases of radiological emergency contained in Council Directive 96/29/Euratom on the basic safety standards for the protection of the health of workers and the general public against the dangers arising from ionising radiation (Euratom BSS96 Directive), insofar as they apply to (a) premises, and (b) transport by rail

  20. Changes in sexual behavior following a sex education program in Brazilian public schools.

    Science.gov (United States)

    Andrade, Heloísa Helena Siqueira Monteiro; Mello, Maeve Brito de; Sousa, Maria Helena; Makuch, Maria Yolanda; Bertoni, Neilane; Faúndes, Anibal

    2009-05-01

    This paper describes an evaluation of possible changes in sexual behavior in adolescents who participated in a school-based sex education program in selected public schools in four municipalities in the state of Minas Gerais, Brazil. The program is inserted within the context of reproductive rights, deals with risks involved in unsafe sexual practices and focuses on the positive aspects of sexuality. A quasi-experimental design with pre and post-tests and a non-equivalent control group was used to evaluate the intervention. A total of 4,795 questionnaires were included in this analysis. The program succeeded in more than doubling consistent condom use with casual partners and in increasing the use of modern contraceptives during last intercourse by 68%. The intervention had no effect on age at first intercourse or on adolescents' engagement in sexual activities. The sex education program was effective in generating positive changes in the sexual behavior of adolescents, while not stimulating participation in sexual activities.

  1. Children Education in the Brazilian scenario after parliamentary coup: Public policy and evaluation

    Directory of Open Access Journals (Sweden)

    Ângela Scalabrin Coutinho

    2017-12-01

    Full Text Available This article aims to analyze the changes in the public police propositions of Children Education, in particular the evaluation policies concerning this stage, due to the change of government resulting from the parliamentary coup that had its end in the first half of 2016. Therefore, it sets the recent course of elaborating an evaluation policy for this educational stage, highlighting the goals and strategies of Plano Nacional de Educação (PNE and links it to other ongoing policies, such as the curriculum, which currently has as its main scope the definition of a Base Nacional Comum Curricular (BNCC. It is identified that the revocation of the decree that defined the Sistema Nacional de Avaliação da Educação Infantil (ANEI and the presentation of a third version of BNCC, focused on a curricular perspective based on skills and abilities and with an emphasis on writing in children’s education, jeopardizes the process of defining a descentralized evaluation policy on the individual performance of children and is concerned about the quality of education provision. Another aspect of attention is the aliances estabilished in the definition of educational policies, in order to identify the participation of private entities not only in the implementation of policie but in their formulation, which reveals a clear choice for privatist logic of government.

  2. Involvement of the Public Health Authority in emergency planning and preparedness for nuclear facilities in Hungary

    International Nuclear Information System (INIS)

    Sztanyik, L.B.

    1986-01-01

    It is required by the Hungarian Atomic Energy Act and its enacting clause of 1980 that facilities established for the application of atomic energy be designed, constructed and operated in such a manner that abnormal operational occurrences can be avoided and unplanned exposures to radiation and radioactive substances can be prevented. The primary responsibility for planning and implementing emergency actions rests with the management of the operating organization. Thus one of the prerequisites of licensing the first nuclear power plant in Hungary was the preparation and submission for approval of an emergency plan by the operating organization. In addition to this, the council of the county where the power plant is located has also been obliged to prepare a complementary emergency plan, in co-operation with other regional and national authorities, for the prevention of consequences from an emergency that may extend beyond the site boundary of the plant. In preparing the complementary plan, the emergency plan of the facility had to be taken into account. Unlike most national authorities involved in nuclear matters, the Public Health Authority is involved in the preparation of plans for every kind of emergency in a nuclear facility, including even those whose consequences can probably be confined to the plant site. The paper discusses in detail the role and responsibility of the Public Health Authority in emergency planning and preparedness for nuclear facilities. (author)

  3. Communications in Public Health Emergency Preparedness: A Systematic Review of the Literature

    Science.gov (United States)

    Savoia, Elena; Viswanath, Kasisomayajula

    2013-01-01

    During a public health crisis, public health agencies engage in a variety of public communication efforts to inform the population, encourage the adoption of preventive behaviors, and limit the impact of adverse events. Given the importance of communication to the public in public health emergency preparedness, it is critical to examine the extent to which this field of study has received attention from the scientific community. We conducted a systematic literature review to describe current research in the area of communication to the public in public health emergency preparedness, focusing on the association between sociodemographic and behavioral factors and communication as well as preparedness outcomes. Articles were searched in PubMed and Embase and reviewed by 2 independent reviewers. A total of 131 articles were included for final review. Fifty-three percent of the articles were empirical, of which 74% were population-based studies, and 26% used information environment analysis techniques. None had an experimental study design. Population-based studies were rarely supported by theoretical models and mostly relied on a cross-sectional study design. Consistent results were reported on the association between population socioeconomic factors and public health emergency preparedness communication and preparedness outcomes. Our findings show the need for empirical research to determine what type of communication messages can be effective in achieving preparedness outcomes across various population groups. They suggest that a real-time analysis of the information environment is valuable in knowing what is being communicated to the public and could be used for course correction of public health messages during a crisis. PMID:24041193

  4. Museum Monsters and Victorious Viruses: Improving Public Understanding of Emerging Biomedical Research

    Science.gov (United States)

    Diamond, Judy; Jee, Benjamin; Matuk, Camilla; McQuillan, Julia; Spiegel, Amy N.; Uttal, David

    2015-01-01

    Although microbes directly impact everyone's health, most people have limited knowledge about them. In this article, we describe a museum and media public education campaign aimed at helping diverse audiences better understand emerging knowledge about microbes and infectious disease. Funded primarily by the Science Education Partnership (SEPA) program of the National Institutes of Health, this campaign involved crosscutting programs designed to extend impacts throughout a broad public audience. PMID:26392634

  5. [Scientific publication output of Spanish emergency physicians from 2005 to 2014: a comparative study].

    Science.gov (United States)

    Fernández-Guerrero, Inés María; Martín-Sánchez, Francisco Javier; Burillo-Putze, Guillermo; Miró, Òscar

    2017-10-01

    To analyze the research output of Spanish emergency physicians between 2005 and 2014 and to compare it to their output in the previous 10-year period (1995-2004) as well as to that of emergency physicians in other countries and Spanish physicians in other specialties. Original articles indexed in the Science Citation Index Expanded of the Web of Science were included. Documents from Spanish emergency physicians were identified by combining the word Spain and any other search term identifying an emergency service or unit in Spain. To identify articles from 7 other Spanish specialties (hematology, endocrinology, cardiology, pneumology, digestive medicine, pediatrics, surgery and orthopedic medicine or traumatology) and emergency physicians in 8 other countries (United States, United Kingdom, Ireland, Italy, France, Germany, Netherlands, Belgium) we used similar strategies. Information about production between 1995 and 2004 was extracted from a prior publication. Spanish emergency physicians signed 1254 articles (mean [SD], 125 [44] articles/y) between 2005 and 2014. That level of productivity was greater than in the 1995-2004 period (mean, 26 [14] articles/y), although the annual growth rate fell from 12.5% in the previous 10-year period to 5.2% in the most recent one. Emergency medicine was among the least productive Spanish specialties we studied, but our discipline's annual growth rate of 5.2% was the highest. Spanish emergency medicine occupies an intermediate position (ranking fifth) among the 9 countries studied, although the population-adjusted rank was higher (fourth). When output was adjusted for gross domestic product, Spain climbed higher in rank, to second position. The annual growth rate was the fourth highest among countries, after Germany (9.9%), the Netherlands (7.3%), and Italy (6.0%). The research output of Spanish emergency physicians continues to be quantitatively lower than that of other Spanish specialties and of emergency physicians in other

  6. R&D+ i Strategic Management in a Public Company in the Brazilian Electric Sector

    Directory of Open Access Journals (Sweden)

    Ruy De Quadros Carvalho

    2013-05-01

    Full Text Available The purpose of this paper is - by reporting an experience of structuring processes and tools related to the strategic management of R&D in the electricity sector – to show the conditions and potential for improved efficiency, efficacy, and effectiveness in the R&D program set by ANEEL. The methodology is action research. This is because the proposed and tested model is the result of reflection and resolution of critical organizational issues, applied in a public company in the electric power sector. Act No. 9,991 of July 24, 2000 provides for the obligation on the part of concessionaires, permittees, and licensees in the electric power sector to invest part of their operating revenue in research and development (R&D. For the effective implementation of these legal obligations, companies prepare their annual R&D programs, comprising projects that aim at developing innovative solutions for their processes and increasing business efficiency. However, the urgency to comply with the contractual provisions, coupled with the small amount of experience most companies have when it comes to carrying out R&D activities and projects, has led to the gradual formation of a mode of R&D implementation and management that does not favor its optimization and alignment with the goals the utility companies and the sector’s own technological development . The approach proposed in this paper consists of structuring the processes and tools related to the management of R&D driven by innovation (R&D+i and aligned with with the business strategy. These processes include the adoption of procedures and tools to manage structured, integrated decision-making flows involved in the innovation process, aiming at full alignment with business goals and objectives.

  7. Lifelong learning for public health practice education: a model curriculum for bioterrorism and emergency readiness.

    Science.gov (United States)

    Olson, Debra; Hoeppner, Mary; Larson, Susan; Ehrenberg, Anne; Leitheiser, Agnes T

    2008-01-01

    In 2002, the University of Minnesota School of Public Health (UMNSPH) adopted an approach that supports basic, advanced, and continuing education curricula to train current and future public health workers. This model for lifelong learning for public health practice education allows for the integration of competency domains from the Council on Linkages Between Academia and Public Health Practice's core public health workforce competency levels and the Centers for Disease Control and Prevention's Bioterrorism and Emergency Readiness Competencies. This article describes how UMNSPH has implemented the model through coordination with state planning efforts and needs assessments in the tristate region of Minnesota, North Dakota, and Wisconsin. In addition, we discuss methods used for credentialing practitioners who have achieved competency at various levels of performance to enhance the capacity of the public health preparedness systems.

  8. Back Pain Prevalence and Its Associated Factors in Brazilian Athletes from Public High Schools: A Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Matias Noll

    Full Text Available Most studies on the prevalence of back pain have evaluated it in developed countries (Human Development Index--HDI > 0.808, and their conclusions may not hold for developing countries. The aim of this study was to identify the prevalence of back pain in representative Brazilian athletes from public high schools. This cross-sectional study was performed during the state phase of the 2015 Jogos dos Institutos Federais (JIF, or Federal Institutes Games, in Brazil (HDI = 0.744, and it enrolled 251 athletes, 173 males and 78 females (14-20 years old. The dependent variable was back pain, and the independent variables were demographic, socioeconomic, psychosocial, hereditary, exercise-level, anthropometric, strength, behavioral, and postural factors. The prevalence ratio (PR was calculated using multivariable analysis according to the Poisson regression model (α = 0.05. The prevalence of back pain in the three months prior to the study was 43.7% (n = 104, and 26% of the athletes reported feeling back pain only once. Multivariable analysis showed that back pain was associated with demographic (sex, psychosocial (loneliness and loss of sleep in the previous year, hereditary (ethnicity, parental back pain, strength (lumbar and hand forces, anthropometric (body mass index, behavioral (sleeping time per night, reading and studying in bed, smoking habits in the previous month, and postural (sitting posture while writing, while on a bench, and while using a computer variables. Participants who recorded higher levels of lumbar and manual forces reported a lower prevalence of back pain (PR 1.30. In conclusion, there is no association between exercise levels and back pain but there is an association between back pain and non-exercise related variables.

  9. Back Pain Prevalence and Its Associated Factors in Brazilian Athletes from Public High Schools: A Cross-Sectional Study.

    Science.gov (United States)

    Noll, Matias; de Avelar, Ivan Silveira; Lehnen, Georgia Cristina; Vieira, Marcus Fraga

    2016-01-01

    Most studies on the prevalence of back pain have evaluated it in developed countries (Human Development Index--HDI > 0.808), and their conclusions may not hold for developing countries. The aim of this study was to identify the prevalence of back pain in representative Brazilian athletes from public high schools. This cross-sectional study was performed during the state phase of the 2015 Jogos dos Institutos Federais (JIF), or Federal Institutes Games, in Brazil (HDI = 0.744), and it enrolled 251 athletes, 173 males and 78 females (14-20 years old). The dependent variable was back pain, and the independent variables were demographic, socioeconomic, psychosocial, hereditary, exercise-level, anthropometric, strength, behavioral, and postural factors. The prevalence ratio (PR) was calculated using multivariable analysis according to the Poisson regression model (α = 0.05). The prevalence of back pain in the three months prior to the study was 43.7% (n = 104), and 26% of the athletes reported feeling back pain only once. Multivariable analysis showed that back pain was associated with demographic (sex), psychosocial (loneliness and loss of sleep in the previous year), hereditary (ethnicity, parental back pain), strength (lumbar and hand forces), anthropometric (body mass index), behavioral (sleeping time per night, reading and studying in bed, smoking habits in the previous month), and postural (sitting posture while writing, while on a bench, and while using a computer) variables. Participants who recorded higher levels of lumbar and manual forces reported a lower prevalence of back pain (PR 1.30). In conclusion, there is no association between exercise levels and back pain but there is an association between back pain and non-exercise related variables.

  10. Authorship Trends of Emergency Medicine Publications over the Last Two Decades.

    Science.gov (United States)

    Lammers, Richard; Simunich, Thomas; Ashurst, John

    2016-05-01

    With the recent merger of the American Osteopathic Association (AOA) and the Accreditation Council for Graduate Medical Education (ACGME) a heightened pressure for publication may become evident. Our objective was to determine whether there was a gap in the type of both medical degree designation and advanced degree designation among authorship in three United States-based academic emergency medicine journals. We reviewed the Journal of Emergency Medicine, Academic Emergency Medicine and Annals of Emergency Medicine for the type of degree designation that the first and senior authors had obtained for the years 1995, 2000, 2005, 2010 and 2014. A total of 2.48% of all authors held a degree in osteopathic medicine. Osteopathic physician first authors contributed to 3.26% of all publications while osteopathic physician senior authors contributed 1.53%. No statistical trend could be established for the years studied for osteopathic physicians. However, we noted an overall trend for increased publication for allopathic senior authors (p=0.001), allopathic first authors with a dual degree (p=0.003) and allopathic senior authors with a dual degree (p=0.005). For each journal studied, no statistical trend could be established for osteopathic first or senior authors but a trend was noted for allopathic first and senior authors in the Journal of Emergency Medicine (p-value=0.020 and 0.006). Of those with dual degrees, osteopathic physicians were in the minority with 1.85% of osteopathic first authors and 0.60% of osteopathic senior authors attaining a dual degree. No statistical trend could be established for increased dual degree publications for osteopathic physicians over the study period, nor could a statistical trend be established for any of the journals studied. Very few osteopathic physicians have published in the Journal of Emergency Medicine, Academic Emergency Medicine or Annals of Emergency Medicine over the last two decades. Despite a trend for increased

  11. [Efficiency of Brazilian States and the Federal District in the public kidney transplant system based on DEA (Data Envelopment Analysis) and the Malmquist index].

    Science.gov (United States)

    Costa, Cassia Kely Favoretto; Balbinotto Neto, Giácomo; Sampaio, Luciano Menezes Bezerra

    2014-08-01

    The objective of this study was to evaluate the efficiency of Brazilian States and the Federal District in the public kidney transplant system and their productivity trends from 2006 to 2011. The authors used Data Envelopment Analysis (DEA) with slack and the Malmquist index with slack. Inputs included spending on hospital services and health professionals in the system. The output was the number of kidney transplants performed in each State. The data showed a significant discrepancy between States in the number of kidney transplants. The transplant system's inefficiency may result from inadequate management, failure to comply with national guidelines, inactive hospital transplant committees, and overburdened hospital staff. Institutional changes promoted by the Brazilian Ministry of Health (procedures improvement and standardization) failed to increase productivity in most States during this period.

  12. Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey.

    Science.gov (United States)

    Dias, Marcos Augusto Bastos; Domingues, Rosa Maria Soares Madeira; Schilithz, Arthur Orlando Corrêa; Nakamura-Pereira, Marcos; do Carmo Leal, Maria

    2016-10-17

    The rate of cesarean delivery (CD) in Brazil has increased over the past 40 years. The CD rate in public services is three times above the World Health Organization recommended values. Among strategies to reduce CD, the most important is reduction of primary cesarean. This study aimed to describe factors associated with CD during labor in primiparous women with a single cephalic pregnancy assisted in the Brazilian Public Health System (SUS). This study is part of the Birth in Brazil survey, a national hospital-based study of 23,894 postpartum women and their newborns. The rate of CD in primiparous women was estimated. Univariate and multivariable logistic regression was performed to analyze factors associated with CD during labor in primiparous women with a single cephalic pregnancy, including estimation of crude and adjusted odds ratios and their respective 95 % confidence intervals. The analyzed data are related to the 2814 eligible primiparous women who had vaginal birth or CD during labor in SUS hospitals. In adjusted analyses, residing in the Southeast region was associated with lower CD during labor. Occurrence of clinical and obstetric conditions potentially related to obstetric emergencies before delivery, early admission with < 4 cm of dilatation, a decision late in pregnancy for CD, and the use of analgesia were associated with a greater risk for CD. Favorable advice for vaginal birth during antenatal care, induction of labor, and the use of any good practices during labor were protective factors for CD. The type of professional who attended birth was not significant in the final analyses, but bivariate analysis showed a higher use of good practices and a smaller proportion of epidural analgesia in women cared for by at least one nurse midwife. The CD rate in primiparous women in SUS in Brazil is extremely high and can compromise the health of these women and their newborns. Information and support for vaginal birth during antenatal care, avoiding

  13. Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey

    Directory of Open Access Journals (Sweden)

    Marcos Augusto Bastos Dias

    2016-10-01

    Full Text Available Abstract Background The rate of cesarean delivery (CD in Brazil has increased over the past 40 years. The CD rate in public services is three times above the World Health Organization recommended values. Among strategies to reduce CD, the most important is reduction of primary cesarean. This study aimed to describe factors associated with CD during labor in primiparous women with a single cephalic pregnancy assisted in the Brazilian Public Health System (SUS. Methods This study is part of the Birth in Brazil survey, a national hospital-based study of 23,894 postpartum women and their newborns. The rate of CD in primiparous women was estimated. Univariate and multivariable logistic regression was performed to analyze factors associated with CD during labor in primiparous women with a single cephalic pregnancy, including estimation of crude and adjusted odds ratios and their respective 95 % confidence intervals. Results The analyzed data are related to the 2814 eligible primiparous women who had vaginal birth or CD during labor in SUS hospitals. In adjusted analyses, residing in the Southeast region was associated with lower CD during labor. Occurrence of clinical and obstetric conditions potentially related to obstetric emergencies before delivery, early admission with < 4 cm of dilatation, a decision late in pregnancy for CD, and the use of analgesia were associated with a greater risk for CD. Favorable advice for vaginal birth during antenatal care, induction of labor, and the use of any good practices during labor were protective factors for CD. The type of professional who attended birth was not significant in the final analyses, but bivariate analysis showed a higher use of good practices and a smaller proportion of epidural analgesia in women cared for by at least one nurse midwife. Conclusions The CD rate in primiparous women in SUS in Brazil is extremely high and can compromise the health of these women and their newborns

  14. Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction.

    Science.gov (United States)

    Santos, Gisele Aparecida Alves Corral Dos; Bocchi, Silvia Cristina Mangini

    2017-01-01

    To characterize cancellations of elective surgeries according to clinical and non-clinical reasons, as well as to verify seasonal influence and determine the estimated reduction of the index. Quantitative, descriptive and retrospective study with secondary data extracted from the Public Hospital of the State of São Paulo database. Out of the 8,443 (100%) elective surgeries scheduled, 7,870 (93.21%) were performed and 573 (6.79%) were canceled. Out of these 573 (100%) people, 48.33% were canceled for clinical reasons and 46.40% were for non-clinical reasons. Among the non-clinical reasons for surgery cancellations, those related to medical reasons stood out: at the request of the surgeon/change of approach (17.93%), followed by non-hospitalized patient (8.96%). There was no indication of seasonality regarding the reasons for cancellation in the assessed period. Although the rate of elective surgeries cancellations is lower than that of other hospitals with similar characteristics, it is still possible to reduce it from 6.79% to 1.36%, considering that 80% of the reasons for cancellation are avoidable. Caracterizar cancelamentos cirúrgicos eletivos segundo motivos clínicos e não clínicos, assim como verificar a influência sazonal e a estimativa de redução do índice. Estudo quantitativo, descritivo e retrospectivo com dados secundários, extraídos de banco de dados de Hospital Público do Estado de São Paulo. Das 8.443 (100%) cirurgias eletivas agendadas, realizaram-se 7.870 (93,21%) e suspenderam-se 573 (6,79%). Destas 573 (100%), 48,33% foram por razões clínicas e 46,40% não clínicas. Dentre os motivos não clínicos de cancelamento cirúrgico, preponderaram os relacionados às razões médicas, categorizadas como: a pedido do cirurgião/mudança de conduta (17,93%), seguida por paciente não internou (8,96%). Não houve indicação de sazonalidade quanto à ocorrência de motivos de cancelamento no período analisado. Apesar de a taxa de cancelamento

  15. 75 FR 65340 - Agency Emergency Information Collection Clearance Request for Public Comment

    Science.gov (United States)

    2010-10-22

    ... within 30 days. Proposed Project: Healthy Living Innovation Awards--OMB No. 0990- NEW--Emergency... organizations for the Healthy Living Innovation Awards. The project will provide an opportunity for HHS to increase public awareness of creative approaches to develop and expand innovative health promotion programs...

  16. 75 FR 37792 - Formaldehyde Gas; Receipt of Application for Emergency Exemption, Solicitation of Public Comment

    Science.gov (United States)

    2010-06-30

    ... AGENCY Formaldehyde Gas; Receipt of Application for Emergency Exemption, Solicitation of Public Comment... (OSWER) to use formaldehyde gas (CAS No. 82115-62-6) to decontaminate non-food contact surfaces to... Administrator to issue a quarantine exemption for the use of formaldehyde gas on non-food contact surfaces to...

  17. Neoliberal Global Assemblages: The Emergence of "Public" International High-School Curriculum Programs in China

    Science.gov (United States)

    Liu, Shuning

    2018-01-01

    Since 2010, the number of urban Chinese high-school students applying to US universities has rapidly grown. Many of these students have chosen emerging international curriculum programs established by elite public high schools in China. These programs prepare wealthy Chinese students for the US college application process by exposing them to an…

  18. Dose assessment and approach to the safety for the public in the emergency. Proceedings

    International Nuclear Information System (INIS)

    Nakajima, Toshiyuki

    1994-03-01

    This issue is the collection of the papers presented at the 21st NIRS seminar on Dose Assessment and Approach to the Safety for the Public in the Emergency. The 16 of the presented papers are indexed individually. (J.P.N.)

  19. Public health awareness of emerging zoonotic viruses of bats: A European perspective

    NARCIS (Netherlands)

    Poel, van der W.H.M.; Lina, P.H.C.; Kramps, J.A.

    2006-01-01

    Bats classified in the order Chiroptera are the most abundant and widely distributed non-human mammalian species in the world. Several bat species are reservoir hosts of zoonotic viruses and therefore can be a public health hazard. Lyssaviruses of different genotypes have emerged from bats in

  20. A Conceptual Framework for Allocation of Federally Stockpiled Ventilators During Large-Scale Public Health Emergencies.

    Science.gov (United States)

    Zaza, Stephanie; Koonin, Lisa M; Ajao, Adebola; Nystrom, Scott V; Branson, Richard; Patel, Anita; Bray, Bruce; Iademarco, Michael F

    2016-01-01

    Some types of public health emergencies could result in large numbers of patients with respiratory failure who need mechanical ventilation. Federal public health planning has included needs assessment and stockpiling of ventilators. However, additional federal guidance is needed to assist states in further allocating federally supplied ventilators to individual hospitals to ensure that ventilators are shipped to facilities where they can best be used during an emergency. A major consideration in planning is a hospital's ability to absorb additional ventilators, based on available space and staff expertise. A simple pro rata plan that does not take these factors into account might result in suboptimal use or unused scarce resources. This article proposes a conceptual framework that identifies the steps in planning and an important gap in federal guidance regarding the distribution of stockpiled mechanical ventilators during an emergency.

  1. Public health challenges and emerging diseases: the case of São Paulo

    Directory of Open Access Journals (Sweden)

    Silva Luiz Jacintho da

    2001-01-01

    Full Text Available The author discusses the challenges posed by emerging infectious diseases in 100 years of public health in the state of São Paulo, Brazil. With an advanced and organized public health system, São Paulo responded to the emergence of infectious diseases by creating research institutions and control programs. The late 19th century witnessed the first modern research institution in microbiology, in response to the bubonic plague. A changing economy led to constant changes in ecosystems. The late 20th century presents a wide array of both emerging and rapidly changing infectious diseases. The present situation calls for creative solutions. Ecosystem analysis and more agile epidemiological surveillance are seen as the best alternatives.

  2. Brazilian and International Accounting Standards Applied to the Public Sector and the Challenge of Convergence: a Comparative Analysis - IPSAS and NBCTSP

    Directory of Open Access Journals (Sweden)

    Adriana Rodrigues Fragoso

    2012-01-01

    Full Text Available The aim in this study is to analyze the current stage of conceptual convergence between Brazilian accounting standardsapplied to the public sector (NBCTSP and the International Public Sector Accounting Standard (IPSAS.The complexity and range of transactions between public or private sector entities, as a result of market internationalization,demand continuous and dynamic assessment of the events that promote quantitative or qualitative equitychanges. For this evaluation process, observing accounting principles and standards is important to guarantee, amongother information characteristics, understandability and comparability, thus reducing costs for investors and users in general, in view of the barriers raised by diverse languages, cultures, tax and economic policies. For convergenceanalysis, the standards’ contents were subject to a comparative study, based on a descriptive analysis, with a viewto verifying the existing adherence between Brazilian and international standards applied to the public sector. Theresults found highlight that different aspects still have to be discussed with a view to an actual convergence with theinternational standards; the current convergence is partial. The high-quality conceptual exposure of the NBCPSPsis observed though, while the contents of the IPSAS are more focused on operating procedures.

  3. BRAZILIAN AND INTERNATIONAL ACCOUNTING STANDARDS APPLIED TO THE PUBLIC SECTOR AND THE CHALLENGE OF CONVERGENCE: A COMPARATIVE ANALYSIS - IPSAS AND NBCTSP

    Directory of Open Access Journals (Sweden)

    José Francisco Ribeiro Filho (in memoriam

    2012-11-01

    Full Text Available The aim in this study is to analyze the current stage of conceptual convergence between Brazilian accounting standards applied to the public sector (NBCTSP and the International Public Sector Accounting Standard (IPSAS. The complexity and range of transactions between public or private sector entities, as a result of market internationalization, demand continuous and dynamic assessment of the events that promote quantitative or qualitative equity changes. For this evaluation process, observing accounting principles and standards is important to guarantee, among other information characteristics, understandability and comparability, thus reducing costs for investors and users in general, in view of the barriers raised by diverse languages, cultures, tax and economic policies. For convergence analysis, the standards’ contents were subject to a comparative study, based on a descriptive analysis, with a view to verifying the existing adherence between Brazilian and international standards applied to the public sector. The results found highlight that different aspects still have to be discussed with a view to an actual convergence with the international standards; the current convergence is partial. The high-quality conceptual exposure of the NBCPSPs is observed though, while the contents of the IPSAS are more focused on operating procedures

  4. Role of public transport in accessibility to emergency dental care in Melbourne, Australia.

    Science.gov (United States)

    Rocha, Carla M; Kruger, Estie; McGuire, Shane; Tennant, Marc

    2015-01-01

    The aim of this study was to develop a method for the analysis of the influence of public transport supply in a large city (Melbourne) on the access to emergency dental treatment. Geographic Information Systems (GIS) tools were used to associate the geographical distribution of patients (and their socioeconomic status) with accessibility (through public transport supply, i.e. bus, tram and/or train) to emergency dental care. The methodology used allowed analysis of the socioeconomic status of patient residential areas and both spatial location and supply frequency of public transport by using existing data from patient records, census and transport departments. In metropolitan Melbourne, a total of 13 784 patients met the inclusion criteria for the study sample, of which 95% (n = 13 077) were living within a 50 km radius of the Royal Dental Hospital of Melbourne. Low socioeconomic areas had a higher demand for dental emergency care in the Royal Dental Hospital of Melbourne. Public transport supply was similar across the various socioeconomic strata in the population, with 80% of patients having good access to public transport. However, when considering only high-frequency bus stops, the percentage of patients living within 400 m from a bus stop dropped to 65%. Despite this, the number of patients (adjusted to the population) coming from areas not supplied by public transport, and from areas with good or poor public transport supply, was similar. The methodology applied in the present study highlights the importance of evaluating not only the spatial distribution but also the frequency of public transport supply when studying access to services. This methodology can be extrapolated to other settings to identity transport/access patterns for a variety of services.

  5. A Transdisciplinary Approach to Public Health Law: The Emerging Practice of Legal Epidemiology.

    Science.gov (United States)

    Burris, Scott; Ashe, Marice; Levin, Donna; Penn, Matthew; Larkin, Michelle

    2016-01-01

    Public health law has roots in both law and science. For more than a century, lawyers have helped develop and implement health laws; over the past 50 years, scientific evaluation of the health effects of laws and legal practices has achieved high levels of rigor and influence. We describe an emerging model of public health law that unites these two traditions. This transdisciplinary model adds scientific practices to the lawyerly functions of normative and doctrinal research, counseling, and representation. These practices include policy surveillance and empirical public health law research on the efficacy of legal interventions and the impact of laws and legal practices on health and health system operation. A transdisciplinary model of public health law, melding its legal and scientific facets, can help break down enduring cultural, disciplinary, and resource barriers that have prevented the full recognition and optimal role of law in public health.

  6. Emergency environmental monitoring for the decision-aiding on public protective actions during a nuclear accident

    International Nuclear Information System (INIS)

    Choi, Yong Ho; Choi, Geun Sik; Han, Moon Hee; Lee, Han Soo; Lee, Chang Woo

    2005-01-01

    In a nuclear emergency, protective actions for the public should be taken in time. It is internationally proposed that Generic Intervention Levels (GILs) and generic action levels, determined based on cost-benefit analyses, be used as the decision criteria for protective actions. Operational Intervention Levels (OILs) are directly or easily measurable quantities corresponding to these generic levels. To assess the necessity of protective actions in a nuclear emergency, it is important that the environmental monitoring data required for applying and revising OILs should be promptly produced. It is discussed what and how to do for this task in the course of the emergency response. For an emergency environmental monitoring to be performed effectively, a through preparedness has to be made including maintenance of the organization and equipments, establishment of various procedure manuals, development of a supporting computer system and periodical training and exercises. It is pointed out that Korean legal provisions concerning GILs and OILs need to be amended or newly established

  7. Hinkley Point 'C' power station public inquiry: proof of evidence on emergency planning

    International Nuclear Information System (INIS)

    Western, D.J.

    1988-09-01

    A public inquiry has been set up to examine the planning application made by the Central Electricity Generating Board (CEGB) for the construction of a 1200 MW Pressurized Water Reactor power station at Hinkley Point (Hinkley Point ''C'') in the United Kingdom, adjacent to an existing nuclear power station incorporating Magnox and Advanced Gas Cooled reactors. The CEGB evidence to the Inquiry presented here introduces the concept of the Reference Accident as the basis for emergency arrangements. The description which follows of the emergency arrangements at the Hinkley Point site include: the respective responsibilities and their co-ordination of bodies such as the CEGB, external emergency services and government departments; the site emergency organization; practical aspects of the emergency arrangements; and consideration of the extension of the arrangements to a PWR on the same site. Recent developments in emergency planning, such as those arising out of post Chernobyl reviews and the Sizewell ''B'' PWR Inquiry, are taken into account. The conclusion is reached that soundly based emergency arrangements already exist at Hinkley Point which would require relatively minor changes should the proposed PWR be constructed. (UK)

  8. Cytogenetic studies of Brazilian pediatric myelodysplastic syndrome cases: challenges and difficulties in a large and emerging country.

    Science.gov (United States)

    Velloso, E D R P; Chauffaille, M L; Peliçario, L M; Tanizawa, R S S; Toledo, S R C; Gaiolla, R D; Lopes, L F

    2013-01-01

    Myelodysplastic syndromes (MDS) and juvenile myelomonocytic leukemia (JMML) are rare hematopoietic stem cell diseases affecting children. Cytogenetics plays an important role in the diagnosis of these diseases. We report here the experience of the Cytogenetic Subcommittee of the Brazilian Cooperative Group on Pediatric Myelodysplastic Syndromes (BCG-MDS-PED). We analyzed 168 cytogenetic studies performed in 23 different cytogenetic centers; 84 of these studies were performed in patients with confirmed MDS (primary MDS, secondary MDS, JMML, and acute myeloid leukemia/MDS+Down syndrome). Clonal abnormalities were found in 36.9% of the MDS cases and cytogenetic studies were important for the detection of constitutional diseases and for differential diagnosis with other myeloid neoplasms. These data show the importance of the Cooperative Group for continuing education in order to avoid a late or wrong diagnosis.

  9. Políticas públicas brasileñas para las personas mayores Brazilian public policies for elderly patients

    Directory of Open Access Journals (Sweden)

    Marcia Regina Martins Alvarenga

    2009-06-01

    Full Text Available Diferentes estudios recientes demuestran que el envejecimiento de la población brasileña es irreversible. Evaluar las necesidades de salud de este segmento poblacional para gestionar los recursos disponibles es imprescindible para los profesionales de la salud. Ese artículo tiene como objetivo presentar el Sistema único de Salud en Brasil y las políticas públicas para las personas mayores. El país brasileño no dispone de una red de servicios articulados y dedicados a la asistencia de las necesidades específicas de las personas mayores, a pesar de que la legislación brasileña está avanzando en cuanto a la promoción y la protección de la salud de estas personas.Recent different studies show that Brazilian population aging is irreversible. Evaluation of the elderly health care needs by health professionals is essential to the management of the available resources. The aim of this article is to describe the Brazilian Unified Health Care System and the public policies for elderly. In spite of the lack of an integrated health care network to provide health care to meet the needs of the elderly population, Brazilian legislation is improving, foreseeing the health promotion and protection of older people.

  10. Communication of emergency public warnings: A social science perspective and state-of-the-art assessment

    Energy Technology Data Exchange (ETDEWEB)

    Mileti, D.S. (Colorado State Univ., Fort Collins, CO (USA)); Sorensen, J.H. (Oak Ridge National Lab., TN (USA))

    1990-08-01

    More than 200 studies of warning systems and warning response were reviewed for this social science perspective and state-of-the-art assessment of communication of emergency public warnings. The major findings are as follows. First, variations in the nature and content of warnings have a large impact on whether or not the public heeds the warning. Relevant factors include the warning source; warning channel; the consistency, credibility, accuracy, and understandability of the message; and the warning frequency. Second, characteristics of the population receiving the warning affect warning response. These include social characteristics such as gender, ethnicity and age, social setting characteristics such as stage of life or family context, psychological characteristics such as fatalism or risk perception, and knowledge characteristics such as experience or training. Third, many current myths about public response to emergency warning are at odds with knowledge derived from field investigations. Some of these myths include the keep it simple'' notion, the cry wolf'' syndrome, public panic and hysteria, and those concerning public willingness to respond to warnings. Finally, different methods of warning the public are not equally effective at providing an alert and notification in different physical and social settings. Most systems can provide a warning given three or more hours of available warning time. Special systems such as tone-alert radios are needed to provide rapid warning. 235 refs., 8 figs., 2 tabs.

