WorldWideScience

Sample records for da modern health

  1. AYURVEDA AND MODERN HEALTH EDUCATION

    Science.gov (United States)

    Ovelil, Bernd Pflug

    1982-01-01

    Ayurveda is prevention in itself. It is not necessary for Ayurveda to develop a comprehensive structure of preventive approaches as it is found in modern health education. On the other hand has Ayurveda not modernized its preventive principles according to the present living and working conditions of the people. It is so far not understood as integral part of the socio-economic development of the country. This has saved Ayurveda to become part of the highly structured and bureaucratic form of health care and health education- at the expense of not being consulted by others when working on a social health oriented development strategy. PMID:22556952

  2. Euclides da Cunha nas vascas da modernidade // Euclides da Cunha in the throes of modernity

    Directory of Open Access Journals (Sweden)

    Walnice Nogueira Galvão

    2017-06-01

    Full Text Available Euclides da Cunha embraced the role of posthumous champion of the backlanders slaughtered by the Brazilian army during the Canudos War. He claimed to have written an “avenging book”. Coming of age at the turn of the century, his work would bear witness to a Modernity that was both historical and aesthetic.

  3. Da den moderne jazz kom til Danmark

    DEFF Research Database (Denmark)

    Høyer, Ole Izard; Nielsen, Anders H.U.

    som tog over, deriblandt Erik Moseholm, Bent Axen og Jørn Elniff. Denne bog forklarer, hvordan den moderne jazz kom til Danmark, og hvordan den udviklede det danske jazzmiljø. Den inddrager faktorer som udenlandske musikeres besøg, koncerter og efterfølgende jazzsessions. Hvilken betydning havde disse...... for den danske jazzudvikling? Hvor blev musikken spillet, og hvordan blev den behandlet af medierne og af samfundet? Sammen med beskrivelser af de vigtigste moderne jazzmusikere fra perioden, analyseres og beskrives en række indspilninger af moderne dansk jazz for at undersøge hvornår, og hvilke af de nye...

  4. Synergy between indigenous knowledge systems, modern health ...

    African Journals Online (AJOL)

    ... the people of this country should harness a synergy between indigenous health care systems, scientific research and modern health care methods. This article attempts to address the historical evolution of health care methods in South Africa, its effect on the community as well as challenges facing the health professions.

  5. Defective modernization and health in Mexico.

    Science.gov (United States)

    Simonelli, J M

    1987-01-01

    This paper uses data gathered in a semi-arid, mountain region of the border state of Sonora, Mexico to illustrate that modernization and the importation of urban ideas and values can influence health status in unexpected ways. It traces the historic process of modernization in a rural municipio, relating this to social promises and economic cycles in Mexico. Modernization is seen to encompass life standard improvements and access to medical care; extension of road and transportation systems; and the widespread availability of information and education, as well as lifestyle changes required to incorporate these 'urban' influences. Reviewing the link between climate and health in arid lands, the paper notes that such modernization can be a well-meaning intrusion upon a set of cultural and social practices which had proved adaptive in dealing with climatic extremes. Initial modernization produces impressive declines in mortality and morbidity, as illustrated in an analysis of mortality figures and causes in relation to age cohorts and decades for the years 1955-1984. However, reductions in epidermic-related infant mortality are shown to be offset by increases in deaths due to trauma, chronic conditions and endemic disease. An analysis of morbidity for the year 1983-84 indicates that continuing high rates of infectious disease are related to conditions which result from increasingly defective modernization. To maintain technology, including water, electrical, and sewage systems, continual capital expenditure on both the public and private level is required. The economic crisis in Mexico is reducing available funds at a time when the community has adjusted its traditional lifestyle to incorporate technological improvements. In light of this, it is likely that inroads against infectious disease will not just continue to be stalemated, but could actually be reversed. This finding has implications for towns and villages on both sides of the Mexican-American border.

  6. Psychoanalysis in modern mental health practice.

    Science.gov (United States)

    Yakeley, Jessica

    2018-05-01

    Like any discipline, psychoanalysis has evolved considerably since its inception by Freud over a century ago, and a multitude of different psychoanalytic traditions and schools of theory and practice now exist. However, some of Freud's original ideas, such as the dynamic unconscious, a developmental approach, defence mechanisms, and transference and countertransference remain essential tenets of psychoanalytic thinking to this day. This Review outlines several areas within modern mental health practice in which contemporary adaptations and applications of these psychoanalytic concepts might offer helpful insights and improvements in patient care and management, and concludes with an overview of evidence-based psychoanalytically informed treatments and the links between psychoanalysis, attachment research, and neuroscience. Copyright © 2018 Elsevier Ltd. All rights reserved.

  7. A identidade da mulher na modernidade Women's identity in modernity

    Directory of Open Access Journals (Sweden)

    Josênia Antunes Vieira

    2005-01-01

    Full Text Available O artigo trata das mudanças na constituição da identidade da mulher diante das novas práticas discursivas, produto das modificações nas ordens do discurso, resultado da globalização da economia. Essas mudanças alteraram a vida e a intimidade das pessoas, modificando-lhes o modo de ser. Assim, as transformações das relações sociais trazem dificuldades para a construção identitária feminina. Para isso, o artigo discute, à luz da análise de discurso crítica, os tópicos: a construção social da identidade da mulher; o papel do sujeito; a tecnologia e a mídia como agentes fragmentadores da identidade da mulher; a espacialização no discurso feminino; o discurso do corpo na auto-realização identitária; a identidade da mulher diante das transformações da sexualidade; a construção da identidade do gênero feminino na família; a questão identitária e o ensino e, por fim, o trabalho como força estruturante da identidade feminina.This paper deals with changes in the constitution of women's identity in relation to new discourse practices. These are the result of changes in discourse orders due to economic globalization. These changes have altered people's lives and their intimacy, thus modifying their way of being. In this sense, changes in social relations have brought about difficulties in the construction of female identity. Thus, this article, based on critical discourse analysis, seeks to discuss the following issues: the social construction of women's identity; technology and the media as fragmentary agents in women's identity; spatialization in female discourse; the discourse of the body in identity self-realization; women's identity vis à vis transformations in sexuality; the construction of female identity in the family; the identity issue and education and, finally, the world of work as a structuring element in female identity.

  8. Military Health System Transformation Implications on Health Information Technology Modernization.

    Science.gov (United States)

    Khan, Saad

    2018-03-01

    With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system. In this perspective, we discuss the implications of the intersection of two large-scope and large-scale initiatives, health system transformation, and information technology modernization, being rolled out in the largest and most complex federal agency and potential risk mitigating steps. The Military Health System will require an expanded unified clinical leadership to spearhead short-term transformation; furthermore, developing, organizing, and growing a cadre of informatics expertise to expand the use and diffusion of novel solutions such as health information exchanges, data analytics, and others to transcend organizational barriers are still needed to achieve the long-term aim of health system reform as envisioned by the National Defense Authorization Act for Fiscal Year 2017.

  9. Innovating in Health Care – Modern Challenges

    Directory of Open Access Journals (Sweden)

    Sebija Izetbegović

    2013-12-01

    Full Text Available Introduction: The goal of this article is to present that innovating in health care begins to become an imperative in present time. Innovating will enable the achievement of the highest quality health care results and the patients' satisfaction with the least amount of financial resources.Methods: The thorough literature review of multifaceted sources was conducted including: studies, books, monographies and peer – reviewed journals with the goal of achieving the clearer picture of today's modern challenges in the complex fi eld of health care innovation.Discussion: Theoretical and empirical studies clearly indicate that the innovation is one of the key factors in the competitiveness of the organization and its survival in the market. Developed countries of the world today are making significant efforts in order for innovation to become a national priority, with special emphasis placed on measuring innovation performance. Results of theoretical and practical studies show that in the future, treatment of the most diffi cult and complex diseases of our time, through the entirely new discoveries and results, derived from the process of innovation, will project entirely new positive forms and outcomes in the health care.Conclusion: There is no doubt that the humanity and medical science will through innovation succeed to win the battles against the majority of the most complex contemporary diseases. Malignant neoplasm of tomorrow, through the application of a new, innovative approaches to research, processes and treatments will become a chronic diseases. Among many, the particular problem in the process of innovation will represent the cost of research and development (R&D, production and the safety of prescription drugs.

  10. Familiarity with modern health management trends by West African ...

    African Journals Online (AJOL)

    Familiarity with modern health management trends by West African Surgeons. ... of the West African College of Surgeons, which was held in Calabar, Nigeria, from ... We recommend for a well-focussed short time duration health management ...

  11. [A general review on women's health education of modern China].

    Science.gov (United States)

    Wang, Shaoyang

    2015-07-01

    In the modern social background of strengthening the nation and its people, woman's health got the attention of Chinese and became one important part in the modernization progress of state and nation, they started the work of women's health education, publicized women's health knowledge and nursery methods through many ways and carried out midwifery education.In the name of "health", woman's body gradually be socialized and internationalized. Meanwhile, Chinese women also gradually got rid of their own discipline of the state and society, began to seek their own liberation, became one important part of China's modernization.

  12. Policy challenges in modern health care

    National Research Council Canada - National Science Library

    Mechanic, David

    2005-01-01

    ... for the Obesity Epidemic KENNETH E. WARNER 99 8 Patterns and Causes of Disparities in Health DAVID R. WILLIAMS 115 9 Addressing Racial Inequality in Health Care SARA ROSENBAUM AND JOEL TEITELBAU...

  13. Modern social life and never-married women's health problems

    Directory of Open Access Journals (Sweden)

    Patrapan Tamdee

    2016-01-01

    Full Text Available This study explored the health problems of never-married women as they relate to modern social life. In-depth interviews were conducted with a purposive sample of 45 never-married women aged 30–50 working or living in Bangkok and having health problems. It was found that never-married women in this modern era have experienced a variety of illnesses, such as “office syndrome” symptoms, chronic illnesses, and psychological and psychosomatic symptoms. Their social life resulted from the response to the context of modernity and was made through careful thought and deliberation. Whichever choice of social life they make, the consequences may lead them to a state of illness, distress, anxiety, and paranoia. These choices involve work, living conditions/environments, and intimacy aspects of their modern social life. This is the result of procuring by “husky modernity” which seems to be merely a “husk” or superficial modernization and changes so rapidly, but there is no core and it is full of double standards of traditional and new norms that have mixed together and fight against each other. Supporting health-related knowledge and information exchange within the network coupled with experience sharing essential for living in the modern society will enable them to sensibly decide on a path to good health.

  14. EDITORIAL MODERN TECHNOLOGY IN PERIPHERAL HEALTH ...

    African Journals Online (AJOL)

    hi-tech

    2004-06-01

    Jun 1, 2004 ... new technology to peripheral health care systems in developing countries. ... and maintenance of medical equipment in Africa, citing information ... operating laboratory equipment, and for emergency lighting for operating ...

  15. [European health systems and the integration problem of modern societies].

    Science.gov (United States)

    Lüschen, G

    2000-04-01

    With reference to the national health systems in Germany and the UK we must acknowledge that it was in particular Bismarck's Reform, originally directed toward a solidarity among the socially weak, which entailed in its development a marked redistribution via progressive health fees and standardized health services. In view of Alfred Marshall's original expectations this has resulted in a specific integration of the socially weak and with some difference for nationally tax-financed and social security financed health systems to a genuine contribution towards integration of modern society. An open research question is whether as a consequence of solidarity and integration through health systems there is a decline of social inequality for health. Equally open is the question as to the socio-structural and economic consequences the expansion of modern health systems has.

  16. Health politics meets post-modernism: its meaning and implications for community health organizing.

    Science.gov (United States)

    Rosenau, P V

    1994-01-01

    In this article, post-modern theory is described and applied to health politics with examples from community health organizing, social movements, and health promotion. Post-modernism questions conventional assumptions about concepts such as representation, participation, empowerment, community, identity, causality, accountability, responsibility, authority, and roles in community health promotion (those of expert, leader, and organizer). I compare post-modern social movements with their modern counterparts: the organizational forms, leadership styles, and substantive intellectual orientations of the two differ. I explain the social planning, community development, and social action models of community health organizing, comparing them with the priorities of post-modern social movements, and show the similarities and differences between them as to structural preferences, process, and strategies. Finally, and most importantly, I present the implicit lessons that post-modernism offers to health politics and outline the strengths and weaknesses of this approach to health politics.

  17. Modern health worries - the dark side of spirituality?

    Science.gov (United States)

    Köteles, Ferenc; Simor, Péter; Czető, Márton; Sárog, Noémi; Szemerszky, Renáta

    2016-08-01

    Modern health worries (MHWs) are widespread in modern societies. MHWs were connected to both negative and positive psychological characteristics in previous studies. The study aimed to investigate the relationships among intuitive-experiential information processing style, spirituality, MHWs, and psychological well-being. Members of the Hungarian Skeptic Society (N = 128), individuals committed to astrology (N = 601), and people from a non-representative community sample (N = 554) completed questionnaires assessing intuitive-experiential information processing style, spirituality, modern health worries (MHWs), and psychological well-being. Astrologers showed higher levels of spirituality, intuitive-experiential thinking, and modern health worries than individuals from the community sample; and skeptics scored even lower than the latter group with respect to all three constructs. Within the community sample, medium level connections between measures of spirituality and the experiential thinking style, and weak to medium level correlations between spirituality and MHWs were found. The connection between MHWs and experiential thinking style was completely mediated by spirituality. Individuals with higher levels of spirituality are particularly vulnerable to overgeneralized messages on health related risks. Official communication of potential risks based on rational scientific reasoning is not appropriate to persuade them as it has no impact on the intuitive-experiential system. © 2016 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  18. The health care professional as a modern abolitionist.

    Science.gov (United States)

    O'Callaghan, Michael G

    2012-01-01

    Health care professionals are in a unique position to identify and to assist victims of human trafficking. Human trafficking today occurs both domestically and globally. It manifests in many forms, including adult and child forced labor, involuntary domestic servitude, adult and child sexual slavery, involuntary servitude, debt bondage, and child soldiers. This article offers insight into modern human trafficking and ways health care professionals can be activists.

  19. The Health Care Professional as a Modern Abolitionist

    Science.gov (United States)

    O'Callaghan, Michael G

    2012-01-01

    Health care professionals are in a unique position to identify and to assist victims of human trafficking. Human trafficking today occurs both domestically and globally. It manifests in many forms, including adult and child forced labor, involuntary domestic servitude, adult and child sexual slavery, involuntary servitude, debt bondage, and child soldiers. This article offers insight into modern human trafficking and ways health care professionals can be activists. PMID:22745622

  20. The Health Care Professional as a Modern Abolitionist

    OpenAIRE

    O'Callaghan, Michael G

    2012-01-01

    Health care professionals are in a unique position to identify and to assist victims of human trafficking. Human trafficking today occurs both domestically and globally. It manifests in many forms, including adult and child forced labor, involuntary domestic servitude, adult and child sexual slavery, involuntary servitude, debt bondage, and child soldiers. This article offers insight into modern human trafficking and ways health care professionals can be activists.

  1. Belief in the paranormal and modern health worries

    OpenAIRE

    Utinans A.; Ancane G.

    2014-01-01

    It has been found, that despite the improvement of the objective health indicators, people's subjective perception of health is that health indicators are getting worse (Barsky A.J., 1988), which is one of the reasons why a new term “modern health worries” is coming into use in medical literature (Petrie K.J., Wessely S., 2002). People are worried and scared of the effect of new high tech innovations (effect of cell phone radiation, environmental pollution, ozone layer depletion, etc.), chang...

  2. [Modern-day slavery as a public health issue].

    Science.gov (United States)

    Leão, Luís Henrique da Costa

    2016-12-01

    Modern-day slave labor is one of the most pernicious and persistent social problems in Brazil. In the light of the need to implement a national occupational health policy, this paper discusses slave labor as a public health concern, highlighting possibilities for broadening strategies for vigilance and comprehensive care for this specific working population. Exploratory qualitative research was carried out based on the "social construction of reality" proposed by Lenoir, Berger and Luckmann. The investigation consisted of a theoretical review of modern-day slave labor on the national and international scene within the scope of the human, social and public health sciences and an analysis of social and political practices to tackle modern-day slave labor was conducted in the State of Rio de Janeiro. Semi-structured individual and group interviews with workers and representatives of social movements and public institutions were organized. The results reveal the theoretical and practical dimensions of slave labor and its relations with the health field and highlight the role and potential of public health in the enhancing of vigilance practices and health care of workers subjected to these chronic social conditions.

  3. Modern

    Directory of Open Access Journals (Sweden)

    A.V. Bagrov

    2014-06-01

    Full Text Available The article gives an overview of the most important problems of modern meteoric astronomy and briefly describes ways and methods of their solutions. Particular attention is paid to the construction and arrangement of meteoric video cameras intended for registration of the meteoric phenomena as the main method of obtaining reliable and objective observational data on the basis of which the solution of the described tasks is possible.

  4. Health, civilization, and the state: a history of public health from ancient to modern times

    National Research Council Canada - National Science Library

    Porter, Dorothy

    1999-01-01

    ... including: * * * * * * * pestilence, public order and morality in pre-modern times the Enlightenment and its effects public health and centralization in Victorian Britain localization of health care in the United States population issues and family welfare the rise of the classic welfare state and its health care policies attitudes towards public health in...

  5. Indústria moderna e padrão alimentar: o espaço do trabalho, do consumo e da saúde Modern factory and dietary pattern: the space of work, consumption and health

    Directory of Open Access Journals (Sweden)

    Solange Veloso Viana

    2009-12-01

    Full Text Available O presente trabalho tem por objetivo evidenciar a Política de Produção como uma estrutura relevante para a construção de uma complexa teia de processos que conformam o padrão alimentar de um segmento operário e seus problemas de saúde associados à alimentação. Fundamentado na técnica do estudo de caso, o trabalho desenvolve-se numa fábrica do Polo Petroquímico de Camaçari, privilegiando uma abordagem centrada na experiência vivida pelos trabalhadores. Nesse sentido, coloca-se sob a perspectiva das relações sociais, organizando-se em torno das dimensões geral, particular e singular, de modo a elucidar dinâmicas que, situadas em diferentes níveis, articulam-se aos processos de produção e reprodução do padrão alimentar e dos problemas de saúde. Para a coleta de dados, foram utilizados como instrumentos uma entrevista semiestruturada, um questionário autoaplicável, além de uma ficha para registro dos problemas de saúde associados à alimentação. Os resultados, problematizados à luz dos diferentes espaços explicativos, evidenciam os processos mais gerais do contexto fabril, passando pelos processos modeladores do padrão alimentar, até as formas de percepção e conduta em face desses problemas. Conclui com uma discussão sobre o conflito vivido pelo grupo em relação ao modelo de cuidado implementado pela fábrica, às estratégias de superação dos processos que reproduzem seu padrão alimentar e os problemas de saúde a ele associados.The objective of this paper is to show that the Production Policy is a relevant structure to build a complex net of processes which configure the dietary patterns of a working segment and its health problems associated with diet. Based on the case study technique, the work was developed at a factory in the Petrochemical Complex of Camaçari, focusing on an approach centered on the workers' experience. In this way, it is centered on the perspective of social relations, organized

  6. Introducing modern technology to promote transparency in health services.

    Science.gov (United States)

    Islam, Mohammad Shafiqul

    2015-01-01

    Quantitative indicators show that Bangladeshi maternal and child healthcare is progressing satisfactorily. However, healthcare quality is still inadequate. It is hypothesised that modern technology enhances healthcare quality. Therefore, the purpose of this paper is to investigate how modern technology such as electronic record keeping and the internet can contribute to enhancing Bangladeshi healthcare quality. This study also explores how socio-economic and political factors affect the healthcare quality. This paper is based on a qualitative case study involving 68 in-depth interviews with healthcare professionals, elected representatives, local informants and five focus group discussions with healthcare service users to understand technology's effect on health service quality. The study has been conducted in one rural and one urban service organisations to understand how various factors contribute differently to healthcare quality. The findings show that modern technology, such as the internet and electronic devices for record keeping, contribute significantly to enhancing health service transparency, which in turn leads to quality health and family planning services. The findings also show that information and communication technology (ICT) is an effective mechanism for reducing corruption and promoting transparency. However, resource constraints impact adversely on the introduction of technology, which leads to less transparent healthcare. Progress in education and general socio-economic conditions makes it suitable to enhance ICT usage, which could lead to healthcare transparency, but political and bureaucratic factors pose a major challenge to ensure transparency. This paper can be a useful guide for promoting governance and healthcare quality in developing countries including Bangladesh. It analyses the ICT challenges that healthcare staff face when promoting transparent healthcare. This paper provides a deeper understanding of transparency and healthcare

  7. Belief in the paranormal and modern health worries

    Directory of Open Access Journals (Sweden)

    Utinans A.

    2014-01-01

    Full Text Available It has been found, that despite the improvement of the objective health indicators, people's subjective perception of health is that health indicators are getting worse (Barsky A.J., 1988, which is one of the reasons why a new term “modern health worries” is coming into use in medical literature (Petrie K.J., Wessely S., 2002. People are worried and scared of the effect of new high tech innovations (effect of cell phone radiation, environmental pollution, ozone layer depletion, etc., changes in manufacturing of food products (genetically modified food, food concentrates etc.. Nowadays, many people, being worried about their health, turn to new eating habits (veganism, defend themselves against various innovations in the health system (vaccination, etc. It could be defined as fear of consequences of scientific progress. The reason of fear is not only the misunderstanding of scientific innovations. Quite often, it is a belief in pseudoscientific theories (for example, “conspiracy” or belief in the paranormal phenomena (karma violations, disruption of the cosmic plan. In a part of cases protesters against vaccines and genetically modified food belong to new religious movements which are based on belief in the paranormal and magical thinking. Magical thinking predisposes to the negative attitude towards scientific assumptions and innovations, like a genetically modified food (Saher, 2006. Aim of study. To study the correlation between pseudoscientific assumptions, belief in the paranormal and modern health worries. This condition of modern health worries is becoming important for health care system. It causes the increase in the number of symptoms (Koteles et al., 2011, which, in its turn, increases the doctors' visit rate on one hand (Rief W et al., 2012, but, on the other hand, increases evasion to attend traditional medical care activities. Part of supporters of pseudoscientific beliefs experiences anxiety as to the bad food toxins

  8. Microbiome and mental health in the modern environment.

    Science.gov (United States)

    Deans, Emily

    2016-06-27

    A revolution in the understanding of the pathophysiology of mental illness combined with new knowledge about host/microbiome interactions and psychoneuroimmunology has opened an entirely new field of study, the "psychobiotics". The modern microbiome is quite changed compared to our ancestral one due to diet, antibiotic exposure, and other environmental factors, and these differences may well impact our brain health. The sheer complexity and scope of how diet, probiotics, prebiotics, and intertwined environmental variables could influence mental health are profound obstacles to an organized and useful study of the microbiome and psychiatric disease. However, the potential for positive anti-inflammatory effects and symptom amelioration with perhaps few side effects makes the goal of clarifying the role of the microbiota in mental health a vital one.

  9. Os Tratados de Polícia, fundadores da moderna saúde pública (1707-1856 Los Tratados de Policía, fundadores de la salud pública moderna (1707-1856 Treatises on Medical Police, founders of modern public health (1707-1856

    Directory of Open Access Journals (Sweden)

    Carlos Lousada Subtil

    2012-07-01

    ícia contenidos en la obra de Nicolas Delamare (1707, recurriendo a la metodología de la investigación histórica fouconiana. Estas obras ilustran claramente el lento paso de un modelo de regimiento corporativo hacia uno de tipo estatal, el cual se inició a finales del Antiguo Régimen y siguió, con avances y retrocesos, a lo largo de la monarquía constitucional inaugurada por la revolución de 1820.The participation of nurses in the hygiene movement is relatively recent in relation to the founding moments of modern public health to which we will refer. It is fundamental for contemporary public health nurses, within their role and competences, to analyze those facts within a conceptual framework allowing the clarification and structuring of their professional identity in the construction of the present and sketching of the future. The object of this study is to present briefly some treatises on the topic and, particularly, to analyze and discuss the «Tratado de Conservação da Saúde dos Povos» by Ribeiro Sanches (1756 and the «Tratado de Polícia Médica» by Freitas Soares (1818 that reflect the principles included in Nicolas Delamare’s work (1707. We have used the historical investigation method according to Foucault’s genealogy paradigm. These works provide a good illustration of the slow passage from the model of corporate governance to that of state governance, which began at the end of the Antigo Regime (old regime and continued, with several setbacks, throughout the constitutional monarchy established by the revolution of 1820.

  10. The modern mental health system in Nepal: organizational persistence in the absence of legitimating myths.

    Science.gov (United States)

    Tausig, M; Subedi, S

    1997-08-01

    This paper advances an organizational explanation for the slow pace of modernization of mental health care systems in developing societies. In complement to cultural and political economic explanations of this condition, we suggest that the value of establishing modern systems in developing societies lies in the legitimation such structures provide for indigenous modernizing efforts vis-a-vis both indigenous and external audiences. The system need not meet actual levels of service demand. Its importance is in its symbolic value as an indicator of modernity. The result is a system in "permanent failure". Implications for institutional theory and the growth of modern mental health systems in developing societies are discussed.

  11. Max Weber e a história cultural da modernidade Max Weber and the cultural history of modernity

    Directory of Open Access Journals (Sweden)

    Gangolf Hübinger

    2012-01-01

    Full Text Available Este artigo oferece um novo olhar sobre Weber como historiador. O fato de que a MWG reconstrói, de maneira bastante detalhada, o contexto histórico científico e intelectual torna mais evidente como os diferentes tópicos sobre os quais Weber trabalhou - a economia de mercado capitalista, as religiões do mundo ou o Estado moderno - foram abordados em última instância "do ponto de vista da história cultural". Diante desse quadro, meu artigo explora quatro aspectos principais: história econômica; ou mais precisamente o sentido cultural da ação econômica como ponto-chave para o pensamento histórico de Weber como um todo (I; a insistência de Weber na primazia de problemas analíticos e da escolha de perspectivas como pressupostos intelectuais do conhecimento histórico (II; a questão fundamental da história cultural em geral: como as ideias se atualizam em conflitos e constelações históricos e como a singularidade do desenvolvimento cultural europeu deve ser descrita em sua significação histórico-universal (III; a relevância da Primeira Guerra Mundial para os problemas e perspectivas de Weber: seu foco em uma teoria histórico-política do poder e da dominação e da gênese e estrutura do Estado moderno e da democracia (IV.This article takes a new look at Weber as a historian. The MWG's detailed reconstruction of the scientific and intellectual historical context provides a clear insight into how all the different topics on which Weber worked - the capitalist market economy, world religions, or the modern state - were ultimately treated "from the view-point of cultural history." In response the article examines four aspects: Economic history; or more precisely, the cultural meaning of economic action as a key to Weber's historical thinking as a whole (I; Weber's insistence on the primacy of analytical problems and of choices of perspectives as intellectual presuppositions of historical knowledge (II; the cardinal question of

  12. Promoção da saúde: elemento instituinte? Health promotion: an instituing element?

    Directory of Open Access Journals (Sweden)

    Juan Carlos Aneiros Fernandez

    2008-03-01

    Full Text Available O artigo inclui na discussão sobre os resultados da promoção da saúde um argumento de natureza epistemológica, levando em consideração o contexto contemporâneo de mudanças econômicas, políticas e culturais do qual ela é parte e expressão. Destacam-se, por um lado, as suspeitas que recaem sobre o projeto da Modernidade, sejam elas decorrentes do crescimento das incertezas ou da irrealização de promessas e, por outro lado, as tentativas de equacionamento do binômio determinação/autonomia, como questões sensíveis a uma ruptura dos modos de conhecer na contemporaneidade. Propõe-se considerar a dinâmica social e abordá-la como a união e a tensão da história feita e da história se fazendo, para melhor compreender o alcance e os resultados da promoção da saúde. A conclusão é que a promoção da saúde deve continuar buscando o desenvolvimento de ações cada vez mais efetivas, mas deve fazê-lo sem abdicar da possibilidade de manter-se próxima da energia social livre e em ebulição, que caracteriza o elemento instituinte de uma produção histórica.The article includes, in the discussion about health promotion results, an epistemological argument, considering the contemporary context of changes of which it is part and expression. The suspicion concerning the project of Modernity is emphasized, as a result of growing uncertainties or unfulfilled promises. In addition, the attempts to solve the conflict between determination and autonomy are also highlighted. Both aspects are considered as sensible questions regarding a rupture of the ways of knowing in contemporariness. The article proposes to consider social dynamics, approaching it as the union and tension of concluded history and ongoing history, so as to better understand the reach and results of health promotion. The conclusion is that health promotion must continue the search for the development of increasingly effective actions, but it must do it without

  13. Thinking like Leonardo da Vinci and its implications for the modern doctor.

    Science.gov (United States)

    Baum, Neil

    2013-01-01

    Most people when asked to name the most creative, innovative, and multidimensional people in history would agree that Leonardo da Vinci is either at the top or very close to the number one position on that list. Wouldn't it be nice to think like da Vinci? This article shares the seven unique principles of thinking that da Vinci used that enabled him to be the greatest painter, sculptor, architect, musician, mathematician, engineer, inventor, anatomist, geologist, cartographer, botanist, and writer of his (if not of all) time. This article will take you deep into the notebooks and codices of da Vinci, and suggest ways his ideas can be used by anyone in the healthcare profession to make them a better healthcare provider.

  14. The health is existential society system of ancient and modern

    OpenAIRE

    Нерубасская, А. А.

    2014-01-01

    Today a critical necessity has appeared in the reconsideration of modern people lifestyle and society on the whole so as to raise strong and happy generation in a context of life quality increasing, creation of decent living conditions. The given article provides a systematic analysis of the development of the medical methods in the world nations‘ social systems, and a systematic investigation of the ―health‖ existential as a part of the development of the ancient medicine. Nowadays the deman...

  15. [The modern international public health and globalization challenges].

    Science.gov (United States)

    2012-01-01

    The article deals with the issues of impact of globalization on population health and public health. The positive and negative aspects of this process are analyzed. The role of international organizations (UN, WHO, UNESCO, ILO, UNISEF) is demonstrated in the area of management of globalization impact on public health of different countries, Russia included.

  16. The intertext of modernism in Crônica da casa assassinada, de Lúcio Cardoso

    Directory of Open Access Journals (Sweden)

    William Valentine Redmond

    2015-11-01

    Full Text Available AbstractThis article reflects on the many opinions about the author of the of Crônica da casa assassinada as a modernist or postmodernist writer.  Examining the narrative techniques used by the author, maybe influenced by his wide reading of foreign literatures , it may be possible to clarify a little the question of the position of Lucio Cardoso in relation to the literary movements of the twentieth century. His personal experience as a writer passes through the process of impersonalisation, transforming his masterpiece into a universal symbol.  It is hoped that this paper will show how this transformation of his personal experience comes across to the readers in the form of a modernist and not as some say, a post modernist novel. Resumo: Este artigo reflete sobre as muitas opiniões acerca do autor da Crônica da casa assassinada como um escritor modernista ou pós-modernista. Examinando as técnicas narrativas utilizadas pelo autor, talvez influenciado por sua vasta leitura de literaturas estrangeiras relatadas,  seria possível clarear um pouco esta questão da posicionamento de Lucio Cardoso com relação aos movimentos literários do século XX. A experiência pessoal do escritor passa por um processo de impessoalidade, através da transmutação e amalgamação, transformando a obra em símbolo universal. Espera-se com esta comunicação discutir o modo como essa transmutação chega ao leitor em forma de um romance modernista e não, como às vezes se afirma, como um romance pós-modernista. 

  17. A modern history of psychiatric-mental health nursing.

    Science.gov (United States)

    Hein, Laura C; Scharer, Kathleen M

    2015-02-01

    This paper discusses the progression of developments in psychiatric-mental health nursing from the 1960s to the present. The 1960s were a time of shortage of psychiatric APRNs, with legislation expanding the availability of mental health services. We find ourselves in a similar time with 7 million new health insurance enrollees, because of the Affordable Care Act (ACA). The expansion of health insurance coverage comes at a time when some colleges of nursing are closing master's programs in psychiatric-mental health, in lieu of the DNP mandate from the American Association of Colleges of Nursing. Is history repeating itself? Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Modern environmental health hazards: a public health issue of increasing significance in Africa.

    Science.gov (United States)

    Nweke, Onyemaechi C; Sanders, William H

    2009-06-01

    Traditional hazards such as poor sanitation currently account for most of Africa's environmentally related disease burden. However, with rapid development absent appropriate safeguards for environment and health, modern environmental health hazards (MEHHs) may emerge as critical contributors to the continent's disease burden. We review recent evidence of human exposure to and health effects from MEHHs, and their occurrence in environmental media and consumer products. Our purpose is to highlight the growing significance of these hazards as African countries experience urbanization, industrial growth, and development. We reviewed published epidemiologic, exposure, and environmental studies of chemical agents such as heavy metals and pesticides. The body of evidence demonstrates ongoing environmental releases of MEHHs and human exposures sometimes at toxicologically relevant levels. Several sources of MEHHs in environmental media have been identified, including natural resource mining and processing and automobile exhaust. Biomonitoring studies provided direct evidence of human exposure to metals such as mercury and lead and pesticides such as p,p'-dichlorodiphenyltrichloroethane (DDT) and organophosphates. Land and water resource pollution and industrial air toxics are areas of significant data gaps, notwithstanding the presence of several emitting sources. Unmitigated MEHH releases and human exposure have implications for Africa's disease burden. For Africans encumbered by conditions such as malnutrition that impair resilience to toxicologic challenges, the burden may be higher. A shift in public health policy toward accommodating the emerging diversity in Africa's environmental health issues is necessary to successfully alleviate the burden of avoidable ill health and premature death for all its communities now and in the future.

  19. Medical Technology Modernization and Strategic Planning: Shaping Army Health Care

    Science.gov (United States)

    1993-01-01

    Hospital Publishing, Inc. 5 May 1992. Caro , J. J. and Trindade E., Cardiac Transplantation in Quebec: Survival, Costs and Cost-Effectiveness. Council...Secretary of Defense (Health Affairs). February 1988. Mendez , Enrique, Jr., Assistant Secretary of Defense for Health Affairs. Prepared Statement for

  20. The making of a modern female body: beauty, health and fitness in interwar Britain.

    Science.gov (United States)

    Zweiniger-Bargielowska, Ina

    2011-01-01

    In interwar Britain female athleticism, keep-fit classes and physical culture were celebrated as emblems of modernity, and women who cultivated their bodies in the pursuit of beauty, health and fitness represented civic virtue. This article argues that a modern, actively managed female body was part of women's liberation during this period. A modern female body required sex reform and birth control. Fitness culture was circumscribed by traditional notions of femininity. Women's competitive sport remained controversial and slimming in pursuit of fashion was widely condemned. Women from across the social spectrum embraced sport and joined fitness organizations. The rise of a modern female body contributed towards greater equality between the sexes. However, the gender order did not change fundamentally and the ideal woman of the interwar years was represented as a modern, emancipated race mother.

  1. ABC Article Essential Concepts in Modern Health Services

    African Journals Online (AJOL)

    102640

    life styles, prevention of disease or injury, and ensuring ... is facing many difficulties [15,16]. .... approach to guide the actions necessary to ... Figure 1: The continuous process of health planning cycle ..... learning, value of researches and joint.

  2. familiarity with modern health management trends by west african

    African Journals Online (AJOL)

    2010-09-09

    Sep 9, 2010 ... Results: Their familiarity with business and financial concepts was ... ones related to marketing strategies. ... to advertisement of medical services as very appropriate. ..... cases presenting to a Nigerian tertiary health facility:.

  3. Potential of human health in the modern conditions

    Directory of Open Access Journals (Sweden)

    O. V. Dobryden

    2016-03-01

    Full Text Available This article proves that man’s relationship to their health  in each case have varying traits under the influence of sociocultural, psychological and physiological factors  which the world outlook is created from childhood, which implies the appropriate type of behavior that is fixed through the media and social authorities. It is established that scientific knowledge should not be against a man, and should enhance the power of man over nature, but can be transformed into a powerful weapon against humanity. It is noted that science is neutral in terms of values. Will it carry a positive or negative charge to human health depends on the social and cultural markers specific historical era and behavior of the individual. It was found that in addition to the economic crisis, which requires long-term joint economic and political transformations, the most important factor and more accessible to maintaining high adaptive potential health functions at all levels is valeological literacy social subjects and, therefore, imperative the systematic distribution of hygiene recommendations is a significant component of preventive medicine. With the growth of social and technological factors with their aggressive effect on psychophysiological state of man is seen timely more  talk even not about health in general, but should talk about  potential health, which underlines  the  difficulties adaptive and protective processes and susceptibility factors and resistance to pathological changes in the human body. All the more so when we following the formal standards of medicine is unlikely, unfortunately, we be found absolutely healthy people. Under the proposed potential health understood as a set of quantitative and qualitative structural and functional characteristics of the organism, which determine the level of adaptation and protection of human capabilities in adverse conditions, internal and external environment. It is proposed to examine potential

  4. [Bavarian mental health reform 1851. An instrument of administrative modernization].

    Science.gov (United States)

    Burgmair, Wolfgang; Weber, Matthias M

    2008-01-01

    By 1850 the reformation of institutional psychiatric care in Bavaria was given the highest priority by monarchy and administration. Cooperating with experts, especially the psychiatrist Karl August von Solbrig, they provided for new asylums to be established throughout Bavaria in a surprisingly short period of time. It was, however, only at personal intervention of King Max II. that the administrative and financial difficulties which had existed since the beginning of the 19th century could be overcome. The planning of asylums done by each administrative district of Bavaria vividly reflects rivalry as well as cooperation between all governmental and professional agencies involved. Modernization of psychiatry was publicly justified by referring to scientism, the need for a more progressive restructuring of administration, and the paternalistic care of the monarchy, whereas, from an administrative point of view, aspects of psychiatric treatment, like what kind of asylum would be best, were rather insignificant. The structures established by means of the alliance between state administration and psychiatric care under the rule of King Max II. had a lasting effect on the further development of Bavaria.