  11. The Evolution of Public Health Emergency Management as a Field of Practice.

    Science.gov (United States)

    Rose, Dale A; Murthy, Shivani; Brooks, Jennifer; Bryant, Jeffrey

    2017-09-01

    The health impacts of recent global infectious disease outbreaks and other disasters have demonstrated the importance of strengthening public health systems to better protect communities from naturally occurring and human-caused threats. Public health emergency management (PHEM) is an emergent field of practice that draws on specific sets of knowledge, techniques, and organizing principles necessary for the effective management of complex health events. We highlight how the nascent field of PHEM has evolved in recent years. We explore this development by first examining multiple sites of intersection between the fields of public health and emergency management. We then analyze 2 of the principal pillars on which PHEM was built: organizational and programmatic (i.e., industry) standards and the incident management system. This is followed by a sketch of the key domains, or functional areas, of PHEM and their application to the emergency management cycle. We conclude with some observations about PHEM in a global context and discuss how the field might continue to evolve.

  12. Personal Protective Equipment Supply Chain: Lessons Learned from Recent Public Health Emergency Responses.

    Science.gov (United States)

    Patel, Anita; D'Alessandro, Maryann M; Ireland, Karen J; Burel, W Greg; Wencil, Elaine B; Rasmussen, Sonja A

    Personal protective equipment (PPE) that protects healthcare workers from infection is a critical component of infection control strategies in healthcare settings. During a public health emergency response, protecting healthcare workers from infectious disease is essential, given that they provide clinical care to those who fall ill, have a high risk of exposure, and need to be assured of occupational safety. Like most goods in the United States, the PPE market supply is based on demand. The US PPE supply chain has minimal ability to rapidly surge production, resulting in challenges to meeting large unexpected increases in demand that might occur during a public health emergency. Additionally, a significant proportion of the supply chain is produced off-shore and might not be available to the US market during an emergency because of export restrictions or nationalization of manufacturing facilities. Efforts to increase supplies during previous public health emergencies have been challenging. During the 2009 H1N1 influenza pandemic and the 2014 Ebola virus epidemic, the commercial supply chain of pharmaceutical and healthcare products quickly became critical response components. This article reviews lessons learned from these responses from a PPE supply chain and systems perspective and examines ways to improve PPE readiness for future responses.

  13. The rise of Zika infection and microcephaly: what can we learn from a public health emergency?

    Science.gov (United States)

    McCloskey, B; Endericks, T

    2017-09-01

    To consider why Zika was declared a Public Health Emergency of International Concern (PHEIC), why it stopped being one and what we can learn from this for the future. This paper reviews the sequence of events and evidence base for the decision to declare Zika a PHEIC, the global response to this, the challenges in maintaining an evidence-based approach to outbreak response and identifies learning outcomes. Evidence review, all published articles in reputable UK and international journals were identified. The association between Zika virus infection and congenital malformations including microcephaly became a PHEIC on 1st February 2016 and was declared to be no longer an emergency in November 2016. This shaped the global response led by WHO in the first global emergency since Ebola in West Africa. The response to Zika highlights important issues and lessons for future outbreaks that might pose an international risk. Particular challenges arose in trying to maintain an evidence-based approach to public risk communication when the evidence is unclear or still evolving. The Zika incident also demonstrates the importance of public health practitioners and agencies understanding the political context in which outbreaks must be managed and understanding the competing factors that shape the political response. Copyright © 2017 The Royal Society for Public Health. All rights reserved.

  14. Public health emergency planning for children in chemical, biological, radiological, and nuclear (CBRN) disasters.

    Science.gov (United States)

    Bartenfeld, Michael T; Peacock, Georgina; Griese, Stephanie E

    2014-01-01

    Children represent nearly a quarter of the US population, but their unique needs in chemical, biological, radiological, and nuclear (CBRN) emergencies may not be well understood by public health and emergency management personnel or even clinicians. Children are different from adults physically, developmentally, and socially. These characteristics have implications for providing care in CBRN disasters, making resulting illness in children challenging to prevent, identify, and treat. This article discusses these distinct physical, developmental, and social traits and characteristics of children in the context of the science behind exposure to, health effects from, and treatment for the threat agents potentially present in CBRN incidents.

  15. NRC staff preliminary analysis of public comments on advance notice of proposed rulemaking on emergency planning

    International Nuclear Information System (INIS)

    Peabody, C.A.; Hickey, J.W.N.

    1980-01-01

    The Nuclear Regulatory Commission (NRC) published an advance notice of proposed rulemaking on emergency planning on July 17, 1979 (44 FR 41483). In October and November 1979, the NRC staff submitted several papers to the Commission related to the emergency planning rulemaking. One of these papers was a preliminary analysis of public comments received on the advance notice (SECY-79-591B, November 13, 1979). This document consists of the preliminary analysis as it was submitted to the Commission, with minor editorial changes

  16. The Fundamental Right to Public Security and the Untermassverbot Principle: A Required Review of The Article #152 of the Brazilian Procedural Criminal Code

    Directory of Open Access Journals (Sweden)

    Marcial Duarte Coêlho

    2017-02-01

    Full Text Available The increasing of violence in Brazil affects the fundamental right to public security. When the State does not sufficiently protects a fundamental right there is a violation of the so-called untermassverbot principle. This paper aims to explore the interpretation of the article #152 of the brazilian procedural criminal code under the untermassverbot principle. The traditional interpretation understands that the criminal procedure will be stopped, but the prescription penal period is not equally interrupted. It is proposed a new reading of that article, under the approaches of the proportionality principle and the integral penal guaranteeism.

  17. The Public Sphere in Emerging Infectious Disease Communication: Recipient or Active and Vocal Partner?

    Science.gov (United States)

    Gesser-Edelsburg, Anat; Shir-Raz, Yaffa; Walter, Nathan; Mordini, Emilio; Dimitriou, Dimitris; James, James J; Green, Manfred S

    2015-08-01

    Recent years have seen advances in theories and models of risk and crisis communication, with a focus on emerging epidemic infection. Nevertheless, information flow remains unilateral in many countries and does not take into account the public's polyvocality and the fact that its opinions and knowledge often "compete" with those of health authorities. This article addresses the challenges organizations face in communicating with the public sphere. Our theoretical approach is conceptualized through a framework that focuses on the public sphere and that builds upon existing guidelines and studies in the context of health and pandemics. We examine how health organizations cope with the public's transformation from recipients to an active and vocal entity, ie, how and to what extent health organizations address the public's anxiety and concerns arising in the social media during outbreaks. Although international organizations have aspired to relate to the public as a partner, this article identifies notable gaps. Organizations must involve the public throughout the crisis and conduct dialogues free of prejudices, paternalism, and preconceptions. Thereby, they can impart precise and updated information reflecting uncertainty and considering cultural differences to build trust and facilitate cooperation with the public sphere.

  18. Progress in Public Health Emergency Preparedness-United States, 2001-2016.

    Science.gov (United States)

    Murthy, Bhavini Patel; Molinari, Noelle-Angelique M; LeBlanc, Tanya T; Vagi, Sara J; Avchen, Rachel N

    2017-09-01

    To evaluate the Public Health Emergency Preparedness (PHEP) program's progress toward meeting public health preparedness capability standards in state, local, and territorial health departments. All 62 PHEP awardees completed the Centers for Disease Control and Prevention's self-administered PHEP Impact Assessment as part of program review measuring public health preparedness capability before September 11, 2001 (9/11), and in 2014. We collected additional self-reported capability self-assessments from 2016. We analyzed trends in congressional funding for public health preparedness from 2001 to 2016. Before 9/11, most PHEP awardees reported limited preparedness capabilities, but considerable progress was reported by 2016. The number of jurisdictions reporting established capability functions within the countermeasures and mitigation domain had the largest increase, almost 200%, by 2014. However, more than 20% of jurisdictions still reported underdeveloped coordination between the health system and public health agencies in 2016. Challenges and barriers to building PHEP capabilities included lack of trained personnel, plans, and sustained resources. Considerable progress in public health preparedness capability was observed from before 9/11 to 2016. Support, sustainment, and advancement of public health preparedness capability is critical to ensure a strong public health infrastructure.

  19. The emergence of the work class "family farmer" as individuals with rights in the path of the Brazilian rural syndicalism A emergência dos "agricultores familiares" como sujeitos de direitos na trajetória do sindicalismo rural brasileiro

    Directory of Open Access Journals (Sweden)

    Everton Lazzaretti Picolotto

    2009-01-01

    Full Text Available The process of the family farmers' recognition as individuals with rights demonstrates having their first roots, in spite of being recent, if compared to the history of the Brazilian rural syndicalism, still in the constitution of the labor-syndical legislation in 1930. Therefore, seeking to explore that process the present paper has as objective to analyze the family farmers' emergence as individuals of rights in the contemporary Brazilian society, analyzing the processes of formation of the rural syndicalism and the expansion of the labor law for the rural workers as a form of accomplishment of a "regulated citizenship" until the decade of 1970; the urge to the official syndicalism, the structuring of a "new syndicalism" and the new social actors' appearance in the field, which made possible the enlargement of the citizenship spaces in the period of re-democratization in Brazil; the "crisis" of the new syndicalism, the creation of new syndical structures "apart" of the official structure (syndicalism of the family agriculture and the emergency of the "family farmers" as subject of rights in the recent periodO processo de reconhecimento dos agricultores familiares como sujeitos de direitos apesar de ser recente quando pensado a partir da trajetória do sindicalismo rural brasileiro demonstra ter suas primeiras raízes ainda na constituição da legislação trabalhista-sindical dos anos de 1930. Visando explorar esse processo o artigo tem por objetivo analisar a emergência dos agricultores familiares como sujeitos de direitos na sociedade brasileira contemporânea. Analisa-se os processos de formação do sindicalismo rural e de expansão da legislação trabalhista para os trabalhadores rurais como forma de realização de uma "cidadania regulada" até a década de 1970; o questionamento do sindicalismo oficial, a estruturação de um "novo sindicalismo" e a emergência de novos atores sociais no campo, que possibilitaram a ampliação dos

  20. Identifying the science and technology dimensions of emerging public policy issues through horizon scanning.

    Science.gov (United States)

    Parker, Miles; Acland, Andrew; Armstrong, Harry J; Bellingham, Jim R; Bland, Jessica; Bodmer, Helen C; Burall, Simon; Castell, Sarah; Chilvers, Jason; Cleevely, David D; Cope, David; Costanzo, Lucia; Dolan, James A; Doubleday, Robert; Feng, Wai Yi; Godfray, H Charles J; Good, David A; Grant, Jonathan; Green, Nick; Groen, Arnoud J; Guilliams, Tim T; Gupta, Sunjai; Hall, Amanda C; Heathfield, Adam; Hotopp, Ulrike; Kass, Gary; Leeder, Tim; Lickorish, Fiona A; Lueshi, Leila M; Magee, Chris; Mata, Tiago; McBride, Tony; McCarthy, Natasha; Mercer, Alan; Neilson, Ross; Ouchikh, Jackie; Oughton, Edward J; Oxenham, David; Pallett, Helen; Palmer, James; Patmore, Jeff; Petts, Judith; Pinkerton, Jan; Ploszek, Richard; Pratt, Alan; Rocks, Sophie A; Stansfield, Neil; Surkovic, Elizabeth; Tyler, Christopher P; Watkinson, Andrew R; Wentworth, Jonny; Willis, Rebecca; Wollner, Patrick K A; Worts, Kim; Sutherland, William J

    2014-01-01

    Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.

  1. Identifying the science and technology dimensions of emerging public policy issues through horizon scanning.

    Directory of Open Access Journals (Sweden)

    Miles Parker

    Full Text Available Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.

  2. Identifying the Science and Technology Dimensions of Emerging Public Policy Issues through Horizon Scanning

    Science.gov (United States)

    Parker, Miles; Acland, Andrew; Armstrong, Harry J.; Bellingham, Jim R.; Bland, Jessica; Bodmer, Helen C.; Burall, Simon; Castell, Sarah; Chilvers, Jason; Cleevely, David D.; Cope, David; Costanzo, Lucia; Dolan, James A.; Doubleday, Robert; Feng, Wai Yi; Godfray, H. Charles J.; Good, David A.; Grant, Jonathan; Green, Nick; Groen, Arnoud J.; Guilliams, Tim T.; Gupta, Sunjai; Hall, Amanda C.; Heathfield, Adam; Hotopp, Ulrike; Kass, Gary; Leeder, Tim; Lickorish, Fiona A.; Lueshi, Leila M.; Magee, Chris; Mata, Tiago; McBride, Tony; McCarthy, Natasha; Mercer, Alan; Neilson, Ross; Ouchikh, Jackie; Oughton, Edward J.; Oxenham, David; Pallett, Helen; Palmer, James; Patmore, Jeff; Petts, Judith; Pinkerton, Jan; Ploszek, Richard; Pratt, Alan; Rocks, Sophie A.; Stansfield, Neil; Surkovic, Elizabeth; Tyler, Christopher P.; Watkinson, Andrew R.; Wentworth, Jonny; Willis, Rebecca; Wollner, Patrick K. A.; Worts, Kim; Sutherland, William J.

    2014-01-01

    Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique [1]. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security. PMID:24879444

  3. The Public Roles of the Private Sector in Asia: The Emerging Research Agenda

    OpenAIRE

    Ann Florini

    2014-01-01

    It is no longer possible to understand public policy without focusing intensively on the public roles of the business sector. The world is awash in experimental private governance, from corporate codes of conduct, to demands for disclosure of private sector environmental and social impacts, to ‘social enterprises’ that aim to save the world the profitable way. Such experiments are emerging within Asia, changing the terms of the social licence to operate as society becomes more adept at ma...

  4. The Public and Nanotechnology: How Citizens Make Sense of Emerging Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Scheufele, Dietram A. [University of Wisconsin, Madison School of Journalism and Mass Communication (United States)], E-mail: scheufele@wisc.edu; Lewenstein, Bruce V. [Cornell University, Department of Communication and Department of Science and Technology Studies (United States)

    2005-12-15

    We report findings from a national telephone survey on levels of knowledge about and attitudes toward nanotechnology that demonstrate how people make decisions about emerging technologies. Our findings confirm previous research that suggests that people form opinions and attitudes even in the absence of relevant scientific or policy-related information. In fact, our data show that cognitive shortcuts or heuristics - often provided by mass media - are currently a key factor in influencing how the public thinks about nanotechnology and about its risks and benefits, and in determining the level of support among the public for further funding for research in this area.

  5. The Public and Nanotechnology: How Citizens Make Sense of Emerging Technologies

    International Nuclear Information System (INIS)

    Scheufele, Dietram A.; Lewenstein, Bruce V.

    2005-01-01

    We report findings from a national telephone survey on levels of knowledge about and attitudes toward nanotechnology that demonstrate how people make decisions about emerging technologies. Our findings confirm previous research that suggests that people form opinions and attitudes even in the absence of relevant scientific or policy-related information. In fact, our data show that cognitive shortcuts or heuristics - often provided by mass media - are currently a key factor in influencing how the public thinks about nanotechnology and about its risks and benefits, and in determining the level of support among the public for further funding for research in this area

  6. Ebola Hemorrhagic Fever as a Public Health Emergency of International Concern; a Review Article.

    Science.gov (United States)

    Safari, Saeed; Baratloo, Alireza; Rouhipour, Alaleh; Ghelichkhani, Parisa; Yousefifard, Mahmood

    2015-01-01

    Ebola hemorrhagic fever (EHF) was first reported in 1976 with two concurrent outbreaks of acute viral hemorrhagic fever centered in Yambuku (near the Ebola river), Democratic Republic of Congo, and in Nzara, Sudan. The current outbreak of the Ebola virus was started by reporting the first case in March 2014 in the forest regions of southeastern Guinea. Due to infection rates raising over 13,000% within a 6-month period, Ebola is now considered as a global public health emergency and on August 8(th), 2014 the World Health Organization (WHO) declared the epidemic to be a Public Health Emergency of International Concern. With more than 5000 involved cases and nearly 3000 deaths, this event has turned into the largest and most dangerous Ebola virus outbreak in the world. Based on the above-mentioned, the present article aimed to review the virologic characteristics, transmission, clinical manifestation, diagnosis, treatment, and prevention of Ebola virus disease.

  7. An off-site screening process for the public in radiation emergencies and disasters

    International Nuclear Information System (INIS)

    Yoon, Seok Won; Ho, Ha Wi; Jin, Young Woo

    2016-01-01

    A contamination screening process for the local population in radiation emergencies is discussed. We present an overview of the relevant Korean governmental regulations that underpin the development of an effective response system. Moreover, case studies of foreign countries responding to mass casualties are presented, and indicate that responses should be able to handle a large demand for contamination screening of the local public as well as screening of the immediate victims of the incident. We propose operating procedures for an off-site contamination screening post operated by the local government for members of the public who have not been directly harmed in the accident. In order to devise screening categories, sorting strategies assessing contamination and exposure are discussed, as well as a psychological response system. This study will lead to the effective operation of contamination screening clinics if an accident occurs. Furthermore, the role of contamination screening clinics in the overall context of the radiation emergency treatment system should be clearly established

  8. The emergency of concept global health: perspectives for the field of public health

    Directory of Open Access Journals (Sweden)

    João Roberto Cavalcante Sampaio

    2016-12-01

    Full Text Available In recent years, we have witnessed the emergence of new terms in the academic and political debate of public health, such as ‘’global health’’, ‘’global public goods’’, ‘’global health governance’’, ‘’global public health’’, ‘’health diplomacy’’, 'international cooperation’’. In this study, we aimed to analyze the historical development of the concept of ‘global health’, as well as the prospects of this new concept in the research and public health practice. A comprehensive literature review was performed in Pubmed, Scielo, Scopus, and BVS. We also analyzed documents obtained from the websites of international health organizations. 514 publications were retrieved and 36 were selected for this study. In general, the concept of "global health" refers to health as a transnational phenomenon linked to globalization, which has as main challenge to think public health beyond international relations between countries. International health organizations are particularly important in the development of the concept of "global health" and its new application prospects in the field of public health are health diplomacy, international cooperation and global health governance.

  9. Analisys of IT outsourcing contracts at the TCU (Federal Court of Accounts and of the legislation that governs these contracts in the Brazilian Federal Public administration

    Directory of Open Access Journals (Sweden)

    Graziela Ferreira Guarda

    2015-09-01

    Full Text Available Information technology (IT outsourcing has for a long time been a major trend in business and government. Accountability of IT outsourcing contracts in the public administration is recognized as an important factor contributing to government transparency and public services quality, given the legislation governing these contracts and the amount of related expenditures. Considering the trend towards open government data publishing, including data on outsourcing contracts, there is an interesting opportunity for citizens to participate in the open auditing of these contracts as a means to assess the good application of public resources. In this study we explore this possibility by analyzing open data published by the Brazilian Federal Court of Accounts (TCU is its acronym in Portuguese, an interesting case since this agency has a paramount role in auditing the whole Brazilian Federal Public Administration. To this end, we gathered open data from the TCU regarding all outsourced IT services contracts maintained by the agency during the years 2000-2013. This data is analyzed to verify, from an external point of view, the related duration and values, identifying diferences between the predicted and actual amounts spent and evaluating the administration of such contracts regarding legislation. This analysis is based on a detailed survey of the relevant legislation as well as the verification of original contract terms and their addendums. As a result, we observed substantial differences in the amount spent on execution with respect to those predicted in the original contracts. Also, we identified the utilization of special justifications prescribed by law to sustain the extension of some contracts. Given these results, it is possible that IT outsourcing is not necessarily proved to be the best solution for the public sector problems regarding the lack of skilled personnel, which implies the need to assess the cost-benefit of maintaining these

  10. Application of physiological parameters of a sample of the Brazilian population in different levels of exercise, on the deposition model of the ICRP Publication 66

    International Nuclear Information System (INIS)

    Reis, Arlene A. dos; Cardoso, Joaquim C.S.; Lourenco, Maria C.

    2005-01-01

    The Human Respiratory Tract Model (HRTM) proposed by the ICRP Publication 66 accounts for the morphology and physiology of the respiratory tract. The characteristics of air drawn into the lungs and exhaled are greatly influenced by the morphology of the respiratory tract, which causes numerous changes in pressure, flow rate, direction and humidity as air moves into and out of the lungs. The model uses morphological and physiological parameters from the Caucasian man to establish deposition fractions in the respiratory tract regions. The ICRP recommends, for a reliable evaluation of the regional deposition, the use of parameters from a local population when information is available. The main purpose of this study is to verify the influence in using the morphology and physiology parameters representative of a sample of the Brazilian population, in different levels of exercise, on the deposition model of the ICRP Publication 66. The deposition model was implemented using software Excel for Windows (version 2000). The results suggest a significant variation in fractional deposition when Brazilian parameters are applied in the model. The variations are not the same for all regions of the respiratory tract and depend on levels of exercise. (author)

  11. Study on generic intervention levels for protecting the public in a nuclear accident or radiological emergency

    International Nuclear Information System (INIS)

    Suzuki, Fabio Fumio

    2003-01-01

    After a nuclear accident or radiological emergency, several social and economical factors shall be considered for the actions to protect the public and to recover the environment. The application of the radiological protection principles on practices in intervention situations may lead to adoption of protective measures disproportional to the involved risk, compromising the resources available to more effective actions. This causes a negative impact on the population and may conduct to discredit about the protective measures and the lost of confidence on the authorities. In this context, the principles of radiological protection for interventions should be studied and analyzed for being adequately applied in accident situations or radiological emergencies that involves the country. These principles are constantly improved and the concept of generic intervention level plays an important role in the decision-making to protect the public. The costs involved to the protective measures for the public in Brazil were studied and cost benefit analysis techniques were applied to estimate the generic intervention levels for public protection applicable in the country. These results were compared to those values internationally recommended, as well to values obtained in a similar study accomplished for Japan. It was also performed a sensibility analysis of the results regarding a value and a simple analysis of the results considering the costs of the several protective measures. (author)

  12. Safe and Sound? Scientists’ Understandings of Public Engagement in Emerging Biotechnologies

    Science.gov (United States)

    Braun, Matthias; Starkbaum, Johannes; Dabrock, Peter

    2015-01-01

    Science communication is a widely debated issue, particularly in the field of biotechnology. However, the views on the interface between science and society held by scientists who work in the field of emerging biotechnologies are currently insufficiently explored. Therefore filling this gap is one of the urgent desiderata in the further development of a dialogue-oriented model of science-public interaction. Against this background, this article addresses two main questions: (1) How do the persons who work in the field of science perceive the public and its involvement in science? (2) What preferred modes of communication are stressed by those scientists? This research is based on a set of interviews with full professors from the field of biotechnology with a special focus on synthetic biology. The results show that scientists perceive the public as holding a primarily risk-focused view of science. On the one hand, different forms of science communication are thereby either seen as a chance to improve the public acceptance of science in general and one field of research in particular. On the other hand, the exchange with the public is seen as a duty because the whole of society is affected by scientific innovation. Yet, some of the stakeholders’ views discussed here conflict with debates on public engagement in technological innovation. PMID:26660160

  13. Identifying and Prioritizing Information Needs and Research Priorities of Public Health Emergency Preparedness and Response Practitioners.

    Science.gov (United States)

    Siegfried, Alexa L; Carbone, Eric G; Meit, Michael B; Kennedy, Mallory J; Yusuf, Hussain; Kahn, Emily B

    2017-10-01

    This study describes findings from an assessment conducted to identify perceived knowledge gaps, information needs, and research priorities among state, territorial, and local public health preparedness directors and coordinators related to public health emergency preparedness and response (PHPR). The goal of the study was to gather information that would be useful for ensuring that future funding for research and evaluation targets areas most critical for advancing public health practice. We implemented a mixed-methods approach to identify and prioritize PHPR research questions. A web survey was sent to all state, city, and territorial health agencies funded through the Public Health Emergency Preparedness (PHEP) Cooperative Agreement program and a sample of local health departments (LHDs). Three focus groups of state and local practitioners and subject matter experts from the Centers for Disease Control and Prevention (CDC) were subsequently conducted, followed by 3 meetings of an expert panel of PHPR practitioners and CDC experts to prioritize and refine the research questions. We identified a final list of 44 research questions that were deemed by study participants as priority topics where future research can inform PHPR programs and practice. We identified differences in perceived research priorities between PHEP awardees and LHD survey respondents; the number of research questions rated as important was greater among LHDs than among PHEP awardees (75%, n=33, compared to 24%, n=15). The research questions identified provide insight into public health practitioners' perceived knowledge gaps and the types of information that would be most useful for informing and advancing PHPR practice. The study also points to a higher level of information need among LHDs than among PHEP awardees. These findings are important for CDC and the PHPR research community to ensure that future research studies are responsive to practitioners' needs and provide the information

  14. Arboviruses emerging in Brazil: challenges for clinic and implications for public health.

    Science.gov (United States)

    Donalisio, Maria Rita; Freitas, André Ricardo Ribas; Zuben, Andrea Paula Bruno Von

    2017-04-10

    Arboviruses have been emerging in different parts of the world due to genetic changes in the virus, alteration of the host and vector population dynamics, or because of anthropogenic environmental factors. These viruses' capacity for adaptation is notable, as well as the likelihood of their emergence and establishment in new geographic areas. In Brazilian epidemiologic scenario, the most common arboviruses are DENV, CHIKV, and ZIKV, although others may spread in the country. Little is yet known of the impact of viral co-circulation, which would theoretically result in more intense viremia or other immunological alterations that could trigger autoimmune diseases, such as Guillain-Barré syndrome. The impact on morbidity and mortality intensifies as extensive epidemics lead to a high number of affected individuals, severe cases, and implications for health services, mainly due to the absence of treatment, vaccines, and effective prevention and control measures. RESUMO Notifica-se a emergência de arboviroses em diferentes regiões do planeta em decorrência de mudanças genéticas no vírus, alteração da dinâmica populacional de hospedeiros e vetores ou por fatores ambientais de origem antropogênica. É notável a capacidade de adaptação desses vírus e a possibilidade de emergirem e se estabelecerem em novas áreas geográficas. No contexto epidemiológico brasileiro, os arbovírus de maior circulação são DENV, CHIKV e ZIKV, embora existam outros com potencial de disseminação no País. O impacto da cocirculação viral ainda é pouco conhecido, a qual teoricamente resultaria em viremias mais intensas ou outras alterações imunológicas que poderiam ser o gatilho para doenças autoimunes, como a síndrome de Guillain-Barré. O impacto na morbidade e mortalidade se intensifica à medida que extensas epidemias pressupõem grande número de indivíduos acometidos, casos graves e implicações sobre os serviços de saúde, principalmente diante da aus

  15. Provision of prehospital emergency medical services in Punjab, Pakistan: Case study of a public sector provider.

    Science.gov (United States)

    Sriram, Veena M; Naseer, Rizwan; Hyder, Adnan A

    2017-12-01

    The availability and quality of emergency medical services in low- and middle-income countries, including Pakistan, are extremely limited. New models for prehospital emergency medical services provision have recently emerged across multiple sectors, and research on these models is urgently needed to inform current and future emergency medical services systems in low-resource settings. The objective of this case study was to provide a comprehensive description of the organizational structure and service delivery model of a public sector provider in the Punjab Province of Pakistan, Rescue 1122, with a focus on operations in Lahore. We used case study methodology to systematically describe the organizational model of Rescue 1122. Qualitative data were collected during an in-person site visit to Lahore in June 2013. Three sources were utilized-semi-structured in-depth interviews, document review, and nonparticipant observation. Data were analyzed according to the health system "building blocks" proposed by the World Health Organization. Rescue 1122 is based on a legal framework that provides public financing for EMS, resulting in financial stability for the service. The organization has also reportedly taken positive steps in engaging with communities, and in coordinating across EMS, fire and rescue. We noted benefits and challenges in scaling up the service to all districts in Punjab. Finally, some areas of improvement include supply chain management and expanded data utilization. Our case study highlights key components of the model, areas for strengthening, and opportunities for further research. Rescue 1122 provides an example of a government-financed and operated emergency medical system in a low-resource setting. Copyright © 2017. Published by Elsevier Inc.

  16. Formation Mechanism and Coping Strategy of Public Emergency for Urban Sustainability: A Perspective of Risk Propagation in the Sociotechnical System

    Directory of Open Access Journals (Sweden)

    Xiuquan Deng

    2018-02-01

    Full Text Available Urban public emergencies now break out frequently, causing heavy losses and threatening urban sustainability at the same time. To help better curb public emergencies, minimize their damage to cities, and maintain the sustainable operation of the city, this paper takes the urban public emergency as the research object, discussing the formation mechanism of urban public emergencies and putting forward feasible countermeasures. First, we propose the concept of risk propagation chain and construct an urban socio-technical system risk propagation chain model by introducing the Tropos Goal-Risk framework. The risk propagation chain formation mechanism and the emergency formation mechanism are researched by using this model to analyze the specific conditions and paths of risk propagation. Then the targeted countermeasures are put forward to prevent and manage emergencies, advancing the goal of sustainable development. Finally, a case is used to verify the theory and model. This study not only provides a theoretical framework for the formation of urban public emergencies but also provides a practical method for modeling public emergencies and dealing with urban sustainability problems.

  17. Emerging Vector borne zoonoses: eco-­epidemiology and public health implications in India

    Directory of Open Access Journals (Sweden)

    Ramesh C Dhiman

    2014-09-01

    Full Text Available The diseases originating from animals or associated with man and animals are remerging and have resulted in considerable morbidity and mortality. The present review highlights the re-emergence of emerging mainly zoonotic diseases like chikungunya, scrub typhus, extension of spatial distribution of cutaneous leishmaniasis from Western Rajasthan to Himachal Pradesh, Kerala, and Haryana states; West Nile virus to Assam, and non- endemic areas of JE like Maharashtra and JE to Delhi; Crimean Congo Hemorrhagic Fever making inroads in Ahmedabad; reporting fifth parasite of human malaria with possibility of zoonosis have been highlighted which necessitates further studies for prevention and control. Emphasis has been given on understanding the ecology of reservoir hosts of pathogen, micro niche of vector species, climatic, socioeconomic risk factors etc. Development of facilities for diagnosis of virus from insects, reservoirs and human beings (like BSL4 which has been established in NIV, Pune, awareness about symptoms of new emerging viral and other zoonotic diseases, differential diagnosis, risk factors (Climatic, ecological and socioeconomic and mapping of disease specific vulnerable areas, mathematical modeling for projecting epidemiological scenario, are needed for preparedness of public health institutes. It is high time to understand the ecological link of zoonotic or anthroponotic diseases for updated risk maps and epidemiological knowledge for effective preventive and control measures. The public health stakeholders in India as well as in south East Asia should emphasize on understanding the eco-epidemiology of the discussed zoonotic diseases for taking preventive actions.

  18. Business and public health collaboration for emergency preparedness in Georgia: a case study

    Directory of Open Access Journals (Sweden)

    Berkelman Ruth L

    2006-11-01

    Full Text Available Abstract Background Governments may be overwhelmed by a large-scale public health emergency, such as a massive bioterrorist attack or natural disaster, requiring collaboration with businesses and other community partners to respond effectively. In Georgia, public health officials and members of the Business Executives for National Security have successfully collaborated to develop and test procedures for dispensing medications from the Strategic National Stockpile. Lessons learned from this collaboration should be useful to other public health and business leaders interested in developing similar partnerships. Methods The authors conducted a case study based on interviews with 26 government, business, and academic participants in this collaboration. Results The partnership is based on shared objectives to protect public health and assure community cohesion in the wake of a large-scale disaster, on the recognition that acting alone neither public health agencies nor businesses are likely to manage such a response successfully, and on the realization that business and community continuity are intertwined. The partnership has required participants to acknowledge and address multiple challenges, including differences in business and government cultures and operational constraints, such as concerns about the confidentiality of shared information, liability, and the limits of volunteerism. The partnership has been facilitated by a business model based on defining shared objectives, identifying mutual needs and vulnerabilities, developing carefully-defined projects, and evaluating proposed project methods through exercise testing. Through collaborative engagement in progressively more complex projects, increasing trust and understanding have enabled the partners to make significant progress in addressing these challenges. Conclusion As a result of this partnership, essential relationships have been established, substantial private resources and

  19. Using a mobile app and mobile workforce to validate data about emergency public health resources.

    Science.gov (United States)

    Chang, Anna Marie; Leung, Alison C; Saynisch, Olivia; Griffis, Heather; Hill, Shawndra; Hershey, John C; Becker, Lance B; Asch, David A; Seidman, Ariel; Merchant, Raina Martha

    2014-07-01

    Social media and mobile applications that allow people to work anywhere are changing the way people can contribute and collaborate. We sought to determine the feasibility of using mobile workforce technology to validate the locations of automated external defibrillators (AEDs), an emergency public health resource. We piloted the use of a mobile workforce application, to verify the location of 40 AEDs in Philadelphia county. AEDs were pre-identified in public locations for baseline data. The task of locating AEDs was posted online for a mobile workforce from October 2011 to January 2012. Participants were required to submit a mobile phone photo of AEDs and descriptions of the location. Thirty-five of the 40 AEDs were identified within the study period. Most, 91% (32/35) of the submitted AED photo information was confirmed project baseline data. Participants also provided additional data such as business hours and other nearby AEDs. It is feasible to engage a mobile workforce to complete health research-related tasks. Participants were able to validate information about emergency public health resources. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  20. Exploring technology diffusion in emerging markets – the role of public policy for wind energy

    International Nuclear Information System (INIS)

    Friebe, Christian A.; Flotow, Paschen von; Täube, Florian A.

    2014-01-01

    This study challenges the implicit assumption of homogeneity in national institutional contexts made in past studies of (renewable) energy policy. We propose that institutional differences matter by focusing on several technology-specific and generic policy factors that can foster technology diffusion through private sector activity. More specifically, we explore perceptions of early adopters in emerging economy contexts using wind park project developers as an example. By applying a parsimonious method for our questionnaire as well as qualitative data we make several contributions: Methodologically, we introduce Maximum Difference Scaling to the energy policy domain. Empirically, we identify several public influences on private investment, and assess their relative importance. This leads to new insights challenging findings from industrialized economies; we identified additional institutional barriers to diffusion, hence, the requirement of a combination of technology-specific and generic policy measures. - Highlights: • Explorative qualitative and quantitative study of project developers in emerging markets. • Identifies influencing factors for technology diffusion regarding wind farms. • Predictable public authorities and well-implemented public processes attract intern. project developers. • Feed-in-Tariffs and grid access guarantees are particularly appealing

  1. Emergency contraception. Widely available and effective but disappointing as a public health intervention: a review

    Science.gov (United States)

    Baird, D.T.; Cameron, S.; Evers, J.L.H.; Gemzell-Danielsson, K.; Glasier, A.; Moreau, C.; Trussell, J.; von Hertzen, H.; Crosignani, P.G.; La Vecchia, C.; Volpe, A.; Glasier, A.; Crosignani, P.G.

    2015-01-01

    Emergency contraception (EC) prevents pregnancy after unprotected sex or contraceptive failure. Use of EC has increased markedly in countries where a product is available over the counter, yet barriers to availability and use remain. Although effective in clinical trials, it has not yet been possible to show a public health benefit of EC in terms of reduction of unintended pregnancy rates. Selective progesterone receptor modulators developed as emergency contraceptives offer better effectiveness than levonorgestrel, but still EC is less effective than use of ongoing regular contraception. Methods which inhibit ovulation whenever they are taken or which act after ovulation to prevent implantation and strategies to increase the uptake of effective ongoing contraception after EC use would prevent more pregnancies. PMID:25678571

  2. Emergency contraception. Widely available and effective but disappointing as a public health intervention: a review.

    Science.gov (United States)

    2015-04-01

    Emergency contraception (EC) prevents pregnancy after unprotected sex or contraceptive failure. Use of EC has increased markedly in countries where a product is available over the counter, yet barriers to availability and use remain. Although effective in clinical trials, it has not yet been possible to show a public health benefit of EC in terms of reduction of unintended pregnancy rates. Selective progesterone receptor modulators developed as emergency contraceptives offer better effectiveness than levonorgestrel, but still EC is less effective than use of ongoing regular contraception. Methods which inhibit ovulation whenever they are taken or which act after ovulation to prevent implantation and strategies to increase the uptake of effective ongoing contraception after EC use would prevent more pregnancies. © The Author 2015. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  3. The self-determination theory applied in the analysis of motivation and academic performance of accounting students in a brazilian public university

    Directory of Open Access Journals (Sweden)

    Marina Salgado Borges

    2017-08-01

    Full Text Available The aim of this study was analyzing the relations between academic performance and motivation of Accounting students in a Brazilian public university based on Self-determination Theory. Methodologically, in order to reach that, structured questionnaires were applied in classrooms with the Brazilian version of the Academic Motivation Scale (AMS, in a sample of 316 students enrolled from second to tenth periods of that course, equivalent to 37.2% of the total number of students. Data were analyzed using descriptive statistics, exploratory factor analysis (AFE and multiple linear regression analysis with Ordinary Least Squares (OLS. The regression analyzes indicated a significant relationship between motivation and academic performance. The factors related to intrinsic motivation and extrinsic motivation by identified regulation are positively correlated with academic performance of students. On the other hand, the introjected for regulation extrinsic motivation factor is negatively correlated with student’s academic performance coefficient (CRA. Based on the sample analyzed, the results showed that the relationship between motivation and CRA of the student depends on the type of motivation that is present in each one.