  5. Training and Health. Leonardo da Vinci Series: Good Practices.

    Science.gov (United States)

    Commission of the European Communities, Brussels (Belgium). Directorate-General for Education and Culture.

    This document profiles programs in the fields of health and medicine that are offered through the European Commission's Leonardo da Vinci program. The following programs are profiled: (1) CYTOTRAIN (a transnational vocational training program in cervical cancer screening); (2) Apollo (a program of open and distance learning for paramedical…

  6. Public health in New York City, 2002-2007: confronting epidemics of the modern era.

    Science.gov (United States)

    Frieden, Thomas R; Bassett, Mary T; Thorpe, Lorna E; Farley, Thomas A

    2008-10-01

    Long after the leading causes of death in the United States shifted from infectious diseases to chronic diseases, many public health agencies have not established effective policies and programmes to prevent current health problems. Starting in 2002, the New York City health department, an agency with a long history of innovation, undertook initiatives to address chronic disease prevention and control, as well as to modernize methods to address persistent health problems. All the initiatives relied on an expansive use of epidemiology; actions to prevent disease were based on policy change to create health-promoting environments as well as engagement with the health care system to improve its focus on prevention. Examples of policy-based initiatives are: a multi-component tobacco control programme that included a tax increase, a comprehensive smoke-free air law, hard-hitting anti-tobacco advertising and cessation services; elimination of trans fats from restaurants and a mandate that restaurants post-calorie information on menu boards. Examples of health care initiatives are public health 'detailing' to primary care providers, creation of a city-wide diabetes registry and development of a public health-oriented electronic health record. The infrastructure needed by local health departments to prevent chronic diseases and other modern health problems includes strong information technology systems, skillful epidemiology, expertise in communications using modern media, policy-making authority and, most importantly, political support.

  7. History of US Presidential Assaults on Modern Environmental Health Protection.

    Science.gov (United States)

    Fredrickson, Leif; Sellers, Christopher; Dillon, Lindsey; Ohayon, Jennifer Liss; Shapiro, Nicholas; Sullivan, Marianne; Bocking, Stephen; Brown, Phil; de la Rosa, Vanessa; Harrison, Jill; Johns, Sara; Kulik, Katherine; Lave, Rebecca; Murphy, Michelle; Piper, Liza; Richter, Lauren; Wylie, Sara

    2018-04-01

    The Trump administration has undertaken an assault on the Environmental Protection Agency (EPA), an agency critical to environmental health. This assault has precedents in the administrations of Ronald Reagan and George W. Bush. The early Reagan administration (1981-1983) launched an overt attack on the EPA, combining deregulation with budget and staff cuts, whereas the George W. Bush administration (2001-2008) adopted a subtler approach, undermining science-based policy. The current administration combines both these strategies and operates in a political context more favorable to its designs on the EPA. The Republican Party has shifted right and now controls the executive branch and both chambers of Congress. Wealthy donors, think tanks, and fossil fuel and chemical industries have become more influential in pushing deregulation. Among the public, political polarization has increased, the environment has become a partisan issue, and science and the mainstream media are distrusted. For these reasons, the effects of today's ongoing regulatory delays, rollbacks, and staff cuts may well surpass those of the administrations of Reagan and Bush, whose impacts on environmental health were considerable.

  8. History of US Presidential Assaults on Modern Environmental Health Protection

    Science.gov (United States)

    Sellers, Christopher; Dillon, Lindsey; Ohayon, Jennifer Liss; Shapiro, Nicholas; Sullivan, Marianne; Bocking, Stephen; Brown, Phil; de la Rosa, Vanessa; Harrison, Jill; Johns, Sara; Kulik, Katherine; Lave, Rebecca; Murphy, Michelle; Piper, Liza; Richter, Lauren; Wylie, Sara

    2018-01-01

    The Trump administration has undertaken an assault on the Environmental Protection Agency (EPA), an agency critical to environmental health. This assault has precedents in the administrations of Ronald Reagan and George W. Bush. The early Reagan administration (1981–1983) launched an overt attack on the EPA, combining deregulation with budget and staff cuts, whereas the George W. Bush administration (2001–2008) adopted a subtler approach, undermining science-based policy. The current administration combines both these strategies and operates in a political context more favorable to its designs on the EPA. The Republican Party has shifted right and now controls the executive branch and both chambers of Congress. Wealthy donors, think tanks, and fossil fuel and chemical industries have become more influential in pushing deregulation. Among the public, political polarization has increased, the environment has become a partisan issue, and science and the mainstream media are distrusted. For these reasons, the effects of today’s ongoing regulatory delays, rollbacks, and staff cuts may well surpass those of the administrations of Reagan and Bush, whose impacts on environmental health were considerable. PMID:29698097

  9. Modern Menus: Food, Family, Health and Gender in Colonial Bengal

    Directory of Open Access Journals (Sweden)

    Ishita Banerjee

    2015-09-01

    Full Text Available This essay explores a relatively unexamined dimension of the discourse on nation and family in late nineteenth century India—the key emphasis laid on health in the configuration of a new, “modern” family as the basis of a healthy nation—and the importance of the accomplished mistress as the guardian of the family’s health and hygiene. This innovative focus enables a distinct reading of the nationalist discourse and provides elements which can be used to interrogate the concept of gender as necessarily framing relations between the binary of men and women. The importance ascribed to food, in particular healthy food, resulted in the evolution of a “modern” cuisine as men and women participated enthusiastically in the project of producing nutritive and delectable food for a healthy family. At the same time, the distinct ways men and women gave expression to their efforts underscored the discreet notions of authority, education, family, food, health and domestic economy, as well as women’s role that underlay such articulations. By means of a close reading of early cookbooks in Bengali written by women and men, columns on food in journals run by women, and domestic manuals authored by men, the essay contends that health and nutrition enabled men and women to develop a novel discourse on the family, where husband and wife often collaborated to establish their authority vis-à-vis male and female elders in an extended family. This included a move to over-write the extended family with that of a nuclear one. Educated women, in turn, creatively applied notions of love, beauty, nurture and care to legitimize their claims as the true mistress of this new, model family. At the same time, claims over healthy and savory food brought women—in columns of journals—in competition with one another over authenticity and food value, as well as thrift in the execution of their tried and tested recipes. In a similar manner, women authors of

  10. Modern stroke rehabilitation through e-health-based entertainment

    CERN Document Server

    Krukowski, Artur

    2016-01-01

    This book describes a new, “e-Health” approach to stroke rehabilitation.  The authors propose an alternative approach that combines state of the art ICT technologies ranging from Augmented and Virtual Reality gaming environments to latest advances in immersive user interfaces for delivering a mixed-reality training platform, along with advanced embedded micro sensing and computing devices exhibiting enhanced power autonomy by using the latest Bluetooth Smart communication interfaces and energy saving approaches. These technologies are integrated under the umbrella of an online Personal Health Record (PHR) services allowing for delivery of personalized, patient-centric medical services whether at home, in a clinic or on the move. Describes innovative ways for achieving mixed-reality gaming environments; Enhances immersive experience by combining virtual projections with user interfaces based on body motion analysis; Offers cost-effective body motion capture by hybridizing wearable sensor data; Utilizes e...

  11. Florence Nightingale: creator of modern nursing and public health pioneer.

    Science.gov (United States)

    Ellis, Harold

    2008-09-01

    In starting this series of articles on distinguished women in nursing, medicine and the related healthcare professions, the choice of the first name is obvious. Florence Nightingale is, I suggest, the most famous female in the long history of medicine and is a name that is known and revered throughout the world. Most people--even those in 'the trade'--think of her as 'the lady with the lamp', the heroine who went out to the Crimean War and nursed the sick and wounded at Scutari. Important though this was, her main contribution was her continued work, long after the war, in nursing organisation and training, hospital planning, public and military health and her pioneering work in the efficient gathering of medical statistics.

  12. Para além da autoconsciência moderna: a historiografia de Hans Ulrich Gumbrecht Beyond modern self-consciousness: the historiography of Hans Ulrich Gumbrecht

    Directory of Open Access Journals (Sweden)

    Valdei Lopes de Araujo

    2006-12-01

    Full Text Available Neste artigo, apresento uma análise dos aspectos historiográficos da obra de Hans Ulrich Gumbrecht. Acompanhado o desenvolvimento de sua teoria da modernidade e das conseqüências dessa teoria para a escrita da história e para a auto-consciência disciplinar. Por fim, proponho uma releitura da história da historiografia através dos dois tipos de culturas propostas por Gumbrecht, ou seja, culturas de sentido e culturas de presença. Argumento que mesmo que a historiografia moderna possa ser caracterizada como predominantemente ancorada na produção de sentido, aspectos centrais de sua história só podem ser explicados através de elementos típicos da produção de presença.This paper analyses some historiographical aspects of Hans Ulrich Gumbrecht's work, particularly his theory of modernity and its consequences to the writing of history and its disciplinary self-conscious. Finally, it is proposed a reinterpretation of the history of historiography based on the distinction between cultures of presence and cultures of meaning. It is argued that despite the fact that the elements of meaning are predominant in the constitution of modern historiography, the forces acting in its constitution cannot be explained without typical elements of a culture of presence.

  13. MODERNIZATION OF POSTGRADUATE MEDICAL EDUCATION AS A FACTOR OF REALIZATION OF PERSONNEL POLICY IN HEALTH CARE

    Directory of Open Access Journals (Sweden)

    A. D. Kaprin

    2015-01-01

    Full Text Available Abstract:In the article they discuss the status and problems of modernization of doctors in the context of the implementation of the state policy in the national system of Russian health care. The author presents judgments about the role and certification of postgraduate training of physicians, the directions of the improvement of professional education of doctors.

  14. O robe de Descartes: uma discussão em torno da melancolia e da origem da razão moderna [Descartes' robe: a discussion on melancholy and the origin of modern reason

    Directory of Open Access Journals (Sweden)

    Ronaldo Manzi Filho

    2017-05-01

    Full Text Available A melancolia é descrita no século XVII na Enciclopédia de Diderot e d’Alembert como um “delírio da alma” que pode ser notado por outra pessoa através do comportamento, da linguagem, do estado de humor, etc. Mas como eu mesmo poderia saber se estou delirando ou não? Esse verbete parece ter um endereço: a própria raiz da Razão moderna. Não é esse o tema central em Descartes: a fundamentação da Razão e a possibilidade da loucura? No Discurso do método e nas Meditações metafísicas, Descartes parte de situações “fictícias”: sua própria vida, sua experiência diante de uma lareira com seu robe, etc. – fictícias porque não se sabe exatamente se se trata de um delírio ou não. Sua obra é descrita como uma fábula, como ele mesmo o diz. O tempo todo ele está diante de “fantasmas”: a possibilidade da loucura, de um Gênio Maligno... Não é exatamente essa descrição da melancolia que Descartes temia – de uma possibilidade de se viver numa “doença da alma”? Este texto busca mostrar que a Razão moderna, ao invés de tentar excluir o delírio de seu interior, é credora, no fundo, de uma reflexão que leva a sério a possibilidade da loucura. [Melancholy is described in the eighteenth century in Diderot and d'Alembert’s Encyclopedia as a “delirium of the soul” that can be noticed by others through one’s behavior, language, mood, etc. But how could one know whether or not one is delirious? This entry seems to be addressing: the very root of modern reason. Is this not the central theme in Descartes: the foundation of Reason and the possibility of madness? In Discourse on the Method and Meditations on First Philosophy, Descartes starts from of a “fictitious” situations: his life, his experience in front of a fireplace with his robe, etc. Fictitious because it is not known exactly whether this is just a delusion or not. His work is described as a fable, as he himself says. All the time he is facing

  15. Feminization and marginalization? Women Ayurvedic doctors and modernizing health care in Nepal.

    Science.gov (United States)

    Cameron, Mary

    2010-03-01

    The important diversity of indigenous medical systems around the world suggests that gender issues, well understood for Western science, may differ in significant ways for non-Western science practices and are an important component in understanding how social dimensions of women's health care are being transformed by global biomedicine. Based on ethnographic research conducted with formally trained women Ayurvedic doctors in Nepal, I identify important features of medical knowledge and practice beneficial to women patients, and I discuss these features as potentially transformed by modernizing health care development. The article explores the indirect link between Ayurveda's feminization and its marginalization, in relation to modern biomedicine, which may evolve to become more direct and consequential for women's health in the country.

  16. Dilemas da masculinidade em comunidades de leitores da revista Men's Health

    Directory of Open Access Journals (Sweden)

    Jair de Souza Ramos

    Full Text Available Neste artigo, analiso as representações sobre masculinidade e cuidado de si em comunidades de leitores da revista Men's Health. Com base na análise de tópicos e postagens em comunidades online, abordo desde as tensões em torno da oposição homossexual / heterossexual na autodefinição dos leitores, até a ênfase em um corpo concebido, a um só tempo, como saudável e masculino. Meu objetivo é examinar a construção de uma imagem de si masculina entre estes leitores, que se valem de temas, problemas e técnicas de si que estão presentes na revista, mas, sobretudo, além dela, e que dizem respeito a um determinado estilo de masculinidade, em que a expressão de si através da exposição do corpo desempenha um papel primordial.

  17. Modernization and development: impact on health care decision-making in Uganda.

    Science.gov (United States)

    Singh, Debra Anne Kaur; Earnest, Jaya; Lample, May

    2015-01-01

    Uganda has faced numerous challenges over the past 50 years from overcoming political conflict and civil unrest, to rapid population growth, to combating the HIV epidemic and ever-growing health needs. Women in Uganda have had a major role to play in the health of families and communities. The researchers' purpose in this study, undertaken in rural Uganda, was to a) identify a people-centered definition of development, b) compare it to the process of modernization, and c) investigate how these processes have changed the role women play in decision-making, in areas directly and indirectly related to their health and that of their families. Twenty-two men and women participated in focus group discussion and completed questionnaires. Based on our analysis of discussions it appears that both modernization and development have impacted health positively and negatively. Key themes distilled from interviews included that modernization has led to the breakdown of families; increased maternal responsibility for children; diminished land and economic resources; and an erosion of cultural values and practices that had previously provided stability for the society. In terms of development, women play an increasing role in decision-making processes in the household and are gaining increasing respect for their expertise in a number of areas, notably health care. We propose a movement of grassroots discourse on modernization. Development, and its effect on health, is necessary if the positive aspects of Ugandan culture and those of similar emerging societies are not to be lost (International Covenant on Economic, Social and Cultural Rights, 1966).

  18. Determinants of Modern Contraceptive Uptake among Nigerian Women: Evidence from the National Demographic and Health Survey.

    Science.gov (United States)

    Johnson, Ofonime E

    2017-09-01

    Family planning is a key strategy in the control of fertility among women. This study sought to determine various factors that influence modern family planning use in Nigeria. The study used data from Nigeria Demographic and Health Survey (NDHS) 2013. Analysis was carried out using Stata version 12.1. Multivariate logistic regression was used to determine association between various factors and use of modern family planning methods. A total of 119,386 women aged 15-49 years participated in the study. The mean age of respondents was 35.9 ± 8.1 years. Overall, contraceptive prevalence rate of modern methods was 10.3%. The highest proportion of use was 26.7% in the South West, while the lowest was 2.7% in the North West. Predictors of modern family planning use were higher education (OR=4.49, 95% CI: 4.10-4.92), richest wealth quintile (OR=3.71 CI: 3.29-4.19), being from South West (OR=3.42, 95% CI: 3.15-3.70), age 25-49 years (OR=1.55, 95% CI: 1.42-1.69) and urban residence (OR=1.08, 95% CI: 1.03-1.13) (p contraceptive use were education and wealth index. These indices were poorest in North Western Nigeria. Measures should be taken to improve female literacy and employment as these will most likely improve uptake of modern contraceptives among women in Nigeria.

  19. Weber, Nietzsche e as respostas éticas à crítica da modernidade Weber, Nietzsche and the ethical answers to the critique of modernity

    Directory of Open Access Journals (Sweden)

    Renarde Freire Nobre

    2003-01-01

    Full Text Available O artigo consiste num estudo comparativo entre as concepções de cultura de Friedrich Nietzsche e Max Weber, suas análises críticas da modernidade e as respostas éticas que as acompanham. Apesar das importantes afinidades encontradas entre os autores, o artigo procura mostrar que o caráter principal da comparação entre os seus pensamentos é o do desencontro e da incompatibilidade.The article consistes in a comparative study between Friedrich Nietzsche's and Max Weber's conceptions of culture, their critical analyses of modernity and the ethical answers that follow from them. In spite of the important affinities between the two authors, the article tries to show that the main character of the comparison is that of the divergence and incompatibility.

  20. Somatic symptoms and holistic thinking as major dimensions behind modern health worries.

    Science.gov (United States)

    Köteles, Ferenc; Simor, Péter

    2014-01-01

    Modern health worries (MHWs) were related to somatic symptoms and to preference of holistic healing methods in previous studies. The study aimed to investigate the contribution of symptom-related and holism-related factors to MHWs. Participants (visitors of an Internet news portal; N = 16152; 64.1 % males) completed a questionnaire assessing MHWs, somatosensory amplification, somatic symptoms, positive and negative affect, spirituality, holistic health beliefs, and various aspects of health care utilization (both conventional and alternative). Exploratory factor analysis with oblique rotation revealed two independent dimensions ("Somatic symptom distress" and "Holism") MHWs were involved with factor loadings of 0.294 and 0.417, respectively. The existence of two factors was supported by the results of confirmatory factor analysis. No practically significant interaction between the two factors was found in binary logistic regression analysis. Positive and negative affect, somatosensory amplification, spirituality, and holistic health beliefs were positively connected, while self-rated health status was negatively connected to MHWs even after controlling for socio-demographic and treatment-related variables. Holistic thinking and symptom-related behavioral and psychological factors are independently associated with MHWs. Modern health worries can be conceptualized as symptom-related by-products of a holistic-spiritual worldview.

  1. The modern crisis in health services--professional concerns and the public interest.

    Science.gov (United States)

    Sheps, C G

    1981-01-01

    The modern crisis in the health service systems of developed nations is described. Six major issues are discussed. 1) The need for recognition of the wholeness of man and the implications of this for implementing the concept of essential unity in the development and organization of health services; 2) the creation of ample opportunity for health manpower to work effectively in team situations; 3) the need for community-wide epidemiologic intelligence that will allow for better identification of problems and solutions; 4) the need to move away from the entrepreneurial framework of health care and regionalize facilities; 5) the assessment of costs both in terms of actions and inactions; and 6) the need for the professionals and public to work together in order to improve health services.

  2. Making sense of modernity's maladies: health and disease in the Industrial Revolution.

    Science.gov (United States)

    Brown, Michael

    2006-09-01

    The industrialization and urbanization of Britain during the 19th century gave the medical profession something to think about. In particular, were the radical changes taking place in society responsible for the sudden rise in endemic and epidemic disease? This article (part of the Science in the Industrial Revolution series) examines the reactions of two key figures in the history of British public health, James Philips Kay and Thomas Southwood Smith, to this question. Their outlooks typify the tendency of Victorian medical practitioners to construct economies of health that saw disease as a consequence of the violation of natural laws and cycles rather than as a product of industrial modernity.

  3. Implications of the behavioural immune system for social behaviour and human health in the modern world.

    Science.gov (United States)

    Schaller, Mark; Murray, Damian R; Bangerter, Adrian

    2015-05-26

    The 'behavioural immune system' is composed of mechanisms that evolved as a means of facilitating behaviours that minimized infection risk and enhanced fitness. Recent empirical research on human populations suggests that these mechanisms have unique consequences for many aspects of human sociality--including sexual attitudes, gregariousness, xenophobia, conformity to majority opinion and conservative sociopolitical attitudes. Throughout much of human evolutionary history, these consequences may have had beneficial health implications; but health implications in modern human societies remain unclear. This article summarizes pertinent ways in which modern human societies are similar to and different from the ecologies within which the behavioural immune system evolved. By attending to these similarities and differences, we identify a set of plausible implications-both positive and negative-that the behavioural immune system may have on health outcomes in contemporary human contexts. We discuss both individual-level infection risk and population-level epidemiological outcomes. We also discuss a variety of additional implications, including compliance with public health policies, the adoption of novel therapeutic interventions and actual immunological functioning. Research on the behavioural immune system, and its implications in contemporary human societies, can provide unique insights into relationships between fitness, sociality and health. © 2015 The Author(s) Published by the Royal Society. All rights reserved.

  4. Do ancient types of wheat have health benefits compared with modern bread wheat?

    Science.gov (United States)

    Shewry, Peter R

    2018-01-01

    A number of studies have suggested that ancient wheats have health benefits compared with modern bread wheat. However, the mechanisms are unclear and limited numbers of genotypes have been studied, with a particular focus on Kamut ® (Khorasan wheat). This is important because published analyses have shown wide variation in composition between genotypes, with further effects of growth conditions. The present article therefore critically reviews published comparisons of the health benefits of ancient and modern wheats, in relation to the selection and growth of the lines, including dietary interventions and comparisons of adverse effects (allergy, intolerance, sensitivity). It is concluded that further studies are urgently required, particularly from a wider range of research groups, but also on a wider range of genotypes of ancient and modern wheat species. Furthermore, although most published studies have made efforts to ensure the comparability of material in terms of growth conditions and processing, it is essential that these are standardised in future studies and this should perhaps be a condition of publication.

  5. Organization of health at physical training lessons in the modern school

    Directory of Open Access Journals (Sweden)

    Nikolai Gorodysky

    2016-06-01

    Full Text Available Purpose: to identify and outline the necessary conditions aimed at a healthy lifestyle, refusal of bad habits, providing health care of students at physical education classes. Material & Methods: theoretical and practical achievements of modern scientists, authors experience in conducting physical education classes; analysis of scientific literature on selected issues, systematization of received theoretical results and acquired sports and teaching experience, generalization of acquired scientific data to formulate conclusions of the article. Results: in solving the problem of defining the role of the designated teacher who seeks to convince students in healthy lifestyles. Conclusions: ensuring longevity in modern conditions of life requires public awareness about the need for healthy lifestyles and instilling in youth the love for the physical training and sports.

  6. Hannah Arendt e a modernidade: esquecimento e redescoberta da política Hannah Arendt and the modernity: forgetfulness and rediscovery of politics

    Directory of Open Access Journals (Sweden)

    André Duarte

    2001-01-01

    Full Text Available Para Hannah Arendt, a modernidade configura um período histórico de obscurecimento das determinações políticas democráticas, pois, onde a política não foi reduzida ao plano da violência, como no caso dos fenômenos totalitários, ela foi reduzida ao plano da administração burocrática dos interesses econômicos da sociedade. Neste artigo, pretendo discutir a constituição argumentativa desse diagnóstico, referindo-o à sua raiz de inspiração, isto é, as críticas de Nietzsche e Heidegger à modernidade. Finalmente, procuro demonstrar que Arendt não se limitou a uma concepção negativa das possibilidades políticas modernas, pois vislumbrou nos modernos eventos revolucionários a possibilidade de uma revitalização da política em suas determinações democráticas originárias, dado que aí se restabeleceram os laços entre a ação política, a liberdade e a felicidade pública.Hannah Arendt views Modernity as the epoch of the forgetfulness of politics in its democratic determinations, since the political and the public sphere were either totally reduced to the specter of violence and terror, as it happened in the case of totalitarian regimes, or totally absorbed by the bureaucratic administration of society's economic interests. In this article I intend to discuss the main arguments that constitute her critical diagnosis of Modernity, retracing them to their inspirational origins, that is, Nietzsche's and Heidegger's critical assessments of Modernity. Finally, I try to demonstrate that Arendt has balanced her critical understanding of politics in the Modern age, since she has viewed Modern revolutionary phenomena as aiming towards a revitalization of the old ties between political action, freedom and public happiness.

  7. Do modern total knee replacements offer better value for money? A health economic analysis.

    Science.gov (United States)

    Hamilton, David F; Clement, Nicholas D; Burnett, Richard; Patton, James T; Moran, Mathew; Howie, Colin R; Simpson, A H R W; Gaston, Paul

    2013-11-01

    Cost effectiveness is an increasingly important factor in today's healthcare environment, and selection of arthroplasty implant is not exempt from such concerns. Quality adjusted life years (QALYs) are the typical tool for this type of evaluation. Using this methodology, joint arthroplasty has been shown to be cost effective; however, studies directly comparing differing prostheses are lacking. Data was gathered in a single-centre prospective double-blind randomised controlled trial comparing the outcome of modern and traditional knee implants, using the Short Form 6 dimensional (SF-6D) score and quality adjusted life year (QALY) methodology. There was significant improvement in the SF-6D score for both groups at one year (p traditional design at one year (0.141 versus 0.143, p = 0.94). This difference resulted in the modern implant costing £298 less per QALY at one year. This study demonstrates that modern implant technology does not influence the cost-effectiveness of TKA using the SF-6D and QALY methodology. This type of analysis however assesses health status, and is not sensitive to joint specific function. Evolutionary design changes in implant technology are thus unlikely to influence QALY analysis following joint replacement, which has important implications for implant procurement.

  8. Modern psychometric approaches to analysis of scales for health-related quality of life

    DEFF Research Database (Denmark)

    Bjorner, Jakob Bue; Bech, Per

    2016-01-01

    In recent years, much effort has been invested in the development of new instruments for assessment of health-related quality of life (HRQOL). For many new instruments, modern psychometric methods, such as item response theory (IRT) models, have been used, either as supplemental to classical....... The models include Rasch models (Rasch 1980; Fischer and Molenaar 1995), other IRT models (Samejima 1969; van der Linden and Hambleton 1997), and factor analytic models for categorical data (Muthén 1984). “Modern” psychometric methods have actually a rather long history within psychiatric research (both...

  9. The role of self-dependence in modern health improvemental technologies of physical students' education.

    Directory of Open Access Journals (Sweden)

    Shumakov O.V.

    2010-07-01

    Full Text Available A normative base is considered on the problems of physical education, physical culture and independent work of students. An analysis is conducted scientifically-methodical and special literature on issue of research. Basic features and modern going are selected near independent work in health technologies of physical education of students. A concept «Independent work» is examined as activity of man and as a teaching method. A teaching method plugs in itself independent employments by physical exercises. During correct organization they can substantially increase motive activity of students.

  10. Promoting survival: A grounded theory study of consequences of modern health practices in Ouramanat region of Iranian Kurdistan.

    Science.gov (United States)

    Mohammadpur, Ahmad; Rezaei, Mehdi; Sadeghi, Rasoul

    2010-05-14

    The aim of this qualitative study is to explore the way people using modern health care perceive its consequences in Ouraman-e-Takht region of Iranian Kurdistan. Ouraman-e-Takht is a rural, highly mountainous and dry region located in the southwest Kurdistan province of Iran. Recently, modern health practices have been introduced to the region. The purpose of this study was to investigate, from the Ouramains' point of view, the impact that modern health services and practices have had on the Ouraman traditional way of life. Interview data from respondents were analyzed by using grounded theory. Promoting survival was the core category that explained the impact that modern health practices have had on the Ouraman region. The people of Ouraman interpreted modern health practices as increasing their quality of life and promoting their survival. Results are organized around this core category in a paradigm model consisting of conditions, interactions, and consequences. This model can be used to understand the impact of change from the introduction of modern health on a traditional society.

  11. Promoting survival: A grounded theory study of consequences of modern health practices in Ouramanat region of Iranian Kurdistan

    Science.gov (United States)

    Mohammadpur, Ahmad; Rezaei, Mehdi; Sadeghi, Rasoul

    2010-01-01

    The aim of this qualitative study is to explore the way people using modern health care perceive its consequences in Ouraman-e-Takht region of Iranian Kurdistan. Ouraman-e-Takht is a rural, highly mountainous and dry region located in the southwest Kurdistan province of Iran. Recently, modern health practices have been introduced to the region. The purpose of this study was to investigate, from the Ouramains' point of view, the impact that modern health services and practices have had on the Ouraman traditional way of life. Interview data from respondents were analyzed by using grounded theory. Promoting survival was the core category that explained the impact that modern health practices have had on the Ouraman region. The people of Ouraman interpreted modern health practices as increasing their quality of life and promoting their survival. Results are organized around this core category in a paradigm model consisting of conditions, interactions, and consequences. This model can be used to understand the impact of change from the introduction of modern health on a traditional society. PMID:20640020

  12. Modern contraceptive use among women in the Asuogyaman district of Ghana: is reliability more important than health concerns?

    Science.gov (United States)

    Teye, Joseph Kofi

    2013-06-01

    This study examines the socio-demographic determinants of modern contraceptive use among women in the Asuogyaman district of Ghana. The results reveal that although 97% of the survey respondents knew of at least one modern method of contraception, only 16% of them were using modern contraceptives. Statistical tests show that level of education, place of residence, and work status significantly influence modern contraceptive use among women in the study area. Fear of side effects, desire for more children, and partner's disapproval were the main barriers to modern contraceptive use in the study area. The use of traditional methods of contraception was very high because of the perception that they are safer. Based on these findings, it has been suggested that in addition to making family planning services available and accessible, health workers must address attitudinal factors such as fear of side effects and high fertility preferences.

  13. [The green rural economy: challenges to research and to public health policies posed by agricultural modernization].

    Science.gov (United States)

    Rigotto, Raquel Maria; Carneiro, Fernando Ferreira; Marinho, Alice Maria Correia Pequeno; Rocha, Mayara Melo; Ferreira, Marcelo José Monteiro; Pessoa, Vanira Matos; Teixeira, Ana Cláudia de Araújo; da Silva, Maria de Lourdes Vicente; Braga, Lara de Queiroz Viana; Teixeira, Maiana Maia

    2012-06-01

    In this paper, we ask ourselves who should, can and has the will to promote health in the rural zone today. The fields of science and public policy were chosen as our primary focus of dialogue conducted from the perspective of the right to health and a healthy environment. Seven lessons emerged: (1) in addition to the surveillance of isolated chemical risks, the relation between agrochemicals and health should be investigated in the context of conservative agricultural modernization; (2) it is mandatory and urgent to discover the health problems related to the use of agrochemicals; (3) the State has been successful in its support of agribusiness, but highly inefficient at enforcing policies to safeguard social rights; (4) sectors of society linked to rural organizations have played an important role in the public policies combating agrochemicals and protecting health; (5) studies must help deconstruct the myths surrounding the Green Revolution model; (6) we are faced with the challenge of contributing to the construction of an emerging scientific paradigm founded on an ethical-political commitment to the most vulnerable social elements; (7) rural communities are creating agro-ecological alternatives for life in semiarid areas.

  14. Weighted log-linear models for service delivery points in Ethiopia: a case of modern contraceptive users at health facilities.

    Science.gov (United States)

    Workie, Demeke Lakew; Zike, Dereje Tesfaye; Fenta, Haile Mekonnen; Mekonnen, Mulusew Admasu

    2018-05-10

    Ethiopia is among countries with low contraceptive usage prevalence rate and resulted in high total fertility rate and unwanted pregnancy which intern affects the maternal and child health status. This study aimed to investigate the major factors that affect the number of modern contraceptive users at service delivery point in Ethiopia. The Performance Monitoring and Accountability2020/Ethiopia data collected between March and April 2016 at round-4 from 461 eligible service delivery points were in this study. The weighted log-linear negative binomial model applied to analyze the service delivery point's data. Fifty percent of service delivery points in Ethiopia given service for 61 modern contraceptive users with the interquartile range of 0.62. The expected log number of modern contraceptive users at rural was 1.05 (95% Wald CI: - 1.42 to - 0.68) lower than the expected log number of modern contraceptive users at urban. In addition, the expected log count of modern contraceptive users at others facility type was 0.58 lower than the expected log count of modern contraceptive users at the health center. The numbers of nurses/midwives were affecting the number of modern contraceptive users. Since, the incidence rate of modern contraceptive users increased by one due to an additional nurse in the delivery point. Among different factors considered in this study, residence, region, facility type, the number of days per week family planning offered, the number of nurses/midwives and number of medical assistants were to be associated with the number of modern contraceptive users. Thus, the Government of Ethiopia would take immediate steps to address causes of the number of modern contraceptive users in Ethiopia.

  15. Modern Traditions: reconfigurations of school mathematics in the 1960s Tradições Modernas: reconfigurações da matemática escolar nos anos 1960

    Directory of Open Access Journals (Sweden)

    Elizabete Zardo Búrigo

    2010-06-01

    Full Text Available Regarding school curricula as social constructions, in this paper we analyze the building up of a tradition, which goes back to the 1960s, related to the introduction of Algebra in elementary school. This tradition is presented as an inheritance of the modern mathematics movement and it is argued that the analysis of curricular innovation processes should not take into account only their proclaimed purposes, but should consider broader effects related to the breakdown of older traditions. Keywords: History of Mathematics Education. Curriculum. Modern Mathematics. Teaching of Algebra.Na linha dos estudos que investigam os currículos escolares como construções sociais, este artigo examina a constituição de uma tradição relativa à iniciação em Álgebra na escola, cuja origem remonta aos anos 1960. Ao apresentar essa tradição como uma herança do movimento da matemática moderna, argumenta que os processos de inovação curricular não devem ser analisados apenas no confronto com suas intenções anunciadas, mas pelos efeitos mais amplos que produzem de desconstituição das tradições mais antigas. Palavras-chave: História da Educação Matemática. Currículo. Matemática Moderna. Ensino de Álgebra.

  16. O Big Data e os desafios da modernidade: uma regulação necessária? / Big Data and Modernity Challenges: A Required Regulation?

    Directory of Open Access Journals (Sweden)

    Victor Cravo

    2016-05-01

    Full Text Available RESUMO Propósito – Este artigo objetiva apresentar ao leitor à revolução paradigmática representada pelo Big Data, além de incentivá-lo a imaginar como o direito poderá lidar com os desafios que advirão da modernidade tecnológica. Metodologia/abordagem/design – O texto foi construído a partir de pesquisa bibliográfica destinada a explicar o fenômeno do Big Data e a problematizar, à luz da teorização de Immanuel Wallerstein sobre a modernidade, suas implicações no direito. Resultados – O artigo apresenta as principais características do fenômeno inovador do Big Data, com ênfase nas potenciais implicações danosas à participação democrática no processo regulatório, para, em seguida, relacioná-las com os conceitos de modernidade tecnológica e modernidade da libertação, elaborados por Immanuel Wallerstein. Implicações práticas – O artigo serve como convite ao pesquisador interessado nas repercussões da modernidade tecnológica nas instituições jurídicas que modulam e legitimam o processo regulatório, com especial enfoque no Big Data. Originalidade/relevância do texto – O estudo inova na pesquisa jurídica brasileira na medida em que auxilia na introdução, em língua portuguesa, da temática das implicações jurídicas do Big Data, cuja pesquisa, mesmo em língua inglesa, é ainda incipiente. ABSTRACT Purpose – This article introduces the reader to the paradigmatic revolution performed by Big Data, and encourages imagining how jurisprudence and the law can deal with the challenges that will result from modernity of technology. Methodology/approach/design – It was composed from bibliographic research aimed at explaining the Big Data phenomenon and challenging its implications on the law, in light of the theory of Immanuel Wallerstein on modernity. Findings – The main features of the novel phenomenon of Big Data are presented with emphasis on the potential harmful implications for democratic

  17. [The basis of modern technologies in management of health care system].

    Science.gov (United States)

    Nemytin, Iu V

    2014-12-01

    For the development of national heaIth care it is required to implement modern and effective methods and forms of governance. It is necessary to clearly identify transition to process management followed by an introduction of quality management care. It is necessary to create a complete version of the three-level health care system based on the integration into the system "Clinic - Hospital - Rehabilitation", which will ensure resource conservation in general throughout the industry. The most important task is purposeful comprehensive management training for health care--statesmen who have the potential ability to manage. The leader must possess all forms of management and apply them on a scientific basis. Standards and other tools of health management should constantly improve. Standards should be a teaching tool and help to improve the quality and effectiveness of treatment processes, the transition to the single-channel financing--the most advanced form of payment for the medical assistance. This type of financing requires managers to new management approaches, knowledge of business economics. One of the breakthrough objectives is the creation of a new type of health care organizations, which as lead locomotives for a rest.

  18. Significance of Pirogov`s scientific ideas for modern organization of Public Health

    Directory of Open Access Journals (Sweden)

    Semenova L.S.

    2015-03-01

    Full Text Available This article is about Nikolay Ivanovich Pirogov, a surgeon and anatomist, prominent scientist and educator, founder of field surgery. He was the first to learn field surgery and military administration in practice. He was the first to use famous triage (the wounded were sorted according to the severity of injuries. N.I.Pirogov considered that well organized triage at dressing stations and temporary military hospitals is the main tool to provide proper care and to prevent harmful consequences. He organized training of medical nurses to help the wounded. He also published the work on the problems of pedagogy in which he proposed reforms of education system. The authors of the article have analyzed N.I.Pirogov`s works and showed their significance for modern social medicine and organization of Public Health.