  4. Complete substitution of the Brazilian endemic clone by other methicillin-resistant Staphylococcus aureus lineages in two public hospitals in Rio de Janeiro, Brazil.

    Science.gov (United States)

    Chamon, Raiane Cardoso; Ribeiro, Sthefanie da Silva; da Costa, Thaina Miranda; Nouér, Simone Aranha; Dos Santos, Katia Regina Netto

    Staphylococcus aureus is an important cause of bloodstream infections. Therefore, the main purpose of this work was to characterize a collection of 139 S. aureus isolates from bloodstream infections in two public hospitals in relation to their antimicrobial susceptibility profile, staphylococcal cassette chromosome mec types, and clonal relationship. Methicillin resistance and resistance to other 12 agents were accessed by the disk diffusion test. Minimum inhibitory concentration to mupirocin was also determined. The SCCmec types were accessed by multiplex PCR, and the clonal relationship was determined by pulsed field gel electrophoresis method and restriction modification system characterization. Besides, multilocus sequence typing was performed for representative methicillin-resistant S. aureus isolates. The military hospital showed a dissemination of the New York/Japan (USA100/ST5/CC5/SCCmecII) lineage associated to multidrug resistance, including mupirocin resistance, and the teaching hospital presented polyclonal and non-multidrug resistant MRSA isolates. Complete substitution of the Brazilian endemic clone by other lineages was found in both hospitals. These findings can highlight differences in policy control and prevention of infections used in the hospitals and a change in the epidemiological profile of MRSA in Brazilian hospitals, with the replacement of BEC, a previously well-established clone, by other lineages. Copyright © 2016 Sociedade Brasileira de Infectologia. Published by Elsevier Editora Ltda. All rights reserved.

  5. Medical indigency and inner city hospital care: patient dumping, emergency care and public policy.

    Science.gov (United States)

    Rice, M F

    1989-01-01

    This paper discusses the growing lack of private for-profit hospital care for the medically indigent. The issues of patient dumping and emergency care are examined from both judicial and public policy perspectives. The paper concludes by noting that dumping may be viewed as a most serious form of neglect and more comprehensive laws and court decisions are needed to require all hospitals, regardless of ownership, to treat all patients who arrive at their doors if they have the appropriate medical staff and facilities.

  6. Emergency epinephrine use for food allergy reactions in Chicago Public Schools.

    Science.gov (United States)

    DeSantiago-Cardenas, Lilliana; Rivkina, Victoria; Whyte, Stephanie A; Harvey-Gintoft, Blair C; Bunning, Bryan J; Gupta, Ruchi S

    2015-02-01

    Given the increase in childhood food allergy, national and local policies have been developed to encourage schools to stock undesignated epinephrine auto-injectors in case of an anaphylactic emergency. To describe the use of epinephrine auto-injectors in Chicago Public Schools during the 2012-2013 school year, specifically for food-induced allergic reactions. District-issued epinephrine auto-injectors were distributed to all public and charter schools in Chicago prior to the start of the 2012-2013 school year. Data on their use were collected, and frequencies were computed in the autumn of 2013. Thirty-eight district-issued epinephrine auto-injectors were administered during the inaugural year of the Chicago Public Schools initiative. Epinephrine auto-injectors were administered to students (92.1%) and school staff (7.9%). Most district-issued epinephrine auto-injectors were administered in elementary schools (63.2%) and on Chicago's North-Northwest Side (36.8%). More than half (55.0%) of all district-issued epinephrine auto-injectors were administered for first-time anaphylactic events. Food-induced reactions accounted for more than half (55.3%) of all reactions requiring epinephrine auto-injector use, whereas the trigger of more than one third (34.2%) of all reactions requiring the use of an epinephrine auto-injector remained unknown. Chicago Public Schools is the first large, urban school district in the U.S. to develop and implement the District-Issued Emergency Epinephrine Initiative, which helped 38 students and staff avoid potential morbidity and mortality. The impact of this initiative during its first year underscores the need for stocking undesignated epinephrine in schools across the country. Copyright © 2015 American Journal of Preventive Medicine. All rights reserved.

  7. Method for developing arrangements for response to a nuclear or radiological emergency. Updating IAEA-TECDOC-953. Emergency preparedness and response. Publication date: October 2003

    International Nuclear Information System (INIS)

    2003-09-01

    In 1997 the IAEA compiled, consolidated and organized existing information, and published the TECDOC-953 'Method for Development of Emergency Response Preparedness for Nuclear or Radiological Accidents'. Subsequently this publication was used extensively by the IAEA for training and for evaluation of emergency response programmes. In November 1999 a technical committee meeting (TCM) with representatives of over 20 States reviewed and provided feedback on IAEA-TECDOC-953. In March 2002, the IAEA's Board of Governors approved a Safety Requirements publication, 'Preparedness and Response for a Nuclear or Radiological Emergency', jointly sponsored by seven international organizations, which establishes the requirements for an adequate level of preparedness and response for a nuclear or radiological emergency in any State. The IAEA General Conference in resolution GC(46)/RES/9 encouraged Member States to implement, if necessary, instruments for improving their own preparedness and response capabilities for nuclear and radiological incidents and accidents, including their arrangements for responding to acts involving the malicious use of nuclear or radioactive material and to threats of such acts, and has further encouraged them to implement the Safety Requirements for Preparedness and Response to a Nuclear or Radiological Emergency. The obligations, responsibilities and requirements for preparedness and response for radiation emergencies are set out in the safety standards, in particular the 1996 'International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources'. Consensus information on relevant radiation protection criteria was established in 1994 and published in 'Intervention Criteria in a Nuclear or Radiation Emergency'. Several other guides and publications in the area of emergency preparedness and response had previously been issued. The present publication now being issued in the Emergency Preparedness and

  8. Social diversity promotes the emergence of cooperation in public goods games.

    Science.gov (United States)

    Santos, Francisco C; Santos, Marta D; Pacheco, Jorge M

    2008-07-10

    Humans often cooperate in public goods games and situations ranging from family issues to global warming. However, evolutionary game theory predicts that the temptation to forgo the public good mostly wins over collective cooperative action, and this is often also seen in economic experiments. Here we show how social diversity provides an escape from this apparent paradox. Up to now, individuals have been treated as equivalent in all respects, in sharp contrast with real-life situations, where diversity is ubiquitous. We introduce social diversity by means of heterogeneous graphs and show that cooperation is promoted by the diversity associated with the number and size of the public goods game in which each individual participates and with the individual contribution to each such game. When social ties follow a scale-free distribution, cooperation is enhanced whenever all individuals are expected to contribute a fixed amount irrespective of the plethora of public goods games in which they engage. Our results may help to explain the emergence of cooperation in the absence of mechanisms based on individual reputation and punishment. Combining social diversity with reputation and punishment will provide instrumental clues on the self-organization of social communities and their economical implications.

  9. [Citizenship and modernity: the emergence of the social issue on the public agenda

    Science.gov (United States)

    Bodstein

    1997-04-01

    The guiding thread of this article is the inclusion of the so-called "social issue" on the public agenda from modernity through its more current developments. The study seeks to demonstrate that one of the meanings of modernity is precisely the radical inversion of the meaning of public and private, providing for the broadening of public space. Far from being associated with a given bourgeois capitalist model, modernity thus projects itself as a reinvention of rights, citizenship, and contemporary democratic experience. Over this long course, the individualization process has been seen as a crucial factor for understanding both the ideology of modern societies and - paradoxically - the very emergence of social sciences. The individualist concept, emphasizing the specificity of modern representation of the social sphere, i.e., its characteristic as a self-instituting society, allows for a broadened understanding of the public domain. In this sense, the ideological polarization between liberal conceptions (favoring individualism) and Marxist ones (linked to holistic representations of the social sphere) should be reviewed, since this polarization has repercussions on the very analytical tools used by social sciences.

  10. Staying Safe While Doing Science in Public: Emerging Best Practices for Social Media

    Science.gov (United States)

    Jefferson, A.; McKinnon, M.

    2016-12-01

    Doing science in public has incalculable benefits for professional networking, science advocacy, and public outreach, but it also carries significant risks. Online harassment related to social media use can pose significant emotional hardship, negatively impact professional standing, and even threaten physical welfare. Women, people of color, and other underrepresented people in science are disproportionately targeted for anonymous online harassment. We analyzed our experiences with online harassment, and tactics for managing this harassment. While anecdotal, our experiences cover scientists with differing identities and fields, demonstrating that while the details change the overarching patterns remain the same. Fear of becoming a target poses a significant barrier to engaging in public discourse about science. But it is possible to mitigate this risk. Successful strategies for social media to promote science while staying safe are slowly creating a body of emerging best practices. These tactics include proactively restricting access to personal information, developing strategies for identifying and responding to deliberate antagonists (trolls), and choosing when and how to participate in volatile topics. They also require full-community engagement from creating support networks, partnering with allies to manage sudden floods of hostility, and educating on security practices for protecting colleagues' potentially sensitive personal information. It is our hope that frank and open discussion of the realistic threat passed by harassment and strategies for mitigating that threat will jump start a culture of online safety amongst geoscientists, and encourage our most vulnerable and underrepresented scientists to participate in the public sphere.

  11. Comparison of the epidemiologic features and patterns of initial care for prostate cancer between public and private institutions: a survey by the Brazilian Society of Urology.

    Science.gov (United States)

    Nardi, Aguinaldo Cesar; Reis, Rodolfo Borges dos; Zequi, Stenio de Cassio; Nardozza, Archimedes

    2012-01-01

    To describe the epidemiological features and patterns of initial care for prostate cancer at public and private institutions in the State of Sao Paulo, Brazil. A total of 1,082 physicians affiliated to the Sao Paulo Section of the Brazilian Society of Urology were invited to participate in this cross-sectional, web-based survey. Between September 2004 and September 2005, participating urologists entered data on demographic, clinical and pathological characteristics of patients diagnosed with prostate cancer in their practice. Data on patients attended at public institutions were analyzed and compared with those patients attended at private practice. One hundred and ten society members contributed with data from 1915 patients, 1026 (53.6%) of whom from public institutions. When compared with patients attended at private institutions, those attended at public institutions were older and more likely to be black, had higher serum prostate specific antigen (PSA) levels, had a higher probability of being diagnosed with metastatic disease, but were less likely to undergo prostatectomy (all P institution were independently associated with metastatic disease upon diagnosis. The significant predictors of nonsurgical treatment were age, black race, and higher serum levels of PSA. A statewide registry provides valuable information regarding patient demographics, clinical features, and patterns of care. The results of this study suggest that significant disparities exist for patients with prostate cancer attended at different health-care systems. The relative contribution of biological versus socioeconomic features remains uncertain.

  12. Public-private re-alignments: the role of structural economic transformations in spurring the joint international engagement of agribusiness and the Brazilian State

    Directory of Open Access Journals (Sweden)

    Niels Søndergaard

    2016-07-01

    Full Text Available The article focuses upon how changes in global agricultural markets and the transformation of the Brazilian economic model from the 1990s have redefined relations between the state and agribusiness, and affected the country´s international strategy. The central objective is to evaluate the causal impact of structural factors at the global and the national level upon the dispositions and preferences of the group of actors examined. Public-private cooperation is analyzed through institutionalist IPE and liberal IR theory, in combination with a neopluralist perspective. The article concludes that changes in global food markets and the economic liberalizations of the 1990s have spurred an export-oriented consensus between the agricultural sector and the state, with strong repercussions within the country´s international engagement.

  13. Converging requirements and emerging challenges to public health diseases surveillance and bio surveillance

    International Nuclear Information System (INIS)

    Rao, V.; Abel, T.

    2009-01-01

    Disease surveillance systems are a critical component of an early warning system for public health agencies to prepare and respond to major public health catastrophes. With a growing emphasis for more robust early indicator and warning systems to track emerging and dangerous diseases of suspicious nature, considerable emphasis is now placed on deployment of more expanded electronic disease surveillance systems. The architectural considerations for bio surveillance information system are based on collection, analysis and dissemination of human, veterinary and agricultural related disease surveillance to broader regional areas likely to be affected in the event of an emerging disease, or due to bioterrorism and better coordinate plans, preparations and response by governmental agencies and multilateral forums. The diseases surveillance systems architectures by intent and design could as well support biological threat monitoring and threat reduction initiatives. As an illustrative sample set, this paper will describe the comparative informatics requirements for a disease surveillance systems developed by CSC for the US Centers for Diseases Control and Prevention (CDC) currently operational nationwide, and biological weapons threat assessment developed as part of the Threat Agent Detection and Response (TADR) Network under the US Biological Threat Reduction Program and deployed at Uzbekistan, Kazakhstan, Georgia, and Azerbaijan.(author)

  14. Preparation for the members of the public in case of a nuclear emergency in Argentina

    International Nuclear Information System (INIS)

    Jordan, Osvaldo; Telleria, Diego; Hernandez, Daniel; Kunst, Juan; Cateriano, Miguel; Rey, Hugo

    2008-01-01

    The Nuclear Law (Law Nr. 24804, year 1997) establishes that the Nuclear Regulatory Authority (ARN) has the duties of population's informing and preparation for the case of nuclear accidents. Knowing the foresee involvement of the public in a nuclear emergency, this preparation is carried out in the framework of contingency plans approved by the Nuclear Regulatory Authority. The population's preparation is a key task to arrive to the objective of minimizing the consequences of a nuclear incident. The ARN has defined the necessary countermeasures for the first hours and as the local population is involved, they must be trained in order to ensure the better level of efficacy. An important part in the preparation is the diffusion of information in the schools so the students know what they should do in case they receive an alert from the nuclear emergency command. The presentations at schools are divided by the differences in the levels of understanding, considering the ages of the students. These tasks are carried out once a year during the exercise preparation and it has a main objective: to diffuse the primordial protection actions. Similarly diffusion activities on protection actions were carried out with other sectors of the general public, with talk shows, discussions and explanation of doubts generated during the open meetings invited by the local civil defense, the nuclear power plant and the ARN. This work presents the details of tasks carried out with the educational community, the civil organizations the population and the conclusions obtained during these activities. (author)

  15. Information Dissemination of Public Health Emergency on Social Networks and Intelligent Computation

    Directory of Open Access Journals (Sweden)

    Hongzhi Hu

    2015-01-01

    Full Text Available Due to the extensive social influence, public health emergency has attracted great attention in today’s society. The booming social network is becoming a main information dissemination platform of those events and caused high concerns in emergency management, among which a good prediction of information dissemination in social networks is necessary for estimating the event’s social impacts and making a proper strategy. However, information dissemination is largely affected by complex interactive activities and group behaviors in social network; the existing methods and models are limited to achieve a satisfactory prediction result due to the open changeable social connections and uncertain information processing behaviors. ACP (artificial societies, computational experiments, and parallel execution provides an effective way to simulate the real situation. In order to obtain better information dissemination prediction in social networks, this paper proposes an intelligent computation method under the framework of TDF (Theory-Data-Feedback based on ACP simulation system which was successfully applied to the analysis of A (H1N1 Flu emergency.

  16. Information Dissemination of Public Health Emergency on Social Networks and Intelligent Computation

    Science.gov (United States)

    Hu, Hongzhi; Mao, Huajuan; Hu, Xiaohua; Hu, Feng; Sun, Xuemin; Jing, Zaiping; Duan, Yunsuo

    2015-01-01

    Due to the extensive social influence, public health emergency has attracted great attention in today's society. The booming social network is becoming a main information dissemination platform of those events and caused high concerns in emergency management, among which a good prediction of information dissemination in social networks is necessary for estimating the event's social impacts and making a proper strategy. However, information dissemination is largely affected by complex interactive activities and group behaviors in social network; the existing methods and models are limited to achieve a satisfactory prediction result due to the open changeable social connections and uncertain information processing behaviors. ACP (artificial societies, computational experiments, and parallel execution) provides an effective way to simulate the real situation. In order to obtain better information dissemination prediction in social networks, this paper proposes an intelligent computation method under the framework of TDF (Theory-Data-Feedback) based on ACP simulation system which was successfully applied to the analysis of A (H1N1) Flu emergency. PMID:26609303

  17. Factors associated with the willingness of health care personnel to work during an influenza public health emergency: an integrative review.

    Science.gov (United States)

    Devnani, Mahesh

    2012-12-01

    The first decade of the 21st century has witnessed three major influenza public health emergencies: (1) the severe acute respiratory syndrome of 2002-2003; (2) the avian flu of 2006; and (3) the 2009 H1N1 pandemic influenza. An effective public health response to an influenza public health emergency depends on the majority of uninfected health care personnel (HCP) continuing to report to work. The purposes of this study were to determine the state of the evidence concerning the willingness of HCP to work during an influenza public health emergency, to identify the gaps for future investigation, and to facilitate evidence-based influenza public health emergency planning. A systemic literature review of relevant, peer-reviewed, quantitative, English language studies published from January 1, 2001 through June 30, 2010 was conducted. Search strategies included the Cochrane Library, PubMed, PubMed Central, EBSCO Psychological and Behavioral Sciences Collection, Google Scholar, ancestry searching of citations in relevant publications, and information from individuals with a known interest in the topic. Thirty-two studies met the inclusion criteria. Factors associated with a willingness to work during an influenza public health emergency include: being male, being a doctor or nurse, working in a clinical or emergency department, working full-time, prior influenza education and training, prior experience working during an influenza emergency, the perception of value in response, the belief in duty, the availability of personal protective equipment (PPE), and confidence in one's employer. Factors found to be associated with less willingness were: being female, being in a supportive staff position, working part-time, the peak phase of the influenza emergency, concern for family and loved ones, and personal obligations. Interventions that resulted in the greatest increase in the HCP's willingness to work were preferential access to Tamiflu for the HCP and his/her family, and

  18. [A guide to successful public relations for hospitals and emergency medical services].

    Science.gov (United States)

    Ausserer, J; Schwamberger, J; Preloznik, R; Klimek, M; Paal, P; Wenzel, V

    2014-04-01

    Tragic accidents, e.g. involving celebrity patients or severe incidents in hospital occur suddenly without any advance warning, often produce substantial interest by the media and quickly overburden management personnel involved in both hospitals and emergency medical services. While doctors, hospitals and emergency medical services desire objective media reports, the media promote emotionalized and dramatized reports to ensure maximum attention and circulation. When briefing the media, the scales may quickly tilt from professional, well-deliberated information to unfortunate, often unintended disinformation. Such phenomena may result in continuing exaggerated reports in the tabloid press, which in the presence of aggressive lawyers and a competitive hospital environment can turn into image and legal problems. In this article, several aspects are discussed in order to achieve successful public relations.Interviews should be given only after consultation with the responsible press officer and the director of the respective department or hospital director. Requests for information by the media should always be answered as otherwise one-sided, unintentional publications can result that are extremely difficult to correct later. One should be available to be contacted easily by journalists, regular press conferences should be held and critics should be taken seriously and not be brushed off. Questions by journalists should be answered in a timely manner as journalists are continuously under time pressure and do not understand unnecessary delays. Information for the media should always be provided at the same time, no publication should be given preference and an absolutely current list of E-mail contacts is required. When facing big events a press conference is preferred as many questions can be answered at once. Always be well prepared for an interview or even for just a statement. Each interview should be regarded as an opportunity to put a story forward which you

  19. Clinical Profile and Sex Differences in Brazilian Children and Adolescents Receiving Psychiatric Services in the Emergency Department.

    Science.gov (United States)

    Tonezer, Jordana; Muller, Thomaz; Rocha, Gibsi Possapp; Recondo, Rogéria; Nogueira, Eduardo Lopes; Spanemberg, Lucas

    2015-06-27

    We present a survey of sex differences and socio-demographic and clinical variables in children and adolescents receiving a psychiatric consultation service in an emergency department (ED). This observational, retrospective, and cross-sectional study included all records of patients (age, services in an ED in a 4-year period (January 2010 to December 2013). Two hundred fifty-nine records of children and adolescents were located. The mean age of the participants was 14.19 years, and most subjects were female (59.5%) and had private health insurance (83.7%). Most participants (87.4%) were accompanied by their parents. The main complaints were suicide attempts (21.8%) and psychomotor agitation/aggressiveness (21.8%). Unipolar depression (37.8%) and adjustment, reactive, and anxiety disorders (13.7%) were the most prevalent diagnoses. Most patients received an indication of psychiatric hospitalization (51.7%). Females had more suicide attempts than males (28.3% vs 12.4%) and less psychomotor agitation/aggressiveness than males (15.5% vs 31.4%). Females also exhibited more unipolar depression (47.6% vs 23.5%), fewer psychotic disorders (4.2% vs 16.3%), and substance use/misuse (1.4% vs 13.3%) than males. Males needed more psychiatric medication during evaluation (37.9% vs 19.2%). This survey of the profile of pediatric patients evaluated by a psychiatric service in an ED in Brazil was the first of its kind. The large percentage of patients referred for hospitalization highlights the importance of specialized psychiatry care for this age group in this facility, which is a common entry point for mental health care.

  20. Public information on radioactive waste: a study of an emerging issue

    International Nuclear Information System (INIS)

    Bronfman, L.M.; Bronfman, B.H.; Regens, J.L.

    1979-10-01

    Through an analysis of information provided in the printed media on the topic of radioactive waste, the study analyzes the emergence of radioactive waste as a public issue in the press. Over eight hundred articles printed in both specialized and non-specialized sources from 1973 to 1978 have been content-analyzed in order to describe how the problem of radioactive waste is defined and what dimensions of the problems are receiving attention. Between 1973 and 1978, there was a substantial increase in the amount of information on the topic of radioactive waste available to the public through a variety of popular and specialized media sources. This increase coincides with documented public concern with the problem of radioactive waste. Discussions of radioactive waste have focused for all sources more frequently on themes not directly related to the technical problems of radioactive waste storage or isolation. A substantial amount of the information available to a variety of segments of the public is composed of discussions of real or perceived risk related to the existence of waste or to methods of disposing of it. In addition to risk, a substantial proportion of the discussions deal with institutional themes. Over time, the total amount of information on most dimensions of the radioactive waste problem has increased substantially. Institutional themes have gained relative to other issues over the three time periods. National and local press sources infrequently specify the form of waste being discussed thus providing evidence that the quality of technical information available to some members of the public is very low

  1. Turning a Blind Eye: Public Support of Emergency Housing Policies for Sex Offenders.

    Science.gov (United States)

    Socia, Kelly M; Dum, Christopher P; Rydberg, Jason

    2017-07-01

    In this study, we examine the influences of citizen decision making in the context of four policy scenarios that would affect the living conditions of sex offenders (SOs) residing at an "emergency shelter" budget motel. We surveyed 773 citizens in an online survey about their support for four policy scenarios that would improve the living conditions of SOs: (a) at no cost to the respondent, (b) in exchange for a US$100 tax increase, and (c) by relocating SOs within the respondent's neighborhood (i.e., "in my backyard"/IMBY scenario). The fourth scenario involved moving nearby SOs into substandard housing located far away from the respondent (i.e., "not in my backyard"/NIMBY). While prior research finds that the public overwhelmingly supports punitive SO policies, we find that indifference is a mainstay of public opinion about improving SO housing conditions. That is, we find only modest levels of average support for any of the policy scenarios, and policy support decreased when increased taxes would be involved, compared with a "no cost" scenario. While no respondent characteristics significantly predicted policy support consistently across all four scenarios, some scenarios showed stark differences in support when considering specific respondent characteristics. Overall, these results suggest that what does affect support depends on the details of the policy being proposed, as well as who is considering the policy. We end by discussing the policy implications of our study for both policymakers and the public.

  2. Characteristics of motorcyclists involved in road traffic accidents attended at public urgent and emergency services.

    Science.gov (United States)

    Mascarenhas, Márcio Dênis Medeiros; Souto, Rayone Moreira Costa Veloso; Malta, Deborah Carvalho; Silva, Marta Maria Alves da; Lima, Cheila Marina de; Montenegro, Marli de Mesquita Silva

    2016-12-01

    Injuries resulting from motorcycle road traffic accidents are an important public health issue in Brazil. This study aimed to describe the characteristics of motorcyclists involved in traffic accidents attended in public urgent and emergency services in the state capitals and the Federal District. This is a cross-sectional study based on data from the Violence and Accident Surveillance System (VIVA Survey) in 2014. Data were analyzed according to sociodemographic, event and attendance characteristics. Proportional differences between genders were analyzed by chi-square test (Rao-Scott) with 5% significance level. Motorcyclist-related attendances (n = 9,673) reported a prevalence of men (gender ratio = 3.2), young people aged 20-39 years (65.7%), black / brown (73.6%), paid work (76.4%). Helmet use was reported by 79.1% of the victims, 13.3% had consumed alcohol in the six hours prior to the accident, 41.4% of the events were related to the victim's work. Accidents were more frequent on weekends, in the morning and late afternoon. These characteristics can support the development of public accident prevention policies and health promotion.

  3. Medical response to a major radiologic emergency: a primer for medical and public health practitioners.

    Science.gov (United States)

    Wolbarst, Anthony B; Wiley, Albert L; Nemhauser, Jeffrey B; Christensen, Doran M; Hendee, William R

    2010-03-01

    There are several types of serious nuclear or radiologic emergencies that would require a specialized medical response. Four scenarios of great public health, economic, and psychologic impact are the detonation of a nuclear weapon, the meltdown of a nuclear reactor, the explosion of a large radiologic dispersal device ("dirty bomb"), or the surreptitious placement of a radiation exposure device in a public area of high population density. With any of these, medical facilities that remain functional may have to deal with large numbers of ill, wounded, and probably contaminated people. Special care and/or handling will be needed for those with trauma, blast injuries, or thermal burns as well as significant radiation exposures or contamination. In addition, radiologists, nuclear medicine specialists, and radiation oncologists will be called on to perform a number of diverse and critically important tasks, including advising political and public health leaders, interfacing with the media, managing essential resources, and, of course, providing medical care. This article describes the medical responses needed following a radiologic or nuclear incident, including the symptoms of and specific treatments for acute radiation syndrome and other early health effects. http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.09090330/-/DC1. (c) RSNA, 2010

  4. Supporting the Social Media Needs of Emergency Public Information Officers with Human-Centered Design and Development

    Science.gov (United States)

    Hughes, Amanda Lee

    2012-01-01

    Emergency response agencies, which operate as command-and-control organizations, push information to members of the public with too few mechanisms to support communication flowing back. Recently, information communication technologies (ICTs) such as social media have challenged this one-way model by allowing the public to participate in emergency…

  5. [Screening on key techniques used for surveillance and disposal of public health emergencies].

    Science.gov (United States)

    Zhu, Q R; Yang, L; Ma, H Y; Xie, W Q; Cong, L M; Xu, L W

    2017-06-10

    Objective: To explore the key techniques used for surveillance and disposal of infectious diseases, food poisoning and hospital infection to improve the ability of surveillance and disposal on public health emergency. Methods: Framework on surveillance and disposal of infectious diseases, food poisoning and hospital infection was set up, based on literature review and expert group discussion. Delphi method and technique for order preference by similarity to ideal solution comprehensive evaluation method were used for ordering preference by similarity, to screen key techniques set for surveillance and disposal of the above said events. Results: Framework to be used for selecting key techniques was designed, based on the classification of emergency events, processing cycle of emergency events and level of techniques. Twenty six public health experts were selected for a 2-round consultation, with their authority as 0.796. Ten key techniques with important significance for surveillance and disposal of infectious diseases, food poisoning and hospital infection were selected from each event. Among these key techniques, the early-warning system was recognized as the key technique, important for the surveillance and disposal of all three emergency events. Items as technology used for unknown pathogenic microorganism detection, personal protection, gene sequencing and tracing technology, microorganism molecular typing technology, nucleic acid detection technology etc . were the key techniques and need to develop for the surveillance and disposal of infectious diseases and iatrogenic infection. Data regarding key technologies on security and privacy, early warning and forecasting, field rapid detection were sorted out that all in need to improve the surveillance programs on disposal of infectious diseases and food poisoning. Data exchange appeared another key technique on infectious diseases, with toxin detection and other 5 techniques the key techniques for food poisoning

  6. Indigenous Brazilian Management Practices

    Directory of Open Access Journals (Sweden)

    Zandra Balbinot

    2012-12-01

    Full Text Available The present research seeks to understand to what extent companies in emerging countries, specifically, Brazilian, adopt dominant management practices, the so-called Euro-American practices, possess their one, or show a syncretism between the two. Methods: Mixed research. One phase was to collect data using a survey about cultural dimensions adopted from GLOBE (House 1998 management practices and also from Brazilian academy. Another was to collect data through interviews, which were analyzed in parallel. Results: Of the seven dominant cultural dimensions, indigenous practices influenced two. Another three were influenced by dominant management practices. Two of the local dimensions, even with internationalization, merged practices with Brazilian cultural traits. Even so, the practices derived from Jeitinho diminished relative to the international relations and experience of managers. Conclusions: The paper shows the existence of powerful Brazilian Indigenous Managerial Practices such as personalism and formalism. These practices have great influence on international business negotiations. On the other hand, it also shows that there are still dominant managerial practices specially in the case of more internationalized Brazilian managers

  7. One Health approach: A platform for intervention in emerging public health challenges of Kerala state

    Directory of Open Access Journals (Sweden)

    A. Sukumaran

    2015-05-01

    Full Text Available The authors, key functionaries in the Kerala state public health system, review the communicable disease scenario of the state for the past 4 years, and in the background of the One Health concept, opines that the re-emerged discipline is perfectly in tune with the current challenges of the state. The unique model of Kerala state is witnessing newer challenges in its public health arena: The rapidly increasing migrant workforce from relatively poorer states of India, rapid urbanization and its consequent stress on public health, unsolved issues of urban waste disposal, reemergence of many communicable diseases like malaria, more so, the falciparum type, emergence of many zoonotic diseases like Lyme disease, scrub typhus, and Kyasanur forest disease etc. Conventional zoonotic infections such as anthrax and brucellosis remain potential threat for human health as well. Rabies continued to cause major concern from mortality point of view, as well as major drainer of state’s budget every year. Leptospirosis has remained major burden among the communicable disease for the past 10 years, and the annual incidence ranged from 2 to 7 per 100,000 population. Having a large section of its people working in various agriculture and animal rearing occupations, the state has all risk factors for propagation of Leptospirosis, but lacks interdisciplinary collaboration in its control and prevention area, the author highlights major avenues for collaboration. Japanese encephalitis appeared as an epidemic in 2011 in two of the southern districts in Kerala, one of the districts being famous tourist spot for both humans, as well as migrant birds. There is ample scope for collaborative research on the source of the virus, and in the subsequent years, the disease had been detected in more districts. Lyme disease was reported for the first time in India, from one of the districts in Kerala, promptly investigated by a joint team from Human Public Health and Veterinary

  8. Desafio estratégico da política pública: o ensino superior brasileiro Public policy strategic challenge: Brazilian higher education

    Directory of Open Access Journals (Sweden)

    Edson Nunes

    2007-01-01

    Full Text Available Poucas pessoas no Brasil são, em comparação com países desenvolvidos, portadoras de diploma de ensino superior. Admitindo-se que a qualificação da população do país, a este nível, constitua interesse estratégico nacional, este artigo examina as características do caso brasileiro e discute as opções pregressas que o país fez, bem como observa as opções futuras, que estariam abertas ao país. O Brasil deliberou, ainda que não tenha manifestado claramente tal deliberação, por expandir seu ensino terciário por meio do setor privado. Desde o final do século XX esta expansão vem adquirindo uma faceta mercantil. Ao Estado brasileiro, contudo, apetece a estratégia da "não-decisão". Escolhe o setor privado para expandir a oferta de educação superior. E escolhe a via comercial, a partir de 1997, para fazê-lo. Mas não revela tal escolha. Deixa-a ao sabor, senão olhar, do analista das políticas públicas. Resta analisar as conseqüências desta "não-decisão" brasileira. Este artigo oferece números, argumentos e sugestões sobre o tema.Few people in Brazil, compared to developed countries, have a higher education diploma. Admitting that the qualification of the country's population at this level may constitute a national strategic interest, this article examines the characteristics of the Brazilian case and discusses the country's past choices, as well as the future ones that could be at its disposal. Brazil has decided, even thought not explicitly, to expand its tertiary education by means of the private sector. Since the end of the 20th century, this expansion has been gaining a mercantile facet. The Brazilian state, however is interested in a 'non-decision' strategy. It chooses the private sector to expand the offer of higher education. And since 1997 it has chosen the commercial path to do it. But it does not reveal this choice, leaving it to be examined according the perspective of the public policy analyst. One can

  9. Insights into public export promotion programs in an emerging economy: the case of Malaysian SMEs.

    Science.gov (United States)

    Ayob, Abu H; Freixanet, Joan

    2014-10-01

    This study evaluates the impact of public export promotion programs (EPPs) among small and medium-sized enterprises (SMEs) in Malaysia. Three indicators, level of awareness, frequency of use, and perception of usefulness, were examined according to a firm's export status. The global evaluation suggests that exporters are more frequent users of EPPs and perceive them to be more useful than non-exporters. Nonetheless, both groups demonstrate higher levels of awareness, are frequent users, and perceive the programs relating to export info/knowledge are more usefulness than programs relating to financial assistance. Further analysis also reveals that the frequency of use and the perception of usefulness for most programs are positively related to export experience, but not to export turnover. This study offers insights into the effectiveness of export programs for encouraging export initiation and expansion in an emerging economy. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. Development and management of public health education system against emerging infectious diseases.

    Science.gov (United States)

    Koh, Myungja; Dev, Parvati; Lee, Eun-Jung; Koo, Byung-Ki; Lee, Kyung-Oak; Ha, Kukhwa; Yang, Heesun; Kang, Gilwon; Lee, Youngsung

    2012-01-01

    With recent spread of infectious diseases, worldwide emergency strategies against them have been made. As one of such efforts we planned to develop an educational program for public health manpower using IT, and produced 4 to 8 minute-long flash animations of the following subjects selected by Education Training Expert Committee: Self-care guideline on H1N1; Instruction for medical hospital; Prevention of hospital acquired infections; Method of sampling & transporting. Demonstrative education using an online education system was conducted targeting 10 doctors working in a rural health center to evaluate the developed animations. They received good marks in the factors of credibility and accuracy, but needed to improve in that of interaction with educatees. Our suggestion is that we use the result of our study as a prototype of education contents on infectious diseases, and modify its contents accordingly when a specific disease breaks out.

  11. The Palestinian Authority and 'Climate Change' as an Emergent Public Problem

    International Nuclear Information System (INIS)

    Fustec, Klervi

    2014-01-01

    'Climate change' is an oft avowed environmental priority among cooperation and development actors. The Palestinian Territories, for their part, are one of the largest recipients of international aid. To the degree that the UNPD has played a role in promoting the question of 'climate change', the dependence of the Palestinian Authority on international aid has contributed to framing this emergent public problem; its construction is anchored in the context of the Israeli-Palestinian conflict and the Palestinian state's demand for recognition at the international level. In the international arenas dedicated to 'climate change', what's more, the Palestinian Authority discusses this question in terms of political and climatic injustice. Two questions thus merit study: what effect does the construction of the climate problem have on the Palestinian Authority and, conversely, what effect does the Palestinian Authority have on the construction of the climate problem?

  12. The public opinion on emergency preparedness close to nuclear power plants

    International Nuclear Information System (INIS)

    Hultaaker, Oe.

    1984-07-01

    More than 1500 people have been interviewed on their attitudes towards and their knowledge of emergency actions on nuclear accidents at nuclear power plants. Of the people addressed, 768 lived in the inner zones close to the power plants. 775 were farmers near the four nuclear power sites in Sweden. The farmers lived both in inner zones and zones further away. A majority consider themselves not well-informed on health risks after a nuclear accident. More than a third would want more information on what to do in case of accident. Farmers outside the inner zones are more dissatisfied with the information status than other groups. Farmers from the inner zones consider the information given inadequate regarding risks to their health and also health risks for their live stock. The results of interviews are in some cases compared with the information given to the public. (Aa)

  13. The Potentials of New Public Sphere For Emerging Global Civil Society

    Directory of Open Access Journals (Sweden)

    Abul Sattar Khan

    2011-12-01

    Full Text Available New public sphere is characterized by the digital gadgets, global village, international citizenship and new global society. However, the common thread cutting through all these new concepts is the virtual soul of ‘connectivity’ that is riding on the ‘networking-tools’ which have now grown into an unprecedented giant ‘network-of-networks’ or simply put the ‘Internet’ with ‘social-networking’ and ‘social-software’ as the latest communication tools. International citizens travel on the information superhighways 24/7 and the communications across the planet never stops. It is however argued that NPS offers both challenges and prospects for the users depending on the availability of digital gadgets and digital literacy of the global citizens. This paper explores the pluses and minuses of this emerging environment for the members of global civil society by postulating a grounded model of the issue.

  14. Pension legislation for federal public servants in Brazil

    OpenAIRE

    Jardim, Maria Aparecida Chaves [UNESP; Jard, Sidney

    2014-01-01

    This paper addresses the creation of pension funds for federal civil servants in Brazil, analyzing the existing legislation and regulation on this issue. To this end, it takes off based on the genesis of the Brazilian private pension plans, logging the emergence of private funds as well as the existence of various laws and constitutional amendments prior to Law 12.618/2012, which provided for the pension funds system for Brazilian federal public servants. It also identifies proponents and opp...

  15. Profile of patients with rheumatic diseases undergoing treatment with anti-TNF agents in the Brazilian Public Health System (SUS, Belo Horizonte - MG

    Directory of Open Access Journals (Sweden)

    Haliton Alves de Oliveira Junior

    2015-09-01

    Full Text Available The aim of this study was to describe the baseline demographic and clinical characteristics as well as the functional status of a prospective cohort of patients with rheumatic diseases assisted by the Brazilian Public Health System (SUS. Data for 302 patients receiving tumor necrosis factor α inhibitors (anti-TNF agents was collected through a standard form. Among patients, 229 (75.8% were female and 155 (51.3% were Caucasian; the mean age was 50.3 ± 12.8 years, and the mean disease duration was 9.9 ± 8.7 years. Among them 214 patients (70.9% received adalimumab, 72 (23.8% etanercept, and 16 (5.3% infliximab. Mean Health Assessment Questionnaire-Disability Index (HAQ-DI was 1.37 ± 0.67 for all participants. Poor functional response was associated with female gender, married patients and with a score of < 0.6 on the EuroQoL-5 dimensions (EQ-5D. Significant correlation was found between the HAQ-DI values, disease activity and quality of life (QOL. The results obtained in this study contribute to a better understanding of the clinical and demographic characteristics of patients with rheumatic diseases at the beginning of anti-TNF-agent treatment by SUS. Furthermore, our findings are consistent with another Brazilian and foreign cross-sectional investigations. This knowledge can be of great importance for further studies evaluating the effectiveness of biological agents, as well as, to contribute to improve the well-being of the patients with rheumatic diseases.

  16. Defending public interests in private lands: compliance, costs and potential environmental consequences of the Brazilian Forest Code in Mato Grosso.

    Science.gov (United States)

    Stickler, Claudia M; Nepstad, Daniel C; Azevedo, Andrea A; McGrath, David G

    2013-06-05

    Land-use regulations are a critical component of forest governance and conservation strategies, but their effectiveness in shaping landholder behaviour is poorly understood. We conducted a spatial and temporal analysis of the Brazilian Forest Code (BFC) to understand the patterns of regulatory compliance over time and across changes in the policy, and the implications of these compliance patterns for the perceived costs to landholders and environmental performance of agricultural landscapes in the southern Amazon state of Mato Grosso. Landholdings tended to remain in compliance or not according to their status at the beginning of the study period. The perceived economic burden of BFC compliance on soya bean and beef producers (US$3-5.6 billion in net present value of the land) may in part explain the massive, successful campaign launched by the farm lobby to change the BFC. The ecological benefits of compliance (e.g. greater connectivity and carbon) with the BFC are diffuse and do not compete effectively with the economic benefits of non-compliance that are perceived by landholders. Volatile regulation of land-use decisions that affect billions in economic rent that could be captured is an inadequate forest governance instrument; effectiveness of such regulations may increase when implemented in tandem with positive incentives for forest conservation.

  17. Emergency Medical Services Public Health Implications and Interim Guidance for the Ebola Virus in the United States

    Directory of Open Access Journals (Sweden)

    Christopher E. McCoy

    2014-11-01

    Full Text Available The 25th known outbreak of the Ebola Virus Disease (EVD is now a global public health emergency and the World Health Organization (WHO has declared the epidemic to be a Public Health Emergency of International Concern (PHEIC. Since the first cases of the West African epidemic were reported in March 2014, there has been an increase in infection rates of over 13,000% over a 6-month period. The Ebola virus has now arrived in the United States and public health professionals, doctors, hospitals, Emergency Medial Services Administrators, Medical Directors, and policy makers have been working with haste to develop strategies to prevent the disease from reaching epidemic proportions. Prehospital care providers (emergency medical technicians and paramedics and medical first responders (including but not limited to firefighters and law enforcement are the healthcare systems front lines when it comes to first medical contact with patients outside of the hospital setting. Risk of contracting Ebola can be particularly high in this population of first responders if the appropriate precautions are not implemented. This article provides a brief clinical overview of the Ebola Virus Disease and provides a comprehensive summary of the Center for Disease Control and Prevention’s Interim Guidance for Emergency Medical Services (EMS Systems and 9-1-1 Public Safety Answering Points (PSAPS for Management of Patients with Known of Suspected Ebola Virus Disease in the United States. [West J Emerg Med. 2014;15(7:-0.

  18. The challenge of interacting with the public on nuclear emergency preparedness and iodine prophylaxis

    International Nuclear Information System (INIS)

    Van Bladel, L.; Pauwels, A.; Smeesters, P.

    2001-01-01

    In 1999 the Belgian federal authorities launched a large-scale campaign on nuclear emergency preparedness. The main objective was to inform the public at large of the whole territory on all aspects of radiological accidents and more specifically on the possible countermeasures, some of which they might be asked to take an active part in. At the same occasion, people living within the 10-kilometer zone surrounding the major nuclear sites were invited to collect a household stock of iodine tablets from their local pharmacy. Some well-defined target groups were offered specific and more extensive information. This was done for intervention workers, medical doctors, pharmacists and persons carrying responsibilities in schools, like principals and teachers. This paper first discusses the objectives of the campaign and the content of the information, explains the organisational set-up and practical execution, and finally gives some preliminary results of a recently conducted study on the perception of this campaign by members of the public. (authors)

  19. Public health, global surveillance, and the "emerging disease" worldview: a postcolonial appraisal of PEPFAR.

    Science.gov (United States)

    Sastry, Shaunak; Dutta, Mohan J

    2012-01-01

    Drawing upon a postcolonial lens, this project looks at how meanings of HIV/AIDS are discursively constructed within the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), which was launched in 2003 under the presidency of George W. Bush and has been heralded as the largest global public health intervention program in history. Building on existing literature that theorizes the interrelationships of public health and national security, global surveillance, and transnational hegemony, the postcolonial theoretical standpoint interrogates how such meanings are constructed within PEPFAR. A postcolonial deconstruction of the 2009 PEPFAR report to the Congress revealed three meanings of HIV/AIDS that were discursively constructed in such policy documents: (a) the "Third World" as a site of intervention, (b) U.S. altruism as "lifting" the burden of the soul, and (c) AIDS, economics, and security. The themes put forth the linkages among the symbolic representations in neocolonial configurations and the politics of material disparities across the globe, thus issuing a call for the creation of participatory and dialogic spaces for engaging subaltern voices that are typically treated as targets of policy and intervention discourses.

  20. The hookworm Ancylostoma ceylanicum: An emerging public health risk in Australian tropical rainforests and Indigenous communities

    Directory of Open Access Journals (Sweden)

    Felicity A. Smout

    2017-06-01

    Full Text Available Ancylostoma ceylanicum is the common hookworm of domestic dogs and cats throughout Asia, and is an emerging but little understood public health risk in tropical northern Australia. We investigated the prevalence of A. ceylanicum in soil and free-ranging domestic dogs at six rainforest locations in Far North Queensland that are Indigenous Australian communities and popular tourist attractions within the Wet Tropics World Heritage Area. By combining PCR-based techniques with traditional methods of hookworm species identification, we found the prevalence of hookworm in Indigenous community dogs was high (96.3% and 91.9% from necropsy and faecal samples, respectively. The majority of these infections were A. caninum. We also observed, for the first time, the presence of A. ceylanicum infection in domestic dogs (21.7% and soil (55.6% in an Indigenous community. A. ceylanicum was present in soil samples from two out of the three popular tourist locations sampled. Our results contribute to the understanding of dogs as a public health risk to Indigenous communities and tourists in the Wet Tropics. Dog health needs to be more fully addressed as part of the Australian Government's commitments to “closing the gap” in chronic disease between Indigenous and other Australians, and encouraging tourism in similar locations.

  1. Ecological approaches to informing public health policy and risk assessments on emerging vector-borne zoonoses

    Science.gov (United States)

    Medlock, JM; Jameson, LJ

    2010-01-01

    Pathogens associated with vector-borne zoonoses occur in enzootic cycles within nature. They are driven by a combination of vertebrate host and invertebrate vector population dynamics, which in turn respond to changes in environmental stimuli. Human involvement in these cycles, and hence the occurrence of human disease, is often to act as incidental host. From a public health perspective our ability to better predict human outbreaks of these diseases and prepare intervention and mitigation strategies relies on understanding the natural cycle of pathogen transmission. This requires consideration of, for example, invertebrate and vertebrate ecology and biology, climatology, land use and habitat change. Collectively, these can be referred to as medical entomology and medical ecology. This article reviews the importance for inclusion of such disciplines when assessing the public health risk from vector-borne zoonoses and summarizes the possible future challenges and driving forces for changes in vector status and vector-borne zoonoses emergence, with a particular focus on a UK and European context. PMID:22460391

  2. 2015 Pandemic Influenza Readiness Assessment Among US Public Health Emergency Preparedness Awardees.

    Science.gov (United States)

    Fitzgerald, Thomas J; Moulia, Danielle L; Graitcer, Samuel B; Vagi, Sara J; Dopson, Stephanie A

    2017-09-01

    To assess how US Public Health Emergency Preparedness (PHEP) awardees plan to respond to an influenza pandemic with vaccination. The Centers for Disease Control and Prevention developed the Pandemic Influenza Readiness Assessment, an online survey sent to PHEP directors, to analyze, in part, the readiness of PHEP awardees to vaccinate 80% of the populations of their jurisdictions with 2 doses of pandemic influenza vaccine, separated by 21 days, within 16 weeks of vaccine availability. Thirty-eight of 60 (63.3%) awardees reported being able to vaccinate their populations within 16 weeks; 38 (63.3%) planned to allocate more than 20% of their pandemic vaccine supply to points of dispensing (PODs). Thirty-four of 58 (58.6%) reported staffing as a challenge to vaccinating 80% of their populations; 28 of 60 (46.7%) reported preparedness workforce decreases, and 22 (36.7%) reported immunization workforce decreases between January 2012 and July 2015. Awardees relied on PODs to vaccinate segments of their jurisdictions despite workforce decreases. Planners must ensure readiness for POD sites to vaccinate, but should also leverage complementary sites and providers to augment public health response.

  3. Allelopathy as an emergent, exploitable public good in the bloom-forming microalga Prymnesium parvum.

    Science.gov (United States)

    Driscoll, William W; Espinosa, Noelle J; Eldakar, Omar T; Hackett, Jeremiah D

    2013-06-01

    Many microbes cooperatively secrete extracellular products that favorably modify their environment. Consistent with social evolution theory, structured habitats play a role in maintaining these traits in microbial model systems, by localizing the benefits and separating strains that invest in these products from 'cheater' strains that benefit without paying the cost. It is thus surprising that many unicellular, well-mixed microalgal populations invest in extracellular toxins that confer ecological benefits upon the entire population, for example, by eliminating nutrient competitors (allelopathy). Here we test the hypotheses that microalgal exotoxins are (1) exploitable public goods that benefit all cells, regardless of investment, or (2) nonexploitable private goods involved in cell-level functions. We test these hypotheses with high-toxicity (TOX+) and low-toxicity (TOX-) strains of the damaging, mixotrophic microalga Prymnesium parvum and two common competitors: green algae and diatoms. TOX+ actually benefits from dense populations of competing green algae, which can also be prey for P. parvum, yielding a relative fitness advantage over coexisting TOX-. However, with nonprey competitors (diatoms), TOX- increases in frequency over TOX+, despite benefiting from the exclusion of diatoms by TOX+. An evolutionary unstable, ecologically devastating public good may emerge from traits selected at lower levels expressed in novel environments. © 2013 The Author(s). Evolution © 2013 The Society for the Study of Evolution.

  4. Measuring risk/benefit perceptions of emerging technologies and their potential impact on communication of public opinion toward science.

    Science.gov (United States)

    Binder, Andrew R; Cacciatore, Michael A; Scheufele, Dietram A; Shaw, Bret R; Corley, Elizabeth A

    2012-10-01

    This study presents a systematic comparison of two alternative measures of citizens' perceptions of risks and benefits of emerging technologies. By focusing on two specific issues (nanotechnology and biofuels), we derive several insights for the measurement of public views of science. Most importantly, our analyses reveal that relying on global, single-item measures may lead to invalid inferences regarding external influences on public perceptions, particularly those related to cognitive schema and media use. Beyond these methodological implications, this analysis suggests several reasons why researchers in the area of public attitudes toward science must revisit notions of measurement in order to accurately inform the general public, policymakers, scientists, and journalists about trends in public opinion toward emerging technologies.

  5. [Productivity and academic assessment in the Brazilian public health field: challenges for Human and Social Sciences research].

    Science.gov (United States)

    Bosi, Maria Lúcia Magalhães

    2012-12-01

    This article analyzes some challenges for knowledge output in the human and social sciences in the public health field, under the current academic assessment model in Brazil. The article focuses on the qualitative research approach in human and social sciences, analyzing its status in comparison to the other traditions vying for hegemony in the public health field, conjugating the dialogue with the literature, especially the propositions pertaining to the social fields present in the work of Pierre Bourdieu, with elements concerning the field's dynamics, including some empirical data. Challenges identified in the article include hurdles to interdisciplinary dialogue and equity in the production of knowledge, based on recognition of the founding place of human and social sciences in the public health field. The article discusses strategies to reshape the current correlation of forces among centers of knowledge in public health, especially those capable of impacting the committees and agendas that define the accumulation of symbolic and economic capital in the field.

  6. The Use of Alternative DisputeResolution on the Supply of Medicines by the Brazilian Public Administration

    Directory of Open Access Journals (Sweden)

    Raquel Nery Cardozo

    2016-06-01

    Full Text Available This study aims to demonstrate the importance of using alternative resolution of healthrelated conflicts means involving the public administration in connection with the conflict between reserve against possible and the minimum existential theory, and "Structural Crisis of the Judiciary" driven legalization excessive conflict. It also contributes to the study of measures to ensure access to public health without the claimants have to submit to delay the trials, further contributing to improve the provision of judicial protection.

  7. [Analysis of cost-effectiveness of simvastatin versus atorvastatin in the secondary prevention of cardiovascular events within the Brazilian public healthcare system].

    Science.gov (United States)

    Araujo, Denizar Vianna; Ribeiro de Souza, Camila Pepe; Bahia, Luciana Ribeiro; Rey, Helena Cramer Veiga; Dos Santos Junior, Braulio; Tura, Bernardo Rangel; Berwanger, Otavio; Buehler, Anna Maria; Silva, Marcus Tolentino

    2011-01-01

    The objective of this study is to perform an economic evaluation analyzing the treatment with atorvastatin and simvastatin in comparison to placebo treatment, within the Brazilian Public Healthcare System (SUS) scenario, for patients with high risk of cardiovascular disease; analyzing if the additional cost related to statin treatment is justified by the clinical benefits expected, in terms of cardiovascular event and mortality reduction. Cardiovascular event risk and mortality risk were used as outcomes. Statin efficacy at LDL-c and cardiovascular events levels lowering data was obtained from a systematic review of literature. A decision analytic model was developed to perform a cost-effectiveness analysis comparing atorvastatin 10mg/day and simvastatin 40 mg/day to placebo treatment in patients with dyslipidemia in Brazil. The target population of this study was a hypothetic cohort of men and women with a mean age of 50 years old and high risk of cardiovascular disease. The model includes only direct costs obtained from Ambulatory and Hospital Information System and Price Database of Brazilian Ministry of Health. The comparative cost-effectiveness analysis itself was done through Excel spreadsheets covering a 5 -years time horizon. The result shows that atorvastatin 10mg/day in comparison to placebo has higher cost with higher effectiveness in the time horizon of 5 years (Incremental Cost Effectiveness Ratio of R$ 433.065,05 per life year gained). In this scenario atorvastatin is not cost effective in comparison to placebo. The simvastatin 40 mg/day appears to be a strategy with lower cost and higher effectiveness in comparison to placebo, in the time horizon analyzed (5 years). In the multivariate probabilistic sensitivity analysis, simvastatin showed 53% of the results in the quadrant with greater effectiveness and lower cost. This study is an important tool for public decision makers. The study can be used in the decision process of increasing cardiovascular

  8. Medical Countermeasures for Children in Public Health Emergencies, Disasters, or Terrorism.

    Science.gov (United States)

    2016-02-01

    Significant strides have been made over the past 10 to 15 years to develop medical countermeasures (MCMs) to address potential disaster hazards, including chemical, biological, radiologic, and nuclear threats. Significant and effective collaboration between the pediatric health community, including the American Academy of Pediatrics, and federal partners, such as the Office of the Assistant Secretary for Preparedness and Response, Centers for Disease Control and Prevention, Federal Emergency Management Agency, National Institutes of Health, Food and Drug Administration, and other federal agencies, over the past 5 years has resulted in substantial gains in addressing the needs of children related to disaster preparedness in general and MCMs in particular. Yet, major gaps still remain related to MCMs for children, a population highly vulnerable to the effects of exposure to such threats, because many vaccines and pharmaceuticals approved for use by adults as MCMs do not yet have pediatric formulations, dosing information, or safety information. As a result, the nation's stockpiles and other caches (designated supply of MCMs) where pharmacotherapeutic and other MCMs are stored are less prepared to address the needs of children compared with those of adults in the event of a disaster. This policy statement provides recommendations to close the remaining gaps for the development and use of MCMs in children during public health emergencies or disasters. The progress made by federal agencies to date to address the needs of children and the shared commitment of collaboration that characterizes the current relationship between the pediatric health community and the federal agencies responsible for MCMs should encourage all child advocates to invest the necessary energy and resources now to complete the process of remedying the remaining significant gaps in preparedness. Copyright © 2016 by the American Academy of Pediatrics.

  9. The Infectious Diseases Society of America emerging infections network: bridging the gap between clinical infectious diseases and public health.

    Science.gov (United States)

    Pillai, Satish K; Beekmann, Susan E; Santibanez, Scott; Polgreen, Philip M

    2014-04-01

    In 1995, the Centers for Disease Control and Prevention granted a Cooperative Agreement Program award to the Infectious Diseases Society of America to develop a provider-based emerging infections sentinel network, the Emerging Infections Network (EIN). Over the past 17 years, the EIN has evolved into a flexible, nationwide network with membership representing a broad cross-section of infectious disease physicians. The EIN has an active electronic mail conference (listserv) that facilitates communication among infectious disease providers and the public health community, and also sends members periodic queries (short surveys on infectious disease topics) that have addressed numerous topics relevant to both clinical infectious diseases and public health practice. The article reviews how the various functions of EIN contribute to clinical care and public health, identifies opportunities to further link clinical medicine and public health, and describes future directions for the EIN.

  10. Development of the public exercise system for an emergency using response action applied with the event tree approach

    Energy Technology Data Exchange (ETDEWEB)

    Lee, De Whey; Lee, Byung Il; Park, Youn Won [BEES Inc., Rm No. L507, KAIST Munji Campus, Daejeon (Korea, Republic of)

    2016-12-15

    According to APPRE (Act on Physical Protection and Radiological Emergency), Korea Nuclear Safety and Security Committee (NSSC) jointly with other central government ministries shall conduct a unified radiological exercise once every year while a local government conduct an integrated exercise once every two-year period. What we experience up to date there are several limitations in the emergency exercises such as low public acceptance, poor enthusiasm in the exercise participation, not very attracting exercise scenarios, low efficiency in conducting an exercise, and so on. In order to overcome the limitations of the current exercise system, we have endeavored to develop an emergency exercise system using the VR (virtual reality) method based on a radioactive material release accident from the nuclear power plant. In this paper, we aim to introduce some basic development methods and emergency response action event tree for the public based on the exercise scenario as a beginning stage. We introduce a VR based emergency exercise system, which is expected to overcome some difficulties in the current exercise system. After developing this system properly and by testing it, we shall expect to deduce the weak points identified in the current emergency arrangements and emergency response strategy we now have.

  11. [Oral health of Brazilian elderly: a systematic review of epidemiologic status and dental care access].

    Science.gov (United States)

    Moreira, Rafael da Silveira; Nico, Lucélia Silva; Tomita, Nilce Emy; Ruiz, Tânia

    2005-01-01

    Population aging and declining birth rate have significantly altered the Brazilian age structure pyramid. In parallel with demographic transition, epidemiological transition is altering morbidity-mortality profiles, without adequate health support for the elderly population group. By searching databases, the objective of this study was a systemic literature review from 1986 to 2004 concerning the most prevalent oral problems experienced by elderly Brazilians, aimed at revealing the main obstacles for accessing health services. Mean DMFT index values in this study ranged from 25 to 31. Most articles reported a high percentage of edentulism. The main barriers for access to dental services were poor education, low income, and scarcity of public oral health services. Brazilian elderly oral health is thus precarious, with high edentulism rates, periodontal problems, decayed teeth, and great need for prostheses, reflecting the historical inefficacy of public dental services, limited to serial extractions and emergency services, based on the curative model.

  12. Considerations in Emergency Preparedness and Response for a State Embarking on a Nuclear Power Programme. Publication Date: August 2012

    International Nuclear Information System (INIS)

    2012-01-01

    The aim of this publication is to provide a practical tool for emergency planning for States embarking on a nuclear power programme and to fulfil, in part, functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency ('Assistance Convention'). Under Article 5.a (ii) of the Assistance Convention, one function of the IAEA is to collect and disseminate to State Parties and Member States information concerning methodologies, techniques and available results of research relating to such emergencies. As established in the publication Preparedness and Response for a Nuclear or Radiological Emergency (IAEA Safety Standards Series No. GS-R-2), the practical goal of emergency response is 'to ensure that arrangements are in place for a timely, managed, controlled, coordinated and effective response at the scene, and at the local, regional, national and international level, to any nuclear or radiological emergency'. In 2011 the IAEA General Conference, in resolution GC(55)/RES/9, encouraged States 'embarking on new nuclear power programmes to take timely and proactive steps, based upon gradual and systematic application of IAEA safety standards, to establish and sustain a strong safety culture'. It also 'emphasizes the importance for all Member States to implement emergency preparedness and response mechanisms and develop mitigation measures at a national level, consistent with the IAEA's Safety Standards, for improving emergency preparedness and response, facilitating communication in an emergency and contributing to harmonization of national criteria for protective and other actions'. This publication, issued in the IAEA Emergency Preparedness and Response Series, is intended to assist on steps to be taken by States embarking on a nuclear power programme to establish effective national capabilities and arrangements of preparedness for and response to a nuclear or radiological emergency (hereinafter referred to as

  13. The development and implementation of the Chicago public schools emergency EpiPen® policy.

    Science.gov (United States)

    Zadikoff, Emily H; Whyte, Stephanie A; Desantiago-Cardenas, Lilliana; Harvey-Gintoft, Blair; Gupta, Ruchi S

    2014-05-01

    Food allergy affects 1 in 13 children, or 2 children per classroom. Food allergies are the leading cause of anaphylaxis, a severe allergic reaction that can result in death. In fact, 25% of first-time anaphylactic reactions among children occur in school. To address this, the Chicago Public Schools (CPS) Office of Student Health and Wellness amended the Administration of Medication Policy in 2012. The CPS Administration of Medication Policy was reviewed and analyzed. The policy allows all CPS district schools to be stocked with EpiPens and authorizes school nurses to administer them to students that the nurse in good faith professionally believes is having a first-time anaphylactic reaction. Although the policy has proven effective, CPS faces challenges during implementation. CPS school nurse coverage is low, and therefore, there are times when no nurse is onsite to administer EpiPen treatment to a student experiencing a first-time reaction. This landmark policy provides quick and easy access to lifesaving treatment and protects nurses from liability in the event of an anaphylactic emergency. A challenge to this policy's utilization includes the lack of funding for daily nurse coverage in each school. © 2014, American School Health Association.

  14. PERSISTENT ORGANIC POLLUTANTS IN HUMANS AND WILDLIFE: EMERGING ISSUES FOR ENVIRONMENTAL AND PUBLIC HEALTH

    Directory of Open Access Journals (Sweden)

    Aldo Pacheco Ferreira

    2013-08-01

    Full Text Available Persistent organic pollutants persevere in the environment for a long time, are toxic to humans and/or wildlife, and have a resilient propensity to bioaccumulate in the food chain. Due to its chemical stability, their lipid solubility, and its ubiquitous prevalence in environmental, these pollutants are disposed to long-range transport. The success of modern societies is in part based on extensive achievements of chemistry with a systematic development of products in medicine, agriculture, and in almost all manufacturing industry sectors and materials for daily use. Although, these chemicals unequivocally contribute to the quality of life for billions of human beings, however, the negative impacts to environment and health are an important issue for ostensible monitoring. Social and environmental benefits should not be ignored, in spite of economic forces.The recognition that prevention is the best method to mitigate the risk of diseases to public health related to the environment, mainly driven by technological development, becomes essential the individuation and quantification of toxicological endpoints for systematic monitoring of these emerging pollutants.

  15. Study on Generic Intervention Levels for Protecting the Public in a Nuclear Accident or Radiological Emergency

    International Nuclear Information System (INIS)

    Suzuki, E. F.; Sordi, G. M. A. A.; Rodrigues, D. L.

    2004-01-01

    Large amounts of radioactive material can be released to the environment in a nuclear accident or radiological emergency. In these cases, social and economical factors should be considered in the actions for protecting the public and to recover the environment, as these actions may affect not only the exposed individuals but also the society as a whole, because of the social impact and high costs. In 1994, the International Atomic Energy Agency, IAEA, published the radiological protection principles for intervention criteria in accident situations involving radioactive materials, as well as numeric values for the generic intervention levels, GIL, for the main countermeasures for protecting the public. These GIL values were selected to achieve broadly the maximum net benefit in many accident situations and, nowadays, those principles still represent the international consensus about this matter. On the other hand, the economic differences between countries can lead the optimization process to get GIL values that are quite different from those recommended. In this context, the monetary value of unit collective averted dose, called alpha-value, is a key element for the determination of the GIL. In this work, the method recommended by the IAEA, based on the human capital approach, was used to estimate the alpha-value for Brazil and the value of US$ 3268 per person-sievert was obtained, considering the year 2000 prices. The per capita costs of the countermeasures for protecting the public, as sheltering, evacuation, temporary relocation and permanent resettlement, were estimated and the cost-benefit analysis technique was applied to estimate the respective GIL applicable in the country. Some of the results for the GILs were smaller than those internationally recommended, even the alpha-value being about six times lower than the alpha-value considered by the IAEA. These results were discussed and they were also compared to values estimated by a similar study accomplished

  16. Directions and deviations in the Brazilian nuclear policy

    International Nuclear Information System (INIS)

    Leal, M.C.

    1982-01-01

    The emergence of the Brazilian nuclear policy as a subject of interest to the Brazilian society, the conflicts characterizing its formulation and implementation between 1945 and 1958 and the political criteria for executing a Brazilian nuclear program are presented. (M.C.K.) [pt

  17. Brazilian women in politics.

    Science.gov (United States)

    Sanders, T G

    1987-01-01

    Women are gradually gaining influence in Brazilian politics, especially since recent advances in the women's movement, but they still play a limited role. There have been journals devoted to feminism and some notable feminists since 1850. In 1932 suffragettes in Brazil gained women the right to vote. Women's associations burgeoned in the 1940s and 1950s, culminating in a peak in number of women in national elected positions in 1965. A repressive military regime reversed the process, which resumed in 1975. 1975 was also significant for the Brazilian women's movement because of the U.N. Women's Year. Several large, influential feminist political action groups were formed, typically by upper class women with leftist views, although some church and union groups from lower classes also appeared. In 1979-1981, the coherence of these groups fell into schism and fragmentation, because of disagreements over the feminist political doctrines and roles, views on legality of abortion, and special interest groups such as lesbians. Another bitter dispute is opposition by leftist women to BEMFAM, the Brazilian Society of Family Welfare, which provides family planning for the poor: leftists oppose BEMFAM because it is supported by funds from "imperialist" countries such as the U.S. There are several types of feminists groups: those that emphasize health, sexuality and violence; those composed of lesbians; those originating from lower classes and unions; publicly instituted organizations. Brazilian law forbids discrimination against women holding public office, but in reality very few women actually do hold office, except for mayors of small towns and a few administrators of the Education and Social Security ministries. Political office in Brazil is gained by clientism, and since women rarely hold powerful positions in business, they are outsiders of the system. Brazilian women have achieved much, considering the low female literacy rate and traditional power system, but their

  18. The limits of public communication coordination in a nuclear emergency: lessons from media reporting on the Fukushima case.

    Science.gov (United States)

    Prezelj, Iztok; Perko, Tanja; Cantone, Marie C; Gallego, Eduardo; Tomkiv, Yevgeniya; Oughton, Deborah H

    2016-06-01

    Coordination of public communication has become a key issue in management of complex emergencies, and is a matter of debate between nuclear emergency management professionals. A particular problem is when inconsistent information is sent to the media and public by official sources from different levels, which has led to calls for a more coordinated approach. The IAEA created guidelines recommending a one-voice communication approach that provides clear, consistent and coordinated information by relevant stakeholders. The reviewed theory on the emergency communication coordination and the empirical results in this paper demonstrate some challenges regarding the feasibility of the above stated goal. This paper explores the communication process in the two-month period of the Fukushima nuclear emergency by using a quantitative comparative content and discourse analysis of 1340 printed media articles on the Fukushima nuclear disaster from two major newspapers in Spain ('El País' and 'El Mundo'), Italy ('Corriere della Sera' and 'La Repubblica'), Norway ('Aftenposten' and 'Dagsavisen'), Slovenia ('Delo' and 'Večer'), Belgium ('Le Soir' and 'De Standaard') and Russia ('Komsomolskaya Pravda' and 'Izvestiya'). The results show that it will be difficult to achieve a truly coordinated approach and one-voice communication in severe nuclear and radiological emergency due to the communication difficulties created by the dispersion of information sources, a broad and dispersed focus of the reported information, partially subjective and conflicting media reporting. The paper suggests ways to improve public communication coordination in nuclear and radiological disasters.

  19. A Public Health Approach to Address the Mental Health Burden of Youth in Situations of Political Violence and Humanitarian Emergencies

    NARCIS (Netherlands)

    de Jong, J.T.V.M.; Berckmoes, L.H.; Kohrt, B.A.; Song, S.J.; Tol, W.A.; Reis, R.

    2015-01-01

    This paper describes how socio-ecological theory and a syndemic health systems and public health approach may help address the plight of youth in situations of political violence and humanitarian emergencies. We describe the treatment gap caused by discrepancies in epidemiological prevalence rates,

  20. Que transmet l’école publique au Brésil ? What is transmitted in Brazilian public schools ?

    Directory of Open Access Journals (Sweden)

    Christophe Brochier

    2009-07-01

    Full Text Available Cet article se propose d’examiner certains aspects de la transmission de connaissances scolaires dans les écoles publiques brésiliennes. Depuis les années 1980, en effet, le système scolaire s’est largement ouvert aux couches les plus défavorisées des populations urbaines, ce qui a provoqué des changements dans les modes de fonctionnement. Face à ce nouveau public, les exigences en termes de discipline et de travail scolaires se sont considérablement affaiblies, de même que le suivi des programmes. Par ailleurs, les enseignants surmenés qui occupent souvent plusieurs emplois pour compenser leurs bas salaires, manifestent un découragement évident tandis que les élèves s’habituent à un monde institutionnel tolérant qui ne propose plus une vraie rupture avec leur univers social d’origine.This article studies certain aspects of how knowledge is transmitted in Brazilian state schools. Since the 1980s, the school system has opened its doors to the most underprivileged segments of the urban populations, bringing about considerable changes in day-to-day behavior patterns. Faced with this new public, requirements in terms of discipline and dedication to learning have considerably weakened, as has the observance of the official programs. Moreover, the teachers, exhausted since they often hold down several jobs to compensate for their low wages, are prone to depression. The pupils, in turn, get used to a tolerant institutional world which no longer represents a departure from their original social environment.

  1. Comparison of caries experience in residents of two Brazilian municipalities with and without fluoridation of the public water supplies

    OpenAIRE

    Rando-Meireles, Maria Paula; Olivati, Fabricio Narciso; Franco, Decio Henrique; Bittar, Telmo; Marques, Tais Cristina Nascimento; Sousa, Maria da Luz Rosario de

    2016-01-01

    The public water supply fluoridation is an effective measure and is cost-effective in preventing tooth decay. This article bases on a study that compared the caries experience between two municipalities in Brazil, São Paulo and Manaus, at the time, with and without fluoridation of its water. The study used the projeto SBBrasil 2010 (SBBrazil project 2010) data that evaluated three indices for 2.176 individuals: dmft (decay, missing, filled teeth for primary dentition), DMFT (number of decayed...

  2. Human Health Screening and Public Health Significance of Contaminants of Emerging Concern Detected in Public Water Supplies

    Data.gov (United States)

    U.S. Environmental Protection Agency — Background information for human health margin of exposure paper. This dataset is associated with the following publication: Benson , B., O. Conerly , W. Sander, A....