  19. Oncologia Moderna: Necessidade da Quebra de Paradigmas, Pré-conceitos e da Estagnação / Modern Oncology: Needs of Breaking Paradigms, Prejudice and Stagnation

    Directory of Open Access Journals (Sweden)

    Harley Francisco de Oliveira

    2016-03-01

    Full Text Available O câncer engloba uma vasta gama de neoplasias sólidas e não sólidas que possuem a capacidade de invadir tecidos adjacentes e potencial de disseminação à distância. É uma doença devastadora: representa uma patologia carregada de estigma social, com uma carga negativa bastante elevada na grande maioria das vezes, afetando todos os aspectos da vida dos pacientes bem como daqueles com quem convivem (familiares, amigos, cuidadores, etc.. É uma doença secular: as primeiras descrições remetem à Grécia antiga, onde foi descrito como uma doença semelhante a um caranguejo, karkínos, provavelmente devido sua característica infiltrativa em casos mais avançados, porém sua origem dá-se juntamente à origem da própria espécie. É uma doença democrática: salvo alguns casos onde os fatores de risco são bem conhecidos e podem ser evitados, o câncer não privilegia uma ou outra esfera social, limite geográfico, religião ou outro fator ambiental/social. O câncer é hoje a segunda causa de morte no país e no mundo, somente superado pelas doenças cardiovasculares; mais significativo ainda do que sua posição como causa de morte é o crescimento dessa taxa ao longo das últimas décadas e indícios evidentes de que continuará a crescer. As causas dessa impressionante mudança do perfil nosológico do Brasil, acompanhando uma tendência mundial, são em parte conhecidas. Em primeiro lugar, a melhoria das condições de vida e de saneamento básico, a crescente urbanização, a aplicação de medidas preventivas eficientes no controle de doenças infectocontagiosas, entre outros, contribuíram para uma redução significativa das doenças infecciosas e parasitárias. Por outro lado, estas mesmas causas produziram um sensível aumento da expectativa de vida, de 34 anos em 1.900 para 64 anos em 1980. A redução da mortalidade, principalmente nas faixas etárias mais elevadas (acima de 60 anos e a diminuição da fecundidade resultaram

  20. Ressenya a Henry Ettinghausen, How the Press Began. The Pre-Periodical Printed News in Early Modern Europe, A Coruña, SIELAE – Facultad de Filología, Universidade da Coruña, 2015,

    Directory of Open Access Journals (Sweden)

    Ricard Expósito i Amagat

    2017-06-01

    Full Text Available Ressenya a Henry Ettinghausen, How the Press Began. The Pre-Periodical Printed News in Early Modern Europe, A Coruña, SIELAE – Facultad de Filología, Universidade da Coruña, 2015, 302 pp., 80 il·ls., ISBN: 978-84-608-3423-6 Review to  Henry Ettinghausen, How the Press Began. The Pre-Periodical Printed News in Early Modern Europe, A Coruña, SIELAE – Facultad de Filología, Universidade da Coruña, 2015, 302 pp., 80 il·ls., ISBN: 978-84-608-3423-6

  1. Health effects of exposure to organic dust in workers of a modern hatchery.

    Science.gov (United States)

    Skórska, Czesława; Mackiewicz, Barbara; Golec, Marcin; Cholewa, Grazyna; Chmielowiec-Korzeniowska, Anna; Dutkiewicz, Jacek

    2007-01-01

    The aim of the presented study was to determine the health status of workers occupationally exposed to moderate amounts of organic dust, employed in a modern hatchery with an efficient ventilation system. A group of 32 hatchery workers was examined. As a reference group, 50 urban dwellers not exposed to any kind of organic dust were examined. All people were interviewed for the presence of work-related symptoms and subjected to physical and spirometric examinations. Blood sera were examined for the presence of precipitins against 13 antigens associated with organic dust, and for the presence of total and chicken-specific No significant differences were found between the spirometric values in the group of hatchery workers and the reference group. Positive precipitin reactions were noted mostly with the antigens of Gram-negative bacteria associated with organic dust. The frequencies of positive reactions to antigens of Escherichia coli and Acinetobacter baumannii in hatchery workers were significantly greater compared to the reference group (phatchery workers were significantly greater compared to the reference group (phatchery workers was nearly 3 times greater compared to the reference group, and the difference proved to be statistically significant (pchicken feathers were detected in the blood of hatchery workers and referents. In conclusion, the examined hatchery workers showed a moderate frequency of work-related symptoms, no decline in lung function and low reactivity to most microbial and bird protein allergens. These results suggest that the effects of exposure to organic dust in workers of modern hatcheries with an efficient ventilation system are less compared to the workers of poultry farms, such as broiler or egg laying houses.

  2. Agriculture, health, and wealth convergence: bridging traditional food systems and modern agribusiness solutions.

    Science.gov (United States)

    Dubé, Laurette; Webb, Patrick; Arora, Narendra K; Pingali, Prabhu

    2014-12-01

    The causes of many vexing challenges facing 21st-century society are at the nexus of systems involved in agriculture, health and wealth production, consumption, and distribution. Using food as a test bed, and on the basis of emerging roadmaps that set achievable objectives over a 1- to 3-year horizon, we introduce this special feature with convergence thinking and practice at its core. Specifically, we discuss academic papers structured around four themes: (1) evidence for a need for convergence and underlying mechanisms at the individual and societal levels; (2) strategy for mainstreaming convergence as a driver of business engagement and innovation; (3) convergence in policy and governance; (4) convergence in metrics and methods. Academic papers under each theme are accompanied by a roadmap paper reporting on the current status of concrete transformative convergence-building projects associated with that theme. We believe that the insights provided by these papers have the potential to enable all actors throughout society to singly and collectively work to build supply and demand for nutritious food, in both traditional and modern food systems, while placing the burdens of malnutrition and ill health on their core strategic agendas. © 2014 New York Academy of Sciences.

  3. Promoção da saúde e seu alcance biopolítico: o discurso sanitário da sociedade contemporânea Health promotion and its biopolitical extend: the sanitary discourse of contemporary society

    Directory of Open Access Journals (Sweden)

    Mariama Furtado

    2012-12-01

    Full Text Available O conceito de Promoção da Saúde vem sendo trabalhado por diferentes atores sociais ao longo dos últimos vinte anos e publicações teóricas e pesquisas têm contribuído para proceder à delimitação dos conceitos e práticas nesta área; em alguns casos, partindo de um ponto de vista crítico com relação ao seu arcabouço teórico-conceitual. Este artigo analisa o discurso sanitário contemporâneo no contexto das políticas de promoção da saúde; identificando essas políticas como estratégias reguladas, sobretudo, pela manutenção do projeto biopolítico de controle social dos corpos. Reconhecemos, então, o atual discurso da Promoção da Saúde como um dispositivo de regulação da vida que se define, de certo modo, pela continuidade do projeto biopolítico moderno tal como descrito por Foucault. Porém, mais do que isso, a promoção da saúde apresenta-se como uma forma de controle e regulação dos corpos através de uma inflexão sobre a responsabilidade individual na administração da vida. Desta forma, o discurso da promoção da saúde ajusta-se à perspectiva das doutrinas do fim do Estado de Bem-Estar Social; constituindo-se como um projeto de autonomização dos indivíduos através da atribuição de responsabilidade sobre seus próprios cuidados. Nosso olhar sobre o quadro conceitual da promoção da saúde busca, assim, inserir-se no atual debate travado no campo da saúde coletiva, sublinhando as transformações nas concepções de saúde e doença, seu compromisso com o fim do Estado de proteção e seus efeitos nas sociabilidades.Over the past twenty years, the concept of Health Promotion has been discussed by different social actors; research and theoretical publications have contributed to establish the demarcation of the concepts and practices in this area, in some cases from a critical point of view of its theoretical and conceptual framework. This article examines the sanitary discourse of contemporary

  4. A terceira margem da saúde: a ética natural The third border of health: the 'natural' ethics

    Directory of Open Access Journals (Sweden)

    Fermin R. Schramm

    1995-02-01

    Full Text Available Este trabalho pretende discutir a pertinência de uma ética natural complexa para o campo da saúde, em particular em saúde pública, escapando das principais disjunções herdadas da tradição moderna, tais como sujeito/objeto, público/privado, valor em si/valor por si. Considera-se, portanto, as contribuições trazidas pela epistemologia da complexidade que, ao conceber a constelação conceituai do vínculo e da possibilidade - que se delineia entre 'primeira natureza' (bioecológica e 'segunda natureza' (sócio-cultural nos humanos -, permite o diálogo entre os dois princípios fundamentais que norteiam os debates em bioética: o Princípio da Sacralidade da Vida e o Princípio da Qualidade da Vida. A ética natural considera tais princípios como sendo co-necessários para uma ética do nosso tempo, dividido entre o inevitável politeísmo de valores e normas decorrente da secularização do mundo tardomodemo - caracterizado pela tolerância e o pluralismo - e os necessários fundamentos para este tipo de 'sociedade aberta', que não podem se reduzir ao mero ceticismo epistemológico do vale tudo (anything goes nem ao ceticismo moral corrosivo da lei do mais forte e do seu corolário da ética do salve-se-quem-puder (lifeboat ethics.This paper discusses the relevance of a complex natural ethics for the health field, especially for public health, avoiding the main dichotomies inherited from the tradition of modernity, such as subject/object; public/private; value in se/value per se. This thesis considers the contributions of the epistemology of complexity highlighting the conceptual constellation of links and changes between the first (bio-ecological nature' and 'second (socio-cultural nature' of human beings. It poses a dialogue between the two main principles that guide discussions of bioethics: the Life Sanctity Principle and the Life Disposability Principle. Natural ethics assumes both principles as necessary to a contemporary

  5. Saúde Pública e Colonização da Natureza Public Health and Colonization of Nature

    Directory of Open Access Journals (Sweden)

    Áurea Maria Zöllner Ianni

    2009-01-01

    Full Text Available Este trabalho apresenta algumas questões sobre as quais o campo da Saúde Pública/Coletiva no Brasil precisa se reposicionar. Tomando por referência a concepção de biológico e social que se consolidou no campo a partir da década de 1970, discute-se a concepção de natureza e cultura que subsidiou o debate. Mostra como esse debate foi circunstanciado historicamente, por isso mesmo merecendo uma revisão, tendo em vista o contexto das sociedades modernas contemporâneas. As práticas biotecnológicas são objeto da análise na medida em que, além do seu uso intensivo pela saúde, carregam consigo as características de articular o biológico e o social num mesmo objeto, de transformar e criar seres vivos e de atuar na diversidade biológica. Este cenário coloca, à Saúde Pública/Coletiva, a imperiosa necessidade de rever seus marcos teórico-epistemológicos.This paper presents some issues on which the field of Public/Collective Health in Brazil needs to reposition. Based on the design of biological and social consolidated in the field from the 1970s, it discusses the concept of nature and culture that has supported the debate. It shows how this debate has been historically positioned, so it deserves to be reviewed, given the context of contemporary modern societies. Biotechnology practices are the subject of analysis in that, in addition to their intensive use by health, hold the characteristics of joining biological and social factors in the same object, transforming and creating living beings and working in the biodiversity. This scenario requires from the Public/Collective Health the urgent need to review their theoretical and epistemological marks.

  6. Gestão da qualidade em serviços de health & fitness

    OpenAIRE

    Rodrigues, Pedro Miguel Monteiro; Miguel-Dávila, José Ángel

    2009-01-01

    O objectivo deste capítulo é oferecer uma visão contemporânea e abrangente do significado de gestão da qualidade em serviços com especial incidência na gestão da qualidade na área designada habitualmente por indústria do health&fitness. Depois da leitura do presente capítulo, os seguintes conceitos deverão ser apreendidos: - A qualidade do serviço percebida pelos clientes na indústria do health&fitness; - As dimensões que os gestores da indústria do health&fitness devem conhecer para ...

  7. Art engagement and mental health: experiences of service users of a community-based arts programme at Tate Modern, London.

    Science.gov (United States)

    McKeown, Eamonn; Weir, Hannele; Berridge, Emma-Jane; Ellis, Liz; Kyratsis, Yiannis

    2016-01-01

    To examine the experiences of mental health service users who took part in an arts-based programme at Tate Modern, a major London art gallery. Exploratory qualitative design. Data were collected using in-depth semi-structured interviews with 10 mental health service users who had taken part in a community-based programme at Tate Modern. Additionally, six art educators from Tate Modern were interviewed. Concepts that emerged from the text were identified using thematic analysis. All participants valued the gallery-based programme. The three overarching thematic areas were: the symbolic and physical context in which the programme workshops were located; the relational and social context of the programme workshops; and reflections on the relationship between the arts-based programme and subsequent mental health. Art galleries are increasingly seen to function as vehicles for popular education with mental health service users. This study adds to the growing body of evidence related to how mental health service users experience and reflect on arts-related programmes targeted at them. This study indicates that emphasis on how users experience gallery-based programmes may contribute to a more nuanced understanding of the relationship between art and mental health. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  8. Are modern health worries, personality and attitudes to science associated with the use of complementary and alternative medicine?

    Science.gov (United States)

    Furnham, Adrian

    2007-05-01

    To investigate whether personality traits, modern health worries (MHWs) and attitudes to science predict attitudes to, and beliefs about, complementary and alternative medicine (CAM). This study set out to test whether belief in, and use of CAM was significantly associated with high levels of MHWs, a high level of neuroticism and sceptical attitudes towards science. Two hundred and forty-three British adults completed a four part questionnaire that measured MHWs, the Big Five personality traits and beliefs about science and medicine and attitudes to CAM. There were many gender differences in MHWs (females expressed more), though results were similar to previous studies. Contrary to prediction, personality traits were not related to MHWs, CAM usage or beliefs about CAM. Regular and occasional users of CAM did have higher MHWs than those non or infrequent users. Those with high totalled MHWs also tended to believe in the importance of psychological factors in health and illness, as well as the potential harmful effects of modern medicine. Young males who had positive attitudes to science were least likely to be CAM users. Further, positive attitudes to science were associated with increased scepticism about CAM. Concern about health, belief about modern medicine and CAM are logically inter-related. Those who have high MHWs tend to be more sceptical about modern medicine and more convinced of the possible role of psychological factors in personal health and illness.

  9. Sacrifice in Modernity: Community, Ritual, Identity : From Nationalism and Nonviolence to Health Care and Harry Potter

    NARCIS (Netherlands)

    Duyndam, J.; Korte, A.-M.; Poorthuis, Marcel

    2016-01-01

    Sacrifice seems to belong to a religious context of the past. In Sacrifice in Modernity: Community, Ritual, Identity it is demonstrated how sacrificial themes remain an essential element in our post-modern society. The shaping of community, performing rituals and the search for identity, three main

  10. A review of health and safety leadership and managerial practices on modern dairy farms.

    Science.gov (United States)

    Hagevoort, G Robert; Douphrate, David I; Reynolds, Stephen J

    2013-01-01

    As modern dairy operations around the world expand, farmers are increasingly reliant on greater automation and larger numbers of hired labor to milk cows and perform other essential farm tasks. Dairy farming is among the most dangerous occupations, with high rates of injury, illness, and employee turnover. Lower education levels, illiteracy, and limited language proficiency increase the possibility of injury or death associated with higher risk occupations such as dairy. Sustaining a healthy, productive workforce is a critical component of risk management; however, many owners and managers have not received formal training in employee management or occupational health and safety. Optimal dairy farming management should address milk production that is sustainable and responsible from the animal welfare, social, economic, and environmental perspectives. Each of these aspects is interdependent with each other and with a sustainable, healthy, productive workforce. Very few studies address the effectiveness of risk management in the dairy industry. Studies suggest that labor management practices are a potential competitive advantage for dairy farms, but the connection with efficiency, productivity, and profitability has not been clearly demonstrated. Transformational leadership has been associated with improved safety climate and reduced incidence of injury, whereas passive leadership styles have opposite effects. There is a need to develop and evaluate the effectiveness of safety-specific transformational leadership among dairy owners and managers. A systematic approach to risk management should address worker health and safety as an integral component of production, food safety, and animal welfare. A successful program must address the cultural and linguistic barriers associated with immigrant workers.

  11. Salt and its Role in Health and Disease Prevention from the Perspectives of Iranian Medicine and Modern Medicine.

    Science.gov (United States)

    Mokhtari, Masoud; Vahid, Hamide

    2016-05-01

    Salt in Iranian medical sources is mentioned as Malh and has a special place in people's nutrition. The purpose of this study was to investigate the effect of correct use of salt on health and disease prevention in the context of Iranian medicine and its comparison with modern medicine. This article reviews Iranian medicine references on the usage of salt and its benefits. Additionally, modern medicine references were searched to identify the dos and don'ts of salt consumption. Then the results from both approaches were compared and analyzed. The main application salt in Iranian medical resources includes usage in latif supplier, solvent, dryer, laxative of phlegm and melancholy, slimy moisture body repellent, opening obstruction of liver and spleen, aid in digestion, beneficial for seeds and corruption of foods, appetizing, cold foods reformer and improving the flavor of foods. On the other hand, the major benefits of salt according to modern medicine resources are; aiding the balance of electrolytes and fluids, carry nutrients into cells, regulation of acid-base balance, support transfer of nerve impulses, regulate blood pressure, and secretion of gastric acid. According to the Iranian medicine, the amount and type of salt to maintain health and prevent diseases is determined based on factors such as temperament, age, health and disease, season, and location. While a unique approach is not prescribed for every individual, in modern medicine resources, a fixed set of guidelines is recommended for all healthy individuals. Consequently, the modern medicine pays less attention to physiological, structural, and genetic issues. Considering the importance of salt and its undeniable impact on human health, it is apparent that additional research is required to determine factors affecting the actual amount of salt per person.

  12. Kanosa- Lending an Ear to the Body and Mind Secrets of Rural Women:Thoughts on Health and Modernity

    Directory of Open Access Journals (Sweden)

    Satlaj Dighe

    2011-10-01

    Full Text Available This review article discusses the text Kanosa - Grameen Streechya Sharir ani Manatil Gupitancha, translated as ‘Lending an Ear to the Secrets of Body and Mind of the Rural Woman’ by Dr. Rani Bang. The original text provides detailed information on various life-cycle health experiences of women; illness categories (nosography; health practices; sexualities; diets and local life-worlds of health and bodily experiences based on the in depth discussions with local women. In the context of current trends and prevailing ideologies in the community health sector of India, our critical review highlights the significance of the approach adopted by Dr. Rani Bang in locating health as an integral part of culture.We seek to introduce important discussions in Bang’s text on ethnophysiology, local categories of diseases and their implications on modern community health interventions, as ell as the definitions of the normal, abnormal and pathological as provided by the local community. In light of these discussions, we  examine certain characteristics of the modern Indian community health sector such as its inability to work with local epistemologies of health and illness and its philosophical reliance on Cartesian dualism and western notions of personhood. Certain features of community health such as complete separation of fertility and sexuality as well as the exclusively nutritional approach to dietary phenomena are also reviewed with reference to Kanosa and other significant literature. 

  13. A reinvenção da sociologia da modernização: Luiz Costa Pinto e Florestan Fernandes (1950-1970 The reinvention of the sociology of modernization: Luiz Costa Pinto and Florestan Fernandes (1950-1970

    Directory of Open Access Journals (Sweden)

    Antonio Brasil Jr.

    2013-04-01

    Full Text Available Neste artigo, procura-se divisar o potencial teórico inscrito nas contribuições de dois sociólogos brasileiros à sociologia do desenvolvimento dos anos 1950-1970: Luiz Costa Pinto e Florestan Fernandes. Para tal, observa-se, a partir de três eixos, o sentido inovador de suas formulações em contraste com a sociologia da modernização norte-americana, àquela altura hegemônica: (a suas concepções da prática sociológica, bem como de suas especificidades num contexto periférico; (b suas visões sobre a dinâmica da mudança social no Brasil, tal qual forjadas em suas pesquisas sobre as relações entre brancos e negros; (c e em suas sínteses teóricas dos anos 1960-70.This article attempts to discern the theoretical potential inscribed in the contributions of two Brazilian sociologists to the sociology of development between 1950 and 1970: Luiz Costa Pinto and Florestan Fernandes. To this end, the innovative direction of their formulations is analyzed in contrast to the American sociology of modernization, which by then had become hegemonic. Such analysis is done from three views: (a their conceptions of the sociological practice and of its specificities in a peripheral context; (b their views on the dynamics of social change in Brazil, as forged in their research on relations between blacks and whites, (c their theoretical syntheses of the 1960s and 1970s.

  14. The modernization of American public law: health care reform and popular constitutionalism.

    Science.gov (United States)

    Super, David A

    2014-04-01

    The Patient Protection and Affordable Care Act (ACA) transformed U.S. public law in crucial ways extending far beyond health care. As important as were the doctrinal shifts wrought by National Federation of Independent Business v. Sebelius, the ACA's structural changes to public law likely will prove far more important should they become entrenched. The struggle over the ACA has triggered the kind of "constitutional moment" that has largely replaced Article V's formal amendment procedure since the Prohibition fiasco. The Court participates in this process, but the definitive and enduring character of these constitutional moments' outcomes springs from broad popular engagement. Despite the Court's ruling and the outcome of the 2012 elections, the battle over whether to implement or shelve the ACA will continue unabated, both federally and in the states, until We the People render a clear decision. Whether the ACA survives or fails will determine the basic principles that guide the development of federalism, social insurance, tax policy, and privatization for decades to come. In each of these areas, the New Deal bequeathed us a delicate accommodation between traditionalist social values and modernizing norms of economic efficiency and interest group liberalism. This balance has come under increasing stress, with individual laws rejecting tradition far more emphatically than the New Deal did. But absent broad popular engagement, no definitive new principles could be established. The ACA's entrenchment would elevate technocratic norms across public law, the first change of our fundamental law since the civil rights revolution. The ACA's failure would rejuvenate individualistic, moralistic, pre-New Deal norms and allow opponents to attempt a counterrevolution against technocracy.

  15. Comparison and analysis of two modern methods in the structural health monitoring techniques in aerospace

    Science.gov (United States)

    Riahi, Mohammad; Ahmadi, Alireza

    2016-04-01

    Role of air transport in the development and expansion of world trade leading to economic growth of different countries is undeniable. Continuing the world's trade sustainability without expansion of aerospace is next to impossible. Based on enormous expenses for design, manufacturing and maintenance of different aerospace structures, correct and timely diagnosis of defects in those structures to provide for maximum safety has the highest importance. Amid all this, manufacturers of commercial and even military aircrafts are after production of less expensive, lighter, higher fuel economy and nonetheless, higher safety. As such, two events has prevailed in the aerospace industries: (1) Utilization of composites for the fuselage as well as other airplane parts, (2) using modern manufacturing methods. Arrival of two these points have created the need for upgrading of the present systems as well as innovating newer methods in diagnosing and detection of defects in aerospace structures. Despite applicability of nondestructive testing (NDT) methods in aerospace for decades, due to some limitations in the defect detection's certainty, particularly for composite material and complex geometries, shadow of doubt has fallen on maintaining complete confidence in using NDT. These days, two principal approach are ahead to tackle the above mentioned problems. First, approach for the short range is the creative and combinational mean to increase the reliability of NDT and for the long run, innovation of new methods on the basis of structural health monitoring (SHM) is in order. This has led to new philosophy in the maintenance area and in some instances; field of design has also been affected by it.

  16. [From the medieval hospitals hospices to modern National public Health Institutes].

    Science.gov (United States)

    de Micheli, Alfredo

    2016-01-01

    Since the most ancient times, hospital constructions and progresses in the clinical practice advanced pari passu. We can find exampless of this statement in Greek regions as well as in Greek citie overseas. Thus, during the renaissance, great figures ot that time converged in Italy: The genius Leonardo da Vinci (1452-1519) and Leon Battista Alberti (1404-1472), a humanist and innovator of architecture. Michelangelo Buonarroti (1475-1564) and his contemporany artists performed anatomical dissection to perfect their art by studying the human body. Anatomical studies flourished at the University of Padua, driven by the Flemish Master. Based on the rigorous study of the anatomical substrate, the studies on the function of the already known organic structures excelled in the xvii century. That century started with the revelation of the major blood circulation by the British physician William Harvey, alumni of the University of Padua, and continued with the description of the minior or pulmonary circulation by ancient or contemporany authors and of the peripheral connections between the arterial and the venous system (Marcelo Malpighi, 1661). All these researchers, and others, were membres of the University of Padua, were the beneficial influence of the teachings of Galileo persisted. In the following centuries, together with the embryological and normal anatomy, the pathological anatomy, systematized by G.B. Morgani, became the cornerstone of the clinical practice. The model of the ancient hospitals evolved to ward the National Institutes of Health in Mexico fostered by Dr. Ignacio Chávez. Copyright © 2014 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.

  17. Reconstruction of railroads at Klaipéda da National Seaport: Local Health Impact Assessment Case in Lithuania

    Directory of Open Access Journals (Sweden)

    Ingrida Zurlytè

    2007-09-01

    Full Text Available Background: Introduction of health impact assessment (HIA as a national legal requirement for planned economic activity projects in 2002 and the further development of related procedures and methodological requirements has boosted the number of HIAs carried out both as an integrated part of environmental impact assessment (EIA procedures as well as an independent activity. Most of HIAs have been conduct for local projects. The HIA for the reconstruction of the southern section of the railroads in Klaip da National Seaport is one of the local HIAs in Lithuania carried out as an independent procedure. Methods: The HIA for the reconstruction of the southern section of the railroads in Klaipda National Seaport was carried out following the national legal procedure for the cases not foreseen in the Law on Environmental Impact Assessment of Planned Economic Activity and the national HIA methodological regulations. The HIA included a literature review, analysis of related technical documentation, data on existing and estimated air pollution and environmental noise levels and possible health consequences, analysis of local demographic and health statistics; interviews with the residents living in proximity of the planned activity, analysis of public complaints on existing activities at Klaip da National Seaport, site visit and round table discussions with the proponent of the planned activity, planning company and representatives of the public health authority. The standard or intermediate type of perspective HIA was applied. Results: The HIA report has pointed out noise, vibration, ambient air pollution, psychological factors as related to possible negative impact on health of residents living in the mostly exposed locations. Interviews with inhabitants living in proximity of the planned activity have shown that majority of them knew nothing about the reconstruction plans. Recommendations were provided in the report how to minimise

  18. Cidadania e modernidade: emergência da questão social na agenda pública Citizenship and modernity: the emergence of the social issue on the public agenda

    Directory of Open Access Journals (Sweden)

    Regina Cele de A. Bodstein

    1997-04-01

    Full Text Available A inclusão da chamada questão social na agenda pública desde a modernidade até seus desdobramentos mais atuais constituiu-se no fio condutor do artigo. Procurou-se mostrar que um dos sentidos da modernidade é exatamente a inversão radical entre o significado do público e do privado, ensejando o alargamento do espaço público. A modernidade, longe de estar associada a um determinado modelo capitalista-burguês, projeta-se como uma reinvenção dos direitos, da cidadania e da experiência democrática contemporânea. Nessa trajetória, o processo de individualização foi visto como fator crucial para a compreensão da ideologia das sociedades modernas e, paradoxalmente, da própria emergência das ciências sociais. A concepção individualista, enfatizando a especificidade da representação moderna do social, isto é, sua característica de sociedade auto-instituinte, permite a compreensão ampliada do domínio público. Nesse sentido, a polarização ideológica entre as concepções liberal (favorável ao individualismo e marxista (vinculada às representações holísticas do social, deve ser revista, inclusive, porque repercute no próprio instrumental analítico das ciências sociais.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

  19. [Study of the impact of a MBA Administration in Health course on the organizational modernity of ophthalmologic clinics].

    Science.gov (United States)

    Meireles, Manuel; Scarpi, Marinho Jorge

    2005-01-01

    Investigations in the field of the learning competence that investigate the impact of the acquisition of new individual competence of those responsible for ophthalmologic clinics, by means of a MBA Administration in Health course, on the organizational modernity of ophthalmologic clinics. Survey using questionnaires applied to students and former students of the course and to managers of ophthalmologic clinics not linked to the course (n=30 each one). The analysis was made by means of statistical methods: r of Pearson and Q of Yule; Student's t test, sum of series test, median test and U test of Mann-Whitney. Linear and positive correlation was observed between excellency of MBA Administration in Health and the development of the veteran students' capacities (rho correlation of Spearman at the level of 0.01); there is a significant difference (0.0364, by the Mann-Whitney test), between veteran students and freshmen regarding the need to extend the individual capacities provided by the MBA Administration in Health course, to the other operational employees of the ophthalmologic clinics; and there is a significant difference (0.0057, for the Mann-Whitney test), among veteran students of the MBA Administration in Health course and freshmen regarding the importance of the organizational modernity for the ophthalmologic clinics. The obtained results are consistent, in a general way, with the proposed model: MBA Administration's excellence in Health contributes significantly to the organizational modernity, to the development of competence of the veteran students, and, also in substantial way to the perception of organizational hiatuses.

  20. A brief history of 'lone' atrial fibrillation: from 'a peculiar pulse irregularity' to a modern public health concern.

    Science.gov (United States)

    Potpara, Tatjana S; Lip, Gregory Y H

    2015-01-01

    Ever since the original description of a 'peculiar pulse irregularity', atrial fibrillation (AF) has been studied extensively and has come a long journey from the recognition of its cardiac origins, to the modern concept of AF as a serious public health challenge with profound social and economic implications. This arrhythmia affects around 2% of adult population, and the most common underlying heart diseases accompanying AF in the modern era are hypertension, heart failure and coronary artery disease, as well as valvular heart diseases and numerous other cardiac as well as non-cardiac disorders which have been shown to predispose to AF. On occasions, AF occurs in young otherwise apparently healthy individuals (so called 'lone AF'). For a long time, 'lone' AF has been believed to bear a favourable prognosis as compared to AF with underlying structural heart disease, but increasing evidence suggests that 'lone' AF patients represent a rather heterogeneous cohort, with highly variable individual risk profiles due to the presence of various subclinical cardiovascular risk factors or genetically determined subtle alterations at the cellular or molecular level. For these reasons, the existence of truly 'lone' AF has recently been questioned. In this review article, we present a brief history of the recognition of the public health burden of AF. We discuss some of the misconceptions and breakthroughs on modern knowledge on AF, including the rise (and fall) of the 'lone' AF concept.

  1. Traditional, modern or mixed? Perspectives on social, economic, and health impacts of evolving food retail in Thailand.

    Science.gov (United States)

    Kelly, Matthew; Seubsman, Sam-Ang; Banwell, Cathy; Dixon, Jane; Sleigh, Adrian

    Transnational food retailers expanded to middle-income countries over recent decades responding to supply (liberalized foreign investment) and demand (rising incomes, urbanization, female workforce participation, and time poverty). Control in new markets diffuses along three axes: socio-economic (rich to poor), geographic (urban to rural), and product category (processed foods to fresh foods). We used a mixed method approach to study the progression of modern retail in Thailand on these three axes and consumer preferences for food retailing. In Thailand modern retail controls half the food sales but traditional fresh markets remain important. Quantitative questionnaires administered to members of a large national cohort study revealed around half of respondents were primarily traditional shoppers and half either utilized modern and traditional formats equally or primarily shopped at supermarkets. Fresh foods were mainly purchased at traditional retail formats and dry packaged foods at supermarkets. Qualitative interviews found price and quality of produce and availability of culturally important products to be significant reasons for continued support of fresh markets. Our results show socio-economic and geographic diffusion is already advanced with most respondents having access to and utilizing modern retail. Control of the fresh food sector by transnationals faces barriers in Thailand and may remain elusive. The short to mid-term outcome may be a bifurcated food system with modern and traditional retail each retaining market share, but fresh markets longer term survival may require government assistance as supermarkets become more established. Fresh markets supply affordable, healthy foods, and livelihoods for poorer Thais and are repositories of Thai food culture and social networks. If they survive they will confer cultural, social, economic, and health benefits.

  2. [Use of modern contraceptive methods in the Democratic Republic of the Congo: prevalence and barriers in the health zone of Dibindi, Mbuji-Mayi].

    Science.gov (United States)

    Ntambue, Abel Mukengeshayi; Tshiala, Rachel Ngalula; Malonga, Françoise Kaj; Ilunga, Tabitha Mpoyi; Kamonayi, Josaphat Mulumba; Kazadi, Simon Tshimankinda; Matungulu, Charles Matungu; Musau, Angel Nkola; Mulamba, Diese; Dramaix-Wilmet, Michèle; Donnen, Philippe

    2017-01-01

    This study aimed to determine modern contraceptive prevalence and the barriers to using modern contraceptive methods among the couples in Dibindi health zone, Mbuji-Mayi, in the Democratic Republic of the Congo. We conducted a cross-sectional descriptive study from May to June 2015. Nonpregnant married women aged 15-49 years old at the time of the investigation, living in Dibindi health zone for two years and having freely consented to participate in the study were included. Data were collected by open-ended interview of these women. Modern contraceptive prevalence was referred to women who were currently using, at the time of the investigation, modern contraceptives. The comparison between proportions was performed at the significance threshold of 5%. Bonferroni's test was used to compare, two by two, the proportions of barriers to using modern contraceptive methods. Modern contraceptive prevalence in Dibindi was 18.4% in 2015. It was low with regard to family planning services available in this health zone. Several women refused to use modern contraceptive methods despite available information because of their desire for motherhood, religious prohibition, opposition on the part of their husband and fear of side effects. Sufficient client-centered or couple-centered information and family planning information should be strengthened in order to eliminate the false beliefs and to increase the use of modern contraceptive methods.

  3. Communications on hazards to the ecology, public health and the society as a result of modern technologies

    International Nuclear Information System (INIS)

    Hoffmann, R.; Borgmann, M.; Wiedemann, P.; Rohrmann, B.

    1988-01-01

    The bibliography covers journals, books and grey literature published since 1980 to date in the field of communications research on the issue of hazards to the ecology, public health and the society as a result of modern technologies. The scientific research disciplines contributing in this context are sociology, psychology, political sciences, appropriate sectors of engineering science and scientific management. The technological subjects covered include: Nuclear energy, fossil energy sources, other energy sources, the chemical industry and pharmaceutical industry, the petrochemical industry, biological engineering, climate research, the CO 2 problem and the ozone layer, and medical aspects. (DG) [de

  4. Women's preference for traditional birth attendants and modern health care practitioners in Akpabuyo community of Cross River State, Nigeria.

    Science.gov (United States)

    Akpabio, Idongesit I; Edet, Olaide B; Etifit, Rita E; Robinson-Bassey, Grace C

    2014-01-01

    The proportion of women who patronized traditional birth attendants (TBAs) or modern health care practitioners (MHCPs) was compared, including reasons for their choices. A comparative design was adopted to study 300 respondents selected through a multistage systematic random sampling technique. The instrument for data collection was a validated 21-item structured questionnaire. We observed that 75 (25%) patronized and 80 (27%) preferred TBAs, and 206 (69%) patronized and 220 (75%) preferred MHCPs, while 19 (6%) patronized both. The view that TBAs prayed before conducting deliveries was supported by a majority 75 (94%) of the respondents who preferred them. Factors associated with preference for TBAs should be addressed.

  5. A crise da modernidade no início do século XX The modernity crisis at the beginning of the 20th century

    Directory of Open Access Journals (Sweden)

    João Carlos Zuin

    2007-05-01

    Full Text Available Este trabalho propõe-se a fornecer elementos para estudar o papel dos intelectuais diante da crise da modernidade no início do século XX. Por meio desse enfoque, faço uma análise comparativa dos debates sobre o sentido da história e o sentido do papel dos intelectuais na Alemanha e na França no início da Primeira Guerra Mundial. O foco de análise foram as mudanças substanciais no sentido da missão dos intelectuais em decorrência da introdução do ideal de glória de cada nação na política mundial. Ideais de razão, ciência, cultura, liberdade e igualdade foram substituídos pelas palavras raça, sangue, poder, instintos e redenção pela guerra. Palavras-chave: Modernidade. Intelectual. Guerra Mundial. Alemanha. This text intends to present some elements for the study of the role the intelligentsia had on the crisis of modernity at the beginning of the 20t h century. Through this approach, a comparative analysis of the debates about the meaning of history and the meaning of the role of the intelligentsia in Germany and France at the time of the First World War is done. The focus of the analysis were the substantial changes on the role of the intelligentsia after the abdication of the universal ideals and the introduction of the ideal of glory of each nation in the world politics. Ideals of reason, science, culture, liberty and equality were substituted by words such as race, blood, power, instincts and redemption by war. Keywords: Modernity. Intelligentsia. world war. Germany.

  6. Level of modern health care seeking behaviors among mothers having under five children in Dangila town, north West Ethiopia, 2016: a cross sectional study.

    Science.gov (United States)

    Dagnew, Amare Belachew; Tewabe, Tilahun; Murugan, Rajalakshmi

    2018-05-29

    Health seeking behavior is an action taken by an individual who perceive to have a health problem. In most developing countries including Ethiopia the health of the children is strongly dependant on maternal health care behavior. Most childhood morbidities and mortalities are associated with low level of mothers health care seeking behavior. Therefore, the objective of this study was to assess level of modern health care seeking behavior among mothers having under five children in Dangila town, North West Ethiopia. Community based quantitative cross-sectional study was conducted from April 15 to May 15, 2016. Systematic random sampling technique was used to select study participants. A total of273 mothers with children less than five years were included in this study. The data was collected from all five Kebeles using interviewer administered questionnaire. Descriptive and inferential statistics were used to present the data. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with level of modern health care seeking behavior. Prevalence of modern health care seeking behavior was 82.1%. Age of mothers (AOR = 2.4(1.1, 5.3), age of the child (AOR = 6.7(2.8, 22.2), severity of illness (AOR = 5.2(1.2, 22.6) and family number (AOR = 6.4(2.1, 20.2) were predictors of modern health care seeking behavior among mothers. Majority of the mothers preferred to take their children to modern health care when they got illness. Age of children, age of mother, number of family and severity of illness were the determinant factors for modern health care seeking behavior. Therefore, health care services should be strengthened at community level through community integrated management of childhood illness, information, education communication / behavioral change communication strategies to improve mothers health care seeking behaviors.

  7. Contribution of modern medical imaging technology to radiation health effects in exposed populations

    International Nuclear Information System (INIS)

    Fabrikant, J.I.

    1980-11-01

    The introduction of technically-advanced imaging systems in medicine carries with it potential health hazards, particularly from ionizing and nonionizing radiation exposure of human populations. This paper will discuss what we know and what we do not know about the health effects of low-level radiation, how the risks of radiation-induced health effects may be estimated, the sources of the scientific data, the dose-response models used, the uncertainties which limit precision of estimation of excess health risks from low-level radiation, and what the implications might be for radiation protection in medicine and public health policy

  8. Modernity after Modernity

    Directory of Open Access Journals (Sweden)

    Marin Dinu

    2007-08-01

    Full Text Available A strategy for the second modernization raises, beyond objectives, a series of epistemicresponsibilities. It is known that modernization stemming from the Enlightment had, among other things,the pretense that it is a project which is self-legitimating. Its profound rationales are the only justification.Referential self-centering proved to be the one that made possible a practice of the new. Modernizationhaving the function of renouncing myth – meaning an eliminatory formula for the past – and thefixation in the opportunity and potentiality of the present, seemed to close an insoluble but extremelyengrossing problem: that of a propensity towards utopia, of the risky escape towards the future. Thetraditionalization of the new constitutes a support for the daring to break out of the captivity of themoment.Modernization becomes the experience of combining the new which, thus, creates a succession ofpresent times. The future is no longer the result of fantasy, but a system’s direct expression to combine thenew. Therefore the future is an option for one or another model of the present, often tested previouslysomewhere else. In a non-metaphysical way, the future can be seen, touched, tried, lived by simplegeographical movement. The sense of evolution has de-temporalized taking the form of the concomitant,parallel, enclosed, neighboring space. We just have to be in the trend, to evolve in the context.Globalization defines the context and its conception – as a project of the second modernity – showsus the trends. The problem is how to understand the context in order to find the sense of the trend. Are wethe load the sense with the values of the first modernity or will we have to turn to the values of anothermodernity? Why do we have to move away from the significance of the processes which made up the firstmodernity? How do we relate to the content of the new context in which the structural trends of today’sworld are taking place? What is the

  9. Modern teaching for modern education

    OpenAIRE

    Mirascieva, Snezana

    2016-01-01

    Carrying the epithet of being contemporary education today means modern teaching. If modern education is a state in the field of education of all its elements, then teaching will also be a state with its own special features defining it as modern. The main issues of concern in this paper relate to what constitutes modern teaching, which features determine it as being modern, and how much is teaching today following the trend of modernization.

  10. Indicators of young women's modern contraceptive use in Burkina Faso and Mali from Demographic and Health Survey data.

    Science.gov (United States)

    O'Regan, Amy; Thompson, Gretchen

    2017-01-01

    High total fertility rates in Burkina Faso and Mali are leading to population growth beyond the agricultural and fiscal means of its citizens. Providing access to affordable family planning methods is a key step in driving the demographic transition where fertility and mortality rates decline. Furthermore, both nations face significant challenges as climate change is projected to disproportionately impact the western Sahel region undermining environmental, social and economic stability within the region. This analysis was included in formative research to inform family planning programming. The aim of this study was to examine possible indicators of long acting and permanent contraceptive method (LAPM) and short-term method (STM) use for young women in Burkina Faso and Mali. Secondary data analysis was conducted using the three most recent Demographic and Health Survey (DHS) datasets for Burkina Faso (1998, 2003, 2010) and Mali (2001, 2006, 2012). Women ages 15-24, at risk for unwanted pregnancy were included in these analyses. Summary descriptive statistics across all time points are reported and multinomial logistic regression was used with the most recent data to determine potential indicators of different types of modern contraceptive methods. In Burkina Faso in 2010, 24% of women ages 15-24 were using modern contraceptives. Only 2.9% reported using LAPMs in 2010, an increase from 0.3% in 1998. In Mali, modern contraceptive use increased more recently, rising from 9.4% in 2001 to 10.2% in 2006 to 15.3% in 2012. LAPM use also increased from 0.3% in 2001 to 4.1% in 2012. Significant indicators of LAPM contraceptive use in both countries included educational attainment, ideal family size, home ownership and husband's desire for more children. Young women in Burkina Faso and Mali are increasingly using modern contraceptives for family planning; however, the LAPM contraceptive prevalence rate remains low. Our analysis indicates that social norms around ideal family

  11. Medical education, global health and travel medicine: a modern student's experience.

    Science.gov (United States)

    Tissingh, Elizabeth Khadija

    2009-01-01

    Today's medical student will practice medicine in a globalised world, where an understanding of travel medicine and global health will be vital. Students at UK medical schools are keen to learn more about these areas and yet receive little specific training. Tomorrow's doctors should be taught about global health and travel medicine if they are to be prepared to work in tomorrow's world.

  12. The Changing Health Care Landscape and Implications of Organizational Ethics on Modern Medical Practice

    DEFF Research Database (Denmark)

    Castlen, Joseph P; Cote, David J; Moojen, Wouter A

    2017-01-01

    to prevent excessive spending as health care systems become larger and more difficult to manage. Recognizing the cause of changes in health care, which do not always originate with physicians and administrators, along with implementing changes in hospitals such as increased physician leadership, could help...

  13. "Alarme de incêndio": Michael Löwy e a crítica ecossocialista da civilização capitalista moderna "Fire alarm": Michael Löwy and the ecosocialist critique of the modern capitalist civilization

    Directory of Open Access Journals (Sweden)

    Fabio Mascaro Querido

    2013-04-01

    Full Text Available A emergência da crise ecológica, como sintoma mais nítido de uma verdadeira crise civilizató-ria, impôs novos desafios ao pensamento crítico e, em especial, ao marxismo. Partindo desse pressuposto, o objetivo deste artigo é apresentar a defesa de Michael Löwy de uma radicalização ecossocialista da crítica marxista da modernidade, tarefa para a qual a grande recusa de Walter Benjamin das ideologias do pro- gresso é uma das fontes decisivas de inspiração. Para Michael Löwy, a ruptura com as ideologias do progresso e com o paradigma civilizatório capitalista moderno é uma condição indispensável para a atua-lização ecossocialista do marxismo.The emergence of the ecological crisis as a clearer symptom of a true civilizatory crisis has imposed new challenges to critical thought and, in particular, to Marxism. Based on this assumption, this article aims to present Michael Löwy's defense of an ecosocialist radicalization of the Marxist critique of modernity, a task for which Walter Benjamin's great refusal of the ideologies of progress is one of the critical sources of inspiration. To Michael Löwy, breaking away from the ideologies of progress and from the modern capitalistic civilizatory paradigm is a prerequisite for the ecosocialist updating of Marxism.

  14. Size Matters — Determinants of Modern, Community-Oriented Mental Health Services

    Science.gov (United States)

    Ala-Nikkola, Taina; Pirkola, Sami; Kontio, Raija; Joffe, Grigori; Pankakoski, Maiju; Malin, Maili; Sadeniemi, Minna; Kaila, Minna; Wahlbeck, Kristian

    2014-01-01

    Governances, structures and contents of mental health services are being reformed across countries. There is a need for data to support those changes. The aim of this study was to explore the quality, i.e., diversity and community orientation, and quantity, i.e., personnel resources, of mental health and substance abuse services (MHS) and evaluate correlation between population needs and quality and quantity of MHS. The European Service Mapping Schedule—Revised (ESMS-R) was used to classify mental health and substance abuse services in southern Finland. Municipal-level aggregate data, local data on unemployment rate, length of education, age of retirement, proportion of single households, alcohol sales and a composite mental health index were used as indicators of population mental health needs. Population size correlated strongly with service diversity, explaining 84% of the variance. Personnel resources did not associate with diversity or community orientation. The indicators of mental health services need did not have the expected association with quality and quantity of services. In terms of service organization, the results may support larger population bases, at least 150,000 adult inhabitants, when aiming for higher diversity. PMID:25153471

  15. Coletivo da Música: A study about relations between arts and mental health

    Directory of Open Access Journals (Sweden)

    José Luiz Dias Siqueira

    2012-09-01

    Full Text Available The objective of this research is to look for an understanding concerning the music experiences of some Mental Health users. We made interviews with 6 subjects, participants of the Coletivo da Música project, which promotes musical activities in the Mental Health services, in Campinas. After the data collect, we analyzed the whole material, using as a reference the phenomenological method, searching for some signified units and to comprehend them from a psychological perspective. We asserted that music has an important role in the life for each subject, being relacioned to memory of remarkable moments. The music activities were relationed to improvement of mood state, socialization and personal expression.

  16. As travestis no Programa Saúde da Família da Lapa Transvestites in the Family Health Program of Lapa

    Directory of Open Access Journals (Sweden)

    Valéria Ferreira Romano

    2008-06-01

    Full Text Available Este texto apresenta o relato de experiência sobre o acolhimento das travestis no Programa Saúde da Família Lapa (PSF-Lapa, uma unidade de saúde de atenção básica, situada no bairro da Lapa, centro do Município do Rio de Janeiro. O PSF-Lapa é parte integrante do curso de Medicina da Universidade Estácio de Sá, em parceria com a Secretaria Municipal de Saúde do Rio de Janeiro, servindo de cenário de ensino-aprendizagem dos alunos do curso de Medicina e de outras áreas da saúde da universidade. Apoiada no fato de que o acesso das travestis aos serviços de saúde pública tem sido pautado pelo preconceito tanto de profissionais quanto de usuários, tece considerações sobre a humanização da relação aluno - profissionais de saúde - usuários, no que concerne ao direito à saúde. Relata as estratégias utilizadas para promover o acolhimento das travestis pela equipe de saúde, pelos usuários e alunos envolvidos, a partir da lógica do respeito à diversidade.This text reports the experience of sheltering transvestites in the Family Health Program of Lapa (PSF-Lapa, a health center that provides basic care, situated in the neighborhood of Lapa, in the downtown area of the city of Rio de Janeiro. PSF-Lapa is an integral part of the Medicine program of UNESA (Estácio de Sá University, in partnership with the Municipal Health Department of Rio de Janeiro. It serves as a teaching-learning scenario for students of the Medicine program and of other health areas of the university. Supported by the fact that the transvestites' access to public health services has been characterized by prejudice on the part of professionals and users, this paper discusses the humanization of the relationship student-health professionals-users, concerning the right to health. It reports the strategies used to promote the sheltering of the transvestites by the health team, users and students involved, based on the logic of respect for diversity.

  17. A Randomized Trial of Pocket-Echocardiography Integrated Mobile Health Device Assessments in Modern Structural Heart Disease Clinics.

    Science.gov (United States)

    Bhavnani, Sanjeev P; Sola, Srikanth; Adams, David; Venkateshvaran, Ashwin; Dash, P K; Sengupta, Partho P

    2018-04-01

    This study sought to determine whether mobile health (mHealth) device assessments used as clinical decision support tools at the point-of-care can reduce the time to treatment and improve long-term outcomes among patients with rheumatic and structural heart diseases (SHD). Newly developed smartphone-connected mHealth devices represent promising methods to diagnose common diseases in resource-limited areas; however, the impact of technology-based care on long-term outcomes has not been rigorously evaluated. A total of 253 patients with SHD were randomized to an initial diagnostic assessment with wireless devices in mHealth clinics (n = 139) or to standard-care (n = 114) in India. mHealth clinics were equipped with point-of-care devices including pocket-echocardiography, smartphone-connected-electrocardiogram blood pressure and oxygen measurements, activity monitoring, and portable brain natriuretic peptide laboratory testing. All individuals underwent comprehensive transthoracic echocardiography to assess the severity of SHD. The primary endpoint was the time to referral for therapy with percutaneous valvuloplasty or surgical valve replacement. Secondary endpoints included the probability of a cardiovascular hospitalization and/or death over 1 year. An initial mHealth assessment was associated with a shorter time to referral for valvuloplasty and/or valve replacement (83 ± 79 days vs. 180 ± 101 days; p Mobile Health Device Assessments in Modern Structural Heart Disease Clinics; NCT02881398). Copyright © 2018 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  18. Is 'modern culture' bad for our health and well-being?

    Science.gov (United States)

    Hanlon, Phil; Carlisle, Sandra

    2009-12-01

    Evidence is accumulating that well-being in high-income societies may be static or in decline. One influential theory argues that this is because 'modern' societies are influenced by values of materialism, individualism and consumerism. Does this intellectual critique resonate with ordinary people? This article reports on interviews with purposefully selected groups in Scotland, where the relevance of the cultural critique was explored. Participants in the study believed that cultural values such as individualized consumerism do exert a damaging influence on well-being. They suggested that such values are given particular power in the context of widespread social change and increasing inequalities. Nevertheless, they also believed that individuals and communities possess the capacity to resist such trends. This article concludes that efforts to achieve material improvement for disadvantaged people may not suffice in redressing deep-seated inequalities, if the contribution of some subtle but pernicious effects of contemporary culture remains neglected. However, the research does suggest that positive responses are also possible.

  19. A liturgia da escola moderna: saberes, valores, atitudes e exemplos - The liturgy of the modern school: knowledge, values, attitudes and examples

    Directory of Open Access Journals (Sweden)

    Carlota Boto, Brasil

    2014-09-01

    escolar, rito, liturgia, história da educação. THE LITURGY OF THE MODERN SCHOOL: KNOWLEDGE, AVLUES, ATTITUDES AND EXAMPLESAbstractSchool represents, due to the things that it does and the duties that it has, a type of liturgy.  Viewing the school as a ritual requires the observation of the internal movements that make up the daily school routine, as well as an understanding of the protocols of actions designed to be inserted into institutional practices. In this sense, the children in line, the organization of the space into classes arranged into different grades, the construction of timetables to accommodate the different subjects and disciplines that make up the curriculum, the interaction between the teacher and the students within the space of the classroom, the rows of desks, the topic registered on the blackboard, all of this indicates actions and movements that are included in what we understand as being school life. This investigation addresses some examples of ways of constituting the school liturgy, by means of working with primary sources regarded as appropriate for ascertaining aspects of daily school life: public education codes, textbooks for training teachers, primary schools’ reading books, teaching and inspection reports. The period that the documentation is limited to covers the second half of the 19th century and the first few decades of the 20th century. We seek to make use of tangled traces, capable of providing us with elements to reconstitute rituals existing in Brazilian schools - more specifically those in the State of São Paulo - and Portuguese schools. With the understanding that it deals with a dialogue of the Portuguese-Brazilian world, the proposal was to establish fields of approximation between the realities of the countries - with an apology for the change in the meanings of the words due to the long period of time. It is not exactly intended to achieve a comparison between the two realities - Brazilian and Portuguese -, but merely

  20. Challenges to promoting health in the modern welfare state: the case of the Nordic nations.

    Science.gov (United States)

    Raphael, Dennis

    2014-02-01

    Finland, Norway, and Sweden are leaders in promoting health through public policy action. Much of this has to do with the close correspondence between key health promotion concepts and elements of the Nordic welfare state that promote equity through universalist strategies and programs that provide citizens with economic and social security. The purpose of this article is to identify the threats to the Nordic welfare states related to immigration, economic globalization, and welfare state fatigue. Through a critical analysis of relevant literature and data this article provides evidence of the state of the Nordic welfare state and some of these challenges to the Nordic welfare state and its health promotion efforts. There is evidence of declining support for the unconditional Nordic welfare state, increases in income inequality and poverty, and a weakening of the programs and supports that have associated with the excellent health profile of the Nordic nations. This is especially the case for Sweden. It is argued that the Nordic welfare states' accomplishments must be celebrated and used as a basis for maintaining the public policies shown to be successful in promoting the health of its citizens.

  1. Modern needs in health technology assessment: a study of comparative effectiveness

    Directory of Open Access Journals (Sweden)

    A. V. Pavlysh

    2013-01-01

    Full Text Available Health technology assessment is a key component of healthcare decision making in most of the developed countries. Comparative effectiveness research as one of the elements of such assessment is becoming increasingly important in recent years. It is based on the effectiveness analysis of health technologies in real clinical practice setting. The authors have analyzed publications dedicated to these issues and showed the main methods of such study, its peculiarities, advantages and disadvantages. It has been revealed that the most frequently used designs of expert analysis are observational and pragmatic randomized studies. The main recommendations on analyzing comparative effectiveness are given in view of the literary data.

  2. A Revolução Haitiana e o Atlântico Negro: o Constitucionalismo em face do Lado Oculto da Modernidade / The Haitian Revolution and the Black Atlantic: Constitutionalism in face of the Dark Side of Modernity

    Directory of Open Access Journals (Sweden)

    Evandro Charles Piza Duarte

    2017-01-01

    Full Text Available Resumo: O presente artigo pretende ser um duplo movimento de reflexão sobre as categorias utilizadas para tratar da história do constitucionalismo moderno. Primeiramente, apresentará a categoria de “Atlântico Negro” e suas respectivas contribuições para uma “reperiodização” da modernidade, especificamente quanto aos movimentos sociais de reivindicação de direitos. Em seguida toma um evento particular desse Atlântico Negro, a Revolução Haitiana, como prisma hermenêutico e metodológico para pensar as disputas constitucionais. Busca-se, desse modo, adotar o ponto de vista de uma filosofia da história que lide, de maneira integrada, com a modernidade e o colonialismo. Por fim, tecerá breves comentários sobre como esse duplo movimento poderá contribuir para a reflexão sobre o direito constitucional contemporâneo. Abstract: The present paper aims to be a double movement of reflection about the history of modern constitutionalism. Firstly, it introduces the “Black Atlantic” category and its respective contributions to perform a “re-periodization” of modernity, specifically in relation to social movements of human rights. Then, it takes one particular event of this Black Atlantic, the Haitian Revolution, to be a methodological and hermeneutical prism to think the constitutional struggles. Thereby, the paper intends to embrace a point of view of the philosophy of history that deals with modernity and colonialism in an integrated manner. Lastly, it shows how this double displacement can contribute to the contemporary constitutional thought.

  3. A Revolução Haitiana e o Atlântico Negro: o Constitucionalismo em face do Lado Oculto da Modernidade / The Haitian Revolution and the Black Atlantic: Constitutionalism in face of the Dark Side of Modernity

    Directory of Open Access Journals (Sweden)

    Evandro Charles Piza Duarte

    2017-01-01

    Full Text Available Resumo: O presente artigo pretende ser um duplo movimento de reflexão sobre as categorias utilizadas para tratar da história do constitucionalismo moderno. Primeiramente, apresentará a categoria de “Atlântico Negro” e suas respectivas contribuições para uma “reperiodização” da modernidade, especificamente quanto aos movimentos sociais de reivindicação de direitos. Em seguida toma um evento particular desse Atlântico Negro, a Revolução Haitiana, como prisma hermenêutico e metodológico para pensar as disputas constitucionais. Busca-se, desse modo, adotar o ponto de vista de uma filosofia da história que lide, de maneira integrada, com a modernidade e o colonialismo. Por fim, tecerá breves comentários sobre como esse duplo movimento poderá contribuir para a reflexão sobre o direito constitucional contemporâneo.   Abstract: The present paper aims to be a double movement of reflection about the history of modern constitutionalism. Firstly, it introduces the “Black Atlantic” category and its respective contributions to perform a “re-periodization” of modernity, specifically in relation to social movements of human rights. Then, it takes one particular event of this Black Atlantic, the Haitian Revolution, to be a methodological and hermeneutical prism to think the constitutional struggles. Thereby, the paper intends to embrace a point of view of the philosophy of history that deals with modernity and colonialism in an integrated manner. Lastly, it shows how this double displacement can contribute to the contemporary constitutional thought.

  4. Cyberbullying a modern form of bullying: let's talk about this health and social problem.

    Science.gov (United States)

    Ferrara, Pietro; Ianniello, Francesca; Villani, Alberto; Corsello, Giovanni

    2018-01-17

    Cyberbullying or electronic aggression has already been designated as a serious public health threat. Cyberbullying should also be considered as a cause for new onset psychological symptoms, somatic symptoms of unclear etiology or a drop in academic performance. Pediatricians should be trained to play a major role in caring for and supporting the social and developmental well-being of children.

  5. Modern trends in the health care system of Russia: drop or rise

    Directory of Open Access Journals (Sweden)

    Yuliya Zh. Sadykova

    2017-01-01

    Full Text Available In the period of the existence of post-soviet Russia, the health care system has remained and remains one of the most important and, at the same time, the problem element of it. We have to admit that not always medical services, offered by our state, are positive, if we consider them, for example, through the concept of “quality”. Undoubtedly, this is determined by the existing medical structure, starting with the number of different hospital establishments and ending with the degree of qualification and competence of medical specialists.Thus, the purpose of this article is a comprehensive analysis of the healthcare system that was established in the Russian Federation in 1990–2015, the object of the study is the entire Russian health care system, and the subject is specific statistical data on the hospital beds and hospitals in Russia.Problems of health development, as well as various methodological issues of statistical research, including the accounting of hospital facilities, hospital beds, doctors in the context of specialties, morbidity are considered in the works of both domestic and foreign scientists (V.Medic, M. Tokmachev, G. Ulumbekova, S. Banin, McKee Martin and others.The main directions of development of the national medicine for the specified period of time, its characteristic features and problems of concern that cause dysfunction in the work of the health care protection mechanism for the citizens were identified in the context of the dynamics in such statistical indexes as the total number of hospital and outpatient clinics, hospital beds in them, the number of doctors and the state of morbidity of the population, published by the Federal State Statistics Service.As a research task, attempts were made to assess the impact of changes in these indexes on the state of Russian health care over the period as a whole. Moreover, the work revealed the main content concepts on this topic, explained the nominal structure of the

  6. Indicative criteria for assessing the feasibility of hydrogenerators modernization services; Criterios indicativos para analise da viabilidade de servicos de modernizacao de hidrogeradores

    Energy Technology Data Exchange (ETDEWEB)

    Pinto, Luciano Lopes [Universidade Federal de Itajuba (UNIFEI), MG (Brazil). Programa de Mestrado de Engenharia da Energia; Centrais Eletricas Brasileiras S.A. (ELETROBRAS), Rio de Janeiro, RJ (Brazil)], E-mail: lucianol@furnas.com.br; Tiago Filho, Geraldo Lucio [Universidade Federal de Itajuba (UNIFEI), MG (Brazil)], E-mail: tiago@unifei.edu.br; Gregati, Augusto Cezar Mileo [Companhia Paulista de Forca e Luz (CPFL), Sao Paulo, SP (Brazil)], E-mail: agregatti@baesa.com.br

    2010-10-15

    Aiming at helping the generating agents in direct actions for the development of new feasibility studies for implementation of the modernization of hydrogenerator, with the technological age over 30 (thirty) years, it presents evaluation criteria based on strategic parameters, operating income and availability. This criterion allows the analysis of the technical, operational, commercial and environmental issues involved in the feasibility study for modernization of hydrogenerator information available for the application of the theory, consolidated through diagnostic director. (author)

  7. The Changing Health Care Landscape and Implications of Organizational Ethics on Modern Medical Practice.

    Science.gov (United States)

    Castlen, Joseph P; Cote, David J; Moojen, Wouter A; Robe, Pierre A; Balak, Naci; Brennum, Jannick; Ammirati, Mario; Mathiesen, Tiit; Broekman, Marike L D

    2017-06-01

    Medicine is rapidly changing, both in the level of collective medical knowledge and in how it is being delivered. The increased presence of administrators in hospitals helps to facilitate these changes and ease administrative workloads on physicians; however, tensions sometimes form between physicians and administrators. This situation is based on perceptions from both sides that physicians obstruct cost-saving measures and administrators put profits before patients. In reality, increasing patient populations and changes in health care are necessitating action by hospitals to prevent excessive spending as health care systems become larger and more difficult to manage. Recognizing the cause of changes in health care, which do not always originate with physicians and administrators, along with implementing changes in hospitals such as increased physician leadership, could help to ease tensions and promote a more collaborative atmosphere. Ethically, there is a need to preserve physician autonomy, which is a tenet of medical professionalism, and a need to rein in spending costs and ensure that patients receive the best possible care. Physicians and administrators both need to have a well-developed personal ethic to achieve these goals. Physicians need be allowed to retain relative autonomy over their practices as they support and participate in administrator-led efforts toward distributive justice. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Performativity and the claims of scientificity of modern linguistics Performatividade e argumentos científicos da linguística moderna

    Directory of Open Access Journals (Sweden)

    Kanavillil Rajagopalan

    2012-01-01

    Full Text Available This paper discusses the claim of the situatedness of research in both theoretical and applied linguistics and some of its implications and argues that it is linked to the performativity of all assertions, including scientific ones. More importantly, I argue that it is the regressive infinity of performativity that makes inevitable the passage from presumably 'dispassionate' research to militancy.Este trabalho discute a tese da 'situacionalidade' da pesquisa em linguística, quer teórica, quer aplicada, e algumas das suas implicações. E sustenta que ela está ligada à performatividade de todas as asserções, inclusive as asserções científicas. De forma mais importante, argumento que é a regressão infinita da performatividade que torna inevitável a passagem da pesquisa presumivelmente 'não influenciada por emoções' à militância.

  9. The dethronement of income as a cause of health: an essay O destronamento da renda como causa da saúde: um ensaio

    Directory of Open Access Journals (Sweden)

    Philip Musgrove

    2007-12-01

    Full Text Available Income, whether of nations, groups or individuals, appears in many analyses to have a strong relation to health status and even to be the principal explanatory variable for health differences. Poor people tend to be sicker than average, and sick people tend also to be poorer than average. Of course, income is needed to buy the goods and services that contribute to protecting and improving health, but its importance has been overstated. Cross-sectional relations that ignore history exaggerate how much income matters for health. Income is "dethroned" as the king of explanations by four lines of evidence: (1 distribution matters more than totals or averages, and the distribution of financial protection through insurance, rather than the distribution of income, is particularly crucial; (2 historically, income growth by itself contributed little to health improvements; (3 it matters more, how rapidly and thoroughly people and nations adopt sound health interventions; and (4 some recent changes in lifestyle (diet and physical activity that accompany income growth actually worsen health. These causes are especially relevant for infant and child health, somewhat less so for maternal health. The less important income is, the easier it is to improve health; so it is good news that countries and people need to escape from poverty, but they don't have to be rich to be healthy.Renda, tanto de nações, grupos ou indivíduos, aparece em muitas análises como fortemente relacionada ao estado de saúde, além de ser a variável explanatória principal para a análise das diferenças em saúde. Pessoas pobres tendem a ser mais doentes que a média e pessoas doentes tendem a ser mais pobres do que a média. Certamente a renda é necessária para a compra de bens e serviços que contribuem para a promoção e melhoria da saúde, porém sua importância tem sido exagerada. Análises transversais que ignoram a história comentam exageros no quanto a renda

  10. Preclinical and Clinical Studies Demonstrate That the Proprietary Herbal Extract DA-5512 Effectively Stimulates Hair Growth and Promotes Hair Health

    Directory of Open Access Journals (Sweden)

    Jae Young Yu

    2017-01-01

    Full Text Available The proprietary DA-5512 formulation comprises six herbal extracts from traditional oriental plants historically associated with therapeutic and other applications related to hair. Here, we investigated the effects of DA-5512 on the proliferation of human dermal papilla cells (hDPCs in vitro and on hair growth in C57BL/6 mice and conducted a clinical study to evaluate the efficacy and safety of DA-5512. DA-5512 significantly enhanced the viability of hDPCs in a dose-dependent manner (p<0.05, and 100 ppm of DA-5512 and 1 μM minoxidil (MXD significantly increased the number of Ki-67-positive cells, compared with the control group (p<0.05. MXD (3% and DA-5512 (1%, 5% significantly stimulated hair growth and increased the number and length of hair follicles (HFs versus the controls (each p<0.05. The groups treated with DA-5512 exhibited hair growth comparable to that induced by MXD. In clinical study, we detected a statistically significant increase in the efficacy of DA-5512 after 16 weeks compared with the groups treated with placebo or 3% MXD (p<0.05. In conclusion, DA-5512 might promote hair growth and enhance hair health and can therefore be considered an effective option for treating hair loss.

  11. Health, Healthcare Access, and Use of Traditional Versus Modern Medicine in Remote Peruvian Amazon Communities: A Descriptive Study of Knowledge, Attitudes, and Practices

    OpenAIRE

    Williamson, Jonathan; Ramirez, Ronald; Wingfield, Tom

    2015-01-01

    There is an urgent need for healthcare research, funding, and infrastructure in the Peruvian Amazon. We performed a descriptive study of health, health knowledge and practice, and healthcare access of 13 remote communities of the Manat? and Amazon Rivers in northeastern Peru. Eighty-five adults attending a medical boat service were interviewed to collect data on socioeconomic position, health, diagnosed illnesses, pain, healthcare access, and traditional versus modern medicine use. In this se...

  12. As bases históricas da gestão da qualidade: a abordagem clássica da administração e seu impacto na moderna gestão da qualidade The historical principles of quality management: the classical management approach and its impact on modern quality management

    OpenAIRE

    Edson Pacheco Paladini

    1998-01-01

    Este artigo mostra como a Gestão da Qualidade, tal qual conhecemos hoje, embasou seu desenvolvimento em escolas fundamentais da Administração. Em particular, enfoca-se aqui a Escola Clássica, suas identidades e confrontos com a Gestão da Qualidade e seus reflexos nas suas principais ferramentas. Esta análise permite entender o verdadeiro alcance de conceitos e estratégias da Gestão da Qualidade, garantindo assim sua correta aplicação.This paper shows how Quality Management, as we understand i...

  13. [Modern conceptions about the possible impact of palm oil on human health].

    Science.gov (United States)

    Medvedev, O S; Medvedeva, N A

    2016-01-01

    Review of the scientific literature on the evidence of the relationship between palm oil (PO) and its components and adverse effects on human health, on the mechanisms of cholesterol control and risks for development of cardiovascular diseases. PO is solid or semisolid at room temperature and often is used as a natural substitute for partially hydrogenated vegetable oils containing trans fatty acids which increase risks of hypercholesteremia. PO contains both saturated and unsaturated fats as well as substances with antioxidant activity. Taking into account the lipid theory of atherosclerosis pathogenesis, and sn-2 hypothesis, PO was compared with other vegetable oils, like olive, sunflower or soybean oils, and did not show great differences in changes of LDL, HDL or total cholesterol levels. Comparison of diets rich in PO with diets rich in trans fatty acids shows improvement of lipid profiles in groups with PO, and serves as a basis for replacement of trans fatty acids in food with PO and its fractions. In addition to fatty acids content, PO contains several phytonutrients including 4 forms of tocopherols and tocotrienols, carotenoids, sterols, and some others. Most of these compounds are considered beneficial for human health, mainly on account of their antioxidant activity. It is concluded that PO is safe component of food, when we pay attention to the rather high content of saturated fats in it.

  14. [Personality and work of Florence Nightingale--creator of modern nursing and public health pioneer].

    Science.gov (United States)

    Milutinović, Dragana; Sumonja, Sanja; Maksimović, Jovan

    2012-01-01

    Through her "calling to service", Florence Nightingale worked as a nurse, manager, researcher, reformer, writer and teacher. The aim of this study is to present Florence Nightingale in all these roles, pointing out all complexity and multidimensionality of nursing profession. Having come from an aristocratic English family, Florence Nightingale was very educated She considered knowledge as a way, and statistical method as an instrument for discovering the rules of the world. Her work during the Crimean War was one of her most important deeds and made her a national hero. After the war, she devoted herself to reforming nursing and public health in Britain and in the world. Since she was bedbound after the Crimean War due to her illness, writing became the most powerful tool she had in achieving her goals. Florence Nightingale wrote many letters to politicians and statesmen, many newspaper and scientific articles. One of her greatest works "Notes on Nursing" was not written only for nurses, but for all women. By founding Nursing school at St. Thomas Hospital in 1860 she aspired to train and educate nurses. Her complete and lifelong devotion to the ,,calling" directed all her activities, contributions and achievements, not only towards nursing but also towards statistics, epidemiology, public health and social sciences.

  15. [Surgical methods for delivery in modern obstetrics and their influence on maternal and infant health].

    Science.gov (United States)

    Kokhanevych, Ie V; Mitsoda, R M; Konoplianko, T V; Konoplianko, V V

    2000-03-01

    The article addresses issues of comparative characterization of deliveries involving surgery and impact thereof on the health of the mother and her child. Risk factors are identified that the mother and her child run in sectio cesarea, in application of obstetrical forceps, and in vacuum-extraction of the fetus. Cesarean section was found out to be the most acceptable mode of delivery in origination of organic and functional nervous system involvement in children but the most ill-chosen and unpropitious one in the mother, especially so in those groups at risk for bleeding, septic complications, and genital endometriosis. Among those surgical methods of delivery being the least traumatic to the mother are obstetrical forceps and vacuum-extraction of the fetus.

  16. Contribution of modern biotechnology of lactic acid bacteria to development of health-promoting foods

    Directory of Open Access Journals (Sweden)

    Airi Palva

    1998-01-01

    Full Text Available Lactic acid bacteria (LAB are extensively used in the manufacture of a wide variety of fermented dairy, meat, vegetable, bakery and wine products in the food and wine industry as well as in making silage for animal feed. Some LAB strains also have an increasingly important role as health-promoting probiotics. Molecular genetic research of LAB, focused mainly on the basic characterisation of traits essential for the industrial utilisation of these bacteria, forms a solid scientific basis for stabilisation, modification and improvement of these characteristics. The emphasis of this review is on the molecular genetic work done at the research laboratory of the author. Our research team is engaged on, two main projects: molecular genetic and biochemical characterisation of the proteolytic systems of industrial thermophilic lactobacilli and surface layer protein studies to develop protein production systems for food, feed, vaccine and diagnostic purposes.

  17. RFID technology in health environment opportunities and challenges for modern cancer care.

    Science.gov (United States)

    Safdari, Reza; Maserat, Elham; Maserat, Elnaz

    2012-01-01

    Cancers are significant contributors to the mortality and health care expenditures. Cancer can be reduced and monitored by new information technology. Radio frequency identification or RFID is a wireless identification technology. The use of this technology can be employed for identifying and tracking clinical staff, patients, supplies, medications and equipments. RFID can trace and manage chemotherapy drugs. There are different types of RFID. Implantable RFID allowing a chip to be embedded under the skin and that store the cancer patient's identifier. These are concerns about applications of RFID. Privacy, security and legal issues are key problems. This paper describes capabilities, benefits and confidentiality aspects in radio frequency identification systems and solutions for overcoming challenges.

  18. Health benefits of ancient grains. Comparison among bread made with ancient, heritage and modern grain flours in human cultured cells.

    Science.gov (United States)

    Valli, Veronica; Taccari, Annalisa; Di Nunzio, Mattia; Danesi, Francesca; Bordoni, Alessandra

    2018-05-01

    Nowadays the higher nutritional value of whole grains compared to refined grains is recognized. In the last decade, there has been a renewed interest in the ancient wheat varieties for producing high-value food products with enhanced health benefits. This study compared two ancient grains, two heritage grains, and four modern grains grown in the same agronomic conditions considering not only their chemical characteristics, but also their biological effects. Whole grain flours were obtained and used to make bread. Bread was in vitro digested, the digesta were supplemented to HepG2 cells, and the biological effects of supplementation were evaluated. In addition, cells previously supplemented with the different digested bread types were then exposed to inflammatory agents to evidence possible protective effects of the pre-treatments. Despite the impossibility to discriminate bread made with different grains based on their chemical composition, results herein reported evidence that their supplementation to cultured cells exerts different effects, confirming the potential health benefits of ancient grains. This research represents an advancement for the evaluation of the apparent positive effects of ancient grains and the formulation of cereal-based products with added nutritional value. Copyright © 2018 Elsevier Ltd. All rights reserved.

  19. A Pequena história da literatura Brasileira: provocação ao modernismo The Small history of Brazilian literature: provoking modernism

    Directory of Open Access Journals (Sweden)

    André Botelho

    2011-11-01

    Full Text Available O texto analisa a Pequena história da literatura brasileira, de Ronald de Carvalho, procurando explicitar seu contexto intelectual: de um lado, a tradição da historiografia literária que lhe lega as principais referências e convenções; de outro, a conjuntura crítica de reflexão sobre o sentido que a cultura e a sociedade brasileira estavam tomando, na qual se nutriram a sensibilidade e a imaginação modernistas. Esse recurso metodológico permite discutir como, a partir da defesa da "simplicidade" da linguagem literária - cujo sentido particular também é qualificado neste artigo -, o livrocontribuiu para a rotinização de uma agenda de renovação estética e culturalThe text analyzes the Small history of Brazilian literature, by Ronald de Carvalho, looking to explicate its intellectual context: on one hand, the tradition of literary historiography from which the book inherits its main references and conventions; on the other, the contemporary critical reflection on the direction in which Brazilian culture and society were heading and on which the modernist sensibility and imagination fed. This methodological strategy enables a discussion in how, based on the defence of the "simplicity" of literary language - whose particular meaning is also described in this article - the book contributed to making an agenda of aesthetic and cultural renewal routine

  20. Florence Nightingale: Apontamentos sobre a fundadora da Enfermagem Moderna Florence Nightingale: Apuntes sobre la fundadora de la Enfermería Moderna Florence Nightingale: Notes on the founder of Modern Nursing

    Directory of Open Access Journals (Sweden)

    Lúcia Marlene Macário Lopes

    2010-12-01

    amigos y conocidos distinguidos y redactó cerca de 200 obras repartidas entre libros, informes y panfletos, que tuvieron un profundo impacto en la salud y en la reorganización de los servicios de salud. Su obra fue de tal forma revolucionaria y avanzada, que le permitió un alcance mundial, considerado, aún hoy, piedra angular en la profesionalización de la Enfermería.Ahead of her time, although conservative, Florence Nightingale popularized the practice of nursing, allowing the establishment of a new profession for women. A well-educated and cultured woman, she used her knowledge and status to influence health and education policy in her time. She provided nursing care to patients in the battlefields of the Crimea (1854-1856, validating the profession of nursing and setting her on the path to being a status icon and legend. This article is a selected compilation of the literature that aims to honor and make known the path of the person who is considered the founder of modern nursing. Over 90 years of life, Florence Nightingale wrote about 20.000 letters to friends and distinguished acquaintances and wrote about 200 papers, including books, pamphlets and reports, which had a profound impact on health and the reorganization of health services. Her work was revolutionary and advanced in a way that had global outreach, and is still considered nowadays a cornerstone of the professionalization of nursing.