  3. Evaluating psychiatric readmissions in the emergency department of a large public hospital

    Directory of Open Access Journals (Sweden)

    Morris DW

    2018-03-01

    reduce the demand for psychiatric and related services in the ED. While agreements between community service providers may be challenging and require considerable vigilance to maintain equitable agreements between parties, this route of improving efficiency may be the only available method, given the current and projected patient care needs. Keywords: chronic mental illness, psychiatric readmission, emergency psychiatry, public mental health

  4. Cultura organizacional em organizações públicas no Brasil Organizational culture in Brazilian public organizations

    Directory of Open Access Journals (Sweden)

    José Calixto de Souza Pires

    2006-02-01

    Full Text Available Este artigo apresenta e discute conceitos e abordagens que contribuem para a compreensão de aspectos e traços relacionados à cultura organizacional de organizações públicas no Brasil. Inicialmente, são tratados os conceitos e diferentes abordagens de cultura e cultura organizacional, especificamente de Fleury, Frost, Schein e Hofstede. A seguir, o artigo aborda a cultura de organizações públicas, apresentando um pequeno histórico das organizações públicas no Brasil, bem como seus conceitos e características, entre as quais se destacam a burocracia, o autoritarismo centralizado, o paternalismo, a descontinuidade e a ingerência política. Essas características interferem no modo como os trabalhadores atuam nessas organizações, observando-se o apego às regras e rotinas, a supervalorização da hierarquia, o paternalismo nas relações e o apego ao poder. Isso é importante na definição dos processos internos, na relação com inovações e mudança, na formação dos valores e crenças organizacionais e nas políticas de recursos humanos. Na conclusão, o artigo salienta os aspectos fundamentais a serem considerados ao se lidar com a cultura de organizações públicas no Brasil.This article presents and discusses concepts and views that help understand features and peculiarities of the organizational culture in public organizations in Brazil. It begins by discussing the concepts and different approaches to culture and organizational culture, specifically by Fleury, Frost, Schein, and Hofstede. It then deals with the culture of public organizations, presenting a brief history of these organizations in Brazil, as well as their concepts and features, among which bureaucracy, centralized authoritarianism, patronizing, lack of continuity, and political interference stand out. Such characteristics interfere with the way people work in these organizations, where attachment to rules and routines, hierarchy overrating, patronizing

  5. Migrants and emerging public health issues in a globalized world: threats, risks and challenges, an evidence-based framework.

    Science.gov (United States)

    Gushulak, Bd; Weekers, J; Macpherson, Dw

    2009-01-01

    International population mobility is an underlying factor in the emergence of public health threats and risks that must be managed globally. These risks are often related, but not limited, to transmissible pathogens. Mobile populations can link zones of disease emergence to lowprevalence or nonendemic areas through rapid or high-volume international movements, or both. Against this background of human movement, other global processes such as economics, trade, transportation, environment and climate change, as well as civil security influence the health impacts of disease emergence. Concurrently, global information systems, together with regulatory frameworks for disease surveillance and reporting, affect organizational and public awareness of events of potential public health significance. International regulations directed at disease mitigation and control have not kept pace with the growing challenges associated with the volume, speed, diversity, and disparity of modern patterns of human movement. The thesis that human population mobility is itself a major determinant of global public health is supported in this article by review of the published literature from the perspective of determinants of health (such as genetics/biology, behavior, environment, and socioeconomics), population-based disease prevalence differences, existing national and international health policies and regulations, as well as inter-regional shifts in population demographics and health outcomes. This paper highlights some of the emerging threats and risks to public health, identifies gaps in existing frameworks to manage health issues associated with migration, and suggests changes in approach to population mobility, globalization, and public health. The proposed integrated approach includes a broad spectrum of stakeholders ranging from individual health-care providers to policy makers and international organizations that are primarily involved in global health management, or are influenced

  6. [Zika virus infection: a new public health emergency with great media impact].

    Science.gov (United States)

    Caylà, Joan A; Domínguez, Ángela; Rodríguez Valín, Elena; de Ory, Fernando; Vázquez, Ana; Fortuny, Claudia

    Infection with Zika virus (ZV) has become a new epidemic, with great impact on the media, and is having a strong effect in Latin American countries. Its possible association with microcephaly and Guillain-Barré syndrome prompted the World Health Organization (WHO) to declare on 1 February 2016 that this epidemic is a public health emergency of international concern. Epidemiological data show an increasing incidence in countries like Brazil and Colombia, and that the epidemic is still expanding in many other countries. Between January 2007 and 27 April 2016, the WHO detected transmission in 55 countries (in 42 of these, this was the first outbreak of Zika) and 1,198 microcephalies and other neurological disorders in Brazil. Also, during 2015-2016, 13 countries detected an increase in Guillain-Barré syndrome and/or confirmation of ZV associated with Guillain-Barré syndrome. Research has already demonstrated a causal relationship between microcephaly and other serious brain disorders in newborns and ZV infection in the mother. Clinically, many cases are asymptomatic and it can be difficult to distinguish this diagnosis from that of other arboviruses. Vector control in Spain is a priority because of the presence of the Aedes albopictus (tiger mosquito). Early diagnosis is recommended, as is avoiding travel to endemic areas and unprotected sex, and ensuring that the high political profile, which can prevent this epidemic from becoming a high prevalence endemic disease, does not cause us to forget about other health problems. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. Advantages of the Implementation of IPSAS in Brazilian Public Accounting: Analysis of the perception of the members of GTCON

    Directory of Open Access Journals (Sweden)

    Josedilton Alves Diniz

    2015-09-01

    Full Text Available The study objective was to assess how the members of the Technical Group for the Standardization of Accounting Procedures (GTCON assess the advantages of the implementation of the International Public Sector Accounting Standards in Brazil. Therefore, a questionnaire was used, elaborated based on five theoretical approaches. The research universe corresponded to the participants in GTCON. The sample resulted in 108 respondents, totaling 27% of the population. The reliability of the tool was tested using the model defined by Cronbach (1951. As each theoretical dimension addressed consists of multiple variables, their dimensionality was reduced using Main Components Analysis (MCA. In addition, multiple linear regression was used, based on the main components of each theoretical construct. The perception of the standards, the interpretation of the standards, the cost-benefit of the implementation and the educational responsibility were submitted to analysis as independent variables, and the advantages of the implementation of the Ipsas were submitted as the dependent variable. The main results evidenced that the research participants agreed that the implementation of the Ipsas is a feasible target. As to the cost-benefit analysis of the implementation, according to the GTCON, the result of the application of the Ipsas exceeds the investments made. It was also observed that interviewees did not agree that the training and application of the Ipsas should be guaranteed through personal efforts, but through the government, i.e. the more the public sector takes responsibility for qualifying the standards, the greater the advantages that will result. Finally, regarding the interpretation of the standards, according to GTCON, it has not been well defined yet how and who will actually be responsible for the interpretation, the international entities or the local institutions involved in the process.

  8. Integrating a framework for conducting public health systems research into statewide operations-based exercises to improve emergency preparedness

    Directory of Open Access Journals (Sweden)

    Hunter Jennifer C

    2012-08-01

    Full Text Available Abstract Background Due to the uncommon nature of large-scale disasters and emergencies, public health practitioners often turn to simulated emergencies, known as “exercises”, for preparedness assessment and improvement. Under the right conditions, exercises can also be used to conduct original public health systems research. This paper describes the integration of a research framework into a statewide operations-based exercise program in California as a systems-based approach for studying public health emergency preparedness and response. Methods We developed a research framework based on the premise that operations-based exercises conducted by medical and public health agencies can be described using epidemiologic concepts. Using this framework, we conducted a survey of key local and regional medical and health agencies throughout California following the 2010 Statewide Medical and Health Exercise. The survey evaluated: (1 the emergency preparedness capabilities activated and functions performed in response to the emergency scenario, and (2 the major challenges to inter-organizational communications and information management. Results Thirty-five local health departments (LHDs, 24 local emergency medical services (EMS agencies, 121 hospitals, and 5 Regional Disaster Medical and Health Coordinators/Specialists (RDMHC responded to our survey, representing 57%, 77%, 26% and 83%, respectively, of target agencies in California. We found two sets of response capabilities were activated during the 2010 Statewide Exercise: a set of core capabilities that were common across all agencies, and a set of agency-specific capabilities that were more common among certain agency types. With respect to one response capability in particular, inter-organizational information sharing, we found that the majority of respondents’ comments were related to the complete or partial failure of communications equipment or systems. Conclusions Using the 2010 Statewide

  9. The Role of Subsidiaries in Emerging Markets in Generating Competitive Advantages for Foreign Multinationals: the case of the Brazilian subsidiary of Clarks International

    Directory of Open Access Journals (Sweden)

    Marcelo André Machado

    2014-07-01

    Full Text Available The relationship between a multinational and its subsidiaries abroad, according to many studies, is crucial for generating competitive advantages. Therefore, this study aimed to understand the relationship between a shoe company, Clarks International, and its Brazilian subsidiary with an emphasis on generating advantages to the multinational headquarters. Through a single case study, the subsidiary’s capacity for knowledge generation and diffusion was identified, as well as its level of autonomy in relation to the English headquarters. Data analysis indicated that the Brazilian subsidiary generated specific competitive advantages for the foreign multinational due to its close relationship with local suppliers in Brazil and due to its staff’s expertise in developing high quality shoes. It was perceived that the growth of subsidiary autonomy was related to the growth of specific advantages generated for the multinational.

  10. Ocorrência de bactérias multiresistentes em um centro de Terapia Intensiva de Hospital brasileiro de emergências Occurrence of multi-resistant bacteria in the Intensive Care unit of a Brazilian hospital of emergencies

    Directory of Open Access Journals (Sweden)

    Denise de Andrade

    2006-03-01

    same time, increase hospital costs. Given their clinical conditions, which require invasive procedures and antimicrobial treatment, hospitalized patients, especially at the Intensive Care Unit, are particularly susceptible to hospital infection. This study aimed to evaluate the occurrence of multiresistant bacteria in patients hospitalized at the Intensive Care Unit of a Brazilian emergency hospital. METHODS: Our retrospective study was approved by the Ethics Committee and considered the period between October 2003 and September 2004. A database was developed through variable coding and double entry, and Statistical Package for Social Sciences (SPSS software, version 10.0, was used for statistical analysis. RESULTS: Multiresistant bacteria were identified in 68 patients, 47 (69.1% of whom were men, with 55 years as the mean age. All patients were submitted to endotracheal intubation and central venipuncture. The most frequent bacteria were coagulase-negative Staphylococcus sp. (36.4%, followed by Staphylococcus aureus (19%. Cephalosporin was the most frequently used (21.4% antimicrobial agent. CONCLUSIONS: Knowledge on infection occurrence provokes reflections on multiresistance, directs educative actions and favors interventions to prevent and control problem situations.

  11. Operational intervention levels for reactor emergencies IAEA recommendations

    Energy Technology Data Exchange (ETDEWEB)

    Aguiar, Laís A. de; Reis, Arlene A. dos; Santos, Raul dos, E-mail: laguiar@ird.gov.br, E-mail: arlene@ird.gov.br, E-mail: raul@ird.gov.br [Instituto de Radioproteção e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

    2017-07-01

    The IAEA publication EPR-NPP-OILs-2017, Operational Intervention Levels for Reactor Emergences and Methodology for their Derivation, provides selected default OIL values, describing a methodology for their derivation, as well as practical tools and recommendations for their use. IAEA recommends that tools and default OIL values be directly integrated into national emergency arrangements or reviewed and modified as necessary to meet the specific emergency preparedness and response arrangements. The Institute of Radiation Protection and Dosimetry (IRD) has a Radiological Assessment TEAM (EAR) as pare of its Radiation Emergency Response System. Brazilian regulatory standards address actions for radiation emergencies encompassing necessary measures to assess public exposures, intervention levels to protect the public and recommendations for protective actions as, evacuation, relocation, sheltering and food restrictions. The objective of this paper is to present a discussion the use these OILs, to compare those ones established by the Brazilian standards and to propose a methodology on how OILs can be used by EAR/IRD in case of an emergency at the Brazilian NPP. (author)

  12. Operational intervention levels for reactor emergencies IAEA recommendations

    International Nuclear Information System (INIS)

    Aguiar, Laís A. de; Reis, Arlene A. dos; Santos, Raul dos

    2017-01-01

    The IAEA publication EPR-NPP-OILs-2017, Operational Intervention Levels for Reactor Emergences and Methodology for their Derivation, provides selected default OIL values, describing a methodology for their derivation, as well as practical tools and recommendations for their use. IAEA recommends that tools and default OIL values be directly integrated into national emergency arrangements or reviewed and modified as necessary to meet the specific emergency preparedness and response arrangements. The Institute of Radiation Protection and Dosimetry (IRD) has a Radiological Assessment TEAM (EAR) as pare of its Radiation Emergency Response System. Brazilian regulatory standards address actions for radiation emergencies encompassing necessary measures to assess public exposures, intervention levels to protect the public and recommendations for protective actions as, evacuation, relocation, sheltering and food restrictions. The objective of this paper is to present a discussion the use these OILs, to compare those ones established by the Brazilian standards and to propose a methodology on how OILs can be used by EAR/IRD in case of an emergency at the Brazilian NPP. (author)

  13. Development of Public Training System for Emergency Exercise Using Virtual Reality Technology Based on Radioactive Release Accident

    International Nuclear Information System (INIS)

    Lee, Byung Il; Park, Seong Jun; Lee, Dewhey; Song, Sub Lee; Park, Younwon

    2016-01-01

    An exercise is normally conducted for a day or two days depending on the scale of the exercise. What we have experienced up to date there are several limitations in the radiological emergency exercises such as low public acceptance, poor enthusiasm in the exercise participation, not very attracting exercise scenarios, low efficiency in conducting an exercise, and so on. In order to overcome the limitations of the present exercising system, we would like to develop a radiological emergency exercise system using VR (virtual reality) technology based on a radioactive release accident. In this paper, we just introduce some basic development methods and event tree based scenario as a beginning stage. After the accident in Fukushima Daiichi NPP, the importance of emergency exercise especially for the public is far more emphasized around the world more and more. However, the human labor focused radiological emergency exercise up to now has many limitations. After developing this system properly and by using it, we could even expect to estimate the weak points of the emergency arrangements and strategy we have

  14. Development of Public Training System for Emergency Exercise Using Virtual Reality Technology Based on Radioactive Release Accident

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Byung Il; Park, Seong Jun; Lee, Dewhey; Song, Sub Lee; Park, Younwon [BEES Inc., Daejeon (Korea, Republic of)

    2016-10-15

    An exercise is normally conducted for a day or two days depending on the scale of the exercise. What we have experienced up to date there are several limitations in the radiological emergency exercises such as low public acceptance, poor enthusiasm in the exercise participation, not very attracting exercise scenarios, low efficiency in conducting an exercise, and so on. In order to overcome the limitations of the present exercising system, we would like to develop a radiological emergency exercise system using VR (virtual reality) technology based on a radioactive release accident. In this paper, we just introduce some basic development methods and event tree based scenario as a beginning stage. After the accident in Fukushima Daiichi NPP, the importance of emergency exercise especially for the public is far more emphasized around the world more and more. However, the human labor focused radiological emergency exercise up to now has many limitations. After developing this system properly and by using it, we could even expect to estimate the weak points of the emergency arrangements and strategy we have.

  15. Are more resources always the answer? A supply and demand analysis for public health services in Brazilian municipalities

    Directory of Open Access Journals (Sweden)

    Fabiana Rocha

    2017-01-01

    Full Text Available The aim of this paper is to determine whether it is necessary to increase available resources to local governments or if better use of these funds is sufficient. The paper contributes to the literature by looking both at the supply and demand for public health services. If the demand is estimated correctly, one can compare its expected value to actual health expenditures. Even if actual expenditures are lower than the estimated demand, it is not certain that additional spending is necessary. If the efficiency scores (supply side indicate that local governments can simply “save” resources to make up for the difference, then it is possible to reduce (or bring to zero new resources only by requiring local governments to efficiently manage their expenditures. Since municipalities in Brazil are very heterogeneous, we estimate their efficiency using the metafrontier approach (O’Donnell et al., 2008, while we estimate the demand through an equation derived from the median voter theorem model. Using 2010 data, we find evidence that efficient management of spending is sufficient to meet excess demand for goods and services in the health sector.

  16. Advancing public participation in scientific research: A framework for leveraging public participation in environmental health and emergency response research

    Science.gov (United States)

    This research paper uses case analysis methods to understand why participants engage in this innovative approach public participation in scientific research, and what they hope that will mean for their community. The research questions that guide this analysis are: 1) what factor...

  17. 76 FR 10898 - Public Safety and Homeland Security Bureau; Federal Advisory Committee Act; Emergency Response...

    Science.gov (United States)

    2011-02-28

    ... FEDERAL COMMUNICATIONS COMMISSION Public Safety and Homeland Security Bureau; Federal Advisory..., Public Safety and Homeland Security Bureau, Federal Communications Commission, 445 12th Street, SW., Room..., Public Safety and Homeland Security Bureau. [FR Doc. 2011-4398 Filed 2-25-11; 8:45 am] BILLING CODE 6712...

  18. The state of art of contingency and emergency plans for oil spill in the Brazilian ports and terminals; O estado da arte dos planos de emergencia e contingencia para derramamento de oleo nos portos e terminais brasileiros

    Energy Technology Data Exchange (ETDEWEB)

    Barros, Sergio R.; Wasserman, Julio C.; Lima, Gilson B.A. [Universidade Federal Fluminense (UFF), Niteroi, RJ (Brazil)

    2008-07-01

    Brazilian legislation establishes that the potentially polluting activities, as is the case of the ports and terminals, possess plans of emergency for spilling in order to prevent impacts to the physical, socio cultural and of the work environment. The Federal Law n. 9966, of April 2000, known as the 'Law of the Oil' established the basic principles, to be obeyed for the companies, for harmful or dangerous oil movement and other substances in ports, terminals, platforms and ships in waters under national jurisdiction. The Law defines that the emergency plans are a set of measures that determine the responsibilities and the actions to be unchained after an incident immediately, as well as define the human resources, material and adequate equipment to the prevention, has controlled and combat to the pollution of waters. The CONAMA n. 398, of June of 2008, create a standardization of those procedures, so that there is an integration among the several emergency plans in a certain area. This article has for objective to accomplish a diagnosis in the several institutional programs of emergency to identify the current situation in the organized and terminal ports specialized in liquid barns, evaluating, when possible, it rationality of support logistic, the organization of operational administration and integration. (author)

  19. Communicating with the workforce during emergencies: developing an employee text messaging program in a local public health setting.

    Science.gov (United States)

    Karasz, Hilary N; Bogan, Sharon; Bosslet, Lindsay

    2014-01-01

    Short message service (SMS) text messaging can be useful for communicating information to public health employees and improving workforce situational awareness during emergencies. We sought to understand how the 1,500 employees at Public Health--Seattle & King County, Washington, perceived barriers to and benefits of participation in a voluntary, employer-based SMS program. Based on employee feedback, we developed the system, marketed it, and invited employees to opt in. The system was tested during an ice storm in January 2012. Employee concerns about opting into an SMS program included possible work encroachment during non-work time and receiving excessive irrelevant messages. Employees who received messages during the weather event reported high levels of satisfaction and perceived utility from the program. We conclude that text messaging is a feasible form of communication with employees during emergencies. Care should be taken to design and deploy a program that maximizes employee satisfaction.

  20. Using the Grade Approach to Support the Development of Recommendations for Public Health Interventions in Radiation Emergencies

    International Nuclear Information System (INIS)

    Carr, Z.; Clarke, M.; Akl, E.A.; Schneider, R.; Murith, C.; Li, C.; Parrish-Sprowl, J.; Stenke, L.; Cui-Ping, L.; Bertrand, S.; Miller, C.

    2016-01-01

    The World Health Organization (WHO) guideline development policy requires that WHO guidelines be developed in a manner that is transparent and based on all available evidences, which must be synthesised and formally assessed for quality. To fulfil this requirement, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach of rating quality of evidence and grading strength of recommendations was applied when developing the WHO recommendations on public health interventions in radiation emergencies. The guideline development group (GDG) formulated 10 PICO (P: population; I: intervention; C: comparator; O: outcomes) questions to guide the development of recommendations on response interventions during the early/intermediate and late emergency phases and on risk communications for mitigating psycho-social impact of radiation emergencies. For each PICO question, an extensive evidence search and systematic review was conducted. The GDG then formulated the recommendations using the evidence to recommendation (E-2-R) decision-making matrix and evaluated the strength of each recommendation. (authors)

  1. Availability of emergency obstetric care (EmOC) among public and private health facilities in rural northwest Bangladesh

    OpenAIRE

    Sikder, Shegufta S; Labrique, Alain B; Ali, Hasmot; Hanif, Abu AM; Klemm, Rolf DW; Mehra, Sucheta; West, Keith P; Christian, Parul

    2015-01-01

    Background Although safe motherhood strategies recommend that women seek timely care from health facilities for obstetric complications, few studies have described facility availability of emergency obstetric care (EmOC). We sought to describe and compare availability and readiness to provide EmOC among public and private health facilities commonly visited for pregnancy-related complications in two districts of northwest Bangladesh. We also described aspects of financial and geographic access...

  2. Backcountry Travel Emergencies in Arctic Canada: A Pilot Study in Public Health Surveillance

    Directory of Open Access Journals (Sweden)

    Stephanie K. Young

    2016-03-01

    Full Text Available Residents in the Canadian Arctic regularly travel in remote, backcountry areas. This can pose risks for injuries and death, and create challenges for emergency responders and health systems. We aimed to describe the extent and characteristics of media-reported backcountry travel emergencies in two Northern Canadian territories (Nunavut and Northwest Territories. A case-series of all known incidents between 2004 and 2013 was established by identifying events in an online search of two media outlets, Nunatsiaq News and Northern News Services. We identified 121 incidents; these most commonly involved young men, and death occurred in just over 25% of cases. The territories differed in the seasonal patterns. News media provides a partial source of data to estimate the extent and characteristics of backcountry emergencies. This information is needed to improve emergency preparedness and health system responsiveness in the Arctic.

  3. Reconnoitering the role of citizen journalism ethics in the emerging networked public sphere

    NARCIS (Netherlands)

    Mutsvairo, Bruce; Columbus, Simon; Leijendekker, Iris

    2014-01-01

    Citizen journalism is emerging as a powerful phenomenon across Africa. The rise of digitally networked technologies is reshaping reporting across the continent. This change is technological (with social media platforms enabling new forms of publishing, receiving and discussing stories) \\r\

  4. Prevalence of burnout among public health nurses in charge of mental health services and emergency care systems in Japan.

    Science.gov (United States)

    Imai, Hirohisa; Nakao, Hiroyuki; Nakagi, Yoshihiko; Niwata, Satoko; Sugioka, Yoshihiko; Itoh, Toshihiro; Yoshida, Takahiko

    2006-11-01

    The Community Health Act came into effect in 1997 in Japan. This act altered the work system for public health nurses (PHNs) in public health centers (PHCs) nationwide from region-specific to service-specific work. Such major changes to working environment in the new system seem to be exposing PHNs to various types of stress. The present study examined whether prevalence of burnout is higher among PHNs in charge of mental health services (psychiatric PHNs) than among PHNs in charge of other services (non-psychiatric PHNs), and whether attributes of emergency mental health care systems in communities are associated with increased prevalence of burnout. A questionnaire including the Pines burnout scale for measuring burnout was mailed to 525 psychiatric PHNs and 525 non-psychiatric PHNs. The 785 respondents included in the final analysis comprised 396 psychiatric PHNs and 389 non-psychiatric PHNs. Prevalence of burnout was significantly higher for psychiatric PHNs (59.2%) than for non-psychiatric PHNs (51.5%). When prevalence of burnout in each group was analyzed in relation to question responses regarding emergency service and patient referral systems, prevalence of burnout for psychiatric PHNs displayed significant correlations to frequency of cases requiring overtime emergency services, difficulties referring patients, and a feeling of "restriction". Prevalence of burnout is high among psychiatric PHNs, and inadequate emergency mental health service systems contribute to burnout among these nurses. Countermeasures for preventing such burnout should be taken as soon as possible.

  5. EMERGING CHALLENGES IN THE MANAGEMENT OF CONTEMPORARY PUBLIC SPACES IN URBAN NEIGHBOURHOODS

    OpenAIRE

    Rajjan Man Chitrakar; Douglas C Baker; Mirko Guaralda

    2017-01-01

    The lack of management has led to the degrading quality of public space in modern cities around the globe. Contemporary public spaces are facing challenges in terms of maintaining them as a “social space” so that they are accessible and functional for the users. Using Kathmandu as a case study, this paper explores the challenges the contemporary public spaces within urban neighbourhoods are facing in their management. The study reveals that the regulation of use is a major concern of public s...

  6. The value of an intercâmbio: brazilian student mobility, bilateralism & international education

    OpenAIRE

    Eric Spears

    2014-01-01

    Brazil’s emergence in the global economy as a member of the BRIC (Brazil, Russia, India, China, and South Africa) states has prompted the federal government to establish the Brazilian Scientific Mobility Program (Science Without Borders) in order to advance the country’s social capital and infrastructure in STEM (Science, Technology, Engineering, and Math) related disciplines and industries. Public and private investment in the Scientific Mobility Program has transformed the way in which ...

  7. Brazilian energy

    International Nuclear Information System (INIS)

    O'Shaughnessy, H.

    1997-04-01

    Brazilian Energy provides all the information necessary for energy companies to invest and operate in Brazil, including: a review of Brazil's natural resources; an assessment of privatisation strategies at the federal, state and regional level; an analysis of the electricity industry and the future for Electrobras; an analysis of the oil industry and, in particular, Petrobras; a discussion of the fuel alcohol industry; the discovery of local natural gas, its prospects and the involvement of the auto industry; an assessment of the problems facing the coal industry and its future; a discussion of the regulatory framework for the newly privatised companies; the importance of intra-regional energy links and the booming membership of Mercosur; the difficulties experienced by foreign investors doing business in Brazil; brief profiles of the key energy companies; profiles of key people influencing the privatisation process in Brazil. Brazilian energy is essential reading for those wishing to advise and assist Brazil in this period of change and development, as well as those who wish to invest or become key players in the Brazilian energy sector. (author)

  8. E-government and the emergence of virtual organizations in the public sector

    NARCIS (Netherlands)

    V.J.J.M. Bekkers (Victor)

    2003-01-01

    textabstractThe massive introduction and use of information and communication network technology in public administration has led to the establishment of a complex variety of new, virtual organization forms within and outside the public sector. Electronic government has been an important driver for

  9. The Progress of Emergency Medicine in Taiwan, China, and Hong Kong: Perspective from Publications in Emergency Medicine Journals, 1992–2011

    Directory of Open Access Journals (Sweden)

    Ching-Hsing Lee

    2014-01-01

    Full Text Available Study Objective. The progress of emergency medicine (EM in Taiwan, China, and Hong Kong was evaluated from the perspective of publications in EM journals. Methods. This was a retrospective study. All articles published from 1992 to 2011 in all journals in the EM category in the 2010 Journal Citation Reports (JCR were included. A computerized literature search was conducted using the SciVerse Scopus database. The slope (β of the linear regression was used to evaluate the trends in the numbers of articles as well as the ratios to the total number of EM journal articles. Results. The trends in the numbers of articles from Taiwan, China, and Hong Kong were 6.170, 1.908, and 2.835 and the trends in the ratios of their publication numbers to the total number of EM journal articles were 15.0 × 10−4, 4.60 × 10−4, and 6.80 × 10−4, respectively. All P-values were <0.01. The mean, median, and 75th percentiles of the number of citations in all EM journals were greater than those of these three areas. Conclusions. The publications from Taiwan, China, and Hong Kong have increased at a higher rate than those of the overall EM field in the past 20 years and indicated the rapid progress in these three areas.

  10. An Emerging Ethic of Responsibility: A Case Study for Engaging the Public

    Science.gov (United States)

    Mandia, S. A.; Abraham, J. A.

    2010-12-01

    Recent trends in the public’s understanding of climate change have diverged from the broad, and well-documented consensus held by scientists. While the level of consensus regarding climate change among scientists is very high, the public remains deeply divided. Furthermore, a large percentage of the general public perceives that a serious debate exists within the science community on the basic theory of anthropogenic climate change. This disconnect between the scientific community and the general public should motivate scientists to take a more active role in public outreach. Recent stories in the media have increased the public’s resistance to climate change. Included here are Climategate, mistakes in the IPCC regarding Himalayan glacial melt, and other reports (inaccurately reported) about IPCC errors related to the sensitivity of the Amazon rainforest to a changing climate. Along with these stories, there has been a well-documented increase in activism by “skeptical scientists” and by “skeptical non-scientists” to engage the public with a goal of promoting the perception of a serious debate within the science community. Also during the past few years, a number of scientists who have taken an active role in educating the general public have come under political, scientific, and personal pressure. The resistance exerted on scientists who become public educators has caused many scientists to avoid outreach efforts. Here, the authors present a case study for a successful effort to engage the public on the issue of climate change. We utilized a number of media methods to cause a significant impact on the public discussion of global warming. In addition, the effort has begun to affect legislative processes within the United States and abroad. The authors present this case study to provide a roadmap to colleagues who wish to participate in public outreach.

  11. The Expansion of the “Feminine” in the Brazilian Public Space: Television Soap Operas of the 1970’s and 80’s

    Directory of Open Access Journals (Sweden)

    Esther Império Hamburger

    2007-01-01

    Full Text Available This paper revisits the literature on media and gender studies in search of works that help to discuss the case of Brazilian soap operas. A series of references coming from different theoretical perspectives, with emphasis in different countries and historical periods, bring up ideas and concepts that approach the contemporary desire to connect, to participate and to interact in terms conventionally associated to the female domain. Examples from specific soap operas suggest the ways in which these prime time daily soaps blend documentary and fiction conventions and treat the Brazilian nation in melodramatic terms. In doing so, soap operas have expanded what was conventionally treated as the female domain.

  12. The Brazilian Social Welfare as a Public Policy of Income in the Municipalities of Paraná A Previdência Social Brasileira como Política Pública de Renda nos Municípios do Paraná

    Directory of Open Access Journals (Sweden)

    Célio Favoni

    2004-11-01

    Full Text Available The aim of this article is to emphasize the importance of the Brazilian Social Welfare System as a supplierof benefits and as an income public policy. The study starts with the discussion on the creation and the exhaustion of the Welfare State, then it analyses the antecedents and the current problems of the Brazilian Welfare System. Finally, it refers to the role of the Welfare System in the revenue of senior citizens and the influence of this revenue on the economy of Brazilian municipalities, specially the ones that make up the Association of the Municipalities of Middle Paranapanema (AMEPAR, in Paraná.Este trabalho tem por objetivo ressaltar a importância da Previdência Social Brasileira enquanto provedora de benefícios e instrumento de política pública de renda. O estudo parte da discussão sobre o surgimento e o esgotamento do Estado do Bem-Estar (Welfare State, passando para os antecedentes e a problematização da questão previdenciária brasileira. Na seqüência, faz-se referência ao papel da previdência nos rendimentos dos idosos e a influência dos benefícios previdenciários na economia dos municípios brasileiros, em destaque os que compõem a Associação dos Municípios do Médio Paranapanema (AMEPAR, no Paraná.

  13. EMERGING CHALLENGES IN THE MANAGEMENT OF CONTEMPORARY PUBLIC SPACES IN URBAN NEIGHBOURHOODS

    Directory of Open Access Journals (Sweden)

    Rajjan Man Chitrakar

    2017-03-01

    Full Text Available The lack of management has led to the degrading quality of public space in modern cities around the globe. Contemporary public spaces are facing challenges in terms of maintaining them as a “social space” so that they are accessible and functional for the users. Using Kathmandu as a case study, this paper explores the challenges the contemporary public spaces within urban neighbourhoods are facing in their management. The study reveals that the regulation of use is a major concern of public space management in the new neighbourhoods of Kathmandu as evident in the limited accessibility and utility of public space, due to control and commercialisation. The use of public space has also been affected by the lack of regular maintenance. The root cause of these problems lies in weak urban governance at the neighbourhood level, which has led the local community-based organisations to take a role in neighbourhood management. These findings confirm that the management of public space is a critical issue of urban development with commonalities existing across geographical regions that demand adequate consideration from the stakeholders.

  14. Management of traumatic wounds in the Emergency Department: a secondary publication

    Directory of Open Access Journals (Sweden)

    Carolina Prevaldi

    2016-11-01

    Full Text Available Traumatic wounds are among the most common problems leading people to the Emergency Department (ED, accounting for approximately 5.4% of all the visits, and up to 24% of all the medical lawsuits. In order to provide a standardized method for wound management in the ED, we have organized a workshop, involving several Italian and European experts. Later, all the discussed statements have been submitted for external validation to a multidisciplinary expert team, based on the so-called Delphi method. Eight main statements have been established, each of them comprising different issues, covering the fields of wound classification, infectious risk stratification, tetanus and rabies prophylaxis, wound cleansing, pain management, and suture. Here we present the results of this work, shared by the Academy of Emergency Medicine and Care and the World Society of Emergency Surgery.

  15. Greek intensive and emergency care nurses' perception of their public image: a phenomenological approach.

    Science.gov (United States)

    Karanikola, Maria N K; Papathanassoglou, Elizabeth D E; Nicolaou, Christiana; Koutroubas, Anna; Lemonidou, Chrysoula

    2011-01-01

    The public image of the nurse constitutes an important factor for recruitment into the profession, retention, and also for work satisfaction. The aim of this qualitative study was to disclose the way nurses internalize their professional public image and professional worth, as well as nurses' feelings about that image. Findings showed that although nurses have made a tremendous effort to improve the public image of their profession, negative nursing stereotypes still persist. Therefore, nurses have to actively participate in policy making and enhance their educational and cultural profile through the media.

  16. Protecting Public Health in Nuclear Emergencies-the Need to Broaden the Process

    International Nuclear Information System (INIS)

    Carr, Z.; Roebbel, N.; Weiss, W.; Abrahams, J.

    2016-01-01

    It is necessary for the radiation protection system to broaden beyond radioactive dose, the view on impact of nuclear accidents, taking in consideration the psychological, social and economic determinants impacting the vulnerability of the exposed population, as well as the impacts of emergency countermeasures. It is strongly recommended to pursue strategies, approaches and services that will address these aspects within the general health protection system and will be applied before, during and after an emergency. The paper raises awareness and proposes a three-step development process for an integrated framework based on the social determinants of health approach. (authors)

  17. Brazilian news portals characteristics

    Directory of Open Access Journals (Sweden)

    Heloiza G. Herckovitz

    2009-06-01

    Full Text Available A content analysis of four Brazilian news media portals found that economic news dominated the top headlines with little attention paid to education, the environment and welfare. Other trends included a focus on local events and national news sources, reliance on few sources, mostly official ones, and a low percentage of news that fitted the concept of newsworthiness (a combination of both social significance and deviance concepts. Other findings of a study of 432 top news stories published by UOL, Estadão, iG and Terra during a 15-day period between February and March 2008 indicate that the top portions of the portals’ front pages carry news that lacks story depth, editorial branding, and multimedia applications. The results suggest that online news portals are in their infancy although Brazil has the largest online population of Latin America. This study hopes to shed light on the gatekeeping process in Brazilian news portals. Brazilian media portals have yet to become a significant editorial force able to provide knowledge about social issues and public affairs in a socially responsible fashione.

  18. BRAZILIAN NEWS PORTALS CHARACTERISTICS

    Directory of Open Access Journals (Sweden)

    Heloiza G. Herckovitz

    2011-02-01

    Full Text Available A content analysis of four Brazilian news media portals found that economic news dominated the top headlines with little attention paid to education, the environment and welfare. Other trends included a focus on local events and national news sources, reliance on few sources, mostly official ones, and a low percentage of news that fitted the concept of newsworthiness (a combination of both social significance and deviance concepts. Other findings of a study of 432 top news stories published by UOL, Estadão, iG and Terra during a 15-day period between February and March 2008 indicate that the top portions of the portals’ front pages carry news that lacks story depth, editorial branding, and multimedia applications. The results suggest that online news portals are in their infancy although Brazil has the largest online population of Latin America. This study hopes to shed light on the gatekeeping process in Brazilian news portals. Brazilian media portals have yet to become a significant editorial force able to provide knowledge about social issues and public affairs in a socially responsible fashione.

  19. Impairment no setor público: particularidades das normas nacionais e internacionais Impairment in the public sector: particularities of Brazilian and international standards

    Directory of Open Access Journals (Sweden)

    Luiz Nelson Guedes de Carvalho

    2010-08-01

    Full Text Available O impairment no setor público tem sido pouco discutido no meio acadêmico. Os órgãos normatizadores têm publicado pronunciamentos sobre o assunto, enquanto muitas dúvidas surgem e permanecem sem resposta. Diante disso, este artigo analisa as particularidades de normas nacionais e internacionais balizadoras do impairment no setor público: o Gasb 42, os Ipsas 21 e 26 e a NBC T 16.10. Foram analisados aspectos relacionados ao conceito de impairment, à periodicidade de aplicação do teste, para quais ativos deve ser aplicado e o processo de reconhecimento, mensuração e evidenciação da perda por impairment. As principais divergências entre os pronunciamentos são: o Gasb 42 está baseado em princípios e não em regras; os critérios utilizados pelo Gasb 42 para cálculo do fair value são semelhantes àqueles usados pelos Ipsas 21 e 26 para cálculo do valor em uso; o valor de reposição é usado para cálculo do fair value no Gasb 42 e o valor de saída nos Ipsas; apenas o Ipsas 26 utiliza a figura da unidade geradora de caixa; o Gasb 42 não admite a reversão da perda por impairment e os Ipsas não se aplicam a bens reavaliados. Apesar da NBC T 16.10 já estar em vigor no Brasil, todos os ativos públicos e a depreciação precisam ser reconhecidos e mensurados antes da aplicação dessa normaLittle discussion on impairment in the public sector has occurred in the academic context. Standardizing bodies have published pronouncements on this issue, but many doubts arise and remain unanswered. This article analyzes the particularities of Brazilian and international standards guiding impairment in the public sector: Gasb 42, Ipsas 21 and 26 and NBC T 16.10. The aspects analyzed were related to the impairment concept, the periodicity of applying the test, what assets it should be applied to and the recognition, measurement and disclosure process of impairment loss. The main divergences between the pronouncements are: Gasb 42 is based on

  20. 75 FR 26773 - Public Readiness and Emergency Preparedness Act Countermeasures Injury Compensation Program...

    Science.gov (United States)

    2010-05-12

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Public... Administration, HHS. ACTION: Notice. SUMMARY: The Secretary of Health and Human Services (HHS) announces... the CICP must be mailed to the Health Resources and Services Administration, Countermeasures Injury...

  1. Improving Risk Governance of Emerging Technologies through Public Engagement: The Neglected Case of Nano-Remediation?

    DEFF Research Database (Denmark)

    Grieger, Khara Deanne; Wickson, Fern; Andersen, Henning Boje

    2012-01-01

    While public engagement is internationally considered to be crucial for successful governance of nanotechnologies (NT), it has not necessarily been clear what the relationship is (or should be) between these engagement efforts and the more traditional governance practice of scientific risk...... assessment. This paper therefore carries out a literature review to capture and analyse how governance strategies have focused on public engagement for NT and how such engagement relates to processes of risk analysis. To further investigate these issues, we focus on a specific NT application as a case study......: the use of nanoparticles for environmental remediation (nano-remediation). Through our review and analysis we find that the main approaches to incorporating public engagement into governance strategies have been the generation of a better understanding of public perceptions of NT and the setting...

  2. Anticipating emerging genomics technologies: The role of patents and publication for research and policy strategies

    NARCIS (Netherlands)

    Boon, Wouter

    There is an increasing interest in scanning and assessing the science and technology landscape for emerging technologies – such as those based on genomics knowledge – because innovations are beneficial to businesses and nations, and because of the Collingridge dilemma. The latter concerns the

  3. 76 FR 19777 - Emergency Clearance: Public Information Collection Requirements Submitted to the Office of...

    Science.gov (United States)

    2011-04-08

    ... diseases exclusion, the Demonstration may improve access to appropriate psychiatric care, improve quality...: Medicaid Emergency Psychiatric Demonstration Use: Section 2707 of the Patient Protection and Affordable... payment for inpatient stabilization for psychiatric patients aged 21 to 64 who express suicidal or...

  4. Promising Practices: A Case Study on Public Health Emergency Preparedness at a University

    Science.gov (United States)

    Mathes, Amy L.

    2013-01-01

    There is little published literature on operational coordination during a real time disaster regardless of the setting. This study describes a university's emergency management plan and its execution in response to a specific natural disaster, the May 8, 2009 "inland hurricane," which was later classified as a "Super Derecho."…

  5. 78 FR 19357 - Allocation of Public Transportation Emergency Relief Funds in Response to Hurricane Sandy

    Science.gov (United States)

    2013-03-29

    ... FTA for assets that have a fair market value (FMV) in excess of $5,000 at the time of disposition...,000 or more, then the recipient must reimburse FTA's share of the fair market value of the FTA... emergency operations and capital repair, [[Page 19359

  6. Street Drug Use among Emergency Patients in a Public Hospital in ...

    African Journals Online (AJOL)

    Conclusions: Selfreported SD users were mostly young males who were treated symptomatically and discharged. Almost one-third-mostly ecstasy and bonsai users-had depressed level of consciousness and required resuscitation. Keywords: Adverse drug effect, cannabis, ecstasy, emergency medicine, street drug user ...

  7. Assessing Roles of People, Technology and Structure in Emergency Management Systems: A Public Sector Perspective

    Science.gov (United States)

    Kim, Minkyun; Sharman, Raj; Cook-Cottone, Catherine P.; Rao, H. Raghav; Upadhyaya, Shambhu J.

    2012-01-01

    Emergency management systems are a critical factor in successful mitigation of natural and man-made disasters, facilitating responder decision making in complex situations. Based on socio-technical systems, have which four components (people, technology, structure and task), this study develops a research framework of factors affecting effective…

  8. The emergence of surgery as a major force in the public health arena

    African Journals Online (AJOL)

    Arun Kumar Agnihotri

    2016-04-26

    Apr 26, 2016 ... care, surgery has been looked upon as a therapeutic option of last resort, almost as damage control when all else has ... license their derivative works on different terms, provided the original work is properly .... persist into the near future, innovative task sharing or role-redefining solutions have emerged.

  9. Information of the public in an emergency and preparation of text blocks

    International Nuclear Information System (INIS)

    Miska, H.

    1997-01-01

    In addition to the advance information, the EU also demands and regulates the information in an emergency. A prompt dissemination of the required news is facilitated by text blocks which can be prepared and harmonised with neighbouring administrations. Not before a press Center has been established, detailed texts may be compiled. (orig.) [de

  10. Public Health Response Systems In-Action: Learning from Local Health Departments’ Experiences with Acute and Emergency Incidents

    Science.gov (United States)

    Hunter, Jennifer C.; Yang, Jane E.; Crawley, Adam W.; Biesiadecki, Laura; Aragón, Tomás J.

    2013-01-01

    As part of their core mission, public health agencies attend to a wide range of disease and health threats, including those that require routine, acute, and emergency responses. While each incident is unique, the number and type of response activities are finite; therefore, through comparative analysis, we can learn about commonalities in the response patterns that could improve predictions and expectations regarding the resources and capabilities required to respond to future acute events. In this study, we interviewed representatives from more than 120 local health departments regarding their recent experiences with real-world acute public health incidents, such as infectious disease outbreaks, severe weather events, chemical spills, and bioterrorism threats. We collected highly structured data on key aspects of the incident and the public health response, particularly focusing on the public health activities initiated and community partners engaged in the response efforts. As a result, we are able to make comparisons across event types, create response profiles, and identify functional and structural response patterns that have import for future public health preparedness and response. Our study contributes to clarifying the complexity of public health response systems and our analysis reveals the ways in which these systems are adaptive to the character of the threat, resulting in differential activation of functions and partners based on the type of incident. Continued and rigorous examination of the experiences of health departments throughout the nation will refine our very understanding of what the public health response system is, will enable the identification of organizational and event inputs to performance, and will allow for the construction of rich, relevant, and practical models of response operations that can be employed to strengthen public health systems. PMID:24236137

  11. The evidence base of primary research in public health emergency preparedness: a scoping review and stakeholder consultation.

    Science.gov (United States)

    Khan, Yasmin; Fazli, Ghazal; Henry, Bonnie; de Villa, Eileen; Tsamis, Charoula; Grant, Moira; Schwartz, Brian

    2015-04-28

    Effective public health emergency preparedness and response systems are important in mitigating the impact of all-hazards emergencies on population health. The evidence base for public health emergency preparedness (PHEP) is weak, however, and previous reviews have noted a substantial proportion of anecdotal event reports. To investigate the body of research excluding the anecdotal reports and better understand primary and analytical research for PHEP, a scoping review was conducted with two objectives: first, to develop a thematic map focused on primary research; and second, to use this map to inform and guide an understanding of knowledge gaps relevant to research and practice in PHEP. A scoping review was conducted based on established methodology. Multiple databases of indexed and grey literature were searched based on concepts of public health, emergency, emergency management/preparedness and evaluation/evidence. Inclusion and exclusion criteria were applied iteratively. Primary research studies that were evidence-based or evaluative in nature were included in the final group of selected studies. Thematic analysis was conducted for this group. Stakeholder consultation was undertaken for the purpose of validating themes and identifying knowledge gaps. To accomplish this, a purposive sample of researchers and practicing professionals in PHEP or closely related fields was asked to complete an online survey and participate in an in-person meeting. Final themes and knowledge gaps were synthesized after stakeholder consultation. Database searching yielded 3015 citations and article selection resulted in a final group of 58 articles. A list of ten themes from this group of articles was disseminated to stakeholders with the survey questions. Survey findings resulted in four cross-cutting themes and twelve stand-alone themes. Several key knowledge gaps were identified in the following themes: attitudes and beliefs; collaboration and system integration; communication

  12. The importance of population differences: Influence of individual characteristics on the Australian public's preferences for emergency care.

    Science.gov (United States)

    Harris, Paul; Whitty, Jennifer A; Kendall, Elizabeth; Ratcliffe, Julie; Wilson, Andrew; Littlejohns, Peter; Scuffham, Paul A

    2018-02-01

    A better understanding of the public's preferences and what factors influence them is required if they are to be used to drive decision-making in health. This is particularly the case for service areas undergoing continual reform such as emergency and primary care. Accordingly, this study sought to determine if attitudes, socio-demographic characteristics and healthcare experiences influence the public's intentions to access care and their preferences for hypothetical emergency care alternatives. A discrete choice experiment was used to elicit the preferences of Australian adults (n=1529). Mixed logit regression analyses revealed the influence of a range of individual characteristics on preferences and service uptake choices across three different presenting scenarios. Age was associated with service uptake choices in all contexts, whilst the impact of other sociodemographics, health experience and attitudinal factors varied by context. The improvements in explanatory power observed from including these factors in the models highlight the need to further clarify their influence with larger populations and other presenting contexts, and to identify other determinants of preference heterogeneity. The results suggest social marketing programs undertaken as part of demand management efforts need to be better targeted if decision-makers are seeking to increase community acceptance of emerging service models and alternatives. Other implications for health policy, service planning and research, including for workforce planning and the possible introduction of a system of co-payments are discussed. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Comparison between Brazilian radiation protection norm and ICRP recommendations published in 2007

    International Nuclear Information System (INIS)

    Pereira, Wagner de S.; Py Junior, Delcy de A.; Pereira, Juliana R. de S.; Kelecom, Alphonse; Mortagua, Valter

    2013-01-01

    In the year 2007, ICRP published a set of recommendations (The 2007 Recommendations of the International Commission on Radiological Protection, Publication 103), which changed some important concepts. This work aims to compare the Brazilian radiation protection basic norm with the new ICRP recommendations, by checking the existing differences. The main difference between ICRP publication 60 and ICRP publication 103 is the changing of the concept of protection based on process, by using the concepts of practice and intervention, to the protection based in the exposition situation, by using the concepts of planned exposure, emergency and existing situation. Other important difference lies in the values of the radiation and tissue weighting factors, in the quantities equivalent and effective dose, and updating the radiation detriment based on the latest available scientific information of the biology and physics of radiation exposure. At last, the demonstration of the environment radiation protection must be clear, and this concept is not found in Brazilian nuclear legislation. Also some similarities were found. The fundamental principles of the Brazilian norms are the same as that of ICRP 103, which are the justification principle, the optimization principle and the application of dose limits. The individual effective dose limit of Brazilian norm is the same of the ICRP 103, established as 20 mSv per year. In order to adequate the Brazilian norm it is necessary to change its concept of protection and the values of radiation and tissue weighting, and updating the radiation detriment, besides making clear the concept of protection of the environment. It is important to notice that although the Brazilian norm is not in complete agreement with all international recommendations, it must be completely followed as the norm which is in use in the country. (author)

  14. Comparison between Brazilian radiation protection norm and ICRP recommendations published in 2007

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, Wagner de S.; Py Junior, Delcy de A., E-mail: pereiraws@gmail.com [Industrias Nucleares do Brasil (INB), Pocos de Caldas, MG (Brazil). Unidade de Tratamento de Minerio. Servico de Radioprotecao. Grupo Multidisciplinar de Radioprotecao; Pereira, Juliana R. de S., E-mail: pereirarsj@gmail.com [Universidade Federal de Alfenas, Pocos de Caldas, MG (Brazil). Campus Pocos de Caldas; Kelecom, Alphonse, E-mail: akelecom@id.uff.br [Universidade Federal Fluminense (GETA/LARARA-PLS/UFF), Niteroi, RJ (Brazil). Laboratorio de Radiobiologia e Radiometria Pedro Lopes dos Santos. Grupo de Estudos em Temas Ambientais; Mortagua, Valter, E-mail: Valter@inb.gov.br [Usina de lnterlagos (USIN), Sao Paulo, SP (Brazil). Coordenacao

    2013-07-01

    In the year 2007, ICRP published a set of recommendations (The 2007 Recommendations of the International Commission on Radiological Protection, Publication 103), which changed some important concepts. This work aims to compare the Brazilian radiation protection basic norm with the new ICRP recommendations, by checking the existing differences. The main difference between ICRP publication 60 and ICRP publication 103 is the changing of the concept of protection based on process, by using the concepts of practice and intervention, to the protection based in the exposition situation, by using the concepts of planned exposure, emergency and existing situation. Other important difference lies in the values of the radiation and tissue weighting factors, in the quantities equivalent and effective dose, and updating the radiation detriment based on the latest available scientific information of the biology and physics of radiation exposure. At last, the demonstration of the environment radiation protection must be clear, and this concept is not found in Brazilian nuclear legislation. Also some similarities were found. The fundamental principles of the Brazilian norms are the same as that of ICRP 103, which are the justification principle, the optimization principle and the application of dose limits. The individual effective dose limit of Brazilian norm is the same of the ICRP 103, established as 20 mSv per year. In order to adequate the Brazilian norm it is necessary to change its concept of protection and the values of radiation and tissue weighting, and updating the radiation detriment, besides making clear the concept of protection of the environment. It is important to notice that although the Brazilian norm is not in complete agreement with all international recommendations, it must be completely followed as the norm which is in use in the country. (author)

  15. Radioprotection in Brazilian universities

    International Nuclear Information System (INIS)

    Caballero, K.C.; Borges, J.C.

    1992-01-01

    The purpose of this work was to obtain a broad knowledge of the circumstances under which activities involving ionizing radiations are held at brazilian academic institutions. Around 90 institutions (universities and isolated schools of both public and private sectors) were invited, by mail, to answer an inquiry with questions from technical to legal aspects of their activities with radiations. Information received from 2/3 of institutions contacted, permitted conclusions as: there is a wide ignorance about radioprotection procedures and legislation, although few universities maintain some efficient radioprotection staff; there is a need for the establishment of a standard radioprotection text dedicated to those specific activities of the sector. (author)

  16. Disaster Metrics: A Proposed Quantitative Assessment Tool in Complex Humanitarian Emergencies - The Public Health Impact Severity Scale (PHISS).

    Science.gov (United States)

    Bayram, Jamil D; Kysia, Rashid; Kirsch, Thomas D

    2012-08-21

    Complex Humanitarian Emergencies (CHE) result in rapid degradation of population health and quickly overwhelm indigenous health resources. Numerous governmental, non-governmental, national and international organizations and agencies are involved in the assessment of post-CHE affected populations. To date, there is no entirely quantitative assessment tool conceptualized to measure the public health impact of CHE. Essential public health parameters in CHE were identified based on the Sphere Project "Minimum Standards", and scoring rubrics were proposed based on the prevailing evidence when applicable. 12 quantitative parameters were identified, representing the four categories of "Minimum Standards for Disaster Response" according to the Sphere Project; health, shelter, food and nutrition, in addition to water and sanitation. The cumulative tool constitutes a quantitative scale, referred to as the Public Health Impact Severity Scale (PHISS), and the score on this scale ranges from a minimum of 0 to a maximum of 100. Quantitative measurement of the public health impact of CHE is germane to accurate assessment, in order to identify the scale and scope of the critical response required for the relief efforts of the affected populations. PHISS is a new conceptual metric tool, proposed to add an objective quantitative dimension to the post-CHE assessment arsenal. PHISS has not yet been validated, and studies are needed with prospective data collection to test its validity, feasibility and reliability. Bayram JD, Kysia R, Kirsch TD. Disaster Metrics: A Proposed Quantitative Assessment Tool in Complex Humanitarian Emergencies - The Public Health Impact Severity Scale (PHISS). PLOS Currents Disasters. 2012 Aug 21. doi: 10.1371/4f7b4bab0d1a3.

  17. Knowledge Management Framework for Emerging Infectious Diseases Preparedness and Response: Design and Development of Public Health Document Ontology.

    Science.gov (United States)

    Zhang, Zhizun; Gonzalez, Mila C; Morse, Stephen S; Venkatasubramanian, Venkat

    2017-10-11

    There are increasing concerns about our preparedness and timely coordinated response across the globe to cope with emerging infectious diseases (EIDs). This poses practical challenges that require exploiting novel knowledge management approaches effectively. This work aims to develop an ontology-driven knowledge management framework that addresses the existing challenges in sharing and reusing public health knowledge. We propose a systems engineering-inspired ontology-driven knowledge management approach. It decomposes public health knowledge into concepts and relations and organizes the elements of knowledge based on the teleological functions. Both knowledge and semantic rules are stored in an ontology and retrieved to answer queries regarding EID preparedness and response. A hybrid concept extraction was implemented in this work. The quality of the ontology was evaluated using the formal evaluation method Ontology Quality Evaluation Framework. Our approach is a potentially effective methodology for managing public health knowledge. Accuracy and comprehensiveness of the ontology can be improved as more knowledge is stored. In the future, a survey will be conducted to collect queries from public health practitioners. The reasoning capacity of the ontology will be evaluated using the queries and hypothetical outbreaks. We suggest the importance of developing a knowledge sharing standard like the Gene Ontology for the public health domain. ©Zhizun Zhang, Mila C Gonzalez, Stephen S Morse, Venkat Venkatasubramanian. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 11.10.2017.

  18. Project management methodology in the public and private sector: The case of an emerging market

    Directory of Open Access Journals (Sweden)

    Azamat Oinarov

    2017-03-01

    Full Text Available Application of project management methodologies in different countries is varied. The preference of a particular methodology largely depends on the specific features of a project management system in use. The aim of the paper is to draw the attention of project-involved readers to the need to develop, not a guide, but a specific project management methodology for projects in the public-private sector. The objective pursued by the paper is to provide useful recommendations for improving the existing methodologies on project management in the public-private sector. Kazakhstan’s experience in implementing project management methodologies in its public sector is sporadic while its private sector uses of modern methodologies build on external investor proven practices. At the background of the low exposure of the public sector to the best of project management methodologies, the paper reviews existing international project management methodologies and develops useful recommendations on the methodology, most suitable for a developing country’s public-private sector, on Kazakhstan’s example.

  19. Can free open access resources strengthen knowledge-based emerging public health priorities, policies and programs in Africa?

    Science.gov (United States)

    Tambo, Ernest; Madjou, Ghislaine; Khayeka-Wandabwa, Christopher; Tekwu, Emmanuel N; Olalubi, Oluwasogo A; Midzi, Nicolas; Bengyella, Louis; Adedeji, Ahmed A; Ngogang, Jeanne Y

    2016-01-01

    Tackling emerging epidemics and infectious diseases burden in Africa requires increasing unrestricted open access and free use or reuse of regional and global policies reforms as well as timely communication capabilities and strategies. Promoting, scaling up data and information sharing between African researchers and international partners are of vital importance in accelerating open access at no cost. Free Open Access (FOA) health data and information acceptability, uptake tactics and sustainable mechanisms are urgently needed. These are critical in establishing real time and effective knowledge or evidence-based translation, proven and validated approaches, strategies and tools to strengthen and revamp health systems.  As such, early and timely access to needed emerging public health information is meant to be instrumental and valuable for policy-makers, implementers, care providers, researchers, health-related institutions and stakeholders including populations when guiding health financing, and planning contextual programs.

  20. Dynamic Integration of Mobile JXTA with Cloud Computing for Emergency Rural Public Health Care

    OpenAIRE

    Rajkumar, Rajasekaran; Sriman Narayana Iyengar, Nallani Chackravatula

    2013-01-01

    Objectives The existing processes of health care systems where data collection requires a great deal of labor with high-end tasks to retrieve and analyze information, are usually slow, tedious, and error prone, which restrains their clinical diagnostic and monitoring capabilities. Research is now focused on integrating cloud services with P2P JXTA to identify systematic dynamic process for emergency health care systems. The proposal is based on the concepts of a community cloud for preventati...

  1. Ischaemic stroke management by emergency care physicians at public sector hospitals of Karachi, Pakistan

    International Nuclear Information System (INIS)

    Luni, F.K.; Hamid, S.A.; Mamji, S.; Baig, S.M.

    2011-01-01

    To assess the clinicians management of patients presenting with acute ischaemic stroke in the emergency departments of two large state run hospitals in Karachi, Pakistan. A questionnaire was filled by 59 registered medical practitioners working at these two government hospitals who would be managing stroke patients presenting in the emergency. It was a descriptive cross sectional study designed to assess the methods used by the doctors for diagnosing and treating stroke patients. The data was collected from October to November 2007 and entered using Epi Data Entry and analyzed by SPSS 13.0. Results: The preferred overall investigation for a suspected stroke patient in an emergency ward was an ECG (98%). 51% of the respondents would prescribe aspirin to most patients (300 mg by 40% respondents). Intravenous tissue plasminogen activator was thought to be beneficial by 43% of doctors, low molecular weight heparin by 91%, subcutaneous heparin by 86.5%, intravenous Vitamin B complex by 20% and steroids by 39% of respondents. Regarding elevated blood pressure, 60% answered that they would manage the blood pressure according to the type of stroke and 73% responded that they would lower blood pressure when it reached greater than 150/80. 88% of the doctors answered that they would use cholesterol lowering drugs in the management of stroke patients in an emergency. 97% of the doctors recommended rehabilitation and 88% of the respondents believed that there should be separate stroke units. Conclusion: The development of a standardized protocol and stroke team is recommended which should speed the clinical assessment, decisions for early management and also increase the performance of diagnostic studies. (author)

  2. Anticipating emerging genomics technologies: The role of patents and publication for research and policy strategies

    OpenAIRE

    Vandeberg, Rens LJ; Boon, Wouter PC

    2009-01-01

    There is an increasing interest in scanning and assessing the science and technology landscape for emerging technologies - such as those based on genomics knowledge - because innovations are beneficial to businesses and nations, and because of the Collingridge dilemma. The latter concerns the uncertainty and manageability of technology in its early development phases versus the more solidified later stages. In this context, the assessment of upcoming scientific and technological (sub)fields o...

  3. Anticipating emerging genomics technologies: The role of patents and publication for research and policy strategies

    OpenAIRE

    Boon, Wouter

    2009-01-01

    There is an increasing interest in scanning and assessing the science and technology landscape for emerging technologies – such as those based on genomics knowledge – because innovations are beneficial to businesses and nations, and because of the Collingridge dilemma. The latter concerns the uncertainty and manageability of technology in its early development phases versus the more solidified later stages. In this context, the assessment of upcoming scientific and technological (sub)fields o...

  4. Energy security, public policy, and the role of the DOE Office of Energy Emergencies

    International Nuclear Information System (INIS)

    Bjornstad, D.J.; Curlee, T.R.; Bohi, D.R.

    1991-11-01

    This paper addresses the concept of energy security, the costs and benefits of energy security, and policies which could potentially alter these costs and benefits. These issues are considered from the perspective of the DOE's Office of Energy Emergencies, with the goal of determining if alternative or additional roles should be open to this Office. The approach taken is limited to the economic costs and benefits of energy security, reflecting our view that the bulk of important energy security issues can at least be approached from this perspective. An energy emergency results from a sudden change in the quantity, market price, and/or social value of energy, in combination with a domestic and/or world wide energy system that cannot rapidly adjust to that change. We do not believe that mitigating the impacts of such events is always necessary, nor that it is uniquely a governmental responsibility. In fact, the first recourse in emergency preparedness should always be to the private sector. Government should deal with three different aspects of emergency energy activities. First, it should condition the decision making environment by seeing that adequate information about energy conditions is available and that its own policy position is clear. Next, it should evaluate the preparedness measures undertaken by the private sector. Finally, if it finds private sector preparation to be inadequate, government has a variety of direct and indirect means with which to intervene. One direct measure currently used is the buildup and drawdown of the strategic petroleum reserve (SPR). Others include contingency plans to override market allocations during wartime, as might be developed under the graduated mobilization response (GMR). Indirect means include a variety of tax and transfer schemes that alter existing private sector incentives to prepare. Well conceived monetary and fiscal policies complete the tools. 1 fig., 1 tab

  5. Use of Social Media During Public Emergencies by People with Disabilities

    OpenAIRE

    Morris, John T.; Mueller, James L.; Jones, Michael L.

    2014-01-01

    Introduction: People with disabilities are generally more vulnerable during disasters and publicemergencies than the general population. Physical, sensory and cognitive impairments may result ingreater difficulty in receiving and understanding emergency alert information, and greater difficulty intaking appropriate action. The use of social media in the United States has grown considerably inrecent years. This has generated increasing interest on the part of national, state and localjurisdict...

  6. On-site interim storage of spent nuclear fuel: Emerging public issues

    International Nuclear Information System (INIS)

    Feldman, D.L.; Tennessee Univ., Knoxville, TN

    1992-01-01

    Failure to consummate plans for a permanent repository or above- ground interim Monitored Retrievable Storage (MRS) facility for spent nuclear fuel has spurred innovative efforts to ensure at-reactor storage in an environmentally safe and secure manner. This article examines the institutional and socioeconomic impacts of Dry Cask Storage Technology (DCST)-an approach to spent fuel management that is emerging as the preferred method of on-site interim spent fuel storage by utilities that exhaust existing storage capacity

  7. The emerging landscape of reimbursement of regenerative medicine products in the UK: publications, policies and politics.

    Science.gov (United States)

    Mahalatchimy, Aurélie; Faulkner, Alex

    2017-09-01

    This paper aims to map the trends and analyze key institutional dynamics that constitute the policies for reimbursement of regenerative medicine (RM), especially in the UK. Two quantitative publications studies using Google Scholar and a qualitative study based on a larger study of 43 semi-structured interviews. Reimbursement has been a growing topic of publications specific to RM and independent from orphan drugs. Risk-sharing schemes receive attention among others for dealing with RM reimbursement. Trade organizations have been especially involved on RM reimbursement issues and have proposed solutions. The policy and institutional landscape of reimbursement studies in RM is a highly variegated and conflictual one and in its infancy.

  8. Emerging contaminants of public health significance as water quality indicator compounds in the urban water cycle.

    Science.gov (United States)

    Pal, Amrita; He, Yiliang; Jekel, Martin; Reinhard, Martin; Gin, Karina Yew-Hoong

    2014-10-01

    The contamination of the urban water cycle (UWC) with a wide array of emerging organic compounds (EOCs) increases with urbanization and population density. To produce drinking water from the UWC requires close examination of their sources, occurrence, pathways, and health effects and the efficacy of wastewater treatment and natural attenuation processes that may occur in surface water bodies and groundwater. This paper researches in details the structure of the UWC and investigates the routes by which the water cycle is increasingly contaminated with compounds generated from various anthropogenic activities. Along with a thorough survey of chemicals representing compound classes such as hormones, antibiotics, surfactants, endocrine disruptors, human and veterinary pharmaceuticals, X-ray contrast media, pesticides and metabolites, disinfection-by-products, algal toxins and taste-and-odor compounds, this paper provides a comprehensive and holistic review of the occurrence, fate, transport and potential health impact of the emerging organic contaminants of the UWC. This study also illustrates the widespread distribution of the emerging organic contaminants in the different aortas of the ecosystem and focuses on future research needs. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. Promoting public health legal preparedness for emergencies: review of current trends and their relevance in light of the Ebola crisis

    Directory of Open Access Journals (Sweden)

    Odeya Cohen

    2015-10-01

    Full Text Available Background: Public health legal preparedness (PHLP for emergencies is a core component of the health system response. However, the implementation of health legal preparedness differs between low- and middle-income countries (LMIC and developed countries. Objective: This paper examines recent trends regarding public health legal preparedness for emergencies and discusses its role in the recent Ebola outbreak. Design: A rigorous literature review was conducted using eight electronic databases as well as Google Scholar. The results encompassed peer-reviewed English articles, reports, theses, and position papers dating from 2011 to 2014. Earlier articles concerning regulatory actions were also examined. Results: The importance of PHLP has grown during the past decade and focuses mainly on infection–disease scenarios. Amid LMICs, it mostly refers to application of international regulations, whereas in developed states, it focuses on independent legislation and creation of conditions optimal to promoting an effective emergency management. Among developed countries, the United States’ utilisation of health legal preparedness is the most advanced, including the creation of a model comprising four elements: law, competencies, information, and coordination. Only limited research has been conducted in this field to date. Nevertheless, in both developed and developing states, studies that focused on regulations and laws activated in health systems during emergencies, identified inconsistency and incoherence. The Ebola outbreak plaguing West Africa since 2014 has global implications, challenges and paralleling results, that were identified in this review. Conclusions: The review has shown the need to broaden international regulations, to deepen reciprocity between countries, and to consider LMICs health capacities, in order to strengthen the national health security. Adopting elements of the health legal preparedness model is recommended.

  10. Impact of an Emergency Triage Assessment and Treatment (ETAT)-based triage process in the paediatric emergency department of a Guatemalan public hospital.

    Science.gov (United States)

    Crouse, Heather L; Torres, Francisco; Vaides, Henry; Walsh, Michael T; Ishigami, Elise M; Cruz, Andrea T; Torrey, Susan B; Soto, Miguel A

    2016-08-01

    Triage process implementation has been shown to be effective at improving patient outcomes. This study sought to develop, implement and assess the impact of an Emergency Triage Assessment and Treatment (ETAT)-based emergency triage process in the paediatric emergency department (PED) of a public hospital in Guatemala. The study was a quality improvement comparison with a before/after design. Uptake was measured by percentage of patients with an assigned triage category. Outcomes were hospital admission rate, inpatient length of stay (LOS), and mortality as determined by two distinct medical record reviews for 1 year pre- and post-intervention: a random sample (RS) of all PED patients and records for all critically-ill (CI) children [serious diagnoses or admission to the paediatric intensive care unit (PICU)]. Demographics, diagnoses and disposition were recorded. The RS totalled 1027 (51.4% male); median ages pre- and post-intervention were 2.0 and 2.4 years, respectively. There were 196 patients in the CI sample, of whom 56.6% were male and one-third were neonates; median ages of the CI group pre- and post-intervention were 3.1 and 5.6 months, respectively. One year after implementation, 97.5% of medical records had been assigned triage categories. Triage categories (RS/CI) were: emergency (2.9%/54.6%), priority (47.6%/44.4%) and non-urgent (49.4%/1.0%). The CI group was more frequently diagnosed with shock (25%/1%), seizures (9%/0.5%) and malnutrition (6%/0.5%). Admission rates for the RS (8% vs 4%, P=0.01) declined after implementation. For the CI sample, admission rate to the PICU (47% vs 24%, P=0.002) decreased and LOS (7.3 vs 5.7 days, P=0.09) and mortality rates (12% vs 6%, P=0.15) showed trends toward decreasing post-implementation. Paediatric-specific triage algorithms can be implemented and sustained in resource-limited settings. Significant decreases in admission rates (both overall and for the PICU) and trends towards decreased LOS and mortality rates

  11. Decoding the Phenomenon of Angry Youth and Internet Rumors amid Public Emergencies

    Science.gov (United States)

    Hao, Wu

    2011-01-01

    With the deepening of reform and opening up, and as a critical point in China's social transformation approaches, various unexpected public crises are increasing as well. The channels whereby people obtain information are also diversifying, and mixed up therein are angry youth and Internet rumormongering. The extensive influence of and large area…

  12. 75 FR 76006 - Agency Emergency Information Collection Clearance Request for Public Comment

    Science.gov (United States)

    2010-12-07

    ... Abuse and Mental Health Administration/Center for Mental Health Services' (SAMHSA/CMHS) Primary Care... primary care services into publicly funded community mental health and other community-based behavioral... integrated primary care services produce improvements in the physical and mental health of the SMI population...

  13. The Development and Implementation of the Chicago Public Schools Emergency EpiPen® Policy

    Science.gov (United States)

    Zadikoff, Emily H.; Whyte, Stephanie A.; DeSantiago-Cardenas, Lilliana; Harvey-Gintoft, Blair; Gupta, Ruchi S.

    2014-01-01

    Background: Food allergy affects 1 in 13 children, or 2 children per classroom. Food allergies are the leading cause of anaphylaxis, a severe allergic reaction that can result in death. In fact, 25% of first-time anaphylactic reactions among children occur in school. To address this, the Chicago Public Schools (CPS) Office of Student Health and…

  14. The Growth of Public Schools for Blacks, and the Emergence of Professional Black Savannahians.

    Science.gov (United States)

    Perdue, Robert E.

    The history of the growth of public education for the black masses, including topics such as racial attitudes toward black education, the financial problems facing black schools, and the political pressures that led to the development of a system of education for blacks, is traced and discussed in this paper -- specifically as it concerns…

  15. 78 FR 51729 - Emergency Clearance: Public Information Collection Requirements Submitted to the Office of...

    Science.gov (United States)

    2013-08-21

    ... collection process is essential to ensuring that Information Security (IS) incidents, which also include...; therefore causing harm and potential risk to the public's identity with identity fraud. 1. Type of... Collection: Title State Health Insurance Exchange Incident Report; Use: We have implemented a Computer...

  16. Mob justice as an emerging medico-legal, social and public health ...

    African Journals Online (AJOL)

    Background: Mob-justice poses a medico-legal, social and public health problem in most developing countries including Tanzania and has shown to have negative effects on social and health of the country, communities, and families. This study was conducted to analyze the mob-justice situation in north-western Tanzania ...

  17. 75 FR 51825 - Quality and Compliance in Merging and Emerging Cultures; Public Conference

    Science.gov (United States)

    2010-08-23

    ... challenges facing the medical products industry in navigating regulatory compliance, achieving worldwide..., from 7:30 a.m. to 12:15 p.m. Location: The public conference will be held at the Renaissance Hotel, 999... responsible for their own [[Page 51826

  18. Religion in public spaces : emerging Muslim-Christian polemics in Ethiopia

    NARCIS (Netherlands)

    Abbink, J.

    2011-01-01

    In Ethiopia, as in other parts of Africa, relations between Christians and Muslims show a new dynamic under the impact of both state policies and global connections. Religious identities are becoming more dominant as people's primary public identity, and more ideological. This development has

  19. The impact of correctional institutions on public health during a pandemic or emerging infection disaster.

    Science.gov (United States)

    Schwartz, Rachel D

    2008-01-01

    With the growing threat of a naturally occurring or man-made global pandemic, many public, private, federal, state, and local institutions have begun to develop some form of preparedness and response plans. Among those in the front lines of preparedness are hospitals and medical professionals who will be among the first responders in the event of such a disaster. At the other end of the spectrum of preparedness is the Corrections community who have been working in a relative vacuum, in part because of lack of funding, but also because they have been largely left out of state, federal local planning processes. This isolation and lack of support is compounded by negative public perceptions of correctional facilities and their inmates, and a failure to understand the serious impact a jail or prison facility would have on public health in the event of a disaster. This article examines the unique issues faced by correctional facilities responding to disease disasters and emphasizes the importance of assisting them to develop workable and effective preparedness and response plans that will prevent them from becoming disease repositories spreading illness and infection throughout our communities. To succeed in such planning, it is crucial that the public health and medical community be involved in correctional disaster planning and that they should integrate correctional disaster response with their own. Failure to do so endangers the health of the entire nation.