  1. Planejamento da qualidade nas unidades de saúde da família, utilizando o Desdobramento da Função Qualidade (QFD Quality planning of Family Health Units using Quality Function Deployment (QFD

    Directory of Open Access Journals (Sweden)

    Luciana Fernandes Volpato

    2010-08-01

    Full Text Available A qualidade é um requisito indispensável na área da saúde, e sua procura se faz presente em virtude da necessidade de atender as exigências de uma população ciente de seus direitos, da essência das boas relações no trabalho e diminuição dos custos tecnológicos. Assim, a qualidade envolve todos que fazem parte do processo (usuários e profissionais, deixando de ser um atributo do serviço. Esta pesquisa tem como objetivo verificar a possibilidade de planejar a qualidade nas unidades de saúde da família, por meio do Desdobramento da Função Qualidade (QFD. Este planeja a qualidade segundo a satisfação do usuário, envolvendo os profissionais da instituição e identificando novos caminhos para aperfeiçoar os processos de trabalho. A construção da matriz, denominada Casa da Qualidade, é o aspecto mais importante desse método. Os resultados mostram que há similaridade entre a qualidade exigida pelos usuários e a qualidade planejada pelos profissionais. O presente estudo comprovou que a ferramenta QFD constitui-se em instrumento eficiente no planejamento da qualidade nos serviços públicos de saúde.Quality is an indispensible requirement in the health field, and its pursuit is necessary in order to meet demands by a population that is aware of its rights, as part of the essence of good work relations, and to decrease technological costs. Quality thus involves all parties to the process (users and professionals, and is no longer merely an attribute of the health service. This study aimed to verify the possibility of quality planning in the Family Health Units, using Quality Function Deployment (QFD. QFD plans quality according to user satisfaction, involving staff professionals and identifying new approaches to improve work processes. Development of the array, called the House of Quality, is this method's most important characteristics. The results show a similarity between the quality demanded by users and the quality

  2. Liberdade, lei natural e direito natural em Hobbes: limiar do direito e da política na modernidade Freedom, natural law and natural right in Hobbes: threshold of law and politics in modernity

    Directory of Open Access Journals (Sweden)

    Natalia Maruyama

    2009-01-01

    Full Text Available Liberdade e poder são dois temas que se correlacionam ao longo da história da filosofia política moderna. Nos textos de Hobbes, a ideia da liberdade como ausência de impedimentos às ações ajuda-nos a pensar o dever de obediência ao poder soberano e as relações entre política e direito. Uma situação de vácuo jurídico, em que tudo é permitido, faz-se, contudo, impossível, de modo que a solução de Hobbes consiste em sustentar a ideia do direito natural como direito originário individual vinculado à preservação da vida. Suas ideias do direito natural e da lei natural, que servem de fundamento ao dever de obediência ao soberano, amparam-se em princípios jurídicos, teológicos e biológicos. Tais princípios, entretanto, não dão conta da questão da extensão do poder soberano. Hobbes recorre à análise da linguagem. Sua teoria contratual afirma o princípio de preservação da vida na base da política e sustenta a ideia da criação e da manutenção do poder soberano no ato de linguagem implicado na estrutura representativa do pacto político.Liberty and power are two subjects correlated along the history of the political modern philosophy. In the texts of Hobbes, the idea of liberty as absence of impediments to the actions helps us to think the duty of obedience to the sovereign power and the relations between politics and right. A situation of legal vacuum, in which everything is allowed, is, nevertheless, impossible, so that the solution of Hobbes consists in supporting the idea of the natural right like original individual right linked to the preservation of the life. His ideas of the natural right and of the natural law, which serve of basis to the duty of obedience to a sovereign, lean on legal, theological and biological principles. In spite of that, such principles do not surround the question of the extension of the sovereign power. Hobbes resorts to the analysis of the language. His contractual theory affirms

  3. Os fundamentos da identidade européia na antiguidade, na idade média e nos tempos modernos = The bases of European identity in antiquity, middle ages and in modernity

    Directory of Open Access Journals (Sweden)

    Peter Johann Mainka

    2011-01-01

    Full Text Available Depois do fim da Segunda Guerra Mundial iniciou-se o processo da unificação européia, compreendendo todas as áreas do Estado e da sociedade (legislação, jurisdição, política, economia, instituições, etc. dos 27 Estados, tão diferentes quanto às tradições e à sua história, que compõem, no momento, a União Européia. Porém, quais são os fundamentos intelectuais e os valores culturais, quais são as idéias e memórias, que dão à Europa uma identidade coerente e compartilhada, em princípio, por toda a população européia de atualmente, quase 500 milhões de pessoas? Esses alicerces intelectuais da Europa remontam à Antiguidade, à Idade Média e aos Tempos Modernos. Este trabalho pretende apresentar alguns desses fundamentos comuns da Europa, postos na Idade Média e nos Tempos Modernos (por exemplo o Cristianismo, o Humanismo e o Iluminismo, e discutir a sua importância para a identidade européia.The process of European unification started immediately after the II World War. It comprised all the areas of State and society (legislation, jurisdiction, politics, economy, institutions and others in the twenty-seven countries, highly different in their traditions and history and which now make up the European Community. Which are the intellectual bases and the cultural values, which are the ideas and memories that give Europe a coherent identity shared, at least theoretically, by the European population of approximately 500 million people? Europe's intellectual bases go back to Antiquide, to the Middle Ages and to Modernity. Current essay will provide some of Europe's common principles posited in the Middle Ages and in Modernity (for instance, Christianity, Humanism and Illuminism and will discuss their importance within Euopean identity.

  4. Os livros de segredos italianos e o desenvolvimento da ciência moderna = Books of secrets italian and development of modern science

    Directory of Open Access Journals (Sweden)

    Martins, Julia Gruman

    2014-01-01

    Full Text Available Os livros de segredos foram um gênero de enorme sucesso nos séculos XVI e XVII, que unia elementos de diversas tradições: técnicas, hermetismo, alquimia, medicina empírica e magia natural. Graças à imprensa, traduções e reedições desses livros circularam por toda a Europa. Os “professores de segredos” foram os articuladores de saberes científicos e populares que se difundiram através de seus livros. O sincretismo da literatura de segredos ajudou a formar redes de transmissão de saberes, em que múltiplos agentes participaram. Como resultado desses encontros culturais, formou-se uma nova percepção do homem como operador sobre a natureza. Através da experiência, o homem podia melhor compreender a natureza e, através das técnicas, até mesmo melhorá-la, para seu próprio benefício. Essa concepção surgida do encontro da herança hermética com o universo do artesão, exemplificada pelos livros de segredos, facilitou o desenvolvimento tanto de um empirismo quanto de uma promessa de acesso ao saber que constituem a base da ciência moderna e do método experimental

  5. A judicialização da saúde e os novos desafios da gestão da assistência farmacêutica Health litigation and new challenges in the management of pharmaceutical services

    Directory of Open Access Journals (Sweden)

    Vera Lúcia Edais Pepe

    2010-08-01

    Full Text Available Os desafios para a gestão da assistência farmacêutica (AF provocados pelo fenômeno da judicialização da saúde vêm exigindo um tipo de atuação do gestor, administrativa e judicialmente diferenciada, no sentido de responder às ordens judiciais, evitar o crescimento de novas demandas, bem como preservar os princípios e as diretrizes do Sistema Único de Saúde (SUS. Este artigo se propõe a avançar na compreensão de um dos aspectos da judicialização da saúde, representado pelo intenso uso da via judicial para fornecimento de medicamentos, em especial, a relação deste mecanismo com a gestão da AF no SUS. A partir de revisão e análise das pesquisas disponíveis, realizadas em estados e municípios brasileiros, são abordados os principais elementos de interferência da "judicialização de medicamentos" no ciclo da AF, explicitando características comuns e divergentes desta demanda. Aponta, ao final, mecanismos possíveis de serem adotados na tomada de decisão neste âmbito, pelos gestores e profissionais do sistema de justiça, uma vez que a efetivação do direito à saúde só se realizará se no momento da tomada de decisão forem adotadas medidas, tanto por parte da gestão da AF como do Poder Judiciário, que certifiquem a segurança e a proteção dos usuários.Health litigation spurs many challenges in the management of pharmaceutical services. Performance of health managers and decisionmakers must be adjusted to new administrative and legal boundaries. Their actions must also be efficient in responding to ongoing lawsuits, as well as in avoiding additional litigation and in upholding principles and directives of the Brazilian Health System (SUS. This paper proposes to better understand one of the aspects of health litigation, namely the growing use of lawsuits demanding medicines, and the relationship between this phenomenon and pharmaceutical services management in SUS. Through review and analysis of available

  6. Are modern health worries, environmental concerns, or paranormal beliefs associated with perceptions of the effectiveness of complementary and alternative medicine?

    Science.gov (United States)

    Jeswani, Mamta; Furnham, Adrian

    2010-09-01

    To investigate to what extent paranormal beliefs, modern health worries (MHWs), and environmental concerns were related to beliefs about, and behaviour associated with complementary and alternative medicine (CAM). Of the participants, 150 completed a four-part questionnaire measuring use and perception of CAM, MHWs, paranormal beliefs, and environmental concerns. A factor analysis on the CAM questions revealed three clear components, labelled efficacy of CAM, attitudes to CAM, and safety of CAM. Age, total MHWs, paranormal beliefs, and environmental concerns were used as predictor variables in regression analyses with efficacy as criterion variable. Age was found to be a significantly related to efficacy of CAM. When total MHW score, paranormal belief score, and environmental concern score were added to the model, the r(2) increased by 29%. Environmental concern did not significantly relate to efficacy but spiritualism beliefs did. A factor analysis of the MHW scale items revealed nine factors. Out of these, radiation, doctors playing God, disasters, and epidemics, as well as harmful rays and air contaminants significantly predict belief in the efficacy of CAM. Overall, older people, with more MHWs, and who believe in the paranormal are more likely to believe that CAM works, possibly because of a more intuitive, 'holistic', thinking style. Limitations of the study are considered.

  7. Screening and monitoring of main diseases a modern strategy of health maintenance in personnel of radiation dangerous plants

    International Nuclear Information System (INIS)

    Takhauov, R. M.; Karpov, A. B.; Kubat, I. I.; Maslyuk, A. I.; Semenova, Y. V.; Freidin, M. B.; Trivozhenko, A. B.; Litvinenko, T. M.

    2004-01-01

    Population health is greatly determined by social factors, mode of life, ecological situation, amount and quality of medical assistance. The analysis of reasons of health troubles increase in population should be done taking into account the above aspects. Main consideration should be given to the development of measures aimed at the highest possible decrease of technogenic and anthropogenic factors influence on a human. Thereupon a complex programme of main diseases screening and monitoring in the personnel of the Siberian Group of Chemical enterprises (SGCE) to be the biggest one among Russian atomic plants has been developed. The purpose of the present paper is to determine main diseases at the earliest stage, the decrease of death rate, as well as the complex estimation of technogenic factor influence on the personnel of radiation dangerous plants nand their offsprings. In this case a long-term effect of low doses seems to be the main risk factor. Taking into account the structure of death rate causes of the population of industrialized countries as well as the spectrum of stochastic effects of ionizing radiation, the screening of cardiac ischemia and arterial hypertension, localization of cancer and congenital malformations have been chosen as the program priorities. Algorithm of instrumental laboratory screening of a particular disease includes modern diagnostic tests. Groups ar risk are formed taking into account a complex of exogenous and endogenous risk factors (age, chronic diseases, bad habits, length of service at a radiation dangerous plant, dose loads, hereditary factors) and on the basis of the screening examination results. The information obtained is entered in the list of database of the Regional Medico dosimetric Register of the SGCE personnel and Seversk residents followed by analysis and monitoring of groups ar risk. (Author) 4 refs

  8. As bases históricas da gestão da qualidade: a abordagem clássica da administração e seu impacto na moderna gestão da qualidade The historical principles of quality management: the classical management approach and its impact on modern quality management

    Directory of Open Access Journals (Sweden)

    Edson Pacheco Paladini

    1998-12-01

    Full Text Available Este artigo mostra como a Gestão da Qualidade, tal qual conhecemos hoje, embasou seu desenvolvimento em escolas fundamentais da Administração. Em particular, enfoca-se aqui a Escola Clássica, suas identidades e confrontos com a Gestão da Qualidade e seus reflexos nas suas principais ferramentas. Esta análise permite entender o verdadeiro alcance de conceitos e estratégias da Gestão da Qualidade, garantindo assim sua correta aplicação.This paper shows how Quality Management, as we understand it today, has used the main concepts of fundamental management approaches. Here the impact of Classical Management Theory on Quality Management is considered. This analysis allows us to understand correctly the main concepts of Quality Management, as well as its main tools, in order to guarantee their correct application.

  9. DESEJO DE LUZ: O CRISTIANISMO E O SURGIMENTO DA FILOSOFIA MODERNA EM LUDWIG FEUERBACH / A DESIRE FOR LIGHT: CHRISTIANITY AND THE EMERGENCE OF MODERN PHILOSOPHY IN LUDWIG FEUERBACH

    Directory of Open Access Journals (Sweden)

    Chrysantho Figueiredo

    2015-04-01

    Full Text Available This is a review of Ludwig Feuerbach’s book introduction Geshichte der Neuern Philosophie von Bacon bis Spinoza. The original text is in German, the review is in Portuguese. However, we present here, attached, the translated text, also unpublished and original. In 1841's The Essence of Christianity, Feuerbach presents in a most complete way his own version of the radical humanism which excited the young hegelians of his generation. However, it is between 1833 and 1838 that Feuerbach formulates his own philosophical point of view from the critique of the major philosophical systems of modernity. The History of Philosophy from Bacon to Spinoza, published in 1833, is the first of his historicalphilosophical works which, apart from the critique of the philosophers indicated by the title, presents also a singular feuerbachian vision of history as a whole, showing how modern philosophy emerges from the inherent contradictions of the Christian religious spirit.

  10. Funcionalidade e incapacidade humana: explorando o escopo da classificação internacional da Organização Mundial da Saúde Human functioning and disability: exploring the scope of the World Health Organization's international classification

    Directory of Open Access Journals (Sweden)

    Rosana Ferreira Sampaio

    2009-03-01

    Full Text Available A produção teórica sobre incapacidade se apresenta dicotomizada nas perspectivas médica e social. O modelo biomédico foca a deficiência, doença ou anormalidade corporal e como esses fatores produzem incapacidade. A abordagem social sugere que o significado de deficiência e incapacidade emerge de contextos sociais e culturais específicos. A OMS criou a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF, que traz um sistema de classificação e modelo teórico baseados na junção dos modelos médico e social e usa uma abordagem biopsicossocial para integrar as dimensões da saúde. Apesar da importância e atualidade da CIF, alguns conceitos foram pouco detalhados e justificados, podendo ocasionar interpretações distintas. Propõe-se com este ensaio descrever o modelo da CIF e analisar o alcance da teoria biopsicossocial para explorar a natureza relacional das categorias deficiência e incapacidade, bem como o caráter universal da proposta da OMS. Um dos aspectos mais positivos da CIF é trazer à baila a natureza interativa da incapacidade e a divisão do fenômeno em três dimensões, mostrando o grau de complexidade do processo de funcionalidade e incapacidade humana.The theoretical discussion on disability is dichotomized according to the medical and social perspectives. The biomedical model focuses on impairment, disease, or physical abnormality and how these factors produce disability. The social approach suggests that the meaning of disability and impairment emerges from specific social and cultural contexts. The WHO created the International Classification of Functioning, Disability and Health (ICF, with a classification system and theoretical model based on the combination of the medical and social models and using a biopsychosocial approach to integrate the health dimensions. Despite the importance and immediacy of the ICF, some concepts were insufficiently detailed and justified and could lead to

  11. Modernity: Are Modern Times Different?

    Directory of Open Access Journals (Sweden)

    Lynn Hunt

    2014-12-01

    Full Text Available “Modernity” has recently been the subject of considerable discussion among historians. This article reviews some of the debates and argues that modernity is a problematic concept because it implies a complete rupture with “traditional” ways of life. Studies of key terms are undertaken with the aid of Google Ngrams. These show that “modernity,” “modern times,” and “traditional” —in English and other languages— have a history of their own. A brief analysis of the shift from a self oriented toward equilibrium to a self oriented toward stimulation demonstrates that modernity is not necessary to historical analysis.

  12. O Big Data e os desafios da modernidade: uma regulação necessária? / Big Data and Modernity Challenges: A Required Regulation?

    OpenAIRE

    Victor Cravo

    2015-01-01

    RESUMO Propósito – Este artigo objetiva apresentar ao leitor à revolução paradigmática representada pelo Big Data, além de incentivá-lo a imaginar como o direito poderá lidar com os desafios que advirão da modernidade tecnológica. Metodologia/abordagem/design – O texto foi construído a partir de pesquisa bibliográfica destinada a explicar o fenômeno do Big Data e a problematizar, à luz da teorização de Immanuel Wallerstein sobre a modernidade, suas implicações no direito. Resultados ...

  13. João Pereira da Silva, Francisco Adolfo de Varnhagen et les malheurs de l'histoire moderne du Brésil

    Directory of Open Access Journals (Sweden)

    Armelle Enders

    2010-06-01

    Full Text Available Peu d´historiens se sont consacrés à l´histoire du Brésil indépendant sous l`Empire et João Manuel Pereira da Silva et Francisco Adolfo de Varnhagen constituent deux exceptions à cette règle. Véritable succès de libraire, le livre de Pereira da Silva História da Fundação do Império Brasileiro, en 7 gros volumes publiés á partir de 1864, est cependant  vite discrédité, ainsi que son auteur, qui tombe dans l´oubli. Varnhagen ne doit pas sa gloire à ses travaux sur l´indépendance , édités longtemps après sa mort. Ces mésaventures historiographiques posent le problème de la légitimité de l´histoire contemporaine et les difficiles rapports de celle-ci avec la politique et la monarchie brésilienne.

  14. Participação da população: do controle sobre os recursos a uma produção estética da clínica e da gestão em saúde Popular participation: social control of resources for aesthetic production of clinical practice and health management

    Directory of Open Access Journals (Sweden)

    Alcindo Antônio Ferla

    2004-06-01

    Full Text Available O artigo relata parte de trabalho cartográfico realizado pelo autor, que buscou idéias populares e oficiais inovadoras para a clínica e para a pedagogia médica, associando-as a evidências similares coletadas por ocasião da etapa nacional da XII Conferência Nacional de Saúde. Por meio da análise desse material empírico, é possível afirmar que os espaços de participação da população no sistema de saúde vêm produzindo contribuições inovadoras à clínica em saúde e à gestão do sistema de saúde. Essas contribuições atuam no sentido de reconfigurar a clínica e a gestão, interferindo, em grande medida, no próprio sentido do controle social, como habitualmente é referida a diretriz constitucional de participação da população no sistema de saúde. Tal movimento, que fortalece um plano de produção estética desses conceitos, é direcionado de forma similar a um conjunto de processos que marcam, segundo diversos autores, o limite de conceitos que a ciência moderna vem utilizando para produzir conhecimentos. Dessa forma, é possível supor que o que se denomina com alguma freqüência de crise no controle social sobre o sistema de saúde possa ser, na verdade, uma insuficiência de recursos interpretativos para capturar um plano de maior potência da participação da população e de expressão mais atual.This article reports on part of the prior mapping (Ferla, 2002 of innovative popular and official ideas for clinical practice and medical education, associating this process with similar evidence collected during the national stage of the 12th Brazilian National Health Conference. Analysis of this empirical material indicates that spaces for people's participation in the health system have produced innovative contributions to clinical practice and health system management. These same contributions help reshape clinical practice and management, intervening extensively in the very meaning of social control as

  15. A construção dos prontuários como expressão da prática dos profissionais de saúde The construction of medical records as the expression of health professionals' practice

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    Ana Maria Otoni Mesquita

    2010-09-01

    Full Text Available O artigo aborda a temática da construção dos prontuários a partir de análise documental no sentido de entender as práticas dos profissionais de saúde que integram equipes de pré-natal de adolescentes em dois ambulatórios da rede pública de atenção básica de saúde estadual e municipal. Partindo da definição contemporânea de prontuário, que entende que, para além da missão de ser um instrumento jurídico de registro de propriedade do paciente, ele também atua como mediador da comunicação intraequipe de saúde e da comunicação dessa equipe com o usuário, fazemos um resgate histórico e crítico, baseado na análise de Michel Foucault sobre a origem do registro como tecnologia disciplinar que caracterizou o nascimento da instituição hospitalar e da clínica moderna. Identificamos que o aspecto comunicativo, segundo conceito do 'agir comunicativo' de Jürgen Habermas, vem sendo negligenciado pelas equipes pesquisadas, fruto de uma visão profissional focada no 'sigilo' e no individual em detrimento da construção de saberes coletivos.The focus of the paper is the construction of medical records by health professionals in two public health assistance services for pregnant teenagers. The medical record, beyond its judicial character, must be understood nowadays as a tool for promoting communication between the staff members, as well as between staff and patients, an instrument that mediates communication actions. Based on Michel Foucault's historical approach to registration as part of a disciplinary technology that emerges together with the modern hospital and clinical view, it was identified that health professionals neglect the communicative aspect, according to the concept of 'communicative acting' developed by Jürgen Habermas, of the registration action, and show a conception of clinical procedures based on 'secrecy' rather than a social construction of new knowledge.

  16. Indivíduo e pessoa na experiência da saúde e da doença The notions of the person and the individual in the experience of health and illness

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    Luiz Fernando Dias Duarte

    2003-01-01

    Full Text Available Revisão de uma linha de pesquisa no campo das ciências sociais em saúde no Brasil que se centra na hipótese metodológica de uma diferença cultural fundamental entre os modelos relacionais de "pessoa" e o modelo do "indivíduo" ocidental moderno (pensado como livre, autônomo e igual. Essa diferença cultural é de particular importância na caracterização das formas diferenciais de experiência da saúde e da doença entre as classes populares das sociedades nacionais modernas e os segmentos portadores dos saberes biomédicos eruditos, dominantes e oficiais. Estes últimos têm um compromisso originário com algumas características da ideologia do individualismo, tais como o universalismo/racionalismo e o cientificismo/fisicalismo. As representações, práticas e instituições dela dependentes ocupam um espaço de oposição à forma integrada, relacional, holista, como são pensadas e experimentadas as "doenças" (ou, como prefiro, as "perturbações físico-morais" mesmo nos segmentos "individualizados", quanto mais nos segmentos regidos por representações hierárquicas, relacionais, de "pessoa". Apresentam-se os fundamentos antropológicos dessa perspectiva analítica e as diferentes dimensões da produção acadêmica a ela associada, em comparação com as de outras tendências do campo.This is a review of a research line present in Brazilian social science studies about health and illness, characterized by a methodological emphasis in the cultural distinction between relational models of the "person" and the modern Western model of the "individual" (conceived as free, autonomous and equal. That distinction is particularly important for the perception of different forms of the experience of health and illness, mostly between working classes in modern national societies and the social segments responsible for biomedical knowledge, as a learned, dominant or official ideology. This knowledge is fundamentally related to the

  17. Pregnant women’s perception and attitudes toward modern and traditional midwives and the perceptional impact on health seeking behaviour and status in rural Ghana

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    Prince Peprah

    Full Text Available This qualitative study was conducted in some selected rural communities within the Birim South District between March to June 2017 with the main aim of teasing out insights into Ghana’s perspective of pregnant women’s attitudes and perceptions about modern and traditional midwives and perceptional impact on health seeking behaviour and status. To the best of our knowledge, this is the first known study in Ghana that has provided empirical evidence on this subject. The study found that pregnant women have good attitudes and perceptions toward traditional midwives based on their personal experiences, beliefs and philosophies. Thus, pregnant women only see the need to seek the service of modern midwives when serious complications occur during childbirth and predominantly have their deliveries supervised by traditional midwives. These results call for, specifically two main policy interventions. First, behavioral change interventions through education, community sensitisation and awareness, is required. This should target family members, especially husbands and mothers in-law who are key household decision makers. This will radically help change the conservative attitudes and perceptions about modern midwives by pregnant women. Second, based on the support offered and willingness showed by the study participants, effective intercultural midwifery system will help maximise the utilisation of our midwifery and health delivery systems. Traditional and modern midwives need to work together to ensure safe birth. We consider collaboration among healthcare providers as critical, especially in the rural areas where the number of modern midwives are limited. Keywords: Traditional midwife, Modern midwife, Intercultural midwifery system, Behavioral change, Rural Ghana

  18. A homossexualidade feminina no campo da saúde: da invisibilidade à violência Female homosexuality in health: from invisibility to violence

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    Rita de Cássia Valadão

    2011-12-01

    Full Text Available O artigo tem como objetivo geral analisar os modelos que podem explicar a invisibilidade de lésbicas e mulheres bissexuais na área da assistência integral à saúde da mulher. Ao se discutir a homossexualidade em geral, contribui-se para que sejam desconstruídas visões naturalistas que destituem das pessoas o papel de agentes de sua própria sexualidade, impedindo-as de exercer o direito de viverem orientações sexuais diferentes das heteronormatizadas. Para o referencial teórico, foram utilizados os conceitos habitus e o campo de Pierre Bourdieu. Como método de estudo, empregou-se o desenho de ensaio, baseando-se em dois conjuntos de fontes: artigos publicados na área da saúde sobre o assunto, acessados no portal da Biblioteca Virtual de Saúde (BVS, e documentos governamentais relacionados ao atendimento às demandas de saúde de lésbicas, mulheres bissexuais ou que vivenciam relações homoafetivas e/ou homoeróticas. Concluiu-se que lésbicas e mulheres bissexuais não têm apoio por parte dos profissionais de saúde para verbalizar suas orientações sexuais quando buscam assistência. Tal situação escamoteia um atendimento seguro, produzindo exclusão e violência simbólica, apesar dos programas governamentais preconizarem o contrário.This paper aims to analyze the models that may explain the invisibility of lesbian and bisexual women in the area of women's whole health care assistance. Discussing homosexuality in general, a contribution is made to deconstruct naturalist views which destitute people from their role of agents of their own sexuality, preventing them of exercising their right to live different sexual orientations other than those hetero-normative. For the theoretical reference, Pierre Bourdieu's concept of habitus and field was used. Papers published on the subject in the health care field accessed through the site of the Virtual Health Library (BVS and government documents that provide health care programs and

  19. Entre o projeto de modernidade e a efetivação da democracia: marcas deixadas na construção da vida social brasileira Between projecting modernity and putting democracy into practice: marks left in the construction of the Brazilian social life

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    Giselle Silva Soares

    2012-03-01

    Full Text Available O presente artigo retoma algumas interpretações sobre o projeto de modernidade, aproximando-as de alguns elementos da formação social brasileira, considerando sua estreita relação para a afirmação e valorização da democracia no Brasil. Além disso, destacam-se interpretações sobre o processo de redemocratização da sociedade brasileira que ressaltam a importância da prática dos movimentos sociais para a validação desse processo.The present article resumes some interpretations of the project of modernity. It approaches them to some elements of the Brazilian social formation, considering the narrow relationship for the affirmation and the valuation of democracy in Brazil. Moreover, the article stresses the interpretations of the redemocratization of the Brazilian society that show how important the practice of the social movements was to the validation of such a process.

  20. eHealth Literacy and Health Behaviors Affecting Modern College Students: A Pilot Study of Issues Identified by the American College Health Association.

    Science.gov (United States)

    Britt, Rebecca Katherine; Collins, William Bart; Wilson, Kari; Linnemeier, Georgiann; Englebert, Andrew Mark

    2017-12-19

    The eHealth Literacy Scale (eHEALS) has been widely adopted by researchers to understand how eHealth literacy can be put into context. eHealth researchers need to know how to promote positive health behavior changes across college students, given the importance of the Internet to acquire and use health information. The American College Health Association identified a set of key health issues that affect college students today. By understanding how eHEALS might be related to college students' maintenance of their health and their use of online health resources, researchers will be provided with a better understanding of eHealth literacy and its pragmatic implications for health campaigns and future interventions. The goal of the study was to examine what eHEALS reveals about college student health behaviors identified by the American College Health Association. To understand college student current health maintenance and their intentions to maintain their health and use online resources, the theory of planned behavior was used as the theoretical framework for the study. Data were collected via a survey of 422 college students that included the eHEALS measure and questions about health issues based on the recommendations of the American College Health Association. These questions asked about college student current health, subsequent use of online health resources, and their intention to maintain their health and make use of such resources in the future. eHEALS was positively and significantly associated with all 8 areas of health issues identified by the American College Health Association for college student current maintenance of health and use of online health resources and for future intention of health maintenance and use of online resources. Key issues that emerged with eHealth literacy were maintaining safe sex practices and seeking out related information, seeking out information on an exercise regime, information on vaccinations, and maintaining a balanced

  1. eHealth Literacy and Health Behaviors Affecting Modern College Students: A Pilot Study of Issues Identified by the American College Health Association

    Science.gov (United States)

    Collins, William Bart; Wilson, Kari; Linnemeier, Georgiann; Englebert, Andrew Mark

    2017-01-01

    Background The eHealth Literacy Scale (eHEALS) has been widely adopted by researchers to understand how eHealth literacy can be put into context. eHealth researchers need to know how to promote positive health behavior changes across college students, given the importance of the Internet to acquire and use health information. The American College Health Association identified a set of key health issues that affect college students today. By understanding how eHEALS might be related to college students’ maintenance of their health and their use of online health resources, researchers will be provided with a better understanding of eHealth literacy and its pragmatic implications for health campaigns and future interventions. Objective The goal of the study was to examine what eHEALS reveals about college student health behaviors identified by the American College Health Association. To understand college student current health maintenance and their intentions to maintain their health and use online resources, the theory of planned behavior was used as the theoretical framework for the study. Methods Data were collected via a survey of 422 college students that included the eHEALS measure and questions about health issues based on the recommendations of the American College Health Association. These questions asked about college student current health, subsequent use of online health resources, and their intention to maintain their health and make use of such resources in the future. Results eHEALS was positively and significantly associated with all 8 areas of health issues identified by the American College Health Association for college student current maintenance of health and use of online health resources and for future intention of health maintenance and use of online resources. Key issues that emerged with eHealth literacy were maintaining safe sex practices and seeking out related information, seeking out information on an exercise regime, information on

  2. Modern cosmology

    International Nuclear Information System (INIS)

    Zeldovich, Y.B.

    1983-01-01

    This paper fives a general review of modern cosmology. The following subjects are discussed: hot big bang and periodization of the evolution; Hubble expansion; the structure of the universe (pancake theory); baryon asymmetry; inflatory universe. (Auth.)

  3. The health of women and girls determines the health and well-being of our modern world: A white paper from the International Council on Women's Health Issues.

    Science.gov (United States)

    Davidson, Patricia M; McGrath, Sarah J; Meleis, Afaf I; Stern, Phyllis; Digiacomo, Michelle; Dharmendra, Tessa; Correa-de-Araujo, Rosaly; Campbell, Jacquelyn C; Hochleitner, Margarethe; Messias, Deanne K H; Brown, Hazel; Teitelman, Anne; Sindhu, Siriorn; Reesman, Karen; Richter, Solina; Sommers, Marilyn S; Schaeffer, Doris; Stringer, Marilyn; Sampselle, Carolyn; Anderson, Debra; Tuazon, Josefina A; Cao, Yingjuan; Krassen Covan, Eleanor

    2011-10-01

    The International Council on Women's Health Issues (ICOWHI) is an international nonprofit association dedicated to the goal of promoting health, health care, and well-being of women and girls throughout the world through participation, empowerment, advocacy, education, and research. We are a multidisciplinary network of women's health providers, planners, and advocates from all over the globe. We constitute an international professional and lay network of those committed to improving women and girl's health and quality of life. This document provides a description of our organization mission, vision, and commitment to improving the health and well-being of women and girls globally.

  4. Prática da enfermeira no Programa de Saúde da Família: a interface da vigilância da saúde versus as ações programáticas em saúde The nurse's role in the Family Health Program: an interface between health surveillance and health program actions

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    Maristella Santos Nascimento

    2005-04-01

    Full Text Available O estudo analisa a prática da enfermeira no Programa de Saúde da Família (PSF em Jequié (BA; compreende as concepções sobre o PSF; identifica as atividades e aponta limites, avanços e perspectivas. Pesquisa qualitativa, em que as técnicas de coleta de dados são a entrevista semi-estruturada, a observação e a análise de documentos. O método de análise de dados foi a hermenêutica dialética. Os resultados evidenciaram que o PSF é uma estratégia de (reorientação do Modelo de Atenção à Saúde e um caminho para consolidação do Sistema Único de Saúde. As práticas das enfermeiras do PSF são assistenciais, gerenciais e educativas. Durante a sua execução utiliza uma dada organização tecnológica do trabalho em saúde, com práticas articuladas de promoção, prevenção de doenças e agravos, recuperação e reabilitação da saúde de grupos populacionais e intervenções sobre a família, o que tem resultado na reestruturação da atenção básica e a reorganização do sistema local de saúde. Como limites apresentam-se dificuldades em assegurar o acesso dos usuários aos serviços de média e alta complexidade e estabelecer o sistema de referência e contra-referência; como avanços, destaca-se a participação no treinamento introdutório, e têm perspectivas o aumento da cobertura do PSF no município e a hierarquização da rede local.This study analyzes the nurse's practice in the Program of Family Health (PSF in the municipal district of Jequié (BA, comprising the conceptions attributed to it, identifing activities and pointing out limits, progress and perspectives. A qualitative research, where techniques and data collection have been semi-structured interview and observation, and analysis of documents. Data analysis has been hermeneutic dialectics. The results made evident that the PSF is a strategy of (reorientation of the model of attention to the health and a means of consolidation of the Unique System of

  5. Ecologia política, economia ecológica e saúde coletiva: interfaces para a sustentabilidade do desenvolvimento e para a promoção da saúde Political ecology, ecological economics, and public health: interfaces for the sustainability of development and health promotion

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    Marcelo Firpo Porto

    2007-01-01

    Full Text Available Este trabalho busca trazer para o campo da Saúde Coletiva as contribuições da ecologia política e da economia ecológica, visando a integrar as discussões em torno da promoção da saúde, da sustentabilidade sócio-ambiental e dos processos de desenvolvimento. A economia ecológica é um campo de estudos transdisciplinar recente que reúne economistas com outros profissionais das ciências sociais, humanas e biológicas. Ela tem desenvolvido novos conceitos e metodologias que buscam captar a relação entre a economia com os processos ecológicos e sociais, como metabolismo social e perfil metabólico, inter-relacionando os fluxos econômicos com os de materiais e energia, e produzindo indicadores e índices de (insustentabilidade. A ecologia política, por sua vez, aborda as questões ecológicas e os conflitos sócio-ambientais a partir de dinâmicas econômicas e de poder que caracterizam as sociedades modernas. A Saúde Coletiva e as discussões sobre a promoção da saúde podem ampliar sua compreensão sobre o território, as comunidades, o papel da ciência e das instituições a partir das contribuições da ecologia política e da economia ecológica no entendimento dos modelos de desenvolvimento e os conflitos distributivos e sócio-ambientais por ele gerados.This article proposes to focus contributions from political ecology and ecological economics to the field of collective health with a view towards integrating the discussions around health promotion, socio-environmental sustainability, and development. Ecological economics is a recent interdisciplinary field that combines economists and other professionals from the social, human, and life sciences. The field has developed new concepts and methodologies that seek to grasp the relationship between the economy and ecological and social processes such as social metabolism and metabolic profile, thereby interrelating economic, material, and energy flows and producing indicators

  6. Ilusões de modernidade: o fetiche da marca McDonald's no Brasil Illusions of modernity: the fetish of McDonald's' brand in Brazil

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    Isleide Arruda Fontenelle

    2006-08-01

    Full Text Available Objetiva-se apresentar e discutir as relações atuais entre imagem e entretenimento a partir de pesquisas realizadas sobre a construção da imagem de marca McDonald's e sobre as modernas técnicas de marketing. Visando compreender porque nos tornamos consumidores de imagens, procurou-se recuperar, a partir da própria historia do McDonald's, os acontecimentos econômicos, sociais, culturais, políticos, que teriam nos transformado em uma sociedade na qual "estar na imagem é existir". Embora trágica em seu sentido de fundo, essa perda da forma nos é compensada por imagens de diversão e felicidade que as marcas nos transmitem. Ao final, questiona-se o alcance global dessa promessa a partir de uma digressão sobre o Brasil: como a marca McDonald's nos fornece as imagens para uma certa constituição identitária; e o seu nome para um sentimento de permanência? Como falar de "identificação" com uma marca que, aparentemente, não teria uma relação histórica e cultural com o Brasil?This article presents and discusses the current relationship between image and entertainment, based on the results of research studies on the constitution of McDonald's' brand image all over the world and contemporary marketing. Aiming to understand why we have become image consumers, those studies tried to recover, based on McDonald's history, economical, social, cultural, and political events that have lead us towards an obsessed image society, in which, "being in the image is the same as existing". Although tragic in its bottom line, that inexistence of form is compensated to us by amusement and happiness images conveyed by the brands. Finally, the research questions the global reach of that promise, starting from a digression on Brazil: how does McDonald's' brand supply us images for a certain identity constitution; and its brand name for a permanence feeling? How is it possible to speak of "identification" with a brand that, seemingly, would not have a

  7. A saúde da família sob as lentes da higiene mental Family health through the lens of mental hygiene

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    Renata Heller de Moura

    2012-03-01

    Full Text Available Procura instigar o debate sobre os determinantes sócio-históricos que condicionam a construção de políticas públicas de saúde mental aplicáveis ao contexto familiar brasileiro. As atuais políticas têm privilegiado a família como lugar estratégico de ações voltadas para a transformação social, com intervenção de vários atores, entre eles, psicólogos. Ao recuperar alguns pontos do ideário de higiene mental percebeu-se que esse discurso não é novidade na história da saúde brasileira. Embora os tempos, as famílias e os profissionais sejam outros, compreendeu-se que a busca de solução para a 'crise' da sociedade continua sendo atribuída ao indivíduo particular. A família, como expressão desse indivíduo, tem sido chamada para assumir responsabilidades que levem a sociedade na direção da 'ordem' e do 'progresso' da nação.The article is meant to stimulate debate about the social and historical determinants that shape the construction of public mental health policy within the context of the Brazilian family. Current policies have emphasized the family as a strategic target of initiatives aimed at social transformation, with the intervention of different actors, including psychologists. An examination of some ideas from the field of mental hygiene suggests that this discourse is nothing new in the history of Brazilian health. While today's times, families, and professionals are different, the search for a solution to the so-called crisis of society still focuses on the individual. The family, as the expression of this individual, has been called upon to assume responsibilities that push society towards 'order' and 'progress' for the Nation.