  20. Summary of public comments and NRC staff analysis relating to rulemaking on emergency planning for nuclear power plants

    International Nuclear Information System (INIS)

    1980-09-01

    This NUREG provides a summary and discussions of public comments received during the expedited rulemaking to upgrade emergency preparedness around nuclear power reactor sites. The final rule was published in the Federal Register (45 FR 55402) on August 19, 1980. The information in NUREG-0684 was excerpted in the main from internal paper SECY-80-275 (June 3, 1980) which forwarded the final rule to the Commission for consideration. This document, along with NUREG-0628, NUREG/CP-0011, and the materials cited in the Final Rules, should be considered a compendium of the major issues raised in this proceeding and acted upon by the Commission

  1. Re-emergence of Indigeneity in transformed Layouts in Urban Public Housing in Nigeria

    Directory of Open Access Journals (Sweden)

    Abubakar Danladi Isah

    2016-01-01

    Full Text Available In contrast to the one whole homogenous configuration provided by developers that has often proved ineffective overtime, transformed public housing units are widespread in developing cities. Though transformation is a natural phenomenon of inhabitation, its various levels and degree can have implicit values. In recent times in Nigeria, heterogeneous spatial patterns of transformed houses in public housing estates has given empirical evidence of essentially inevitable reflection of culture sensitivity as hypothesized by previous studies. That hints that the mainstream sustainable values were probably ignored during design process. This study attempted to connect that possible missing link. To achieve that aim, it developed two objectives. First, is to identify core values behind space layouts in the mainstream. Then, to examine how they exist in the transformed layout as reflected at communal origins. It investigated on 42 transformed units in selected urban Public housings neighborhoods via a stratified conditional sampling conducted in five states of Nigeria. Qualitative methods were adopted for data analysis. After identifying the core ethnic groups in the region, their social indicators with regards to space use were determined through ethnographic principles. These indicators were then operationally defined, and used as a tool to examine users’ motivations in the transformation process in urban context. Spatial pattern analysis, by using gamma delineation, revealed the social content in the transformations after comparing initial design and the transformed spatial configurations. The outcome signified the mainstream cultural values in the transformation process hence in Public housing design. The convergence of mainstream values into urban transformed layouts suggested that they cannot be ignored during design process. The outcome of this research might be useful in designing sustainable public housings in culture sensitive environments

  2. Publicly available software tools for decision-makers during an emergent epidemic-Systematic evaluation of utility and usability.

    Science.gov (United States)

    Heslop, David James; Chughtai, Abrar Ahmad; Bui, Chau Minh; MacIntyre, C Raina

    2017-12-01

    Epidemics and emerging infectious diseases are becoming an increasing threat to global populations-challenging public health practitioners, decision makers and researchers to plan, prepare, identify and respond to outbreaks in near real-timeframes. The aim of this research is to evaluate the range of public domain and freely available software epidemic modelling tools. Twenty freely utilisable software tools underwent assessment of software usability, utility and key functionalities. Stochastic and agent based tools were found to be highly flexible, adaptable, had high utility and many features, but low usability. Deterministic tools were highly usable with average to good levels of utility. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  3. Reversibility tested by the public debate, or the emergence of human and social sciences into a technological area

    International Nuclear Information System (INIS)

    Weill, Agnes

    2009-01-01

    This author discusses the notion of reversibility as a mediation approach of the socio-technical risks associated with deep storage of radioactive wastes. She discusses the evolution of the notion since the emergence of the issue of definitive disposal of nuclear wastes in France at the end of the 1980's. She outlines and discusses what is at stake as far as reversibility is concerned. She identifies the different ways in which reversibility is expressed within the public debate organised by the National Commission on Public Debate (CNDP) in terms of content and form. She comments how radioactive waste disposal is perceived by French people according to a survey, and discusses the approach to representation in media of the issue of radioactive waste disposal

  4. Availability of emergency obstetric care (EmOC) among public and private health facilities in rural northwest Bangladesh.

    Science.gov (United States)

    Sikder, Shegufta S; Labrique, Alain B; Ali, Hasmot; Hanif, Abu A M; Klemm, Rolf D W; Mehra, Sucheta; West, Keith P; Christian, Parul

    2015-01-31

    Although safe motherhood strategies recommend that women seek timely care from health facilities for obstetric complications, few studies have described facility availability of emergency obstetric care (EmOC). We sought to describe and compare availability and readiness to provide EmOC among public and private health facilities commonly visited for pregnancy-related complications in two districts of northwest Bangladesh. We also described aspects of financial and geographic access to healthcare and key constraints to EmOC provision. Using data from a large population-based community trial, we identified and surveyed the 14 health facilities (7 public, 7 private) most frequently visited for obstetric complications and near misses as reported by women. Availability of EmOC was based on provision of medical services, assessed through clinician interviews and record review. Levels of EmOC availability were defined as basic or comprehensive. Readiness for EmOC provision was based on scores in four categories: staffing, equipment, laboratory capacity, and medicines. Readiness scores were calculated using unweighted averages. Costs of C-section procedures and geographic locations of facilities were described. Textual analysis was used to identify key constraints. The seven surveyed private facilities offered comprehensive EmOC compared to four of the seven public facilities. With 100% representing full readiness, mean EmOC readiness was 81% (range: 63%-91%) among surveyed private facilities compared to 67% (range: 48%-91%) in public facilities (p = 0.040). Surveyed public clinics had low scores on staffing and laboratory capacity (69%; 50%). The mean cost of the C-section procedure in private clinics was $77 (standard deviation: $16) and free in public facilities. The public sub-district facilities were the only facilities located in rural areas, with none providing comprehensive EmOC. Shortages in specialized staff were listed as the main barrier to EmOC provision in

  5. Determinants of General Health, Work-Related Strain, and Burnout in Public Versus Private Emergency Medical Technicians in Istanbul.

    Science.gov (United States)

    Tunaligil, Verda; Dokucu, Ali Ihsan; Erdogan, Mehmet Sarper

    2016-07-01

    This study investigated the impact of working for public versus private ambulance services in Turkey and elaborated on predictors of mental, physical, and emotional well-being in emergency medical technicians (EMT-Bs). In this observational cross-sectional study, an 81-question self-report survey was used to gather data about employee demographics, socioeconomic status, educational background, working conditions, and occupational health and workplace safety (OHS), followed by the 12-item General Health Questionnaire (GHQ-12), the Work-Related Strain Inventory (WRSI), and the Maslach Burnout Inventory (MBI) with three subscales: Emotional Exhaustion (MBI-EE), Depersonalization (MBI-DP), and Diminished Personal Accomplishment (MBI-PA). In 2011, 1,038 EMT-Bs worked for publicly operated and 483 EMT-Bs worked for privately owned ambulance services in Istanbul, Turkey, of which 606 (58.4%) and 236 (48.9%) participated in the study (overall participation rate = 55.4%), respectively. On all scales, differences between total mean scores in both sectors were statistically insignificant (p > .05). In the public sector, work locations, false accusations, occupational injuries and diseases, work-related permanent disabilities, and organizational support were found to significantly influence self-reported perceptions of well-being (p < .05). In the private sector, commute time to and from work (p < .05), false accusations (p < .05), vocational training and education (p < .05), informed career choices (p < .05), and work-related permanent disabilities (p < .05) were found to significantly influence self-reported perceptions of well-being. EMT-Bs were asked about aspects of their working lives that need improvement; priority expectations in the public and private sectors were higher earnings (17.5%; 16.7%) and better social opportunities (17.4%; 16.8%). Working conditions, vocational training, and OHS emerged as topics that merit priority attention. © 2016 The Author(s).

  6. The Emergence and Workings of a Process View in Public Education Policy

    DEFF Research Database (Denmark)

    Pors, Justine Grønbæk; Ratner, Helene

    2017-01-01

    This article presents a study of Danish primary education policy with the purpose of exploring what is put at stake when contemporary management discourses describe the object of management as fluid and emergent processes rather than as entities, persons and things. The article examines how...... such a process view of organisation allows policy makers to imagine innovative change, but also how a process view interacts in particular ways with financial pressures and become entangled to increased performance measurements. We conclude that in this particular case, a conception of the object of management...

  7. The emergence and workings of a process view in public education policy

    DEFF Research Database (Denmark)

    Grønbæk Pors, Justine; Ratner, Helene Gad

    2017-01-01

    This article presents a study of Danish primary education policy with the purpose of exploring what is put at stake when contemporary management discourses describe the object of management as fluid and emergent processes rather than as entities, persons and things. The article examines how...... such a process view of organisation allows policy makers to imagine innovative change, but also how a process view interacts in particular ways with financial pressures and become entangled to increased performance measurements. We conclude that in this particular case, a conception of the object of management...

  8. Behavioral and biological correlates of medicine use in type 2 diabetic patients attended by Brazilian public healthcare system. http://dx.doi.org/10.5007/1980-0037.2013v15n1p82

    Directory of Open Access Journals (Sweden)

    Jamile Sanches Codogno

    2013-01-01

    Full Text Available The relationship between physical activity and the use of medicines is not clear. The purpose of this study was to investigate this relationship between the level of physical activity and the use of medications by type 2 diabetic patients who were attended in the Brazilian public healthcare system. The sample was composed of 121 Brazilian diabetic patients, of both genders, attended by the public healthcare system. Body fat (estimated by anthropometry and bioelectrical impedance, physical activity (measured by Baecke’s questionnaire, and the participant’s use of medicines (during the 15 days before evaluation were assessed. There was a relationship between the use of medicines and: gender (r = 0.18; p = 0.045, body mass index (BMI (r = 0.22; p = 0.012, waist circumference (r = 0.19; p = 0.029, body fat percentage (r = 0.21; p = 0.016, age (r = 0.23; p = 0.009, and level of physical activity (r = -0.22; p = 0.012. Linear regression included in the multivariate model only age (β = 0.718; p = 0.057, BMI (β= 0.057; p = 0.022, and level of physical activity (β = -0.176; p = 0.044. In conclusion, physical activity decreases medicinal use independent of age or obesity.

  9. A burn center paradigm to fulfill deferred consent public disclosure and community consultation requirements for emergency care research.

    Science.gov (United States)

    Blackford, Martha G; Falletta, Lynn; Andrews, David A; Reed, Michael D

    2012-09-01

    To fulfill Food and Drug Administration and Department of Health and Human Services emergency care research informed consent requirements, our burn center planned and executed a deferred consent strategy gaining Institutional Review Board (IRB) approval to proceed with the clinical study. These federal regulations dictate public disclosure and community consultation unique to acute care research. Our regional burn center developed and implemented a deferred consent public notification and community consultation paradigm appropriate for a burn study. Published accounts of deferred consent strategies focus on acute care resuscitation practices. We adapted those strategies to design and conduct a comprehensive public notification/community consultation plan to satisfy deferred consent requirements for burn center research. To implement a robust media campaign we engaged the hospital's public relations department, distributed media materials, recruited hospital staff for speaking engagements, enlisted community volunteers, and developed initiatives to inform "hard-to-reach" populations. The hospital's IRB determined we fulfilled our obligation to notify the defined community. Our communication strategy should provide a paradigm other burn centers may appropriate and adapt when planning and executing a deferred consent initiative. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

  10. Emerging global epidemiology of measles and public health response to confirmed case in Rhode Island.

    Science.gov (United States)

    Bandyopadhyay, Ananda Sankar; Bandy, Utpala

    2013-02-01

    Measles is a highly contagious viral disease and rapid identification and control of cases/outbreaks are important global health priorities. Measles was declared eliminated from the United States in March 2000. However, importations from endemic countries continued through out the last decade and in 2011, the United States reported its highest number of cases in 15 years. With a global snapshot of current measles epidemiology and the persistent risk of transnational spread based on population movement as the backdrop, this article describes the rare event of a measles case identification in the state of Rhode Island and the corresponding public health response. As the global effort for measles elimination continues to make significant progress, sensitive public health surveillance systems and strong routine immunization programs will be important to ensure we maintain local and regional control.

  11. Publication Ethics and the Emerging Scientific Workforce: Understanding ‘Plagiarism’ in a Global Context

    Science.gov (United States)

    Cameron, Carrie; Zhao, Hui; McHugh, Michelle K.

    2013-01-01

    Scientific publication has long been dominated by the English language and is rapidly moving towards near complete hegemony of English, while the majority of the world’s publishing scientists are not native English speakers. This imbalance has important implications for training in and enforcement of publication ethics, particularly with respect to plagiarism. A lack of understanding of what constitutes plagiarism and the use of a linguistic support strategy known as patchwriting can lead to inadvertent misuse of source material by non-native speakers writing in English as well as to unfounded accusations of intentional scientific misconduct on the part of these authors. A rational and well-informed dialogue about this issue is needed among both native English speaking and non-native English speaking writers, editors, educators, and administrators. Recommendations for educating and training are provided. PMID:22104051

  12. Comparison between Brazilian radiation protection standard and the ICRP recommendations published in 2007

    International Nuclear Information System (INIS)

    Pereira, Wagner de S.; Py Junior, Delcy de A.; Kelecom, Alphonse; Mortagua, Valter

    2009-01-01

    In the year 2007, ICRP published a set of recommendations (The 2007 Recommendations of the International Commission on Radiological Protection, Publication 103, ICRP-103), which changed some important concepts. This work aims to compare the Brazilian radiation protection basic standard with the new ICRP recommendations, by checking the existing differences. The main difference between Brazilian standard and ICRP-103 is the changing of the concept of protection based on process, by using the concepts of practice and intervention, to the protection based in the exposition situation, by using the concepts of planned exposure, emergency and existing situation. Other important difference lies in the values of the radiation and tissue weighting factors, in the quantities equivalent and effective dose, and updating the radiation detriment based on the latest available scientific information of the biology and physics of radiation exposure. At last, the demonstration of the environment radiation protection must be clear, and this concept is not found in Brazilian nuclear legislation. Also some similarities were found. The fundamental principles of the Brazilian standards are the same as that of ICRP-103, which are the justification principle, the optimization principle and the application of dose limits. The individual effective dose limit of Brazilian standard is the same of the ICRP-103, established as 20 mSv y -1 . In order to adequate the Brazilian standard it is necessary to change its concept of protection and the values of radiation and tissue weighting, and updating the radiation detriment, besides making clear the concept of protection of the environment. It is important to notice that although the Brazilian standard is not in complete agreement with all international recommendations, it must be completely followed as the standard which is in use in the country. (author)

  13. Community pharmacy and emerging public health initiatives in developing Southeast Asian countries: a systematic review.

    Science.gov (United States)

    Hermansyah, Andi; Sainsbury, Erica; Krass, Ines

    2016-09-01

    The development of health and healthcare systems in South-East Asia has influenced the practice of community pharmacy. Over the years, community pharmacy in the region has striven to expand services beyond dispensing to encompass more involvement in public health issues. Searches were conducted in Scopus, EMBASE, MEDLINE and PubMed for articles published between January 2000 and December 2014, with 21 studies in five countries meeting the inclusion criteria. The findings showed increasing interest in research into the delivery of pharmacy services and public health initiatives. Overall, the review found that provision of some health services in pharmacies was common; however, most public health initiatives appeared to be poorly implemented, had limited evidence and were not demonstrated to be sustainable across the sector. This indicates that the practice of community pharmacy in the region has not significantly changed over the past 14 years with respect to the scope and quality of pharmacy services provided, and fundamental policy changes are necessary to improve this situation. © 2015 John Wiley & Sons Ltd.

  14. Street drug use among emergency patients in a Public Hospital in Turkey.

    Science.gov (United States)

    Caliskan, F T; Toker, I; Toktas, R; Temizyurek, Z; Unek, O; Zirek, B; Karcioglu, O

    2018-01-01

    Country-specific numbers of street drug (SD) users are well documented. However, little data exists regarding these patients' clinical presentations and outcomes in the emergency department (ED). Therefore, management of these patients in the emergency setting is still a subject of debate. The aim of this study is to determine the symptoms and signs of SD users presenting to the ED, and to report the substances, treatments, and outcomes. In this single-center study, symptoms, clinical findings, diagnoses, and outcomes of patients who reported to have used SDs or were diagnosed as SD users were investigated within a 1-year study period. Chi-square and Mann-Whitney U tests were performed to compare independent variables. Mean age of the 425 study patients was 25 ± 9 years (range: 12-64 years), and 6.1% (n = 26) of the patients were females. SDs used before presentation to the ED were mostly synthetic cannabinoids and "ecstasy." Overall prevalence of SD user admissions in ED was 0.24%. The most common presenting complaint was weakness/faintness in 21.1% (n = 90). Depressed level of consciousness was the most common physical sign (33.3%, n = 142). Incidences of altered mental status were significantly higher among ecstasy and/or bonsai users (n = 14, 27.5%; P = 0.027 and n = 46, 64.8%; P bonsai users-had depressed level of consciousness and required resuscitation.

  15. The Expansion of the “Feminine” in the Brazilian Public Space: Television Soap Operas of the 1970’s and 80’s

    OpenAIRE

    Esther Império Hamburger

    2007-01-01

    This paper revisits the literature on media and gender studies in search of works that help to discuss the case of Brazilian soap operas. A series of references coming from different theoretical perspectives, with emphasis in different countries and historical periods, bring up ideas and concepts that approach the contemporary desire to connect, to participate and to interact in terms conventionally associated to the female domain. Examples from specific soap operas suggest the...

  16. Development of a Core Clinical Dataset to Characterize Serious Illness, Injuries, and Resource Requirements for Acute Medical Responses to Public Health Emergencies.

    Science.gov (United States)

    Murphy, David J; Rubinson, Lewis; Blum, James; Isakov, Alexander; Bhagwanjee, Statish; Cairns, Charles B; Cobb, J Perren; Sevransky, Jonathan E

    2015-11-01

    In developed countries, public health systems have become adept at rapidly identifying the etiology and impact of public health emergencies. However, within the time course of clinical responses, shortfalls in readily analyzable patient-level data limit capabilities to understand clinical course, predict outcomes, ensure resource availability, and evaluate the effectiveness of diagnostic and therapeutic strategies for seriously ill and injured patients. To be useful in the timeline of a public health emergency, multi-institutional clinical investigation systems must be in place to rapidly collect, analyze, and disseminate detailed clinical information regarding patients across prehospital, emergency department, and acute care hospital settings, including ICUs. As an initial step to near real-time clinical learning during public health emergencies, we sought to develop an "all-hazards" core dataset to characterize serious illness and injuries and the resource requirements for acute medical response across the care continuum. A multidisciplinary panel of clinicians, public health professionals, and researchers with expertise in public health emergencies. Group consensus process. The consensus process included regularly scheduled conference calls, electronic communications, and an in-person meeting to generate candidate variables. Candidate variables were then reviewed by the group to meet the competing criteria of utility and feasibility resulting in the core dataset. The 40-member panel generated 215 candidate variables for potential dataset inclusion. The final dataset includes 140 patient-level variables in the domains of demographics and anthropometrics (7), prehospital (11), emergency department (13), diagnosis (8), severity of illness (54), medications and interventions (38), and outcomes (9). The resulting all-hazard core dataset for seriously ill and injured persons provides a foundation to facilitate rapid collection, analyses, and dissemination of

  17. Impact of an ABCDE team triage process combined with public guidance on the division of work in an emergency department.

    Science.gov (United States)

    Kantonen, Jarmo; Lloyd, Robert; Mattila, Juho; Kauppila, Timo; Menezes, Ricardo

    2015-06-01

    To study the effects of applying an emergency department (ED) triage system, combined with extensive publicity in local media about the "right" use of emergency services, on the division of work between ED nurses and general practitioners (GPs). An observational and quasi-experimental study based on before-after comparisons. Implementation of the ABCDE triage system in a Finnish combined ED where secondary care is adjacent, and in a traditional primary care ED where secondary care is located elsewhere. GPs and nurses from two different primary care EDs. Numbers of monthly visits to different professional groups before and after intervention in the studied primary care EDs and numbers of monthly visits to doctors in the local secondary care ED. The beginning of the triage process increased temporarily the number of independent consultations and patient record entries by ED nurses in both types of studied primary care EDs and reduced the number of patient visits to a doctor compared with previous years but had no effect on doctor visits in the adjacent secondary care ED. No further decrease in the number of nurse or GP visits was observed by inhibiting the entrance of non-urgent patients. The ABCDE triage system combined with public guidance may reduce non-urgent patient visits to doctors in different kinds of primary care EDs without increasing visits in the secondary care ED. However, the additional work to implement the ABCDE system is mainly directed to nurses, which may pose a challenge for staffing.

  18. O atendimento à saúde de homens: estudo qualitativo em quatro estados Brasileiros Men's public health care: a qualitative study in four Brazilian federal states

    Directory of Open Access Journals (Sweden)

    Romeu Gomes

    2011-01-01

    Full Text Available O objetivo deste estudo é analisar os sentidos atribuídos por usuários homens ao atendimento que lhes é prestado no âmbito da atenção básica à saúde, buscando subsidiar a construção de indicadores qualitativos de satisfação em relação ao uso desses serviços por usuários masculinos. Trata-se de uma pesquisa qualitativa, envolvendo entrevistas semiestruturadas com 201 usuários de quatro estados brasileiros. A análise se baseia no método de interpretação de sentidos, ancorando-se em princípios hermenêutico-dialéticos. Em termos de resultados, os usuários apontam critérios para avaliar positivamente os serviços, tomando como referências um atendimento comunicativo e atencioso, que lhes faça algo e que revele prontidão. Conclui-se que os homens usuários idealizam e reivindicam uma dada forma de atendimento considerada boa e que, a princípio, poderia servir para se discutir o atendimento de mulheres também. Entretanto, em razão da socialização que homens e mulheres experimentam, são reforçadas as diferenças entre o ser usuário homem e ser usuário mulher. Por outro lado, tanto no que tange aos profissionais quanto aos usuários, essa mesma segmentação por gênero pode contribuir para que se acirrem as impossibilidades de se lidar com as especificidades de homens e mulheres, em termos de demandas da saúde.This study aims to analyze the meanings attributed by male users to the health care provided to them by the primary health care. It also tries to hook up the construction of qualitative indicators of satisfaction with the use of such services by males. For this purpose, a qualitative study was conducted, involving semi-structured interviews with 201 users from four Brazilian federal states. The data has been analyzed under the method of interpretation of meanings inbuilt in hermeneutic-dialectical principles. As for the results, users were asked to point toward criteria to evaluate positively the services

  19. Development of a dosimetric system for emergency situation involving person of the public

    International Nuclear Information System (INIS)

    Costa, Zelia Maria da

    1999-01-01

    A dosimetric system was developed for emergency situation based on electron spin resonance spectrometry (E.S.R.) and some materials such as tooth enamel, bovine bone, CaCO 3 and sugar as detector. The purpose of this work was to find common materials, which are both reliable and sensitive and make possible quickly to assess the absorbed dose. The research includes the collection and preparation of samples, the evaluation, treatment and interpretation of ESR signal and the procedure for dose reconstruction. The calibration of the dosemeter was performed using gamma radiation from a Co-60 source. The results obtained confirm the variability of the use of this system in case of an accident. (author)

  20. Dynamic Integration of Mobile JXTA with Cloud Computing for Emergency Rural Public Health Care.

    Science.gov (United States)

    Rajkumar, Rajasekaran; Sriman Narayana Iyengar, Nallani Chackravatula

    2013-10-01

    The existing processes of health care systems where data collection requires a great deal of labor with high-end tasks to retrieve and analyze information, are usually slow, tedious, and error prone, which restrains their clinical diagnostic and monitoring capabilities. Research is now focused on integrating cloud services with P2P JXTA to identify systematic dynamic process for emergency health care systems. The proposal is based on the concepts of a community cloud for preventative medicine, to help promote a healthy rural community. We investigate the approaches of patient health monitoring, emergency care, and an ambulance alert alarm (AAA) under mobile cloud-based telecare or community cloud controller systems. Considering permanent mobile users, an efficient health promotion method is proposed. Experiments were conducted to verify the effectiveness of the method. The performance was evaluated from September 2011 to July 2012. A total of 1,856,454 cases were transported and referred to hospital, identified with health problems, and were monitored. We selected all the peer groups and the control server N0 which controls N1, N2, and N3 proxied peer groups. The hospital cloud controller maintains the database of the patients through a JXTA network. Among 1,856,454 transported cases with beneficiaries of 1,712,877 cases there were 1,662,834 lives saved and 8,500 cases transported per day with 104,530 transported cases found to be registered in a JXTA network. The registered case histories were referred from the Hospital community cloud (HCC). SMS messages were sent from node N0 to the relay peers which connected to the N1, N2, and N3 nodes, controlled by the cloud controller through a JXTA network.

  1. Coverage of emergency obstetric care and availability of services in public and private health facilities in Bangladesh.

    Science.gov (United States)

    Alam, Badrul; Mridha, Malay K; Biswas, Taposh K; Roy, Lumbini; Rahman, Maksudur; Chowdhury, Mahbub E

    2015-10-01

    To assess the coverage of emergency obstetric care (EmOC) and the availability of obstetric services in Bangladesh. In a national health facility assessment performed between November 2007 and July 2008, all public EmOC facilities and private facilities providing obstetric services in the 64 districts of Bangladesh were mapped. The performance of EmOC services in these facilities during the preceding month was investigated using a semi-structured questionnaire completed through interviews of managers and service providers, and record review. In total, 8.6 (2.1 public and 6.5 private) facilities per 500000 population offered obstetric care services. Population coverage by obstetric care facilities varied by region. Among 281 public facilities designated for comprehensive EmOC, cesarean delivery was available in only 215 (76.5%) and blood transfusion services in 198 (70.5%). In the private sector (for profit and not for profit), these services were available in more than 80% of facilities. In all facility types, performance of assisted vaginal delivery (range 12.2%-48.4%) and use of parenteral anticonvulsants to treat pre-eclampsia/eclampsia (range 48.6%-80.8%) were low. The main reason for non-availability of EmOC services was a lack of specialist/trained providers. Bangladesh needs to increase the availability of EmOC services through innovative public-private partnerships. In the public sector, additional trained manpower supported by an incentivized package should be deployed. Copyright © 2015. Published by Elsevier Ireland Ltd.

  2. Evaluation of publicly financed and privately delivered model of emergency referral services for maternal and child health care in India.

    Directory of Open Access Journals (Sweden)

    Shankar Prinja

    Full Text Available BACKGROUND: Emergency referral services (ERS are being strengthened in India to improve access for institutional delivery. We evaluated a publicly financed and privately delivered model of ERS in Punjab state, India, to assess its extent and pattern of utilization, impact on institutional delivery, quality and unit cost. METHODS: Data for almost 0.4 million calls received from April 2012 to March 2013 was analysed to assess the extent and pattern of utilization. Segmented linear regression was used to analyse month-wise data on number of institutional deliveries in public sector health facilities from 2008 to 2013. We inspected ambulances in 2 districts against the Basic Life Support (BLS standards. Timeliness of ERS was assessed for determining quality. Finally, we computed economic cost of implementing ERS from a health system perspective. RESULTS: On an average, an ambulance transported 3-4 patients per day. Poor and those farther away from the health facility had a higher likelihood of using the ambulance. Although the ERS had an abrupt positive effect on increasing the institutional deliveries in the unadjusted model, there was no effect on institutional delivery after adjustment for autocorrelation. Cost of operating the ambulance service was INR 1361 (USD 22.7 per patient transported or INR 21 (USD 0.35 per km travelled. CONCLUSION: Emergency referral services in Punjab did not result in a significant change in public sector institutional deliveries. This could be due to high baseline coverage of institutional delivery and low barriers to physical access. Choice of interventions for reduction in Maternal Mortality Ratio (MMR should be context-specific to have high value for resources spent. The ERS in Punjab needs improvement in terms of quality and reduction of cost to health system.

  3. The Brazilian sugarcane innovation system

    International Nuclear Information System (INIS)

    Tosi Furtado, Andre; Gaya Scandiffio, Mirna Ivonne; Barbosa Cortez, Luis Augusto

    2011-01-01

    Ethanol has recently been of great interest worldwide because it is a viable economic alternative to petroleum products and it is a renewable source of energy that mitigates the emission of greenhouse gases. Brazilian bioethanol from sugarcane is the most successful case at the world level because of its low cost and low level of greenhouse gas emissions. Brazil's success with sugarcane cannot be understood as based solely on a natural comparative advantage, but as a result of efforts that culminated in a positive trajectory of technological learning, relying mostly on incremental innovations. The purpose of this article is to analyze the key aspects of the innovation system built around the Brazilian sugarcane industry. It is based on the national innovation systems approach according to which innovation results from the interaction of different institutional actors. Institutional arrangements are analyzed as the basis for the innovative process, in particular R and D and the innovation policies and strategies of the main players in the sugarcane sector, including sugar and ethanol mills, industrial goods suppliers, public and private research institutions, and governmental agencies. - Research Highlights: → The Brazilian success in bioethanol is due to the sugarcane innovation system. → Private funds for R and D became central after IAA closure. → Nowadays Brazilian innovation system is transforming to keep its leadership. → Public funds for research in the second generation bioethanol.

  4. Epidemiological placism in public health emergencies: Ebola in two Dallas neighborhoods.

    Science.gov (United States)

    Smith-Morris, Carolyn

    2017-04-01

    Super-diverse cities face distinctive challenges during infectious disease outbreaks. For refugee and immigrant groups from epidemic source locations, identities of place blend with epidemiological logics in convoluted ways during these crises. This research investigated the relationships of place and stigma during the Dallas Ebola crisis. Ethnographic results illustrate how Africanness, more than neighborhood stigma, informed Dallas residents' experience of stigma. The problems of place-based stigma, the imprecision of epidemiological placism, and the cohesion of stigma to semiotically powerful levels of place - rather than to realistic risk categories - are discussed. Taking its authority from epidemiology, placism is an important source of potential stigma with critical implications for the success of public health messaging. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Occurrence of human pathogenic Clostridium botulinum among healthy dairy animals: an emerging public health hazard.

    Science.gov (United States)

    Abdel-Moein, Khaled A; Hamza, Dalia A

    2016-01-01

    The current study was conducted to investigate the occurrence of human pathogenic Clostridium botulinum in the feces of dairy animals. Fecal samples were collected from 203 apparently healthy dairy animals (50 cattle, 50 buffaloes, 52 sheep, 51 goats). Samples were cultured to recover C. botulinum while human pathogenic C. botulinum strains were identified after screening of all C. botulinum isolates for the presence of genes that encode toxins type A, B, E, F. The overall prevalence of C. botulinum was 18.7% whereas human pathogenic C. botulinum strains (only type A) were isolated from six animals at the rates of 2, 2, 5.8, and 2% for cattle, buffaloes, sheep, and goats, respectively. High fecal carriage rates of C. botulinum among apparently healthy dairy animals especially type A alarm both veterinary and public health communities for a potential role which may be played by dairy animals in the epidemiology of such pathogen.

  6. The public health response to the re-emergence of syphilis in Wales, UK.

    Science.gov (United States)

    Thomas, D Rh; Cann, K F; Evans, M R; Roderick, J; Browning, M; Birley, H D L; Curley, W; Clark, P; Northey, G; Caple, S; Lyons, M

    2011-09-01

    During the 1990s, cases of infectious syphilis were uncommon in Wales. In 2002, an outbreak occurred in a sexual network of men who have sex with men (MSM) attending a sauna. A multidisciplinary outbreak control team was convened to raise awareness of the outbreak among MSM and health professionals, assess the extent of outbreak, and initiate surveillance measures. It is likely that early intensive control efforts dampened the epidemic curve. However, since 2006 the number of cases has increased steadily to a peak of four cases per 100,000 population in 2008. The majority of cases continue to occur in MSM (81% in 2009) and in those attending genitourinary (GU) medicine clinics in south east Wales (76%). Traditional sexual networks such as saunas, bars/clubs and cruising grounds remain frequently reported, but Internet-based networks are assuming increasing importance. Public health interventions have been sustained, using traditional partner notification, health promotion initiatives, and more innovative Internet network tracing methods.

  7. Exploring frontotemporal dementia through a case report: An emerging public health concern in disguise

    Directory of Open Access Journals (Sweden)

    Nitin Khadilkar

    2015-01-01

    Full Text Available Dementia has been declared by the World Health Organization as a significant public health problem around the world. Frontotemporal dementia (FTD is a lesser known, yet the second most common type of dementia among older adults under the age of 65 years. Age of onset in FTD is around late fifties, which is not typical for a diagnosis of dementia. In dementia, it is common to see psychiatric symptoms such as hallucinations or delusions as initial presentations. However, FTD may mimic mood disorders. Unfortunately, there are no definitive treatments or ways to prevent FTD. Additionally, challenges such as an earlier age of onset, delay in diagnosis, and difficulties with placement in nursing homes may be encountered while treating FTD patients. Here, we explore FTD through the case of a 61-year-old Caucasian female who initially presented with suicidal ideations.

  8. The role of public policy in emerging green power markets: An analysis of marketer preferences

    Energy Technology Data Exchange (ETDEWEB)

    Wiser, R.

    1999-08-01

    Green power marketing has been heralded by some as a means to create a private market for renewable energy that is driven by customer demand for green products. This report challenges the premise--sometimes proffered in debates over green markets--that profitable, sizable, credible markets for green products will evolve naturally without supportive public policies. Relying primarily on surveys and interviews of US green power marketers, the article examines the role of specific regulatory and legislative policies in enabling the green market, and searches for those policies that are believed by marketers to be the most conducive or detrimental to the expansion of the green market. The authors find that marketers: (1) believe that profitable green power markets will only develop if a solid foundation of supportive policies exists; (2) believe that establishing overall price competition and encouraging customer switching are the top priorities; (3) are somewhat leery of government-sponsored or mandated public information programs; and (4) oppose three specific renewable energy policies that are frequently advocated by renewable energy enthusiasts, but that may have negative impacts on the green marketers' profitability. The stated preferences of green marketers shed light on ways to foster renewables by means of the green market. Because the interests of marketers do not coincide perfectly with those of society, however, the study also recognizes other normative perspectives and highlights policy tensions at the heart of current debates related to green markets. By examining these conflicts, they identify three key policy questions that should direct future research: (1) to what extent should price competition and customer switching be encouraged at the expense of cost shifting; (2) what requirements should be imposed to ensure credibility in green products and marketing; and (3) how should the green power market and broader renewable energy policies interact?

  9. [Social skills in emergency and critical care professionals of a regional public hospital].

    Science.gov (United States)

    Leal Costa, C; Luján Cebrián, I; Gascón García, J; Ferrer Villalonga, L; Van-der Hofstadt Román, C J

    2010-01-01

    To assess the social skills of health care professionals in the emergency and critical care units of the regional hospital Vega Baja and analyze the association between a series of sociodemographic and professionals variables and social skills. A cross-sectional, descriptive study. Two evaluation tools were used. These included a sociodemographic and professional variables questionnaire, and the Elena Gismero's Social Skills Scale (SSS). A response rate of 82.6% was obtained. Considering the standards made by the author in SSS validation, it can be seen that the sample has obtained a medium-high score in each one of the aspects. Significant differences have been found when considering the sociodemographic variable gender as an independent variable with the complete score of SSS (F=6.555; p=0.013), and with the scale dimensions, self-expression in social situations (F=4.468; p=0.039) and making a demand (F=7.982; p=0.007). In each one of the SSS dimensions, the sample has obtained a slightly higher score than the standard sample and it within the 50-69 percentile. This indicates the existence of a medium-high level of Social Skill. The doctors score higher than the nurses, although these differences are not statistically significant. Copyright © 2010 Elsevier España, S.L. y SEEIUC. All rights reserved.

  10. A paradigm analysis of ecological sustainability: The emerging polycentric climate change publics

    Science.gov (United States)

    Taminiau, Job B.