  8. A persistência de formas da vida religiosa na modernidade (The persistence of forms of the religious life in modernity

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    Breno Martins Campos

    2012-10-01

    Full Text Available O processo de desenvolvimento da história (e demais ciências das religiões, com objeto e metodologia próprios, pode ser analisado por meio das discussões que aprofundaram as relações entre a defesa do caráter racionalista do homem ocidental e a persistência de formas religiosas de expressão no transcorrer dos séculos XIX e XX (bem como neste início de século XXI. Por meio do estudo da história da teologia e das religiões, são estabelecidos critérios para o julgamento das convergências entre movimentos religiosos, também de suas especificidades, aqui discutidos à luz de pressupostos subjacentes em obras de Émile Durkheim (1858-1917, Rudolf Otto (1869-1937 e Mircea Eliade (1907-1986. A escolha dos autores se justifica pelo fato de representarem, cada qual a seu modo, estágios teórico-analíticos no desenvolvimento das ciências das religiões que abarcam o conflito entre racionalismo ocidental e formas religiosas. Pelo que guardam de semelhança ou contradição, especialmente pela presença do sagrado em sua argumentação, os três autores vêm a confirmar uma suspeita (do religioso ou hipótese (do cientista: a religião persiste. Palavras-chave: Ciências da Religião. Teologia. Émile Durkheim. Rudolf Otto. Mircea Eliade. Abstract The process of the development of History (and other sciences of Religions, with its object and methodology, can be analyzed by the discussions that deepened the relations between the defense of the rationalist character of the western man and the persistence of religious forms of expression in the 19th and 20th centuries (as well as in the beginning of the 21th century. Studying the History of Theology and of Religions, the criteria for the judgment of the convergences within religious movements can be established, as well their specificities, discussed here under the subjacent ideas found in Émile Durkheim (1858-1917, Rudolf Otto (1869-1937 and Mircea Eliade (1907-1986. The selection of

  9. Health, healthcare access, and use of traditional versus modern medicine in remote Peruvian Amazon communities: a descriptive study of knowledge, attitudes, and practices.

    Science.gov (United States)

    Williamson, Jonathan; Ramirez, Ronald; Wingfield, Tom

    2015-04-01

    There is an urgent need for healthcare research, funding, and infrastructure in the Peruvian Amazon. We performed a descriptive study of health, health knowledge and practice, and healthcare access of 13 remote communities of the Manatí and Amazon Rivers in northeastern Peru. Eighty-five adults attending a medical boat service were interviewed to collect data on socioeconomic position, health, diagnosed illnesses, pain, healthcare access, and traditional versus modern medicine use. In this setting, poverty and gender inequality were prevalent, and healthcare access was limited by long distances to the health post and long waiting times. There was a high burden of reported pain (mainly head and musculoskeletal) and chronic non-communicable diseases, such as hypertension (19%). Nearly all participants felt that they did not completely understand their diagnosed illnesses and wanted to know more. Participants preferred modern over traditional medicine, predominantly because of mistrust or lack of belief in traditional medicine. Our findings provide novel evidence concerning transitional health beliefs, hidden pain, and chronic non-communicable disease prevalence in marginalized communities of the Peruvian Amazon. Healthcare provision was limited by a breach between health education, knowledge, and access. Additional participatory research with similar rural populations is required to inform regional healthcare policy and decision-making. © The American Society of Tropical Medicine and Hygiene.

  10. Processo saúde-doença: concepções do movimento estudantil da área da saúde Health-sickness process: student leaders' conceptions in the health area

    Directory of Open Access Journals (Sweden)

    Alessandra Martins dos Reis

    2010-06-01

    Full Text Available O objetivo deste trabalho foi analisar as concepções de saúde-doença de lideranças estudantis da área da saúde. A coleta de dados ocorreu por meio de entrevistas individuais com 15 estudantes engajados em executivas de curso da área da saúde e com dois membros da União Nacional dos Estudantes. A concepção de saúde-doença mais enfatizada entre as lideranças estudantis foi a multicausal, representada majoritariamente por fatores relacionados à esfera do consumo. Sobressaem também concepções centradas no indivíduo, na subjetividade e de caráter idealista. Poucos estudantes consideraram nas suas formulações, de maneira organizada, a categoria da reprodução social na determinação do processo saúde-doença. Pode-se concluir que, na área da saúde, os estudantes tendem a reproduzir os conceitos fundamentados na concepção funcionalista de saúde-doença, que toma como sujeito o indivíduo em "situação de risco" para o desenvolvimento de alguma patologia e propõe a responsabilização do indivíduo pela manutenção ou pelo aprimoramento das condições de saúde, e mesmo pelo enfrentamento da doença. A atuação como liderança no movimento estudantil parece não resultar na crítica aos fundamentos que majoritariamente amparam os currículos universitários na área da saúde.The goal of this paper was to analyze health-sickness conceptions of student leaders in the health area. Data were collected by means of individual interviews with 15 students who take part in regional committees for students' movements in the health area, and two members of the National Students Union. The most emphasized health-sickness conception among the student leaders was the multi-causal one, mostly represented by factors related to consumption. Also, perceptions centered on the individual, on subjectivity and idealistic conceptions stood out. Few students took into consideration, in an organized way, the category of social reproduction

  11. Cirandas da vida: dialogismo e arte na gestão em saúde Cirandas da vida: dialogism and art within health management

    Directory of Open Access Journals (Sweden)

    Vera Lúcia de Azevedo Dantas

    2012-05-01

    Full Text Available Este estudo tem como objeto as ações das Cirandas da Vida, em seu dialogismo entre o princípio da comunidade e a esfera institucional na formulação e implementação de políticas de saúde e tenta apreender como a perspectiva popular se expressa com arte na gestão em saúde. Busca capturar como as comunidades exprimem sua história de luta, mediante as linguagens da arte como fertilizadora do princípio de comunidade; analisar como os atores populares se inserem na formulação e implementação dessas políticas; compreender como os diferentes grupos geracionais expressam suas leituras da realidade, no dialogismo vivido na gestão em saúde e analisar como as linguagens da arte contribuem para a construção de atos limite como estratégias de superação das situações-limite apontadas nas rodas das Cirandas. Trabalhamos com a pesquisa ação, constituindo uma comunidade ampliada de pesquisa que procedeu à análise coletiva da experiência. A violência aponta como uma das situações limite, revelando o seu impacto na juventude em situação de conflito com a lei e as linguagens da artes surgem como potências, espaços de expressão, problematização e transgressão da realidade e do envolvimento desses jovens na construção de políticas. Revela ainda o enfoque de gênero e as estratégias de sócio-economia-solidária, bem como práticas de cuidado como atos-limite. O acesso aos serviços de saúde, outra situação limite apontada, revelou a necessidade de fortalecer a humanização da atenção. A arte e as práticas populares de cuidado surgem como potências dos atores populares que ocuparam rodas de gestão, incluindo seus saberes no cotidiano: o inédito viável.This study discusses the actions of the project 'Cirandas da Vida', which works indialogism between the principles of community and the institutional field in the formulation and implementation of health policies. It tries to understand how popular perspective

  12. Para além da saúde e da doença: o caminho de Freud Beyond health and illness: the path of Freud

    Directory of Open Access Journals (Sweden)

    Magali Milene Silva

    2009-12-01

    Full Text Available Tenta-se ressaltar como o caminho trilhado por Freud na concepção dos conceitos de saúde e doença se diferencia do modo dicotômico como em geral a separação entre esses conceitos é pensada pela saúde mental. Trava-se uma discussão acerca de algumas construções freudianas fundamentais: o estudo da sexualidade sem perspectiva normalizadora; o uso de diagnósticos que ultrapassam a bipartição entre saudável e doente; e uma proposta de tratamento que não visa apenas a eliminação da doença. Freud inaugura com isso uma nova lógica, nomeada aqui como um "entre caminhos".This article emphasizes how the path followed by Freud in the elaboration of the concepts of health and illness differs from the dichotomist manner in which they are generally thought of in the area of Mental Health. There is a discussion on some of the fundamental Freudian constructions: the study of the sexuality without a perspective of normalization; the use of diagnosis that overwhelm the bipartition regarding the healthy and the sick; and a treatment proposal that does not simply aim at the elimination of the illness. Freud inaugurates, therefore, a new logic, named in this paper as a "between paths".

  13. Humboldt entre a filosofia da natureza e a ciência moderna / Humboldt between the philosophy of nature and modern science

    Directory of Open Access Journals (Sweden)

    Thiago Brito

    2015-08-01

    Full Text Available This work aims to identify the influence of German thought, above all, the philosophy of nature in Humboldt's “modern science”. He brings from the philosophers the conception of the harmonious totality of nature as an organism to recognize the existence of a connection between the forces of nature and its form captured by intuition. The philosophy of nature exposes the bond between the visible world and the upper world that escapes the senses. Humboldt, however, is not only concerned with the contemplation of nature, but also seeks to measure it, bringing it closer to his eyes to understand its internal connections. The technical and scientific instruments are also an extension of his gaze and his hand. Humboldt want to combine the measurement and quantification with the enjoyment afforded by intellectual intuition in touch with the landscape. The Cosmos, therefore, is presented as a whole to be deciphered through observations and comparisons, but also through an aesthetic perception of natural phenomena.

  14. Agroecologia e promoção da saúde no Brasil Agroecology and health promotion in Brazil

    Directory of Open Access Journals (Sweden)

    Elaine de Azevedo

    2012-04-01

    Full Text Available OBJETIVO: Pesquisar como os especialistas da promoção de saúde e da agroecologia compreendem os conceitos dessas áreas de diretrizes comuns e como é concebida a relação entre tais conceitos. MÉTODOS: Pesquisa qualitativa. Foram realizadas entrevistas com 14 especialistas das duas áreas sobre relações entre sistema agroalimentar e saúde; conceitos de agroecologia e promoção da saúde; relevância da inserção da agroecologia nos cursos de formação de saúde pública e vice-versa. RESULTADOS: Existe pouco diálogo entre os campos de estudo que foram considerados afins, sendo a qualidade do alimento a principal interface entre as áreas. A agroecologia apareceu como um sistema de produção de alimentos saudáveis, mas o estudo mostrou outras relações: agroecologia e empowerment, fomento à autonomia e qualidade de vida e melhores condições socioeconômicas para o agricultor; agroecologia e saúde ambiental; agroecologia e participação social; agroecologia, territorialidade e resgate cultural; agroecologia, alimentos locais e baixo custo produtivo. Já a promoção de saúde foi essencialmente relacionada a práticas voltadas à manutenção de estilos de vida saudável. Os especialistas mostraram-se favoráveis à inserção de conhecimentos da área da saúde pública na agroecologia e vice-versa. CONCLUSÕES: A agroecologia e a promoção da saúde são áreas contributivas e complementares, cuja aproximação pode vir a enriquecer a discussão da saúde rural e a concepção das políticas públicas que se debruçam sobre essa temática, estimulando intervenções e práticas intersetoriais.OBJECTIVE: Research how specialists in health promotion and agroecology understand the concepts in those areas of common guidelines and how the relationship between such concepts is conceived. METHODS. Qualitative research. Fourteen specialists in the two areas were interviewed about the relationship between the agrofood system and

  15. Health Information in Modern Standard Arabic (al-ʻArabīyat ul-fuṣḥá)

    Science.gov (United States)

    ... Your Recovery After Cesarean Birth (Part 1) - English MP3 Your Recovery After Cesarean Birth (Part 1) - al-ʻArabīyat ul-fuṣḥá (Modern Standard Arabic) MP3 Your Recovery After Cesarean Birth (Part 1) - English ...

  16. Italian Modernities

    DEFF Research Database (Denmark)

    Thomassen, Bjørn; Forlenza, Rosario

    assumptions that have substituted for thought and that have perpetuated prejudices both within and outside Italy’s borders. Grounded in meticulous historical and ethnological research, Italian Modernities deserves as wide an audience as its scholarship is deep.” (Michael Herzfeld, Ernest E. Monrad Professor...

  17. Montreal Modern

    DEFF Research Database (Denmark)

    Handberg, Kristian

    2015-01-01

    , and the space age modernism of the 1960s following the Expo 67 and Quebec’s Quiet Revolution. This is reflected in the city’s thriving retro culture through the study of two groups of retro shops. In circulating specific memories and objects in a specific context, retro is an important negotiation of the past...

  18. Saúde auditiva dos recém-nascidos: atuação da fonoaudiologia na Estratégia Saúde da Família Newborn hearing health: speech therapy acting on Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Raquel Martins Maia

    2012-04-01

    Full Text Available OBJETIVO: analisar o acompanhamento dos recém-nascidos quanto à promoção da saúde auditiva após a inserção da fonoaudiologia na Estratégia Saúde da Família. MÉTODO: estudo retrospectivo e documental com abordagem quantitativa com 88 recém-nascidos que realizaram o teste da orelhinha, no período de fevereiro a maio de 2010, a partir dos relatórios mensais de devolutiva do Serviço de Atenção a Saúde Auditiva do município, consolidados mensais e prontuários de um Centro de Saúde da Família em Sobral-Ce. RESULTADOS: dos recém-nascidos avaliados, 35 (39,77% falharam no teste, entre estes, 7 (20% apresentam indicador de risco para deficiência auditiva e 28 (80% não apresentavam nenhum risco. Verificou-se também divergências entre os dados do Serviço de Atenção a Saúde Auditiva e os prontuários do Centro de Saúde da Família quanto a classificação dos indicadores de risco para a perda auditiva. Observou-se ainda que, o número de encaminhamentos para o teste da orelhinha aumentou 8,33%. Em relação ao reteste, 1 (7,69% criança retornou nos meses de março a agosto de 2009 e entre os meses de setembro/2009 a fevereiro/2010 após a atuação da fonoaudiologia no CSF do Sumaré 17 (65,38% crianças realizaram o reteste. CONCLUSÃO: os dados sugerem a importância da presença do fonoaudiólogo na atenção primária, sendo fundamental no acompanhamento e monitoramento do diagnóstico precoce das alterações auditivas.PURPOSE: to analyze the monitoring of the newborn and the promotion of hearing health after insertion of speech therapy at the Family Health Strategy. METHOD: this is a retrospective documentary study with quantitative approach using 88 infants who underwent OAE testing in the period from February to May 2010, we examined the monthly reports’ devolution of the Health Hearing Service of the Municipality, consolidated monthly statements and the handbooks of the Center for Family Health in Sobral

  19. A nutrition/health mindset on commercial Big Data and drivers of food demand in modern and traditional systems.

    Science.gov (United States)

    Dubé, Laurette; Labban, Alice; Moubarac, Jean-Claude; Heslop, Gabriela; Ma, Yu; Paquet, Catherine

    2014-12-01

    Building greater reciprocity between traditional and modern food systems and better convergence of human and economic development outcomes may enable the production and consumption of accessible, affordable, and appealing nutritious food for all. Information being key to such transformations, this roadmap paper offers a strategy that capitalizes on Big Data and advanced analytics, setting the foundation for an integrative intersectoral knowledge platform to better inform and monitor behavioral change and ecosystem transformation. Building upon the four P's of marketing (product, price, promotion, placement), we examine digital commercial marketing data through the lenses of the four A's of food security (availability, accessibility, affordability, appeal) using advanced consumer choice analytics for archetypal traditional (fresh fruits and vegetables) and modern (soft drinks) product categories. We demonstrate that business practices typically associated with the latter also have an important, if not more important, impact on purchases of the former category. Implications and limitations of the approach are discussed. © 2014 New York Academy of Sciences.

  20. Origens desenvolvimentistas da saúde e da doença (DOHaD Developmental origins of health and disease (DOHaD

    Directory of Open Access Journals (Sweden)

    Patrícia P. Silveira

    2007-12-01

    Full Text Available OBJETIVO: Apresentar um novo ramo da ciência, denominado origens desenvolvimentistas da saúde e doença (DOHaD, abordando conceitos, métodos de estudo, aspectos éticos e perspectivas para essa área do conhecimento. FONTES DOS DADOS: Revisão não sistemática da literatura biomédica, com o intuito de obter referências históricas e atualizadas relacionadas com o tema em discussão. SÍNTESE DOS DADOS: Estudos recentes demonstram associações entre agravos ocorridos em fases iniciais do desenvolvimento somático e a amplificação do risco para doenças crônicas ao longo da vida, tais como obesidade, diabetes e doenças cardiovasculares. Diferentes modelos foram propostos na tentativa de melhor explicar essas associações, como a teoria do fenótipo poupador, a programação, as respostas adaptativas preditivas e o conceito de concordância ou contraste. Alguns dos possíveis mecanismos envolvidos nesses processos são: efeitos do ambiente sobre a expressão gênica, através de mecanismos epigenéticos; efeitos de sinais hormonais transmitidos ao feto através da placenta ou ao recém-nascido através da lactação. CONCLUSÕES: O DOHaD agrega informações advindas de várias áreas do conhecimento, propondo novas metodologias de investigação no sentido de esclarecer a influência de eventos adversos ocorridos em fases precoces do desenvolvimento humano sobre o padrão de saúde e doença ao longo da vida. Esse novo campo da ciência propõe novos modelos de causalidade e mecanismos envolvidos no surgimento e desenvolvimento de doenças crônicas. Os resultados dessas investigações poderão resultar em impacto significativo na prevenção de doenças crônicas, bem como na promoção de saúde em diferentes fases da vida.OBJECTIVE: To present a new branch of scientific knowledge, known as the developmental origins of health and disease (DOHaD, covering its concepts, study methods and ethical considerations in addition to the

  1. Produção de conhecimento sobre cuidados da saúde no âmbito da família Knowledge production on family health care

    Directory of Open Access Journals (Sweden)

    Denise Machado Duran Gutierrez

    2010-06-01

    Full Text Available Neste artigo, apresentamos uma revisão de literatura sobre a produção de cuidados de saúde no âmbito da família. Realizamos uma pesquisa bibliográfica consultando as bases de dados SciELO, MEDLINE Lilacs, com a utilização das seguintes Palavras-chave:: cuidados de saúde na família, cuidador familiar, cuidado informal e cuidado domiciliar, considerando o período de 1995 a 2007. Verificamos que existem poucos estudos sobre o tema e alguns se referem a ele de modo apenas tangencial. Privilegiamos os seguintes eixos de compreensão: tipos de metodologia empregada, perspectiva teórica, conceito de "cuidados", papel da cultura e classe social, referência a redes de apoio e gênero, consensos e lacunas dos estudos. Os resultados apontam que grande parte dos estudos assume uma metodologia qualitativa e mostram referenciais de caráter compreensivista explorando sentidos e significados. A discussão do papel da cultura, das diferenciações de classe e relações de gênero aparece muitas vezes sem o devido aprofundamento. A importância do papel da mulher mãe na produção e no provimento de cuidados em saúde é reconhecida, porém de modo acrítico. Observa-se ainda a tendência de adoção de conceitos de cuidados abrangentes, que sintetizam aspectos materiais, afetivos e sociais, sem, no entanto, uma discussão em termos concretos.In this article we present an overview of the publication about the health care in the family context. We developed a bibliographical research taking as source the following databases: SciELO, MEDLINE and Lilacs using the keywords: health care and family caregivers considering the period from 1995 through 2007. We realized that there are few studies on the subject and some of them are quite superficial in their approach. Our focus was directed to the understanding of: types of methodologies applied; theoretical approach; "care" concepts; analysis of culture and social class; references to networking; gender

  2. Modern Cosmology

    CERN Document Server

    Zhang Yuan Zhong

    2002-01-01

    This book is one of a series in the areas of high-energy physics, cosmology and gravitation published by the Institute of Physics. It includes courses given at a doctoral school on 'Relativistic Cosmology: Theory and Observation' held in Spring 2000 at the Centre for Scientific Culture 'Alessandro Volta', Italy, sponsored by SIGRAV-Societa Italiana di Relativita e Gravitazione (Italian Society of Relativity and Gravitation) and the University of Insubria. This book collects 15 review reports given by a number of outstanding scientists. They touch upon the main aspects of modern cosmology from observational matters to theoretical models, such as cosmological models, the early universe, dark matter and dark energy, modern observational cosmology, cosmic microwave background, gravitational lensing, and numerical simulations in cosmology. In particular, the introduction to the basics of cosmology includes the basic equations, covariant and tetrad descriptions, Friedmann models, observation and horizons, etc. The ...

  3. Modern bureaucracy

    OpenAIRE

    Toye, John

    2006-01-01

    Max Weber believed that bureaucracy could be understood by analysing its ideal-typical characteristics, and that these characteristics would become more pervasive as the modern age advanced. Weber’s horizontal account of bureaucracy can be criticised on various grounds, including its unrealistic notion of bureaucratic rationality. An alternative view is proposed, namely, that the development of state bureaucracies is driven by the trajectory of the highpower politics in which they are nested....

  4. Modern Biology

    OpenAIRE

    ALEKSIC, Branko

    2014-01-01

    The purpose of this course is to learn the philosophy, principles, and techniques of modern biology. The course is particularly designed for those who have not learned biology previously or whose major is other than biology, and who may think that they do not need to know any biology at all. The topics are covered in a rather general, overview manner, but certain level of diligence in grasping concepts and memorizing the terminology is expected.

  5. Modern maths

    CERN Multimedia

    Thom,R

    1974-01-01

    Le Prof. R. Thom expose ses vues sur l'enseignement des mathématiques modernes et des mathémathiques de toujours. Il est un grand mathématicien et était professeur à Strasbourg; maintenant il est professeur de hautes études scientifiques et était invité par le Prof. Piaget à Genève

  6. On the origin of worries about modern health hazards: Experimental evidence for a conjoint influence of media reports and personality traits.

    Science.gov (United States)

    Witthöft, Michael; Freitag, Ina; Nußbaum, Christiane; Bräscher, Anne-Kathrin; Jasper, Fabian; Bailer, Josef; Rubin, G James

    2018-03-01

    Worries about health threatening effects of potential health hazards of modern life (e.g. electric devices and pollution) represent a growing phenomenon in Western countries. Yet, little is known about the causes of this growing special case of affective risk perceptions termed Modern Health Worries (MHW). The purpose of this study is to examine a possible role of biased media reports in the formation of MHW. In two experiments, we investigated whether typical television reports affect MHW. In Study 1, 130 participants were randomly assigned to a film on idiopathic environmental intolerance (IEI) or a control film about cystic fibrosis. In Study 2, 82 participants were randomly assigned to either a film on the dangers of electromagnetic fields or a control condition. Increases in MHW after sensational media reports. In Study 1, only participants high on the personality trait of absorption revealed increased MHW after watching the IEI film. In Study 2, specifically worries about radiation were found to be elevated after watching the film on the dangers of electromagnetic fields compared to the control film. The results of both studies reveal a significant and specific influence of sensational short mass media reports on MHW. The influence of potential moderators such as absorption remains to be clarified.

  7. Saúde, razão prática e dimensão simbólica dos usos da internet: notas etnográficas sobre os sentidos da reprodução Health, practical reason and symbolic dimension of internet usages: ethnographic notes on the meanings attributed to reproduction

    Directory of Open Access Journals (Sweden)

    Eliane Portes Vargas

    2010-03-01

    Full Text Available Este trabalho buscou analisar os usos da internet tendo em vista a difusão de valores sociais associados à popularização da temática da reprodução humana em websites de saúde. Resulta de uma pesquisa etnográfica mais ampla sobre casais inférteis, realizada no Rio de Janeiro entre 2004e 2006, que contemplou as reverberações da não reprodução involuntária do ponto de vista de casais dos estratos médios superiores, a partir de suas trajetórias de vida. Este artigo circunscreve-se à análise de tópico específico relativo aos usos da internet no acesso às informações sobre o tema da infertilidade conjugal. Mediante a diversidade de perspectivas teóricas no estudo da internet em diferentes campos disciplinares, a análise comporta breves considerações sobre as particularidades da utilização da abordagem antropológica relacionada ao tema. Os resultados indicam as conexões entre a popularização da temática analisada na internet, seus usos e as condutas sociais. Predominam concepções naturalizadas sobre a reprodução e o impacto da não reprodução involuntária entre os casais apontam significativas diferenças relativas ao gênero. Os usos da internet refletem o caráter auto-reflexivo na constituição dos sujeitos e identidades sociais e apontam os nexos entre a medicalização do social, a dimensão reprodutiva do corpo, particularmente o corpo feminino, e o fenômeno da individualização na cultura ocidental moderna.This work analyses the usages of the internet in view of the diffusion of social values associated with the popularization of the human reproduction theme in health websites. These reflections are the result of a broader ethnographic research on 'infertile couples', developed in Rio de Janeiro (2004/2006, which approached the repercussions of involuntary non-reproduction from the viewpoint of upper middle-class couples, having as a starting point their life trajectories. Semi-structured interviews

  8. Modern Cosmology

    Energy Technology Data Exchange (ETDEWEB)

    Zhang Yuanzhong

    2002-06-21

    This book is one of a series in the areas of high-energy physics, cosmology and gravitation published by the Institute of Physics. It includes courses given at a doctoral school on 'Relativistic Cosmology: Theory and Observation' held in Spring 2000 at the Centre for Scientific Culture 'Alessandro Volta', Italy, sponsored by SIGRAV-Societa Italiana di Relativita e Gravitazione (Italian Society of Relativity and Gravitation) and the University of Insubria. This book collects 15 review reports given by a number of outstanding scientists. They touch upon the main aspects of modern cosmology from observational matters to theoretical models, such as cosmological models, the early universe, dark matter and dark energy, modern observational cosmology, cosmic microwave background, gravitational lensing, and numerical simulations in cosmology. In particular, the introduction to the basics of cosmology includes the basic equations, covariant and tetrad descriptions, Friedmann models, observation and horizons, etc. The chapters on the early universe involve inflationary theories, particle physics in the early universe, and the creation of matter in the universe. The chapters on dark matter (DM) deal with experimental evidence of DM, neutrino oscillations, DM candidates in supersymmetry models and supergravity, structure formation in the universe, dark-matter search with innovative techniques, and dark energy (cosmological constant), etc. The chapters about structure in the universe consist of the basis for structure formation, quantifying large-scale structure, cosmic background fluctuation, galaxy space distribution, and the clustering of galaxies. In the field of modern observational cosmology, galaxy surveys and cluster surveys are given. The chapter on gravitational lensing describes the lens basics and models, galactic microlensing and galaxy clusters as lenses. The last chapter, 'Numerical simulations in cosmology', deals with spatial and

  9. Modern plasmonics

    CERN Document Server

    Maradudin, Alexei A; Barnes, William L

    2014-01-01

    Plasmonics is entering the curriculum of many universities, either as a stand alone subject, or as part of some course or courses. Nanotechnology institutes have been, and are being, established in universities, in which plasmonics is a significant topic of research. Modern Plasmonics book offers a comprehensive presentation of the properties of surface plasmon polaritons, in systems of different structures and various natures, e.g. active, nonlinear, graded, theoretical/computational and experimental techniques for studying them, and their use in a variety of applications. Contains materia

  10. Modern spectroscopy

    CERN Document Server

    Hollas, J Michael

    2013-01-01

    The latest edition of this highly acclaimed title introduces the reader to a wide range of spectroscopies, and includes both the background theory and applications to structure determination and chemical analysis.  It covers rotational, vibrational, electronic, photoelectron and Auger spectroscopy, as well as EXAFs and the theory of lasers and laser spectroscopy. A  revised and updated edition of a successful, clearly written book Includes the latest developments in modern laser techniques, such as cavity ring-down spectroscopy and femtosecond lasers Provides numerous worked examples, calculations and questions at the end of chapters.

  11. Democracia e empoderamento no contexto da promoção da saúde: possibilidades e desafios apresentados ao Programa de Saúde da Família Democracy and empowerment in the context of promotion of health: possibilities and challenges presented to the Family Health Program

    Directory of Open Access Journals (Sweden)

    Poliana Cardoso Martins

    2009-01-01

    Full Text Available O Programa Saúde da Família (PSF é visto como uma das principais estratégias de reorganização do SUS, redirecionando o modelo de atenção à saúde no Brasil, atuando com um novo padrão que valoriza as ações de promoção da saúde, prevenção das doenças e atenção curativa. No contexto da democracia em saúde, destaca-se a promoção da saúde como o processo no qual os indivíduos são capacitados para ter maior controle sobre a própria saúde, reconhecendo a importância do poder e do controle sobre os determinantes da saúde, utilizando-se de estratégias que visem a empoderar os sujeitos, aumentando sua participação na modificação dos elementos relevantes à saúde. Este artigo visa a realizar uma reflexão crítica sobre a importância do PSF para a promoção e estímulo ao empoderamento/libertação da população, vislumbrando sua participação mais ativa na tomada de decisão na área da saúde.The Family Health Program (FHP is considered one of the main strategies for reorganization of the Brazilian Unified Health System, redirecting the model of attention to the health in Brazil, acting as a new standard which valorizes the actions towards the promotion of health, prevention of diseases and curative care. In the context of democracy in health, the promotion of health is highlighted as a process where the individuals are trained to have a greater control on their own health, recognizing the importance of the power and control on the health determiners; using strategies which aim to empower the individuals, increasing their participation on the modification of the relevant elements to the health. This article aims to achieve a critical reflection on the importance of the SFP for the promotion and stimulus to the empowerment/liberation of the population, glimpsing from them a more active participation in the decision-making in health.

  12. Anthropological contributions for thinking and acting in the health area and its ethical dilemas Contribuições da antropologia para dilemas éticos da área da saúde

    Directory of Open Access Journals (Sweden)

    Maria Cecília de Souza Minayo

    2008-04-01

    Full Text Available This paper attempts to analyze the way in which the issue of ethics in social research is dealt by institutional commissions based in biomedicine criteria. This discussion is particularly important for Social Sciences in Health, as our projects must necessarily be presented to Committees for assessment. In actual fact, Resolution Nº 196/1996 issued by the National Health Council establishes this mandatory requirement for all social areas. However, there is a question among researchers working with social issues, arguing that the health sector is moving outside its field when attempting to regulate actions in other fields of investigation. Grounded on philosophical anthropology, this paper is divided into three parts: (1 elements of anthropological foundations of ethics; (2 contributions of Anthropology to thinking about ethics and human rights in health; (3 internal and external questioning about anthropological practice. I conclude that if the ethical issue that involves human beings cannot be reduced to the procedures established by Ethics Committees, discussions in greater depth are required among social scientists on the construction of a practice based on and guided by respect for the intersubjectivity of all the players engaged in a research project.Neste artigo, busco problematizar a forma como a questão da ética em pesquisa social vem sendo tratada hoje pelas comissões institucionais inspiradas nas questões da biomedicina. Essa discussão é particularmente importante para as Ciências Sociais em Saúde pois existe uma obrigatoriedade de apresentação dos nossos projetos para avaliação dos comitês. A rigor, na concepção da Resolução 196/1996 do Conselho Nacional de Saúde, essa obrigatoriedade cobre todas as áreas sociais. No entanto, existe questionamento dos pesquisadores que lidam com o social, argumentando que o setor saúde extrapola quando tenta regular ações de outros campos de investigação. Fundamentado na

  13. O complexo industrial da saúde e a necessidade de um enfoque dinâmico na economia da saúde The health industrial complex and the need of a dynamic approach on health economics

    Directory of Open Access Journals (Sweden)

    Carlos Augusto Grabois Gadelha

    2003-01-01

    Full Text Available O artigo desenvolve um enfoque analítico voltado para o estudo do complexo industrial da saúde, englobando o conjunto das atividades produtivas e suas relações de interdependência, segundo uma perspectiva de economia política e da inovação. A lógica empresarial capitalista penetra em todos os segmentos produtivos, envolvendo tanto as indústrias que já operavam tradicionalmente nessas bases quanto segmentos que possuíam formas de organização em que era possível verificar a convivência de lógicas empresariais com outras que dela se afastavam, como a produção de vacinas e produtos biológicos, fitoderivados e a prestação de serviços de saúde. O artigo analisa a interação entre o sistema de saúde e o sistema econômico-industrial, mostrando como tem havido uma dicotomia na relação entre ambos, que se exprime na deterioração do potencial de inovação do país e numa crescente e preocupante vulnerabilidade externa da política de saúde. Sugere-se que o enfoque neoclássico tradicional da economia da saúde é insuficiente para tratar do complexo industrial da saúde, dada a intensidade do processo de mudança estrutural, e a necessidade de um enfoque teórico alternativo que incorpore a dinâmica de transformação econômica e institucional, de acumulação e de inovação.This article develops an analytical approach towards the study of health industrial complex, comprising the set of productive activities on health and their interdependencies, according to a perspective of political economics and innovation. The capitalist enterprising logic penetrates all the productive segments, involving as well the industries which were already traditionally working on these bases, as segments having organization forms on which it was possible to verify the acquaintanceship of enterprising logic with others that were moved away from them, as vaccine production and biological products, phyto-derived and health care services. The

  14. Tecnologias da não-violência e modernização da justiça no Brasil: o caso da justiça restaurativa = Technologies of non-violence and modernization of justice in Brazil: the case of restorative justice

    Directory of Open Access Journals (Sweden)

    Schuch, Patrice

    2008-01-01

    Full Text Available Este artigo investiga, sob o ponto de vista antropológico, alguns aspectos da implementação da justiça restaurativa no Brasil. Através da pesquisa etnográfica, pode-se salientar que a justiça restaurativa articula um conjunto de atores diversos e conjuga ideários de autogestão e transformação individual com modernização da justiça e promoção de uma cultura de paz. Este texto objetiva entender como se dá a emergência dessa nova tecnologia de gerenciamento da vida, assim como discutir certas tensões próprias ao processo de sua disseminação

  15. Modern thermodynamics

    CERN Document Server

    Ben-Naim, Arieh

    2017-01-01

    This textbook introduces thermodynamics with a modern approach, starting from four fundamental physical facts (the atomic nature of matter, the indistinguishability of atoms and molecules of the same species, the uncertainty principle, and the existence of equilibrium states) and analyzing the behavior of complex systems with the tools of information theory, in particular with Shannon's measure of information (or SMI), which can be defined on any probability distribution. SMI is defined and its properties and time evolution are illustrated, and it is shown that the entropy is a particular type of SMI, i.e. the SMI related to the phase-space distribution for a macroscopic system at equilibrium. The connection to SMI allows the reader to understand what entropy is and why isolated systems follow the Second Law of Thermodynamics. The Second Llaw is also formulated for other systems, not thermally isolated and even open with respect to the transfer of particles. All the fundamental aspects of thermodynamics are d...

  16. Modern electrodynamics

    CERN Document Server

    Zangwill, Andrew

    2013-01-01

    An engaging writing style and a strong focus on the physics make this comprehensive, graduate-level textbook unique among existing classical electromagnetism textbooks. Charged particles in vacuum and the electrodynamics of continuous media are given equal attention in discussions of electrostatics, magnetostatics, quasistatics, conservation laws, wave propagation, radiation, scattering, special relativity and field theory. Extensive use of qualitative arguments similar to those used by working physicists makes Modern Electrodynamics a must-have for every student of this subject. In 24 chapters, the textbook covers many more topics than can be presented in a typical two-semester course, making it easy for instructors to tailor courses to their specific needs. Close to 120 worked examples and 80 applications boxes help the reader build physical intuition and develop technical skill. Nearly 600 end-of-chapter homework problems encourage students to engage actively with the material. A solutions manual is availa...

  17. El cuerpo infantil: campo de batalla moderno. Antioquia (1903-1930 (The child's body: a modern battlefield. Antioquia (1903-1930 (Le corps de l'enfant: champ de bataille moderne. Antioquia (1903-1930 (O corpo da criança: campo de batalha moderno. Antioquia (1903-1930

    Directory of Open Access Journals (Sweden)

    Carlos Arturo Ospina-Cruz

    2010-12-01

    des projections de travail. On parle d'un corps qui, dans le domaine instructioniste, a été compris comme un élément important dans l'éducation phy- sique et pour la punition moderne.ResumoO texto aborda questões relacionadas com a concepção de corpo existen- te para o primeiro trimestre do século XX, em Antioquia, em momentos em que o departamento estava tentando acomodar as diretrizes nacionais da ins- trucionista Lei 39, 1903 ou Lei [Antonio José] Uribe, 1903. Degeneração racial, a declaração como um regenerador e de higiene são a estrutura discursiva ten- tamos fazer alguns insights analíticos sobre uma nova visibilidade do corpo moderno, das projeções do trabalho infantil. Falamos de um corpo nas ins- truções de campo, foi considerado com maior ênfase à educação física e moder- no para ser punido.

  18. eHealth in Modern Patient-Caregiver Communication: High Rate of Acceptance Among Physicians for Additional Support of Breast Cancer Patients During Long-Term Therapy.

    Science.gov (United States)

    Kirkovits, Thomas; Schinkoethe, Timo; Drewes, Caroline; Gehring, Caroline; Bauerfeind, Ingo; Harbeck, Nadia; Wuerstlein, Rachel

    2016-09-19

    Lack of adherence and compliance with drug regimens among breast cancer patients represent substantial problems in oral therapies, leading to significant impacts on mortality. Where other systems have failed, electronic health (eHealth) could be a possible solution to improve medication intake, along with the doctor-patient relationship. Initial results from studies concerning new interventions for therapy support are promising, but reports suggest that general acceptance of new treatment support tools is needed among patients and physicians alike. The aim of this study was to investigate the actual use of the Internet and other modern media among physicians involved in breast cancer treatment. Using a standardized questionnaire, actual utilization of new media among physicians was analyzed. Internet-related behaviors in private, as well as in business life, were investigated. Attention was focused on physicians' opinions regarding modern eHealth tools and how patients could be best supported to enhance adherence. A total of 120 physicians, all participating in breast cancer care, completed the questionnaire (median age 41 years). Almost all participants (99.2%, 119/120) used the Internet for general purposes and 98.3% (118/120) used it for medical issues as well. Virtually all medical professionals (99.2%, 119/120) reported that they owned a computer, while more recently invented technologies such as tablets and smartphones were owned by 31.9% (38/119) and 73.1% (87/119), respectively. The Internet was favored by 66.4% (79/119) of the physicians in our survey as a source for patient support; 71.2% (84/118) would also favor modern media for side effect registration. Based on our analysis, the most frequent Internet-utilizing physicians were characterized by age <60, worked in a hospital, and were employed as a junior physician. This study demonstrated a high usage of Internet-related technologies among physicians, indicating that the use of eHealth for advanced and

  19. Ambivalência, gênero e modernidade capitalista: a França na era da flexibilidade Ambivalence, gender and capitalist modernity: France in an era of flexibility

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    Isabelle Berrebi-Hoffman

    2009-06-01

    Full Text Available Tanto a situação na França quanto os quadros de referência teóricos usados para analisar a flexibilidade evoluíram consideravelmente nos últimos vinte anos. Nosso artigo pretende descrever essa transformação e defender uma tese específica. O mundo moderno pós-Ford apresenta dois novos aspectos quando comparado ao que fora descrito na análise funcionalista tradicional: por um lado, as tensões inerentes à natureza ambivalente da flexibilidade são vistas hoje como questões mais pessoais; por outro, a ambivalência não é mais encarada como puramente disfuncional, mas tem um aspecto positivo. À luz desse novo quadro de referência, apresentaremos inicialmente o cenário dos vários debates sobre flexibilidade na França, e mostraremos, em seguida, as relações entre flexibilidade e ambivalência sociológica, antes de apresentarmos os dados empíricos que sustentam nossa tese.Both the situation of employment in France and the frameworks used to analyse flexibility have evolved considerably over the last twenty years. The paper aims to describe this transformation and defend a particular thesis. Our post-Ford modern world has two new aspects when compared with the traditional functionalist analysis: on the one hand, the tensions inherent in the ambivalent nature of flexibility are today seen as more personal issues, and on the other, ambivalence is no longer seen as purely dysfunctional, but to have a possible positive aspect. Given this new framework, the paper first presents the background to the various debates on flexibility in France, and then shows the links between flexibility and sociological ambivalence before presenting empirical data in support of the thesis.

  20. Self-reported health and comofrt in modern office buildings: first results from the European Officair study

    NARCIS (Netherlands)

    Bluyssen, P.M.; Roda, C.; Mandin, C.; Fossati, S.; Carrer, P.; Kluizenaar, Y. de; Mihucz, V.G.; Oliveira Fernandes, E. de; Bartzis, J.

    2015-01-01

    In the European research project OFFICAIR, a procedure was developed to determine associations between characteristics of European offices and health and comfort of office workers, through a checklist and a selfadministered questionnaire including environmental, physiological, psychological, and

  1. Micronutrient malnutrition and the impact of modern plant breeding on public health in India: How cost-effective is biofortification?

    OpenAIRE

    Stein, Alexander J.

    2006-01-01

    Millions of people worldwide suffer from micronutrient malnutrition or ?hidden hunger?. The related deficiencies can have devastating consequences for the life, health and well-being of the affected individuals, but they may also perpetuate a vicious circle of undernutrition, low economic productivity and poverty. Hence, in many developing countries vitamin and mineral deficiencies are public health problems of primary concern. While economic development and rising incomes can only address un...

  2. Parasites in stool samples in the environment of Ilha da Marambaia, Rio de Janeiro, Brazil: an approach in public health

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    Beatriz Coronato

    2012-04-01

    Full Text Available This research aimed to describe the frequency of parasites in stool samples in the environment of Ilha da Marambaia, Rio de Janeiro, Brazil. One hundred and five stool samples were collected and processed by the coproparasitological techniques ethyl acetate sedimentation and centrifuge-flotation using saturated sugar solution. Parasites were detected in 81.9% of the samples, hookworm being the most prevalent, followed by Trichuris vulpis. Ascaris sp. eggs were also found. A high level of evolutive forms of parasites with public health risk was found in stool samples of the environment studied. We propose that health education programs, allied to an improvement of human and animal health care, must be employed to reduce the environmental contamination.

  3. Papel da mulher de camadas populares de Manaus na produção de cuidados da saúde The role of women from popular groups in Manaus concerning health care production

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    Denise Machado Duran Gutierrez

    2009-12-01

    Full Text Available O trabalho apresenta resultado de investigação sobre o papel da mulher na produção de cuidados da saúde no âmbito da família. Utilizamos as categorias: papel de mãe, divisão do trabalho, relações de poder, cuidado do outro e autocuidado da saúde. Foram entrevistados 21 profissionais de duas equipes do PSF e onze famílias do Ouro Verde, bairro popular de Manaus. Verificamos que as mulheres entrevistadas cuidam dos membros de suas famílias de forma bastante ampla, abrangendo várias pessoas e em diversas dimensões de cuidado, desde cuidados físicos e ambientais, acompanhamento de prescrições médicas e monitoramento da saúde na vida diária. Essas ações têm grande importância para a resolutividade das intervenções médicas. No entanto, vemos que o desempenho efetivo desse cuidado é fortemente influenciado por aspectos da realidade concreta, que delimita recursos e possibilidades, e por aspectos da dinâmica relacional da família da qual faz parte, que favorece ou dificulta seu desempenho.This work presents the results of an investigation about the woman's role in the production of health care within the family context. We use categories such as mother's social role, work sharing, power relations, taking care of the other and self health care. Twenty-one professionals belonging to two Family Health Program teams and eleven families living in a popular area in the city of Manaus were interviewed. We found that the interviewed women provide health care for their family members in a broad way, including many people and many care dimensions, such as physical and environmental care, following medical prescriptions and monitoring health on a daily basis. These actions have great importance to the solving capability of medical interventions. However, we see that the good performance of this care is strongly influenced by aspects of the concrete reality, which delimit resources and possibilities, and by aspects of the relational

  4. [The "modernization" of health education in both German states between 1949 and 1975. The example of smoking].

    Science.gov (United States)

    Sammer, Christian

    2015-01-01

    Using the example of smoking, this article scrutinizes the notions of order, educational conduct and images of subjects in the health education of both German states between 1949 and the mid 70s. Drawing on archival sources, publications and educational media from both health ministries, the Deutsches Hygiene-Museum and the Bundeszentrale für gesundheitliche Aufklärung I reconstruct the organizational, conceptual and medial shift of health education from "citizenship" to a technology of communication and public relation, needing "scientification" in the 1960s. New epidemiological evidence fostered the belief in an efficacious prevention of manly coded and with smoking associated cardio-vascular diseases by forming healthy behavior. This went hand in hand with the increase of state responsibility for the health of its citizens and the import of new knowledge stemming from social research and new methodological expertise from advertising. At the same time the ideal of a comprehensible citizen shifted into a "socialist personality" that was to be shaped by a hierarchical and consistent education in the German Democratic Republic. In the Federal Republic of Germany the general principle of the self-determined citizen unfolded the antagonism of health education between individual emancipation and imposition.

  5. Estudo do impacto de um curso MBA Gestão em Saúde na modernidade organizacional de clínicas oftalmológicas Study of the impact of a MBA Administration in Health course on the organizational modernity of ophthalmologic clinics

    Directory of Open Access Journals (Sweden)

    Manuel Meireles

    2005-12-01

    Full Text Available OBJETIVO: Pesquisa no campo da aprendizagem de competências que busca investigar o impacto da aquisição de novas competências individuais dos responsáveis de clínicas oftalmológicas, por meio de um curso MBA Gestão em Saúde, na modernidade organizacional de clínicas oftalmológicas. MÉTODOS: Levantamento utilizando questionários aplicados a alunos e ex-alunos do curso e a gestores de clínicas oftalmológicas não vinculados ao curso (n=30 cada um. A análise foi feita por meio de métodos estatísticos: r de Pearson e Q de Yule; testes t de Student, da soma de séries, da mediana e teste U de Mann-Whitney. RESULTADOS: Observou-se correlação linear e positiva entre a excelência do MBA Gestão em Saúde e o desenvolvimento de capacidades dos alunos veteranos (correlação rho de Spearman em nível de 0,01; há diferença significativa (0,0364, pelo teste de Mann-Whitney, entre alunos veteranos e alunos calouros, quanto à necessidade de se ampliar as capacidades individuais que o curso MBA Gestão em Saúde fornece, aos demais funcionários operacionais das clínica oftalmológicas; e há diferença significativa (0,0057, pelo teste de Mann-Whitney, entre alunos veteranos do curso MBA Gestão em Saúde e alunos calouros quanto à importância da modernidade organizacional para as clínicas oftalmológicas. CONCLUSÕES: Os resultados obtidos são consistentes, de forma geral, com o modelo proposto: a excelência do MBA Gestão em Saúde contribui significativamente para a modernidade organizacional, para o desenvolvimento de competências dos alunos egressos e ainda de forma substancial para a percepção de hiatos organizacionais.PURPOSE: Investigations in the field of the learning competence that investigate the impact of the acquisition of new individual competence of those responsible for ophthalmologic clinics, by means of a MBA Administration in Health course, on the organizational modernity of ophthalmologic clinics. METHODS

  6. Goffman: contribuições para a Sociologia da Saúde Goffman: contributions to health sociology

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    Everardo Duarte Nunes

    2009-01-01

    Full Text Available Com uma obra que trouxe inegáveis contribuições, Goffman inovou a pesquisa etnográfica nos estudos socioantropológicos. Esta marca pode ser observada desde os seus primeiros trabalhos nos quais aborda a apresentação do self na vida diária, os manicômios, o estigma e são, por sinal, aqueles que mais referências receberam nos estudos sociais sobre a doença, instituições e práticas de saúde. Neste artigo são analisadas essas contribuições e a importância que tiveram para a construção da sociologia da saúde. O texto destaca alguns conceitos que se tornaram fundamentais para os estudos sociológicos da doença e do paciente, como carreira do paciente, instituição total, interação estratégica e organizações formais instrumentais.Author of a work with undeniable contributions, Goffman brought innovation to ethnographic research in socio-anthropological studies. This characteristic may be already observed in his first works - where he approaches the presentation of 'self' in daily life, asylums, and stigma -, which are those more cited in social studies about the disease, institutions and health practices. This study analyzes these contributions and their importance for the development of the field of health sociology. The text highlights some concepts considered fundamental for sociological studies on the disease and the patient, such as the patient's career, the whole institution, the strategic interaction, and instrumental formal organizations.

  7. Patients with Revision Modern Megaprostheses of the Distal Femur Have Improved Disease-Specific and Health-Related Outcomes Compared to Those with Primary Replacements.

    Science.gov (United States)

    Heyberger, Clémence; Auberger, Guillaume; Babinet, Antoine; Anract, Philippe; Biau, David J

    2017-12-21

    We asked whether there would be any difference between primary and revision modern cemented fixed hinge megaprosthesis of the distal femur in function and activity-related outcomes following treatment of a bone tumor. An identical custom-made fixed hinge cemented megaprosthesis with a hydroxyapatite collar was used in all cases. The main outcomes were joint-specific function, disease-specific activity, and health-related quality of life. Implant survival was also evaluated. Patients in the revision group performed slightly better than patients in the primary group on disease-specific (Toronto Extremity Salvage Score, p  = 0.033; Musculoskeletal Tumor Society, p  = 0.072) and health-related outcomes (Short Form 36 [SF-36] physical component, p  = 0.085; SF-36 mental component, p  = 0.069) but not on joint-specific outcomes (Knee Society Score, p  = 0.94). The cumulative probabilities of revision for any reason were 14.5% (7-25%) at 5 years with no statistically significant difference between primary and revision procedures ( p  = 0.77). In conclusion, patients undergoing a revision have similar joint-specific functional outcome but improved disease-specific and health-related outcomes. Implant survival are similar between groups. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  8. Synergy between indigenous knowledge systems, modern health care system and scientific research – a vision for the 21st century

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    Fhumulani Mavis Mulaudzi

    2001-11-01

    Full Text Available Research already conducted in African countries indicates that the majority of patients still seek help from the traditional indigenous health care systems. Opsomming Navorsing wat reeds in Afrika-lande onderneem is, dui aan dat die meerderheid pasiënte steeds hulp soek vanaf die tradisioneel inheemse gesondheidsorgsisteme. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

  9. Modern Supersymmetry

    International Nuclear Information System (INIS)

    Kulish, Petr P

    2006-01-01

    We have spent more than twenty years applying supersymmetry (SUSY) to elementary particle physics and attempting to find an experimental manifestation of this symmetry. Terning's monograph demonstrates the strong influence of SUSY on theoretical elaborations in the field of elementary particles. It gives both an overview of modern supersymmetry in elementary particle physics and calculation techniques. The author, trying to be closer to applications of SUSY in the real world of elementary particles, is also anticipating the importance of supersymmetry for rigorous study of nonperturbative phenomena in quantum field theory. In particular, he presents the 'exact' SUSY β function using instanton methods, phenomena of anomalies and dualities. Supersymmetry algebra is introduced by adding two anticommuting spinor generators to Poincare algebra and by presenting massive and massless supermultiplets of its representations. The author prefers to use mostly the component description of field contents of the theories in question rather than the superfield formalism. Such a style makes the account closer to physical characteristics. Relations required by SUSY among β functions of the gauge, Yukawa and quartic interactions are checked by direct calculations as well as to all orders in perturbation theory, thus demonstrating that SUSY survives quantization. A discussion is included of the hierarchy problem of different scales of weak and strong interactions and its possible solution by the minimal supersymmetric standard model. Different SUSY breaking mechanisms are presented corresponding to a realistic phenomenology. The monograph can also be considered as a guide to 'duality' relations connecting different SUSY gauge theories, supergravities and superstrings. This is demonstrated referring to the particular properties and characteristics of these theories (field contents, scaling dimensions of appropriate operators etc). In particular, the last chapter deals with the Ad

  10. Programa de Saúde da Família e qualidade de vida: um olhar da Psicologia Health Care Family Program and quality of life: a view from Psychology

    Directory of Open Access Journals (Sweden)

    Rafaela Assis de Souza

    2003-12-01

    Full Text Available Referenciado no atual modelo de reorganização do sistema de saúde pública do Brasil, esse trabalho objetiva demonstrar alguns dos impactos da proposta do Programa de Saúde da Família (PSF na qualidade de vida e na saúde da população. Sob o ponto de vista da observação participante, são descritas as atividades promovidas pelo PSF de um município de Minas Gerais, a partir das quais observou-se que a participação popular, a multidimensionalidade das ações, o incentivo à autonomia e a contextualização e humanização do atendimento possibilitaram melhorias nas condições de vida da comunidade alvo. Verificou-se a congruência entre tais intervenções e os princípios orientadores da atenção básica desse novo modelo de saúde, destacando-se também elementos que contribuem para a promoção da saúde e a elevação dos níveis de qualidade de vida dessa comunidade. A partir do relato dessa experiência é apresentada uma proposta de inserção do profissional de psicologia no PSF.In reference to the current reorganization of the public health care system of Brazil, this paper aimed to demonstrate some impacts of the proposed Health Care Family Program (HCFP on quality of life and health of the general population. Activities promoted by the HCFP in a municipality of the state of Minas Gerais are described. Employing participant observation, it was observed that the engagement of local people, the multidimensionality of the actions, the incentive towards autonomy and a contextual and more humane aid have altogether made it possible to improve the living conditions of the target community. The congruence between such interventions and the directional principles of the new Health Care Program primary focus has been verified, as well as other contributing elements of health promotion and improvement of the quality of life of the community. Based on such report a proposal for the insertion of practitioners of psychology in the

  11. Esporte de alto rendimento: produção social da modernidade - o caso do vôlei de praia High performance sports: a social production of modernity - the beach volleyball model

    Directory of Open Access Journals (Sweden)

    Marília Maciel Costa

    2007-04-01

    Full Text Available O estudo, inicialmente, apresenta a inserção do esporte nos tempos modernos com o objetivo de resgatar e discutir a estruturação da produção do esporte de alto rendimento no Brasil. A modalidade vôlei de praia serviu de modelo empírico e procurou-se verificar, durante o levantamento dos dados coletados, a forma e os valores que predominavam no ambiente social em que se desenvolvia essa modalidade. Para isso, foram focalizadas as relações que se processavam no decorrer de sua estruturação e procurou-se verificar o grau de influência que elas sofreram diante das mudanças estruturais capitalistas e de novas situações conjunturais. Concluiu-se que o vôlei de praia brasileiro, na verdade, mesmo apresentando problemas inerentes à própria condição de esporte de alto rendimento, e diante das muitas adversidades que enfrenta no cenário social nacional, tem ocorrido com base nos valores ditados pelo "profissionalismo", suplantando os valores de uma cultura "amadorística" e tradicional, predominante no universo esportivo nacional.The study examines sports in modern times. The objective of this was to retrieve and discuss the structuring of high performance sports production in Brazil. Beach volleyball served as a model. During the data collection process, aim was made to ascertain the forms and values that are predominant in the social environment of beach volleyball. For this, focus was placed on the relationships that developed during the structuring process and attempt was made to verify how such relationships were influenced by the capitalist-structural changes and the new settings that resulted therefrom. The study concluded that despite having problems that are inherent to the sport's being highly performance-oriented, and in light of many adversities faced in the national scenario, Brazilian beach volleyball is based on the values dictated by professionalism that overcome values of the amateur-like and traditional culture that

  12. Modern perspectives on the health benefits of kefir in next generation sequencing era: Improvement of the host gut microbiota.

    Science.gov (United States)

    Kim, Dong-Hyeon; Jeong, Dana; Kim, Hyunsook; Seo, Kun-Ho

    2018-01-16

    Kefir is a natural complex fermented milk product containing more than 50 species of probiotic bacteria and yeast, and has been demonstrated to have multiple properties conferring health benefits, including antiobesity, anti-hepatic steatosis, antioxidative, antiallergenic, antitumor, anti-inflammatory, cholesterol-lowering, constipation-alleviating, and antimicrobial properties. To better understand the underlying mechanisms of these benefits, we here review research on the effect of kefir (and kefir microorganisms) consumption to modulate the host gut microbiota. Owing to its excellent gastrointestinal resistance and colonization ability and wide ranges of microbial interaction, kefir has shown significant and wide-spectrum modulatory effects on the host gut microbiota. In particular, as a bacteria- and yeast-containing food, kefir can modulate both the gut microbiota and mycobiota. Since the association of this modulation with health benefit has only been addressed in a small number of recent studies thus far, further studies are needed to determine the precise mechanisms of the beneficial effects of kefir in relation to the modulation of the gut microbiota and mycobiota. Gaining this insight will surely help to take full advantage of this unique probiotic food.

  13. Estimated annual incomes of South African traditional healers as generated by their practices and sales of their pre-modern traditional health products for 2015/2016

    Directory of Open Access Journals (Sweden)

    Gabriel Louw

    2017-02-01

    . Some traditional medicines are available from well-established outlets like pharmacies, modern-day health-shops and allied-traditional healthcare professionals like the statutory recognised homeopaths, naturopaths, phytopaths and ethnopaths. These medicines have to adhere to a formal manufacturing and scientific foundation, while traditional healers rely on self-made, pre-modern and untested indigenous mixtures. This lack in differentiation and scientific foundation has clouded the true ownership of traditional health and medical products as viewed and understood under the definition Traditional African Medicines (TAM. This vagueness also obstructs the compilation of a profile of the incomes generated by the various role players in their practices and by manufacturing and selling of traditional medical and health products. The end result is a misrepresentation of sales statistics in South African literature on traditional healers and their self-made health products and untested mixtures. Conclusion The present-day statistics cited in literature of annual incomes of between R2 billion (R2,000 million and R3.4 billion (R3,400 million, roughly an average of R2.7 billion (R2,700 million, from the sales of traditional health products and mixtures by South African traditional healers, are false. What is more, South African literature generally reflects an erroneous classification of who the true manufacturers and sellers of traditional health and medical products are, and what “traditional medicines” really mean. This has led to an acceptance of South African traditional healers and their untested and risky health products and mixtures based on a misconception that they are the true manufacturers, sellers and owners of TAM. The most prominent role player in the manufacturing and selling of traditional medicines and the true income-generator seems to be the formal South African industry of complementary/-alternative medicines (CAM. This comprehensive, well-established and

  14. A construção do campo da saúde do trabalhador: percurso e dilemas History and dilemmas in the development of the worker's health field

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    Carlos Minayo-Gomez

    1997-01-01

    Full Text Available Realiza-se, neste artigo, uma reflexão sobre os fundamentos teóricos e práticos que influenciam e conformam o campo da Saúde do Trabalhador no Brasil, no interior da Saúde Coletiva. Ao analisar as diversas formas de conceber a relação trabalho-saúde, enfatiza-se a pertinência de interpretar essa relação, dada sua natureza complexa e conflitiva, tendo como referência central o processo de trabalho, em consonância com os pressupostos da Medicina Social latino-americana. Com base nesse enfoque, ressalta-se a necessidade de abordagens interdisciplinares que contemplem e extrapolem a articulação de áreas de conhecimento habitualmente adscritas ao âmbito da saúde. Finalmente, apresenta-se um breve diagnóstico da situação atual desse campo, onde questões pendentes unem-se às decorrentes da globalização da economia e, em particular, da reestruturação industrial. À luz desse quadro, coloca-se como desafio ampliar os objetos de estudo e intervenção, abrangendo, entre outras temáticas emergentes, as implicações para a saúde e a vida da população derivadas dos novos padrões de terceirização, da precarização do trabalho, do trabalho informal e do desemprego.This article reflects on the theoretical and practical foundations impacting and shaping the field of workers' health in Brazil, as part of the overall field of collective health. By analyzing the various forms of approaching the relationship between work and health, the paper emphasizes its complex and conflicting nature as a central reference for the work process, in keeping with the premises of social medicine in Latin America. This focus underscores the need for interdisciplinary approaches contemplating and even extrapolating the links between areas of knowledge generally ascribed to the field of health. Finally, the paper gives a brief diagnosis of the current situation in this field, where pending questions join those resulting from globalization of the

  15. Health assessment of the oyster Crassostrea rhizophorae on the southern coast of Bahia, northeastern Brazil Avaliação da saúde da ostra Crassostrea rhizophorae no Litoral Sul da Bahia, nordeste do Brasil

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    Rosana Pinho Brandão

    Full Text Available This study investigated the health of natural stocks of the oyster Crassostrea rhizophorae on the southern coast of Bahia in northeastern Brazil, during summer and winter 2010, at three localities (sampling points in the estuaries of the Maraú (Camamu Bay and Graciosa rivers. A total of 180 oysters (30/sampling point/season were examined macroscopically for the presence of pathogens and anatomical changes. The specimens were subsequently fixed in Davidson solution, processed for paraffin embedding, sectioned and stained with Harris' hematoxylin and eosin. Histological analysis revealed the presence of Rickettsia-like organisms (RLOs, Ancistrocoma, Trichodina, Sphenophrya, Nematopsis, Urastoma, Bucephalus in the sporocyst phase, a nonspecific metacercaria, and a metacestode of genus Tylocephalum. The prevalence of infection was low except for parasitism by Nematopsis sp. which also caused histopathological changes. The presence of Bucephalus sp. caused parasitic castration. These two pathogens significantly affect the health of C. rhizophorae.Este estudo investigou a saúde de ostras da espécie Crassostrea rhizophorae de estoques naturais do Litoral Sul do Estado da Bahia, Nordeste do Brasil, durante o verão e o inverno de 2010, em três pontos amostrais distribuídos nos estuários dos rios Maraú (Baía de Camamu e Graciosa. Um total de 180 ostras (30/ponto amostral/período foram examinadas macroscopicamente para a presença de patógenos e alterações anatômicas e posteriormente fixadas em solução de Davidson, processadas para inclusão em parafina, seccionadas e coradas com hematoxilina de Harris e eosina. A análise histológica evidenciou a presença de organismos com características similares a Rickettsia (RLOs, Ancistrocoma, Trichodina, Sphenophrya, Nematopsis, Urastoma, Bucephalus em fase esporocística, metacercária inespecífica e metacestóide de Tylocephalum. As prevalências de infecção foram baixas, com exceção do

  16. A interface entre as políticas públicas de saúde mental e promoção da saúde The interface between the mental health and health promotion public policies

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    Juliana Reale Caçapava

    2009-09-01

    Full Text Available Este estudo tem por objetivo analisar as estratégias de produção de cuidado em saúde mental de um Centro de Convivência e Cooperativa (CECCO - serviço da rede de atenção à saúde mental do município de São Paulo - na perspectiva de seu alinhamento às políticas de saúde mental e promoção da saúde, verificando as potencialidades da interação entre elas, no cotidiano das práticas de saúde. A análise baseou-se no material empírico obtido por meio de entrevista semiestruturada junto ao gerente do serviço estudado, assim como nos achados da literatura e nos documentos oficiais do Ministério da Saúde. Verificou-se que, por meio de ações intersetoriais, que visam ao fortalecimento da participação social, do empoderamento de indivíduos e comunidade e da equidade, o CECCO articula pressupostos da saúde mental e da promoção da saúde, produzindo autonomia e cidadania e tornando-se um lugar que constrói sentido de vida às pessoas.This study aimed at analyzing the mental health care production strategies of a 'Centro de Convivência e Cooperativa' (CECCO - a service of the mental health care network of the city of São Paulo - in the perspective of their alignment with the mental health and health promotion public policies, verifying the potentialities of the interaction between them in the health practices' daily routine. The analysis was based on the empirical material obtained by a qualitative research, through a semi-structured interview with the health service's manager, as well as on the literature's findings and on the official documents of the Ministry of Health. It was observed that, through intersectorial actions aiming at the strengthening of social participation, of the empowerment of individuals and community and of equity, CECCO articulates the presuppositions of mental health and of health promotion, producing autonomy and citizenship and becoming a place that constructs life's meaning to people.

  17. As origens da participação da América Latina na Organização de Saúde da Liga das Nações, 1920 a 1940 The League of Nations Health Organization and the rise of Latin American participation, 1920-40

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    Paul Weindling

    2006-09-01

    Full Text Available A Organização de Saúde da Liga das Nações colaborou com especialistas latino-americanos em saúde pública e doenças infecciosas desde o início da década de 1920 e até a eclosão da Segunda Guerra Mundial. Desenvolveu estudos sobre saúde e nutrição infantil e sobre a lepra. A abordagem foi orientada por especialistas, tendo em mira o desenvolvimento da saúde pública em bases científicas. Houve conferências, visitas e relatórios sobre a América Latina. O artigo demonstra que a colaboração da América Latina com aquela organização internacional de saúde foi ampla e multifacetada.The League of Nations Health Organization collaborated with Latin American specialists in public health and infectious diseases from the early 1920s to the outbreak of the Second World War. The League developed studies of infant health and nutrition, and leprosy. The approach was expert-oriented, and designed to develop public health on a scientific basis. There were conferences, tours and reports in Latin America. This paper demonstrates that the Latin American collaboration with the Health Organization was extensive and multi-faceted.

  18. MODERN METHODS OF PRESERVING BREAST FEEDING IN CHILDREN OF THE FIRST MONTHS OF LIFE WITH HEALTH DISORDERS

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    T. V. Turti

    2014-01-01

    Full Text Available The issue of preserving and prolonging breast feeding is relevant for many countries around the world. It is especially relevant in premature infants and the children born with various perinatal pathologies. Scientific literature features the primary reasons of weaning: work activity resumption by nursing mothers, milk deficiency, breast refusal, insufficient awareness of mothers. The article presents results of two studies performed at the Scientific Center of Children’s Health. Results of a medical-psychological-pedagogical questioning of 85 mothers of premature infants demonstrate insufficient work of medical personnel in the sphere of preserving breast feeding in whole and in the children born with perinatal pathologies in particular; and the need of young women and their families in obtaining information on the benefits of breast feeding, training and assistance in the course of parental performance. The study resulted in formulation of recommendations on breast feeding support. It is important to establish the possibility to return to full breast feeding after enforced weaning and in the event of supplementary/mixed feeding. Results of the second study (n = 33 demonstrated that the use of special medical devices (pacifiers, feeding bottles developed on the basis of thorough research in the sphere of maternal breast sucking physiology in natural feeding termination risk group children helps to preserve children’s need therein and ensures efficient return of children to maternal breast feeding.

  19. O corpo e a saúde da mulher El cuerpo y la salud de la mujer Woman's health and the body

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    Dulce Maria Rosa Gualda

    2009-12-01

    Full Text Available O artigo teve como objetivo realizar uma reflexão teórica sobre corpo durante eventos no curso da vida da mulher na perspectiva teórica fenomenológica e os métodos de pesquisa usados na sua abordagem, conduzidas por docentes da área da Saúde da Mulher da Escola de Enfermagem da Universidade de São Paulo. Esta temática foi escolhida em decorrência da centralidade adquirida pelo corpo na sociedade atual e a relevância do tema. Neste texto mostramos sua aplicabilidade na área da Saúde da Mulher, os resultados de algumas pesquisas com diferentes métodos, tendo como foco o corpo em eventos do curso da vida da mulher.El estudio tuvo como objetivo hacer una reflexión teórica sobre la temática del cuerpo durante los eventos del curso de la vida de la mujer en la perspectiva fenomenológica y los métodos de investigación utilizados en su enfoque, dirigidos por profesores del area de Salud de la Mujer en la Escuela de Enfermería de la Universidad de São Paulo. Este tema fue elegido debido a la centralización adquirida por el cuerpo en la sociedad contemporánea y la importancia del tema. En este trabajo se presenta su aplicabilidad en el ámbito de la salud de la mujer, los resultados de algunos estudios sobre los diferentes métodos, centrados en el cuerpo acerca de los acontecimientos del curso de la vida de la mujer.The study aimed to develop a theoretical reflection on the thematic "body" during woman´s life course events in the phenomenological perspective and the research methods used in their approach, led by faculty of Women´s Health area at the School of Nursing, University of São Paulo. This theme was chosen due to the centrality acquired by the body in contemporary society and the relevance of the topic. In this paper we show its applicability in the field of Women's Health, the results of some studies using different methods, focusing on the body on woman´s life course events.

  20. Saúde e comunidades quilombolas: uma revisão da literatura Health and quilombolas communities

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    Daniel Antunes Freitas

    2011-10-01

    Full Text Available TEMA: os quilombos fazem parte de uma época triste da história do Brasil. A escravidão deixou profundas marcas no país; feridas que ainda insistem em não cicatrizar. Neste enredo de exclusão, desigualdades e racismo institucionalizado, emergem as comunidades de remanescentes quilombolas, lutando por acesso e políticas inclusivas para suas populações. O acesso em saúde no Brasil é, ainda, uma questão muito polêmica desde a criação do Sistema Único de Saúde. As populações quilombolas reivindicam direito à saúde plena e integral. OBJETIVO: apresentar aos profissionais de saúde uma reflexão sobre as questões pertinentes às populações quilombolas e suas dificuldades na defesa de seus direitos de acesso à atenção em saúde. CONCLUSÃO: são evidentes na trajetória do SUS no Brasil as grandes falhas na inclusão de pessoas historicamente marginalizadas, alijando-as do processo de crescimento humano e social. As políticas públicas em saúde devem buscar a equidade por meio da atenção inclusiva a grupos especiais, de maneira especial à comunidades quilombolas brasileiras.BACKGROUND: Quilombos are part of a sad time in the history of Brazil. Slavery has left deep marks in the country; wounds that still insist on not healing. In this story of exclusion, inequality and institutionalized racism, emerging communities of afro-descendents, fighting for access and inclusion policies for their populations. Access to health care in Brazil is still a very controversial issue since the creation of the Unified Health System (SUS. The quilombolas claim full right and access to complete health care. PURPOSE: to introduce health professionals to reflect on issues relevant to the said populations and their difficulties in defending their rights of access to health care. CONCLUSION: it is evident in the trajectory of SUS in Brazil that there are major flaws in the inclusion of historically marginalized people, jettisoning them in the

  1. Saúde bucal em Diadema: da odontologia escolar à estratégia saúde da família Oral health in Diadema, Brazil: from schoolchildren dentistry to family health strategy

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    Bernadete Aparecida Tavares Cunha

    2011-12-01

    Full Text Available Embora a política de saúde bucal no Município de Diadema, SP, no período de 1972 a 2007, objeto deste artigo, tenha acompanhado o processo de transformação das práticas do setor no Brasil, sua evolução nesta cidade industrial na Região Metropolitana da Grande São Paulo foi marcada pela singularidade do processo histórico local. Neste artigo analisa-se essa evolução, relacionando-a com o processo de lutas sociais que levou à criação do Sistema Único de Saúde (SUS e com as políticas nacionais, estaduais e municipais de saúde bucal. Trata-se de um estudo qualitativo do tipo exploratório. Os dados foram obtidos em documentos oficiais e fontes bibliográficas variadas e por meio de entrevistas semiestruturadas com prefeitos, secretários municipais de saúde, coordenadores de saúde bucal e cirurgiões dentistas que vivenciaram as diversas fases das políticas de saúde bucal no município. Identificam-se as características mais marcantes na organização das práticas assistenciais em saúde desenvolvidas na cidade, localizando-as no cenário estadual e nacional. Conclui-se que, não obstante a consolidação da inserção da saúde bucal no SUS e a experiência adquirida no Município com a gestão dessa modalidade assistencial, também em Diadema observam-se dificuldades para superar o modelo de atenção focado nos grupos populacionais tradicionalmente priorizados, com destaque para escolares, pré-escolares e bebês. Nesse sentido, Diadema compartilha com os demais municípios brasileiros o desafio de reestruturar a atenção básica em saúde bucal, superar o tradicional modelo da odontologia escolar e criar novas possibilidades, como a abordagem familiar, com a finalidade de assegurar a universalidade e a integralidade da atenção.Although oral health policy in the city of Diadema, São Paulo, Brazil, from 1972 to 2007, the subject of this article, has accompanied the process of transformation of the sector's practices

  2. Multiple modernities, modern subjectivities and social order

    DEFF Research Database (Denmark)

    Jung, Dietrich; Sinclair, Kirstine

    2015-01-01

    to modern subjectivity formation. In combining conceptual tools from these strands of social theory, we argue that the emergence of multiple modernities should be understood as a historical result of idiosyncratic social constructions combining global social imaginaries with religious and other cultural......Taking its point of departure in the conceptual debate about modernities in the plural, this article presents a heuristic framework based on an interpretative approach to modernity. The article draws on theories of multiple modernities, successive modernities and poststructuralist approaches...... traditions. In the second part of the article we illustrate this argument with three short excursions into the history of Islamic reform in the 19th and 20th centuries. In this way we interpret the modern history of Muslim societies as based on cultural conflicts between different forms of social order...

  3. Veterinary education for global animal and public health, D.A. Walsh : book review

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    C.M.E. McCrindle

    2010-05-01

    Full Text Available This 28th annual volume published by the World Organisation for Animal Health (OIE, addresses the need for a global shift in the way veterinary students are taught veterinary public health (VPH. As well as taking the lead in prevention and control of animal diseases, the OIE develops health and welfare standards to promote food security and equitable international trade in animals and animal products.