    Climate change poses significant complications to the development model employed by modern societies. Using paradigm analysis, the dissertation explains why, after 21 years, policy failure haunts the field: a key impediment is the unquestioned assumption that policy must adhere to an economic optimality principle. This results in policy models which fail to uphold sustainability, justice, and equality due to an emphasis on economic growth, technology, and technical and bureaucratic expertise. Unable to build consensus among low- and high-carbon economies, and searching for what one economist has called an oxymoron -- "sustainable growth" (Daly, 1997) -- the policy process has foundered with its only international convention (the Kyoto Protocol) having lost relevance. In the midst of this policy failure, the dissertation offers and defends the premise that alternative strategies have emerged which signal the prospect of a paradigm shift to ecological sustainability -- a paradigm in which social change takes places through commons-based management and community authorship in the form of network governance and where sustainability serves as governor of growth -- something unavailable in an optimality-guided world. Especially, a strategy of polycentricity is discussed in detail in order to elucidate the potential for a paradigm shift. This discussion is followed by an evaluation of two innovative concepts -- the Sustainable Energy Utility and the Solar City -- that might fit the polycentricity strategy and bring forth transformative change. The dissertation finds considerable potential rests in these two concepts and argues the critical importance of further development of innovative approaches to implement the ecological sustainability paradigm.

  11. Creating the Continuum: J. E. Wallace Wallin and the Role of Clinical Psychology in the Emergence of Public School Special Education in America

    Science.gov (United States)

    Ferguson, Philip M.

    2014-01-01

    This paper reviews the history of the continuum of services in intellectual disability programmes. The emergence of public school special education in the USA in the first two decades of the twentieth century is used as a case study of this history by focusing on events and personalities connected to the St Louis Public Schools. Using Annual…

  12. The Frontlines of Medicine Project: a proposal for the standardized communication of emergency department data for public health uses including syndromic surveillance for biological and chemical terrorism.

    Science.gov (United States)

    Barthell, Edward N; Cordell, William H; Moorhead, John C; Handler, Jonathan; Feied, Craig; Smith, Mark S; Cochrane, Dennis G; Felton, Christopher W; Collins, Michael A

    2002-04-01

    The Frontlines of Medicine Project is a collaborative effort of emergency medicine (including emergency medical services and clinical toxicology), public health, emergency government, law enforcement, and informatics. This collaboration proposes to develop a nonproprietary, "open systems" approach for reporting emergency department patient data. The common element is a standard approach to sending messages from individual EDs to regional oversight entities that could then analyze the data received. ED encounter data could be used for various public health initiatives, including syndromic surveillance for chemical and biological terrorism. The interlinking of these regional systems could also permit public health surveillance at a national level based on ED patient encounter data. Advancements in the Internet and Web-based technologies could allow the deployment of these standardized tools in a rapid time frame.

  13. The Australian public is still vulnerable to emerging virulent strains of West Nile virus

    Directory of Open Access Journals (Sweden)

    Natalie A. Prow

    2014-09-01

    Full Text Available The mosquito-borne West Nile virus (WNV is responsible for outbreaks of viral encephalitis in humans and horses with particularly virulent strains causing recent outbreaks in Eastern Europe, the Middle East and North America. In Australia, a strain of WNV, Kunjin (WNVKUN, is endemic in the north and infection with this virus is generally asymptomatic. However, in early 2011, following extensive flooding, an unprecedented outbreak of WNVKUN encephalitis in horses occurred in south-eastern Australia, resulting in more than 1,000 cases and a mortality of 10-15%. Despite widespread evidence of equine infections, there was only a single mild human case reported during this outbreak. To understand why clinical disease was seen in horses without similar observations in the human population, a serosurvey was conducted using blood donor samples from areas where equine cases were reported to assess level of flavivirus exposure. The seroprevalence to WNVKUN in humans was low before the outbreak (0.7%, and no significant increase was demonstrated after the outbreak period (0.6%. Due to unusual epidemiological features during this outbreak, a serosurvey was also conducted in rabbits, a potential reservoir host. Out of 675 animals, sampled across Australia between April 2011 and November 2012, 86 (12.7% were seropositive for WNVKUN, with the highest prevalence during February of 2012 (28/145; 19.3%. As this is the first serological survey for WNVKUN in Australian feral rabbits, it remains to be determined whether wild rabbits are able to develop a high enough viraemia to actively participate in WNV transmission in Australia. However, they may constitute a sentinel species for arbovirus activity, and this is the focus of ongoing studies. Collectively this study provides little evidence of human exposure to WNVKUN during the 2011 outbreak and indicates that the Australian population remains susceptible to the emergence of virulent strains of WNV.

  14. Evaluation of a Public Health Emergency of National Concern using Tracer Methodology

    Directory of Open Access Journals (Sweden)

    Gilberto Ferreira de SOUSA

    2013-09-01

    Full Text Available Este artigo tem o objetivo de descrever a experiência da utilização da metodologia tracer para avaliação do fluxo de informação adotado pelo Centro Nacional de Informações Estratégicas em Vigilância em Saúde (CIEVS para acompanhamento de uma Emergência de Saúde Pública de Importância Nacional (ESPIN no ano de 2010. Durante a realização de pesquisa avaliativa do centro, foi selecionada uma ESPIN como evento traçador e o fluxo percorrido pelas informações foi monitorado durante sua permanência como ponto de discussão no Comitê Permanente (CP. O evento estudado foi um desastre natural (inundação ocorrido no estado de Alagoas e capturado pelo CIEVS na imprensa e confirmado pelo CIEVS parte no estado 48 h depois. O evento passou pelo Instrumento de Decisão sendo considerado uma ESPIN e inserido no monitor CIEVS na Lista de Eventos de Verificação para monitoramento pelo CP. Durante três meses a ESPIN foi acompanhada sendo 180.000 pessoas acometidas com 37 mortes, 17 casos de leptospirose e 175 de dengue confirmados. A metodologia tracer se mostrou instrumento útil para se para se evidenciar a passagem do evento marcador em tempo real pelas diferentes etapas do sistema vigilância em saúde, podendo ser utilizado de maneira complementar nos estudos de avaliação.

  15. Facilitated workshop method to involve stakeholders and public in decision making process in radiological emergencies

    International Nuclear Information System (INIS)

    Mustonen, Raimo; Sinkko, Kari; Haemaelaeinen, Raimo P.

    2006-01-01

    International organisations in radiation protection have for many years recommended that key players, e.g. authorities, expert organisations, industry, producers of foodstuffs and even the public, should be involved in the planning of protective actions in case of a nuclear accident. In this work, we have developed and tested a facilitated workshop method where representatives from various fields of the society aim to identify and evaluate systematically protective actions. Decision analysis techniques have been applied in workshops in order to find out the most feasible countermeasure strategies and to make the decision making-process transparent and auditable. The work builds on case studies where it was assumed that a hypothetical accident had led to a release of considerable amounts of radionuclides and therefore various types of countermeasures should be considered. This paper provides experiences gained in several European countries on how to facilitate this kind of workshops and how modern decision analysis techniques can be applied in the decision-making process

  16. Water Security, Climate Forcings and Public Health Impacts in Emerging Regions

    Science.gov (United States)

    Serman, E. A.; Akanda, A. S.; Craver, V.; Boving, T. B.

    2014-12-01

    Our world is rapidly urbanizing, with more than 80% of world's population is expected to be living in a city by the end of the century. A majority of these nations are rapidly urbanizing due to massive rural-to-urban migratory trends, with rapid development of unplanned urban settlements, or slums, with lack of adequate water or sanitation facilities and other municipal amenities. With global environmental change, natural disasters will expose millions more to drought, floods, and disease epidemics, and existing vulnerabilities will worsen. At the same time, rapid urbanization and fast changing land-use leads to widespread damage of infrastructure by stormwater, especially in lowlands and economically poor areas. The factor that consistently stands out among different cities from both the developed and the developing worlds is that the slums are typically the most vulnerable to water related natural hazards and climatic threats, such as water scarcity and quality issues in drought conditions, or water and sanitation breakdown and stormwater contamination problems. Onsite or decentralized water, wastewater and stormwater treatment as well as point-of-use water treatment options can be an economic, safe, and reliable alternative to conventional large-scale treatment especially, in urban fringes as well as rural areas. These systems can be designed to fit communities in terms of their economic, cultural, environmental, and demographic resources. As part of this study, we develop a database of urban water quality and quantity indices such as with urban land-use, water usage, climate, and socio-economic characteristics in various emerging regions in the world. We analyze past and current data to identify and quantify long-term trends and the impacts of large-scale climatic and anthropogenic changes on urban hydrology and health impacts. We specifically focus on five major cities from distinct groups of countries and geographies: Providence, RI, USA from the developed

  17. The Emergency Public Relations Protocol: How to Work Effectively on Controversial Projects in an Academic Health Setting.

    Science.gov (United States)

    Rosser, B R Simon; Kilian, Gunna; West, William G

    2013-03-01

    Certain research topics - including studies of sexual behavior, substance use, and HIV risk -- are more likely to be scrutinized by the media and groups opposed to this area of research. When studying topics that others might deem controversial, it is critical that researchers anticipate potential negative media events prior to their occurrence. By developing an Emergency Public Relations Protocol at the genesis of a study, researchers can identify and plan for events that might result in higher scrutiny. For each identified risk, a good protocol details procedures to enact before, during and after a media event. This manuscript offers recommendations for developing a protocol based on both Situational Crisis Communication Theory and our experience as an HIV prevention research group who recently experienced such an event. The need to have procedures in place to monitor and address social media is highlighted.

  18. Confronting the Emerging Threat to Public Health in Northern Australia of Neglected Indigenous Arboviruses

    Directory of Open Access Journals (Sweden)

    Narayan Gyawali

    2017-10-01

    Full Text Available In excess of 75 arboviruses have been identified in Australia, some of which are now well established as causative agents of debilitating diseases. These include Ross River virus, Barmah Forest virus, and Murray Valley encephalitis virus, each of which may be detected by both antibody-based recognition and molecular typing. However, for most of the remaining arboviruses that may be associated with pathology in humans, routine tests are not available to diagnose infection. A number of these so-called ‘neglected’ or ‘orphan’ arboviruses that are indigenous to Australia might have been infecting humans at a regular rate for decades. Some of them may be associated with undifferentiated febrile illness—fever, the cause of which is not obvious—for which around half of all cases each year remain undiagnosed. This is of particular relevance to Northern Australia, given the Commonwealth Government’s transformative vision for the midterm future of massive infrastructure investment in this region. An expansion of the industrial and business development of this previously underpopulated region is predicted. This is set to bring into intimate proximity infection-naïve human hosts, native reservoir animals, and vector mosquitoes, thereby creating a perfect storm for increased prevalence of infection with neglected Australian arboviruses. Moreover, the escalating rate and effects of climate change that are increasingly observed in the tropical north of the country are likely to lead to elevated numbers of arbovirus-transmitting mosquitoes. As a commensurate response, continuing assiduous attention to vector monitoring and control is required. In this overall context, improved epidemiological surveillance and diagnostic screening, including establishing novel, rapid pan-viral tests to facilitate early diagnosis and appropriate treatment of febrile primary care patients, should be considered a public health priority. Investment in a rigorous

  19. Linguistic Policies, Linguistic Planning, and Brazilian Sign Language in Brazil

    Science.gov (United States)

    de Quadros, Ronice Muller

    2012-01-01

    This article explains the consolidation of Brazilian Sign Language in Brazil through a linguistic plan that arose from the Brazilian Sign Language Federal Law 10.436 of April 2002 and the subsequent Federal Decree 5695 of December 2005. Two concrete facts that emerged from this existing language plan are discussed: the implementation of bilingual…

  20. Examining the patterns of innovation in low carbon energy science and technology: Publications and patents of Asian emerging economies

    International Nuclear Information System (INIS)

    Wong, Chan-Yuan; Fatimah Mohamad, Zeeda; Keng, Zi-Xiang; Ariff Azizan, Suzana

    2014-01-01

    This paper focuses on selected Asian emerging economies. The study employs publications and patents as proxies for science and technology, and its analysis is divided into three main parts: production trends, catching-up trends and patterns of convergence. The findings resulted in four salient points to be considered by policy makers: (1) ASEAN-4 lagged significantly behind the more advanced economies (Korea, Taiwan and China) even though their performance was identical in the early 1990s. China has forged ahead in terms of scientific publications and patents production, but lags behind in patents quality; (2) compared to the world average, the region as a whole has high potential to forge ahead in low carbon energy scientific production. (3) Advanced economies in Asia kicked off their low carbon energy science and technology development more from technological rather than scientific production, with no straightforward co-evolution between the two competencies. This demonstrates the need for a strong science-based technological foundation and a high level of dynamism for low carbon energy technology development; and (4) the economies demonstrated contrasting development trends in their focus between the supply and demand sides of energy technology development. The performance of the advanced economies is higher in ‘demand-side’ low carbon energy innovations

  1. The hookwormAncylostoma ceylanicum: An emerging public health risk in Australian tropical rainforests and Indigenous communities.

    Science.gov (United States)

    Smout, Felicity A; Skerratt, Lee F; Butler, James R A; Johnson, Christopher N; Congdon, Bradley C; Thompson, R C Andrew

    2017-06-01

    Ancylostoma ceylanicum is the common hookworm of domestic dogs and cats throughout Asia, and is an emerging but little understood public health risk in tropical northern Australia. We investigated the prevalence of A. ceylanicum in soil and free-ranging domestic dogs at six rainforest locations in Far North Queensland that are Indigenous Australian communities and popular tourist attractions within the Wet Tropics World Heritage Area. By combining PCR-based techniques with traditional methods of hookworm species identification, we found the prevalence of hookworm in Indigenous community dogs was high (96.3% and 91.9% from necropsy and faecal samples, respectively). The majority of these infections were A. caninum. We also observed, for the first time, the presence of A. ceylanicum infection in domestic dogs (21.7%) and soil (55.6%) in an Indigenous community. A. ceylanicum was present in soil samples from two out of the three popular tourist locations sampled. Our results contribute to the understanding of dogs as a public health risk to Indigenous communities and tourists in the Wet Tropics. Dog health needs to be more fully addressed as part of the Australian Government's commitments to "closing the gap" in chronic disease between Indigenous and other Australians, and encouraging tourism in similar locations.

  2. The institutional interface between Brazilian Regulatory Agency for Private Health Insurance and Judiciary: analysis of judicial cases about medical care for emergencies in healthcare plans

    OpenAIRE

    Ramalho, Bruno Araujo

    2016-01-01

    O presente artigo dedica-se a analisar o controle judicial da norma regulatória atualmente adotada pela Agência Nacional de Saúde Suplementar (ANS) para a cobertura de urgências e emergências médicas em planos de assistência à saúde. Para tanto, foi feita uma revisão jurisprudencial de acórdãos dos tribunais de São Paulo, Rio de Janeiro e Minas Gerais que versavam sobre o tema e, ao final, verificou-se que a norma regulatória tem sido considerada ilegal pela maioria dos integrantes desses tri...

  3. Actions to Protect the Public in an Emergency due to Severe Conditions at a Light Water Reactor. Date Effective: May 2013 (Spanish Edition)

    International Nuclear Information System (INIS)

    2016-01-01

    Under Article 5.a(ii) of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention'), one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to a nuclear or radiological emergency. This publication is intended to help fulfil in part these functions assigned to the IAEA in the Assistance Convention. The aim of this publication is to provide those persons who are responsible for making and for acting on decisions in the event of an emergency at a light water reactor with an understanding of the actions that are necessary to protect the public. The publication provides a basis for developing the tools and criteria at the preparedness stage that would be needed in taking protective actions and other actions in response to such an emergency. The publication applies the safety principles stated in IAEA Safety Standards Series No. SF-1, Fundamental Safety Principles, and it will be of assistance to Member States in meeting the requirements established in IAEA Safety Standards Series No. GS-R-2, Preparedness and Response for a Nuclear or Radiological Emergency. The application of these requirements is intended to minimize the consequences for people and the environment in any nuclear or radiological emergency. This guidance should be adapted to fit the State's organizational arrangements, language, terminology, concept of operation and capabilities. The IAEA General Conference, in resolution GC(55)/RES/9: 'Emphasizes the importance for all Member States to implement emergency preparedness and response mechanisms and develop mitigation measures at a national level, consistent with the Agency's Safety Standards, for improving emergency preparedness and response, facilitating communication in an emergency and contributing to harmonization of national criteria for

  4. Actions to Protect the Public in an Emergency due to Severe Conditions at a Light Water Reactor. Date Effective: May 2013

    International Nuclear Information System (INIS)

    2013-01-01

    Under Article 5.a(ii) of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (the 'Assistance Convention'), one function of the IAEA is to collect and disseminate to States Parties and Member States information concerning methodologies, techniques and results of research relating to response to a nuclear or radiological emergency. This publication is intended to help fulfil in part these functions assigned to the IAEA in the Assistance Convention. The aim of this publication is to provide those persons who are responsible for making and for acting on decisions in the event of an emergency at a light water reactor with an understanding of the actions that are necessary to protect the public. The publication provides a basis for developing the tools and criteria at the preparedness stage that would be needed in taking protective actions and other actions in response to such an emergency. The publication applies the safety principles stated in IAEA Safety Standards Series No. SF-1, Fundamental Safety Principles, and it will be of assistance to Member States in meeting the requirements established in IAEA Safety Standards Series No. GS-R-2, Preparedness and Response for a Nuclear or Radiological Emergency. The application of these requirements is intended to minimize the consequences for people and the environment in any nuclear or radiological emergency. This guidance should be adapted to fit the State's organizational arrangements, language, terminology, concept of operation and capabilities. The IAEA General Conference, in resolution GC(55)/RES/9: 'Emphasizes the importance for all Member States to implement emergency preparedness and response mechanisms and develop mitigation measures at a national level, consistent with the Agency's Safety Standards, for improving emergency preparedness and response, facilitating communication in an emergency and contributing to harmonization of national criteria for protective and other

  5. Políticas públicas e internacionalização de empresas brasileiras / Public policy and internationalization of brazilian enterprises

    Directory of Open Access Journals (Sweden)

    Leandro Bruno Santos

    2015-04-01

    Full Text Available The productive internationalization is an essential process to the enterprises strengthening and nations competitiveness growing, due to positive impact on their flows, technology and foreign exchange trade. The major developed economies were pioneers in supporting their enterprises trade and productive internationalization, by creation of funding programs, market research, insurance and guarantees, and trade missions. The objective of this text is to analyze the Brazilian State role played in the several cycles of local companies productive internationalization on the one hand and display in detail the more decisive role of the Banco Nacional de Desenvolvimento Econômico e Social (BNDES in the “national champions” formation and productive internationalization during the early years of this century on the other. The main conclusion is that the bank, to support groups that operate in capital and natural resources intensive industries, has reinforced the regressive specializations and the adaptation technological pattern.

  6. Cost-Effectiveness of High, Moderate and Low-Dose Statins in the Prevention of Vascular Events in the Brazilian Public Health System

    Energy Technology Data Exchange (ETDEWEB)

    Ribeiro, Rodrigo Antonini, E-mail: rodrigo.ribeiro@htanalyze.com [Programa de Pós-Graduação em Epidemiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Duncan, Bruce Bartholow [Programa de Pós-Graduação em Epidemiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Programa de Pós-Graduação em Cardiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Ziegelmann, Patricia Klarmann [Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Departamento de Estatística da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Stella, Steffan Frosi [Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Programa de Pós-Graduação em Cardiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Vieira, Jose Luiz da Costa [Instituto de Cardiologia / Fundação Universitária de Cardiologia, Porto Alegre, RS (Brazil); Restelatto, Luciane Maria Fabian [Serviço de Medicina Interna do Hospital de Clínicas de Porto Alegre, Porto Alegre, RS (Brazil); Polanczyk, Carisi Anne [Programa de Pós-Graduação em Epidemiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil); Instituto de Avaliação de Tecnologia em Saúde, Porto Alegre, RS (Brazil); Programa de Pós-Graduação em Cardiologia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil)

    2015-01-15

    Statins have proven efficacy in the reduction of cardiovascular events, but the financial impact of its widespread use can be substantial. To conduct a cost-effectiveness analysis of three statin dosing schemes in the Brazilian Unified National Health System (SUS) perspective. We developed a Markov model to evaluate the incremental cost-effectiveness ratios (ICERs) of low, intermediate and high intensity dose regimens in secondary and four primary scenarios (5%, 10%, 15% and 20% ten-year risk) of prevention of cardiovascular events. Regimens with expected low-density lipoprotein cholesterol reduction below 30% (e.g. simvastatin 10mg) were considered as low dose; between 30-40%, (atorvastatin 10mg, simvastatin 40mg), intermediate dose; and above 40% (atorvastatin 20-80mg, rosuvastatin 20mg), high-dose statins. Effectiveness data were obtained from a systematic review with 136,000 patients. National data were used to estimate utilities and costs (expressed as International Dollars - Int$). A willingness-to-pay (WTP) threshold equal to the Brazilian gross domestic product per capita (circa Int$11,770) was applied. Low dose was dominated by extension in the primary prevention scenarios. In the five scenarios, the ICER of intermediate dose was below Int$10,000 per QALY. The ICER of the high versus intermediate dose comparison was above Int$27,000 per QALY in all scenarios. In the cost-effectiveness acceptability curves, intermediate dose had a probability above 50% of being cost-effective with ICERs between Int$ 9,000-20,000 per QALY in all scenarios. Considering a reasonable WTP threshold, intermediate dose statin therapy is economically attractive, and should be a priority intervention in prevention of cardiovascular events in Brazil.

  7. Cost-Effectiveness of High, Moderate and Low-Dose Statins in the Prevention of Vascular Events in the Brazilian Public Health System

    International Nuclear Information System (INIS)

    Ribeiro, Rodrigo Antonini; Duncan, Bruce Bartholow; Ziegelmann, Patricia Klarmann; Stella, Steffan Frosi; Vieira, Jose Luiz da Costa; Restelatto, Luciane Maria Fabian; Polanczyk, Carisi Anne

    2015-01-01

    Statins have proven efficacy in the reduction of cardiovascular events, but the financial impact of its widespread use can be substantial. To conduct a cost-effectiveness analysis of three statin dosing schemes in the Brazilian Unified National Health System (SUS) perspective. We developed a Markov model to evaluate the incremental cost-effectiveness ratios (ICERs) of low, intermediate and high intensity dose regimens in secondary and four primary scenarios (5%, 10%, 15% and 20% ten-year risk) of prevention of cardiovascular events. Regimens with expected low-density lipoprotein cholesterol reduction below 30% (e.g. simvastatin 10mg) were considered as low dose; between 30-40%, (atorvastatin 10mg, simvastatin 40mg), intermediate dose; and above 40% (atorvastatin 20-80mg, rosuvastatin 20mg), high-dose statins. Effectiveness data were obtained from a systematic review with 136,000 patients. National data were used to estimate utilities and costs (expressed as International Dollars - Int$). A willingness-to-pay (WTP) threshold equal to the Brazilian gross domestic product per capita (circa Int$11,770) was applied. Low dose was dominated by extension in the primary prevention scenarios. In the five scenarios, the ICER of intermediate dose was below Int$10,000 per QALY. The ICER of the high versus intermediate dose comparison was above Int$27,000 per QALY in all scenarios. In the cost-effectiveness acceptability curves, intermediate dose had a probability above 50% of being cost-effective with ICERs between Int$ 9,000-20,000 per QALY in all scenarios. Considering a reasonable WTP threshold, intermediate dose statin therapy is economically attractive, and should be a priority intervention in prevention of cardiovascular events in Brazil

  8. Cost-Effectiveness of High, Moderate and Low-Dose Statins in the Prevention of Vascular Events in the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Rodrigo Antonini Ribeiro

    2015-01-01

    Full Text Available Background: Statins have proven efficacy in the reduction of cardiovascular events, but the financial impact of its widespread use can be substantial. Objective: To conduct a cost-effectiveness analysis of three statin dosing schemes in the Brazilian Unified National Health System (SUS perspective. Methods: We developed a Markov model to evaluate the incremental cost-effectiveness ratios (ICERs of low, intermediate and high intensity dose regimens in secondary and four primary scenarios (5%, 10%, 15% and 20% ten-year risk of prevention of cardiovascular events. Regimens with expected low-density lipoprotein cholesterol reduction below 30% (e.g. simvastatin 10mg were considered as low dose; between 30-40%, (atorvastatin 10mg, simvastatin 40mg, intermediate dose; and above 40% (atorvastatin 20-80mg, rosuvastatin 20mg, high-dose statins. Effectiveness data were obtained from a systematic review with 136,000 patients. National data were used to estimate utilities and costs (expressed as International Dollars - Int$. A willingness-to-pay (WTP threshold equal to the Brazilian gross domestic product per capita (circa Int$11,770 was applied. Results: Low dose was dominated by extension in the primary prevention scenarios. In the five scenarios, the ICER of intermediate dose was below Int$10,000 per QALY. The ICER of the high versus intermediate dose comparison was above Int$27,000 per QALY in all scenarios. In the cost-effectiveness acceptability curves, intermediate dose had a probability above 50% of being cost-effective with ICERs between Int$ 9,000-20,000 per QALY in all scenarios. Conclusions: Considering a reasonable WTP threshold, intermediate dose statin therapy is economically attractive, and should be a priority intervention in prevention of cardiovascular events in Brazil.

  9. Doença de lyme-símile brasileira ou síndrome baggioyoshinari: zoonose exótica e emergente transmitida por carrapatos Brazilian lyme-like disease or baggio-yoshinari syndrome: exotic and emerging brazilian tick-borne zoonosis

    Directory of Open Access Journals (Sweden)

    Natalino Hajime Yoshinari

    2010-01-01

    the Ixodes ricinus group. In 1992, first cases similar to LD were described in Brazil, when brothers, after a tick bite episode developed symptoms , as erythema migrans, general flu-like symptoms and arthritis. Careful analysis of Brazilian LD-like illness casuistry showed that epidemiological, clinical and laboratorial features in the country were very different from those exhibited by North American and Eurasian LD patients. Human blood-suckers Ixodes ricinus complex ticks were absent at risk areas; the disease is recurrent in the country; Borrelia burgdorferi was never isolated in Brazil and specific serologic tests have shown little positivity with inconsistent results. Furthermore, peripheral blood analysis of patients on electron microscopy exhibited structures resembling Mycoplasma spp, Chlamydia spp and spirochete-like microorganisms. In fact, they were assumed to be latent forms of spirochetes (L form or cell wall deficient bacteria adapted to survive at inhospitable conditions in vertebrate and invertebrate hosts. For these reasons, the Brazilian zoonosis was named Baggio-Yoshinari Syndrome (BYS and defined as: "Exotic and emerging Brazilian infectious disease, transmitted by ticks not belonging to the Ixodes ricinus complex, caused by latent spirochetes with atypical morphology, which originates LD-like symptoms, except for occurrence of relapsing episodes and auto-immune disorders".

  10. 'Present nuclear emergency responses in India: tracing requirements and guidelines suggested after Fukushima accident in regards to public and plant safety

    International Nuclear Information System (INIS)

    Jawale, Priyanka M.

    2014-01-01

    In this poster the primary initiative is to educate the public at large and instill confidence about the present Emergency Response Systems of DAE and the imminent agencies in India. Poster attempts to analyse present regulatory and safety systems, mechanisms like plant and site emergency response plans are in place to handle radiation emergencies and how public will not be affected in any manner. In India also we needed some supplementary provisions to cope up with major disasters in Nuclear Power Plants (NPP) apart from the existing one. Some of the NPPs are not under the UN safeguards, which can not import Uranium also need extra care and protection. Regulatory and safety functions of Atomic Energy in India are carried out by the Atomic Energy Regulatory Board (Atomic Energy Regulatory Board), the poster attempts to explain the present regulatory and safety mechanism under Atomic Energy Regulatory Board. We have the plant and site emergency response plans in place. The well planned functioning of these is demonstrated here. India is equipped with detail plans of emergency response system, to handle the radiation emergencies in public domain even at the locations where DAE facility is not available

  11. Antibiotic prescribing patterns in the pediatric emergency department at Georgetown Public Hospital Corporation: a retrospective chart review.

    Science.gov (United States)

    Sharma, Suparna; Bowman, Clive; Alladin-Karan, Bibi; Singh, Narendra

    2016-04-19

    The increase in antimicrobial-resistant infections has led to significant morbidity, mortality, and healthcare costs. The impact of antimicrobial resistance is greatest on low-income countries, which face the double burden of fewer antibiotic choices and higher rates of infectious diseases. Currently, Guyana has no national policy on rational prescribing. This study aims to characterize antibiotic prescribing patterns in children discharged from the emergency department at Georgetown Public Hospital Corporation (GPHC), as per the World Health Organization (WHO) prescribing indicators. A retrospective chart review of pediatric patients (aged 1 month-13 years) seen in the GPHC emergency department between January and December 2012 was conducted. Outpatient prescriptions for eligible patients were reviewed. Patient demographics, diagnosis, and drugs prescribed were recorded. The following WHO Prescribing Indicators were calculated: i) average number of drugs prescribed per patient encounter, ii) percentage of encounters with an antibiotic prescribed, iii) percentage of antibiotics prescribed by generic name, and iv) percentage of antibiotics prescribed from essential drugs list or formulary. Eight hundred eleven patient encounters were included in the study. The mean patient age was 5.55 years (s = 3.98 years). 59.6 % (n = 483) patients were male. An average of 2.5 drugs were prescribed per encounter (WHO standard is 2.0). One or more antibiotic was prescribed during 36.9 % (n = 299) of all encounters (WHO standard is 30 %). 90.83 % of antibiotics were prescribed from the essential drugs formulary list and 30 % of the prescriptions included the drug's generic name. The average duration of antibiotic therapy was 5.73 days (s = 3.53 days). Of the 360 antibiotics prescribed, 74.7 % (n = 269) were broad-spectrum. B-lactam penicillins were prescribed most frequently (51.4 %), with amoxicillin being the most popular choice (33.9 %). The

  12. Export performance: an analysis of the brazilian scientific production

    Directory of Open Access Journals (Sweden)

    Vanessa Almeida da Silva

    2013-08-01

    Full Text Available The development of the scientific production sets an important database for studies. In that way, this study aims to analyze the articles published about export performance on the main vehicles for disseminating of Brazilian academic production. As a form of analysis, this present article was based on a proposed guide for Hoppen, Moreau and Lapointe (1997, through of a verifying of utilization of basic elements on an investigation, focusing on the research strategies and methodologies. Was analyzed 17 articles in the period of 1993 to 2008, on the major journals, such as: Revista de Administração Contemporânea (RAC, Revista de Administração de Empresas (RAE e Revista de Administração (RAUSP and on EnANPAD. The articles were analyzed for types, approach, plane, data source and instruments for collecting. The results pointed that the publications about the subject are sparse on the studied period, showing, however, more publications since 2004. The results present too, the predominance of empiric studies and quantitative methods and techniques. Was possible to confirm yet that the theme export performance is emergent on the Brazilian scenario.

  13. Online Coverage of the 2010 Brazilian Presidential Elections

    Directory of Open Access Journals (Sweden)

    Heloiza G. Herscovitz

    2012-12-01

    Full Text Available A framing analysis of mainstream on-line organizations and their bloggers and columnists on the 2010 Brazilian Presidential Elections revealed that framing do have the potential to expose ideological elements on how the media position themselves in the public sphere.Thematic and episodic frames dominated the news with a special focus on press freedom, social and economic problems, corruption and abortion. The main-stream media focused their coverage on the Workers’ Party employing primarily a critical/ adversarial tone as opposed to an interpretive analysis tone. Professional ideology mixed with political preferences both by journalists and mediaowners marked the Brazilian online coverage blurring the lines between the private and the public, exactly in the same way that outgoing President Lula da Silva acted during the presidential campaign. Journalism status quo emerged as a main topic in the coverage as a free press under attack quickly reacted with rage causing a rift between news organizations that criticized the outgoing president and those that supported him. Furthermore, a popular president apparently unaffected by corruption scandals and the country’s most powerful media groups confronted each other in an exhaustive and unfinished battle.

  14. Geologic occurrences of erionite in the United States: an emerging national public health concern for respiratory disease

    Science.gov (United States)

    Van Gosen, Bradley S.; Blitz, Thomas A.; Plumlee, Geoffrey S.; Meeker, Gregory P.; Pierson, M. Patrick

    2013-01-01

    Erionite, a mineral series within the zeolite group, is classified as a Group 1 known respiratory carcinogen. This designation resulted from extremely high incidences of mesothelioma discovered in three small villages from the Cappadocia region of Turkey, where the disease was linked to environmental exposures to fibrous forms of erionite. Natural deposits of erionite, including fibrous forms, have been identified in the past in the western United States. Until recently, these occurrences have generally been overlooked as a potential hazard. In the last several years, concerns have emerged regarding the potential for environmental and occupational exposures to erionite in the United States, such as erionite-bearing gravels in western North Dakota mined and used to surface unpaved roads. As a result, there has been much interest in identifying locations and geologic environments across the United States where erionite occurs naturally. A 1996 U.S. Geological Survey report describing erionite occurrences in the United States has been widely cited as a compilation of all US erionite deposits; however, this compilation only focused on one of several geologic environments in which erionite can form. Also, new occurrences of erionite have been identified in recent years. Using a detailed literature survey, this paper updates and expands the erionite occurrences database, provided in a supplemental file (US_erionite.xls). Epidemiology, public health, and natural hazard studies can incorporate this information on known erionite occurrences and their characteristics. By recognizing that only specific geologic settings and formations are hosts to erionite, this knowledge can be used in developing management plans designed to protect the public.

  15. Considerations in Emergency Preparedness and Response for a State Embarking on a Nuclear Power Programme. Publication Date: June 2013 (French Edition)

    International Nuclear Information System (INIS)

    2013-01-01

    The aim of this publication is to provide a practical tool for emergency planning for States embarking on a nuclear power programme and to fulfil, in part, functions assigned to the IAEA in the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency ('Assistance Convention'). Under Article 5.a (ii) of the Assistance Convention, one function of the IAEA is to collect and disseminate to State Parties and Member States information concerning methodologies, techniques and available results of research relating to such emergencies. As established in the publication Preparedness and Response for a Nuclear or Radiological Emergency (IAEA Safety Standards Series No. GS-R-2), the practical goal of emergency response is 'to ensure that arrangements are in place for a timely, managed, controlled, coordinated and effective response at the scene, and at the local, regional, national and international level, to any nuclear or radiological emergency'. In 2011 the IAEA General Conference, in resolution GC(55)/RES/9, encouraged States 'embarking on new nuclear power programmes to take timely and proactive steps, based upon gradual and systematic application of IAEA safety standards, to establish and sustain a strong safety culture'. It also 'emphasizes the importance for all Member States to implement emergency preparedness and response mechanisms and develop mitigation measures at a national level, consistent with the IAEA's Safety Standards, for improving emergency preparedness and response, facilitating communication in an emergency and contributing to harmonization of national criteria for protective and other actions'. This publication, issued in the IAEA Emergency Preparedness and Response Series, is intended to assist on steps to be taken by States embarking on a nuclear power programme to establish effective national capabilities and arrangements of preparedness for and response to a nuclear or radiological emergency (hereinafter referred to as

  16. Motor Acquisition Rate in Brazilian Infants

    Science.gov (United States)

    Lopes, Virlaine Bardella; de Lima, Carolina Daniel; Tudella, Eloisa

    2009-01-01

    This study used the Alberta Infant Motor Scale (AIMS) with the aim of characterizing motor acquisition rate in 70 healthy 0-6-month-old Brazilian infants, as well as comparing both emergence (initial age) and establishment (final age) of each skill between the study sample and the AIMS normative data. New motor skills were continuously acquired…

  17. Public emergency department: the psychosocial impact on the physical domain of quality of life of nursing professionals

    Directory of Open Access Journals (Sweden)

    Moisés Kogien

    2014-01-01

    Full Text Available OBJECTIVES: to determine the psychosocial factors of work related to harm caused in the physical domain of the quality of life of nursing professionals working in a public emergency department. METHOD: cross-sectional, descriptive study addressing 189 nursing professionals. The Job Stress Scale and the short version of an instrument from the World Health Organization to assess