  4. A saúde da Physis e a saúde do Dasein em Heidegger Physis's health and Dasein's health according to Heidegger

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    Roberto Passos Nogueira

    2007-01-01

    Full Text Available Ao investigar o significado do conceito de physis em Aristóteles, Heidegger parece defender a idéia de que o corpo físico guarda em si um poder espontâneo de cura, correspondendo à conhecida noção da natura medicatrix. Contudo, em suas exposições nos seminários de Zollikon, ele deixa claro que a saúde e a enfermidade são apenas modos existenciais do Dasein como ser-no-mundo. Por isso, o corpo, com sua fisiologia e sua patologia, estão sempre submetidos ao domínio da essência ex-tática do Dasein; o homem jamais é natureza, como pressupõe a ontologia cartesiana. O artigo realiza um confronto entre essas duas abordagens de Heidegger. Mostra também as conseqüências de três determinações da saúde que são as únicas coerentes com a ontologia fundamental de Heidegger: a enfermidade é uma privação ontológica; a saúde é a potencialidade de ser do Dasein em sua essência ex-tática; o estresse e a enfermidade relacionam-se com o círculo hermenêutico de interpelações e respostas que o Dasein mantém em seu vínculo essencial com o mundo.In his study about the meaning of the Aristotle's concept of physis, Heidegger seems to espouse the idea that human physical body keeps inside itself a spontaneous power of healing, that responds to the well-known notion of natura medicatrix. However, at the Zollikon seminars, he made clear that health and disease are nothing else than modes of Dasein's existential ways of being-in-the-world. Thus the body, its physiology and pathology are always submitted to the sway of the unfolding essence of Dasein; man never is nature as thinks the Cartesian ontology. This article carries through a confrontation between these two Heidegger's approaches to health. It also shows the consequences of three determinations of health in Heidegger's thought that are coherent with his fundamental ontology: a disease is a an ontological privation; b health is a potentiality of the being of Dasein in its

  5. Concepção e utilização da tecnologia assistva por profissionais da área da saúde/Conceptions and practices regarding the assistive technology for health professionals

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    Bruna Roberta de Souza

    2017-07-01

    Full Text Available A partir da problemática quanto à concepção de Tecnologia Assistiva e da necessidade do conhecimento dessa área por parte dos profissionais para sua correta implementação, o objetivo deste estudo foi identificar as concepções e as práticas relativas à Tecnologia Assistiva dos profissionais da saúde que compunham a equipe técnica de um serviço-escola situado em uma Universidade pública do interior paulista, visando o seu uso mais efetivo. Participaram do estudo um terapeuta ocupacional, dois fisioterapeutas, um fonoaudiólogo e um psicólogo. Os dados foram coletados por meio de uma ficha de cadastro do participante e de um roteiro de entrevista semiestruturado. Os resultados encontrados foram organizados em sete categorias de análise e indicaram que a maioria dos técnicos considera a Tecnologia Assistiva como recursos e equipamentos que auxiliam o paciente a realizar determinada tarefa ou atividade. Poucos afirmaram que utilizavam a Tecnologia Assistiva em sua prática clínica, e apontaram a necessidade de formação mais específica para os profissionais da área. Conclui-se que esses resultados trouxeram informações importantes a respeito da inserção da temática Tecnologia Assistiva em serviços direcionados à população com deficiência, uma vez que há demanda específica de formação inicial e continuada dos profissionais técnicos presentes nessa instituição. From the problematic about of conceiving assistive technology and the need for knowledge of it by the professionals for its right implementation, the purpose of this study was to identify the conceptions and practices regarding the Assistive Technology for health professionals which made up the technical team of a School Service located in a public university in the interior of São Paulo, aiming its correct implementation. The participants of study were one occupational therapist, two physiotherapists and one psychologist. The data were collected through

  6. A qualidade da qualidade: uma perspectiva em saúde do trabalhador Quality of quality: a workers' health perspective

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    Simone Oliveira

    1997-10-01

    Full Text Available As novas formas de organização do trabalho, no Brasil, baseadas no modelo japonês de gestão, traduzem-se pela implantação de Programas de Qualidade Total que modificam as relações de trabalho. A pressão da modernidade representada pela busca da qualidade atinge os trabalhadores, gerando no limite conseqüências para sua saúde física e mental. Nesse sentido, o estudo de caso em uma indústria têxtil, no Município de Nova Friburgo (Rio de Janeiro, procurou perceber como esses programas são pensados para aumentar a qualidade do produto, sem, contudo, modificar a qualidade de vida dos trabalhadores. Identificou a simultaneidade tanto de situações diversas de precárias condições de trabalho ou de seu processo, quanto de outras de sofisticadas exigências ­ abstração, interiorização do controle, generalização do conceito fornecedor/cliente etc.­, que esbarra em uma força de trabalho com baixa escolaridade, resultando em um ambiente tenso, com intensificação do ritmo laboral sem, no entanto, haver ganhos objetivos para os trabalhadores.In Brazil, new forms of labor organization based on the so-called Japanese management model are characterized by the implementation of Total Quality Programs, heavily altering relations in the labor force. Pressures brought to bear by modernity, such as demand for quality, affect workers and result in physical and mental disturbances. A case study focusing on a textile industry in Nova Friburgo, Rio de Janeiro State, aimed at elucidating how such programs are formulated in such a way as to increase product quality without changing quality of life for workers. We detected precarious work conditions alongside sophisticated requirements, including abstraction, internalized control, dissemination of the supplier/client concept, etc., running up against a labor force with limited schooling, thus creating a tense atmosphere with a steady speed-up in the work pace, albeit with no real gains for

  7. Considerações sobre os conceitos de natureza, espaço e morfologia em Alexander von Humboldt e a gênese da geografia física moderna Considerations on the concepts of nature, space, and morphology in Alexander von Humboldt and on the genesis of modern physical geography

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    Antonio Carlos Vitte

    2010-01-01

    Full Text Available Discute a formação dos conceitos de natureza, espaço e morfologia na obra de Alexander von Humboldt e seus impactos na formação da geografia física moderna. Influenciado pelas reflexões de Kant em Crítica do juízo e pelos trabalhos de Goethe e Schelling, Humboldt desenvolveu nova interpretação e representação para a natureza na superfície da Terra, em que o conceito de espacialidade é fundamental para a explicação dos fenômenos da natureza. A geografia física moderna estrutura-se a partir de complexo cruzamento de influências estéticas e instrumentais desenvolvidas por Humboldt, nas quais o princípio da conexão é importante para a invenção artística e científica do conceito de paisagem geográfica.The article discusses how Alexander von Humboldt developed the concepts of nature, space, and morphology in his works and impacted the shaping of modern physical geography. Influenced by Kant's ideas in Critique of judgment and also by the writings of Goethe and Schelling, Humboldt devised a new interpretation and representation of nature on Earth's surface, wherein the concept of space is essential to explaining natural phenomena. Modern physical geography is grounded in a complex interweaving of aesthetic and instrumental influences fashioned by Humboldt, with the principle of connection playing an important role in the artistic and scientific development of the notion of a geographic landscape.

  8. Stimuli given to pedagogical experiences and textbook production during the Modern Mathematics Period: the Brazil-Portugal context Estímulos dados às Experiências Pedagógicas e à Produção de Livros Didáticos no Período da Matemática Moderna: contexto Brasil-Portugal

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    Gladys Denise Wielewski

    2010-06-01

    Full Text Available In the Twentieth century, school mathematics became the focus of attention in national and international congresses, pointing to the need to rethink its teaching methodology. The discussion around the theme extended and resulted, in the late 1950’s, in the development of a proposal for the internationalization of the mathematics teaching methodology, involving organizations such as UNESCO and OECE. The OECE developed recommendations for the implementation of modern mathematics (MM. These recommendations were disseminated and resignified in many different countries.Based on some of the OECE’s recommendations, we seek to identify how they were operationalized in Brazil and Portugal. The question is: What did experiences with the MM and the publication of textbooks represent in these countries? Therefore, we used the bibliography about MM, official documents found in the historical archives of Portugal, and an interview with a Modernization of Mathematics Period participant. Keywords: Modern Mathematics. Pedagogical Experience. Comparative Historical Research.No século XX, a matemática escolar tornou-se foco de atenção em congressos nacionais e internacionais, evidenciando uma necessidade de se repensar seu ensino. A discussão ampliou-se e resultou, no final da década de 1950, na elaboração de uma proposta de internacionalização do ensino de Matemática, contando com o envolvimento de órgãos como UNESCO e OECE. A OECE propiciou a elaboração de recomendações para a implantação da Matemática Moderna (MM. Essas recomendações foram divulgadas e ressignificadas em diversos países. Pretendemos, a partir de algumas das recomendações da OECE, identificar como estas foram operacionalizadas, tendo como referência Brasil e Portugal. Pergunta-se: o que representou a realização de experiências com a MM e a publicação de livros didáticos nestes países? Para tanto, utilizamos produção bibliográfica sobre MM, documentos

  9. Using antimatter in modern medicine

    OpenAIRE

    Machado, A.C.B.; Pleitez, V.; Tijero, M.C.

    2006-01-01

    Neste artigo, fazemos uma breve exposição de como um dos conceitos fundamentais da física moderna, a existência de antimatéria, tem aplicação na medicina, na chamada tomografia por emissão de pósitrons (PET na sigla em inglês). Ela consiste na produção de imagens tomográficas digitais do organismo que são obtidas pela detecção da radiação produzida na aniquilação do pósitron com o elétron. In this paper we discuss how the existence of antimatter, one of the main concepts of modern physics,...

  10. PERSPECTIVAS SANITARIAS PROMETEDORAS DEL CLONAJE HUMANO PERSPECTIVAS SANITARIAS PROMETEDORAS DA CLONAGEM HUMANO PROMISING HEALTH PERSPECTIVES FOR HUMAN CLONING

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    Fermín Rolando Schramm

    2003-01-01

    clonagem através da análise racional e imparcial das implicações morais de seu uso e, se este for considerado legítimo, propôlo como meio para proteger a saúde humana. Apesar de ter aparentemente funções muito diferentes, tanto a clonagem terapêutica como a reprodutiva buscam responder ao desafio do sofrimento humano não necessário: a clonagem terapêutica, graças à técnica que utiliza célulastronco totipotentes, busca produzir órgãos e tecidos para eliminar o sofrimento evitável; a clonagem reprodutiva pode também eliminar formas de sofrimento humano evitáveis e pode, portanto, ser considerada um caso particular da clonagem terapêuticaTo evaluate the promises of human cloning, both therapeutic and reproductive, we can start from two pertinent points of view: health and secular bioethics. Under the point of view of health, though public prevention and health promotion policies, adequate to objective existing conditions, they try to protect human population from unnecessary diseases. Secular bioethics seeks to understand the ethics of cloning through rational analysis, free from the moral implications of its use; and if the conclusion is that it is legitimate, to propose it like a tool to protect human health. In spite of their apparently very different functions, both therapeutic cloning and reproductive cloning seek to respond to the challenge of unnecessary human suffering: therapeutic cloning, thanks to the technique that uses totipotent stem cells, seek to grow organs and tissues to eliminate avoidable suffering; reproductive cloning may also diminish forms of unnecessary human suffering and if can, therefore, to be considered a particular case of therapeutic approach

  11. At Forstå et Moderne Digt/To Understand a Modern Poem

    DEFF Research Database (Denmark)

    Schatz-Jakobsen, Claus

    1998-01-01

    Artiklen plæderer for at det at 'forstå et moderne digt' betyder noget radikalt andet nu end det gjorde for halvtreds år siden, da William Empson under overskriften 'To Understand a Modern Poem' udlagde et digt af Dylan Thomas - noget radikalt andet, både hvad angår 'det at forstå' og hvad angår...

  12. Aspectos da comunicação nas práticas avaliativas na Estratégia Saúde da Família Aspects of communication in Family Health Strategy evaluation practice

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    Katia Virginia de Oliveira Feliciano

    2010-11-01

    Full Text Available Este artigo adota uma perspectiva hermenêutica e crítica para examinar a importância das condições de possibilidade e legitimidade de práticas comunicativas para a avaliação na Estratégia Saúde da Família. É o caráter participativo da avaliação que possibilita estabelecer redes sociais e técnicas de negociação, visando à coerência entre a autonomia do julgamento de cada um e a expectativa de obter acordos e pactos na construção de projetos comuns. O processo decisório compartilhado se apresenta como uma rede de relações sempre tensas, na qual, o êxito da negociação pode ser prejudicado pela assimetria de poder e os potenciais de ameaça injustamente distribuídos entre interlocutores, tornando indispensável o questionamento do que é dito e da própria situação de uso da linguagem. Para refletir sobre a linguagem como objeto construído, em um dado contexto, recorre-se a Gadamer, Habermas e Ricoeur. Espera-se reafirmar a importância da intersubjetividade como condição de possibilidade das decisões, contribuindo para o fortalecimento do potencial formativo da avaliação em saúde.This article adopts a hermeneutical and critical approach, in order to examine the importance of the conditions making possible and legitimizing communications practices aiming to evaluate the Family Health Strategy. It is the participatory nature of the strategy that enables it to establish social networks and negotiation techniques aiming to achieve coherence between the autonomous judgment of each individual and the expectation of obtaining contracts and agreements for joint projects. The shared decision-making process is shown to be a network of relations that are always in tension, in which the success of negotiations may be hampered by asymmetrical power relations and unfair distribution of the power to make threats. This means that is indispensable that what is said and how language is used be called into question. In order to

  13. O problema da avaliação em Saúde Pública Evaluation of public health program

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    Reinaldo Ramos

    1974-09-01

    Full Text Available Após discussão do conceito de avaliação, a partir das clássicas idéias de controle administrativo, foram indicados alguns dos critérios mais freqüentemente utilizados na avaliação dos programas de saúde. Chama-se a atenção, todavia, para os riscos inerentes a tais critérios, derivados do fato de que a problemática de saúde - como reflexo das condições gerais de vida - é fortemente afetada por fatores impermeáveis às ações específicas do setor. Daí a necessidade do emprego de critérios mais simples, que permitam estabelecer uma relação de causa e efeito entre as ações desenvolvidas e os resultados alcançados.After discussing the concept of evaluation, based on classical ideas of administrative control, some more frequently used criteria of evaluation of health programs are presented. Attention is called, however, to the inherent risks, pertaining to the fact that health problems - as a reflex of general conditions of life - are heavily influenced by factors that are impervious to the specific action of the area. Therefore, simpler criteria that permit the establishment of a causal relation between undertaken action and results achieved must be used.

  14. Promoção da saúde. Porque sim e porque ainda não! Why health promotion and why still not so!

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    Cynthia Rachid Bydlowski

    2004-04-01

    Full Text Available A situação da saúde e da vida da população brasileira é preocupante. O SUS, embora tenha sido institucionalizado a partir de um conceito amplo de saúde, opera ainda com o conceito de saúde como ausência de doença, não desenvolvendo ações que levem em conta fatores sociais, econômicos e ambientais que afetam os determinantes sociais, econômicos, culturais e políticos que interferem nas condições de vida e saúde da população. A Promoção da Saúde, como referencial que oferece uma forma mais ampla de pensar e agir em saúde, vem reforçar as propostas do SUS de melhoria nesse quadro, por meio da intervenção nesses fatores. Coloca, como necessária, a participa��ão da população nos processos de decisão e na elaboração de políticas públicas, sendo que para isto é importante o empoderamento da população. Mas estas práticas ainda são pontuais e inexpressivas frente aos problemas existentes. O objetivo desse trabalho é apontar e comentar as forças que podem estar agindo no sentido contrário à inserção e ao desenvolvimento da Promoção da Saúde: o modelo biomédico, a estrutura dos relacionamentos, a estrutura do governo, os meios de comunicação e a própria cultura medicalizada da população.Health and life situation of Brazilian population is worrisome. The SUS although institutionalized from a broad health concept still operates with a narrow health concept. It does not take actions that take into consideration social, economic, and environmental factors that interfere on the life and health of the population. Health Promotion as a theoretical referential that offers a broad way of thinking and acting in health reinforces the SUS' framework proposal through the intervention on those factors. It postulates as necessary the participation of the population in the decision and policy-making processes, which entails their empowerment. Such practices, however, are fortuitous and inexpressive in face of

  15. Análise da continuidade da assistência à saúde de adolescentes portadores de diabetes Analysis of the continuity of health care provided to diabetic adolescents

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    Ederline Suelly Vanini de Brito

    2012-12-01

    Full Text Available OBJETIVOS: analisar a continuidade assistencial de adolescentes diabéticos nos serviços de saúde em Recife, na perspectiva de pacientes e profissionais envolvidos no cuidado. MÉTODOS: estudo qualitativo-descritivo. Realizaram-se 27 entrevistas entre mães de adolescentes e profissionais de saúde dos diferentes níveis de complexidade. Os dados foram analisados através da técnica de análise narrativa de conteúdo. RESULTADOS: na continuidade da gestão, os informantes consideram coerentes os objetivos e o tratamento realizado entre profissionais dos serviços especializados, embora não mencionassem a utilização de planos de cuidados ou protocolos. Na continuidade da informação, alguns entrevistados referiram haver comunicação entre profissionais especialistas, porém, inexiste comunicação entre profissionais da atenção básica. Como principais barreiras para a transfe-rência de informações estão a grande demanda dos serviços e a demora na entrega dos resultados. Finalmente, na continuidade da relação, todas as mães mencionaram a importância e a existência do vínculo e da confiança entre os profissionais e usuários, identificando como responsáveis pela assistência ao adolescente os profissionais especia-listas. CONCLUSÕES: a continuidade assistencial é mais percebida nos serviços de média e alta complexidade. Esses achados podem estar relacionados à qualificação dos profissionais e melhor infra-estrutura dos serviços especializados, indicando a necessidade de ampliar os investimentos na atenção básica como coordenadora da assistência.OBJECTIVES: to analyze the continuity of care for diabetic adolescents in health services in Recife, from the perspective of patients and professionals involved with the care. METHODS: a descriptive qualitative study. 27 interviews were conducted with the mothers of adolescents and a variety of health professionals responsible for different levels of care. The data was

  16. Educação para a promoção da saúde no contexto da atenção primária Health promotion education in the context of primary care

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    Angélica Cotta Lobo Leite Carneiro

    2012-02-01

    Full Text Available OBJETIVO: Investigar se as práticas educativas realizadas nas unidades básicas de saúde de Belo Horizonte, Estado de Minas Gerais, Brasil, atendem aos princípios da promoção da saúde. MÉTODOS: Este estudo descritivo analisou 33 práticas educativas de promoção da saúde para verificar se eram pautadas por cinco princípios, utilizados como categoria de análise: multicausalidade do processo saúde-doença, intersetorialidade, participação social, sustentabilidade e utilização de métodos dialógicos (participação ativa do sujeito na prática educativa, condução da prática de forma a proporcionar a construção do conhecimento e utilização de diferentes estratégias de ensino. A técnica utilizada foi a observação estruturada. Determinou-se a frequência de cada uma dessas categorias nas práticas avaliadas. RESULTADOS: A multicausalidade do processo saúde-doença foi a categoria mais incorporada às práticas educativas (73,0%, enquanto a intersetorialidade foi a menos incorporada (9,0%. Quanto ao uso de métodos dialógicos, 38,0% das práticas promoveram a participação ativa do sujeito, 6,0% proporcionaram a construção do conhecimento e 40,0% utilizaram diferentes estratégias de ensino. CONCLUSÕES: A maioria das práticas educativas não estava orientada ativamente em direção à promoção da saúde no sentido de fortalecimento da autonomia na gestão dos processos de saúde, da participação social e do emprego de abordagens dialógicas de ensino. Entretanto, observam-se movimentos de ruptura em relação aos modelos de educação hegemônicos na atenção primária.OBJECTIVE: To investigate whether the educational initiatives carried out in basic health units in Belo Horizonte, Minas Gerais, Brazil, follows the principles of health promotion. METHODS: This descriptive study examined 33 educational health promotion initiatives to determine whether they were guided by five principles, used as categories of

  17. Differences in self-rated health among older adults according to socioeconomic circumstances: the Bambuí Health and Aging Study Diferenças na estrutura da auto-avaliação da saúde em idosos com diferente situação sócio-econômica: Projeto Bambuí

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    Maria Fernanda Lima-Costa

    2005-06-01

    Full Text Available Self-rated health is influenced by socioeconomic circumstances, but related differences in its structure have received little attention. The objective of this study was to examine whether self-rated health structure differs according to socioeconomic circumstances in later life. The study included 1,505 individuals (86.4% residing in Bambui and aged 60 years or older. Correlates of self-rated health among lower-income older adults (monthly household income A influência da situação sócio-econômica na estrutura da percepção da saúde dos idosos tem recebido pouca atenção. O objetivo foi verificar se a estrutura da percepção da saúde difere em idosos mais pobres em comparação àqueles com melhor poder aquisitivo (renda mensal familiar 2 salários mínimos. O estudo incluiu 1.505 idosos (> 60 anos de idade residentes na cidade de Bambuí, Minas Gerais, Brasil. A satisfação com a rede social surgiu com maior força na estrutura da percepção da saúde entre os mais pobres. Entre esses, sintomas depressivos e ansiosos estavam associados com a auto-avaliação da saúde, ao passo que os idosos com melhor poder aquisitivo apresentavam uma percepção da saúde mais ampla, que incluía sintomas depressivos e ansiosos, insônia, infecção pelo Trypanossoma cruzi, medicamentos utilizados e acesso aos serviços de saúde. Consultas a médicos e hospitalizações apresentaram-se associadas à auto-avaliação da saúde em ambos os grupos. Estes resultados apontam para importantes diferenças na estrutura da percepção da saúde em idosos com menor ou maior renda familiar e reforçam a necessidade de políticas para reduzir as desigualdades em saúde dessa população.

  18. Que direito à saúde para a população GLBT? Considerando direitos humanos, sexuais e reprodutivos em busca da integralidade e da eqüidade What do health rights mean for the GLBT population?Considering human, sexual and reproductive rights in the search for equity and integrality in the health system

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    Tatiana Lionço

    2008-06-01

    Full Text Available Este artigo tem como objetivo problematizar a pertinência de uma política de saúde para a população de Gays, Lésbicas, Bissexuais, Travestis e Transexuais - GLBT. A partir da consideração dos processos de violação de seus direitos humanos, sistematicamente comprometidos devido a estigmas e processos discriminatórios, busca-se evidenciar a necessidade de uma política de saúde específica a esta população, na perspectiva da integralidade da atenção e da eqüidade no sistema de saúde. O desafio da construção de uma política de atenção integral à saúde dessa população, tal como prevista no programa de governo federal Brasil sem Homofobia, implica a complexificação e alargamento do que se compreende por direitos sexuais e reprodutivos para a efetiva promoção da eqüidade e universalidade do acesso aos bens e serviços.This paper discusses whether a specific health policy for Gays, Lesbians, Bisexuals, Transvestites and Transsexuals is a good way to improve their lives and health situation, recognizing that their human rights are systematically violated by prejudice and discrimination processes. A health policy could be a strong political and technical instrument for achieving integrality in health care and equity in the health system. Building a health policy according to the constitutional right of universality and integrality in health care is proposed by the Federal Government's program called No Homophobia in Brazil. For its consolidation, we need to broaden what we understand by sexual and reproductive rights.

  19. The meaning of health and illness: some considerations for health psychology O significado de saúde e doença: algumas considerações para a psicologia da saúde

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    Evely Boruchovitch

    2002-12-01

    Full Text Available The importance of understanding individuals’ ideas of health and illness is well acknowledged by research for its theoretical and practical implications for both health psychology and education. Insofar as researchers agree that individuals’ ideas of health and illness have an impact on their health attitudes and behaviour, people’s thoughts of health and health and illness - related issues are increasingly being investigated. In consonance, the objective of this study is to critically review major ideas that underlies individuals’ concepts of health and illness. Findings are discussed in terms of their potential contributions for health psychology.A importância de se conhecerem os conceitos de saúde e da doença dos indivíduos vem sendo reconhecida pelos pesquisadores da área pelas suas implicações teóricas e práticas para a psicologia da saúde e da educação. Como as evidências vêm sugerindo que as cognições relativas à saúde e doença exercem um impacto nas atitudes ligadas à saúde e no engajamento em comportamentos saudáveis das pessoas, esses conceitos estão sendo cada vez mais investigados. Em consonância, o objetivo deste trabalho é rever criticamente a literatura a respeito dos fatores subjacentes às concepções de saúde e doença dos indivíduos. Os dados são discutidos quanto a suas potenciais implicações para a psicologia da saúde.

  20. Contribuições multifacetadas: trabalhadores da saúde e a erradicação da varíola na Índia Multifaceted contributions: health workers and smallpox eradication in India

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    Sanjoy Bhattacharya

    2008-06-01

    Full Text Available A erradicação da varíola no Sul da Ásia resultou dos múltiplos esforços de trabalhadores da saúde de vários níveis. Trabalhando a partir do interior de organizações internacionais e estruturas governamentais, o papel dos funcionários de campo, originários de várias nacionalidades e também provenientes de cidades e enclaves rurais dos países dessas regiões, foi crucial para o desenvolvimento e a distribuição de planos de ação. Entretanto, o papel desses funcionários é geralmente minimizado em histórias oficiais e acadêmicas que ressaltam, ao invés, os papéis desempenhados por um reduzido número de funcionários seniores dentro da Organização Mundial da Saúde e dos governos federais do subcontinente. Este artigo busca oferecer uma avaliação mais integral da complexa situação da erradicação da varíola. Nesse sentido, faz-se um esforço para sublinhar a grande utilidade da flexibilidade operacional apresentada pelos funcionários de campo, na qual as lições aprendidas no trabalho de campo tornaram-se parte integrante da distribuição de campanhas locais. Uma importante característica foi o cuidadoso engajamento com as comunidades-alvo, bem como a contratação por curtos períodos de pessoal dessas mesmas comunidades.Smallpox eradication in South Asia was a result of the efforts of many grades of health-workers. Working from within the confines of international organisations and government structures, the role of the field officials, who were of various nationalities and also drawn from the cities and rural enclaves of the countries in these regions, was crucial to the development and deployment of policies. However, the role of these personnel is often downplayed in official histories and academic histories, which highlight instead the roles played by a handful of senior officials within the World Health Organization and the federal governments in the sub-continent. This article attempts to provide a more

  1. Descentralização, universalidade e eqüidade nas reformas da saúde Decentralization, universal access, and equity in health reforms

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    Hésio Cordeiro

    2001-01-01

    Full Text Available Este artigo contextualiza as políticas aplicadas ao campo da saúde na década de 1990 a partir de dois eixos contraditórios: o mandato da Constituição Federal de 1988 e da Lei Orgânica da Saúde (LOAS de 1990; e a onda neoliberal que influenciou as reformas de Estado em toda a América Latina. O texto detalha os percursos e os percalços do setor saúde na implantação de uma agenda de descentralização fundamentada nos princípios constitucionais de universalização, eqüidade e participação cidadã. E conclui que a reforma da saúde, tal como prevista na LOAS, está se realizando com oscilações, avanços e recuos que traduzem ambigüidades, conflitos e contradições em relação às mudanças no papel do Estado brasileiro a partir da década de 1990. Ele perdeu sua capacidade de formular e implementar políticas nacionais de desenvolvimento, centrou-se no ajuste fiscal e está permeado pelas pressões da globalização do capital.This article analyzes Brazilian policies applied to the field of health in the 1990s from two contradictory angles: the mandate of the 1988 Federal Constitution and the 1990 National Health Act (LOAS on the one hand and the neoliberal wave that influenced public sector reforms throughout Latin America on the other. The paper discusses pathways and obstacles in the health sector during the implementation of a decentralization agenda based on the constitutional principles of universal access, equity, and citizens' participation. It concludes that the health reform provided for under the National Health Act is being achieved with ups and downs that express contradictions related to changes in the role of the Brazilian public sector beginning in the 1990s. The state lost its capacity to formulate and implement national development policies, focused on fiscal adjustment, and is permeated by pressure from globalization of capital.

  2. Tempos de racialização: o caso da 'saúde da população negra' no Brasil In times of racialization: the case of the 'health of the black population' in Brazil

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    Marcos Chor Maio

    2005-08-01

    Full Text Available Este artigo tem por objetivo analisar as iniciativas para a criação de um campo de reflexão e intervenção política denominado 'saúde da população negra', no período entre 1996 e 2004, que contempla o governo FHC e parte da administração de Lula. A discussão e implementação de políticas de ação afirmativa no Brasil adquire maior visibilidade, especialmente após a 3ª Conferência Mundial contra o Racismo, Discriminação Racial, Xenofobia e Formas Correlatas de Intolerância, sob os auspícios da ONU (Durban, África do Sul, 2001. O artigo descreve a emergência de uma proposta de política compensatória. Em seguida, aborda o debate contemporâneo sobre raça e saúde, sobretudo a literatura biomédica norte-americana, à luz das apropriações dessa discussão por agências e agentes comprometidos com a formulação de uma 'política racial' no âmbito da saúde pública no Brasil.The article analyzes initiatives aimed at creating a field of reflection and political intervention called the 'health of the black population,' which occurred between 1996 and 2004, that is, under the administration of Fernando Henrique Cardoso and part of Luis Inácio Lula da Silva´s administration. During this period, the process of discussing and enacting affirmative action policies in Brazil gained greater visibility, especially following the UN-sponsored Third World Conference on Racism, Racial Discrimination, Xenophobia, and Related Intolerance (Durban, South Africa, September 2001. The article describes the emergence of a proposal of compensatory policy within the Brazilian public health system. It then addresses the contemporary debate on race and health, especially the U.S. biomedical literature, and explores how this discussion has been appropriated by agencies and agents concerned with drawing up a 'racial policy' for the public health sector in Brazil.

  3. Florence Nightingale: Apontamentos sobre a fundadora da Enfermagem Moderna Florence Nightingale: Apuntes sobre la fundadora de la Enfermería Moderna Florence Nightingale: Notes on the founder of Modern Nursing

    OpenAIRE

    Lúcia Marlene Macário Lopes; Sandra Maria Pereira dos Santos

    2010-01-01

    Avançada para a sua época, mas ao mesmo tempo conservadora, Florence Nightingale popularizou o exercício da Enfermagem, permitindo o estabelecimento de uma nova profissão para a mulher. Mulher bem formada e culta, recorreu aos seus conhecimentos e estatuto social para influenciar a política de saúde e educação, na sua época. Prestou cuidados de enfermagem aos doentes, durante a Guerra da Crimeia (1854-1856), afirmando a profissão de Enfermagem e dando início à sua caminhada para o estatuto de...

  4. A instituição da microbiologia e a história da saúde pública no Brasil Microbiology as an institution and the history of public health in Brazil

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    Jaime Larry Benchimol

    2000-01-01

    Full Text Available Este artigo analisa a instituição da microbiologia e suas conseqüências para a saúde pública brasileira durante o último quarto do século XIX e o começo do atual. O autor examina o trabalho realizado pela Escola Tropicalista Baiana, a trajetória de outra geração de médicos que, no Rio de Janeiro e em São Paulo, investigaram a febre amarela e outras doenças à luz da teoria dos germes, procurando descobrir tanto o seu micróbio específico como imunobiológicos e tratamentos eficazes. O artigo examina também a transição da problemática etiológica para a do meio de transmissão da febre amarela e da malária, correlacionando-as com o amadurecimento do pasteurianismo e da Medicina Tropical. A adoção da teoria de Finlay no Brasil e as campanhas sanitárias bem-sucedidas que Oswaldo Cruz empreendeu no Rio de Janeiro, enquanto a cidade era remodelada de acordo com o molde "haussmaniano", inauguram um nova era em que o Instituto Oswaldo Cruz e outras instituições biomédicas logram desenvolver dinâmicos programas de pesquisa em estreita sintonia com a bacteriologia e medicina tropical européia e norte-americana.This article deals with the institution of microbiology and its consequences to Brazilian public health during the last quarter of the XIXth century and the beginning of the XXth century. The author examines the work done by members of Escola Tropicalista Baiana and then by several constituents of another generation of physicians who, in Rio de Janeiro and São Paulo, researched yellow fever and other diseases from the perspective of the germ theory, trying to discover both its specific microbe as well as effective therapeutic and immunobiological treatments to those diseases. The article also examines the transition of the etiologic issue to the question of the means of transmission not only of yellow fever but also of malaria, correlating it with the coming of age both of Pasteurianism and Tropical Medicine. The

  5. Parent-child associations for changes in diet, screen time, and physical activity across two decades in modernizing China: China Health and Nutrition Survey 1991-2009.

    Science.gov (United States)

    Dong, Fei; Howard, Annie Green; Herring, Amy H; Thompson, Amanda L; Adair, Linda S; Popkin, Barry M; Aiello, Allison E; Zhang, Bing; Gordon-Larsen, Penny

    2016-11-11

    -time sports if their parents participated in leisure-time sports. Our findings support household-based health behavior interventions targeting both children and their parents. However, generation-specific intervention strategies may be needed for children and adults, especially for dietary behaviors, which changed differentially in children versus parents in this rapidly modernizing population.

  6. Do registro ao indicador: gestão da produção da informação assistencial nos hospitais From records to indicators: the management of health care information production in hospitals

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    Denise Schout

    2007-08-01

    Full Text Available A valorização da utilização de indicadores assistenciais no monitoramento do desempenho dos sistemas de serviços de saúde cresceu de forma significativa nas últimas décadas. A expansão do Sistema Único de Saúde/SUS e do Sistema de Saúde Suplementar, e as formas de gestão adotadas estimularam o uso de indicadores na avaliação do desempenho, qualidade e segurança nos hospitais, sendo propostos sistemas de indicadores. Não houve uma correspondente preocupação com as condições de produção dos dados e informações para esses indicadores nos serviços de saúde. O artigo discute algumas das condições necessárias para a qualidade nos indicadores para a gestão da assistência nos hospitais: uma cultura de valorização da informação clínica, administrativa e de pesquisa, compartilhada por todos, e a adequada gestão dos registros clínicos, estatísticas hospitalares e sistemas de informações hospitalares. Não existem propostas prontas para a gestão da informação nos hospitais, fazendo-se necessário desenvolver uma capacidade institucional de incorporar e utilizar, na forma mais adequada para cada instituição e contexto, competências e recursos materiais e humanos diversificados, para que a gestão da informação se transforme em um processo dinâmico e parte da gestão do serviço como um todo.Utilization of health care indicators in the monitoring of health system performance has become increasingly important in the last decades. The expansion of the public National Health System, Sistema Único de Saúde/SUS, growth of the private health sector and implementation of specific types of health care regulation models stimulated the utilization of indicators in the evaluation of hospital care quality and performance and proposals of national indicator systems. This was not accompanied with a corresponding investment in the conditions in which the needed data and information are produced in health services. The

  7. Avaliação da efetividade do controle da hipertensão arterial em unidade básica de saúde Evaluation of the effectiveness of arterial hypertension control in a primary health unit

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    Arnaldo Sala

    1996-04-01

    apenas com a redução da PAS. A participação da idade e da percentagem de faltas no seguimento programático revelam que o resultado final do trabalho programático não é insensível aos diferentes modos com que as pessoas assumem o cuidado com a própria saúde.The present study is part of a performance evaluation of the Aging Health Care Program carried out at a Primary Health Care Clinic. Activities for Arterial Hypertension (AH, control oriented accorging to a risk assessment, in conformity with Ministry of Health norms, are included in the Program mentioned. The effectiveness of the reduction of blood pressure (BP levels in hypertensive individuals subjected to programmatic activities for disease control, in an attempt to identify conditions associated with that reduction, is evaluated. Of the 396 patients with AH registered under the Program between 01/01/92 and 06/30/93, 250 cases were included for this evaluation. These patients had, in addition to high blood pressure levels (BP ³ 160/95 mm Hg on the first attendances at the health center (before registration in the programme, at least two medical consultations during program follow-up. The differences in blood pressure levels between measurements taken during consultations before the beginning of attendance at the program and those taken on the first attendances to the programme were analysed according to initial blood pressure level, age, sex, registering diagnosis and absences during the program follow-up. Reductions of ³ 5 mm Hg in diastolic blood pressure (DBP and/or ³ 10 mm Hg in systolic blood pressure (SBP were obtained in 197 (78.8% patients. The mean reduction was 8.8 mm Hg (sd = 11.4 for DBP and 17.7 mm Hg (sd = 18.6 for SBP. Results of several epidemiological studies allow the inference that a decrease in the mortality risk from Cardiovascular Disease can be achieved in a significant proportion of the individuals registered in the program. Blood pressure normalization according to program

  8. As relações laborais no âmbito da municipalização da gestão em saúde e os dilemas da relação expansão/precarização do trabalho no contexto do SUS Labor relations under decentralized health management and dilemmas in the relationship between work expansion and casualization in the Brazilian Unified National Health System

    Directory of Open Access Journals (Sweden)

    Túlio da Silva Junqueira

    2010-05-01

    Full Text Available Analisar a lógica da organização da gestão de recursos humanos em nível da atenção primária em saúde, desde a perspectiva dos gestores municipais - protagonistas das ações de saúde nos municípios brasileiros -, repensando o processo de descentralização a partir da mediação entre as orientações do Governo Federal e a dimensão do cotidiano dos serviços. Estudo transversal, com utilização de questionário semi-estruturado, aplicado aos secretários municipais de saúde da macrorregião sanitária Leste do Sul (Minas Gerais, Brasil. Os secretários municipais de saúde tinham média de idade de 39,4 anos, reduzido nível de escolaridade, observando-se que boa parte dos mesmos não era da área de saúde. Em relação aos trabalhadores do Programa Saúde da Família, as prefeituras são responsáveis por 93,3% dos contratos dos profissionais de saúde, os quais são vinculações tipicamente temporárias. Os achados ratificam a defasagem dos direitos políticos e sociais dos trabalhadores, com o paradoxo de ser o Estado - via gestão municipal - o responsável pelo descumprimento das leis, importante questão a ser ponderada.This article analyzes the logic behind human resources management in primary health care from the perspective of municipal health systems administrators in Brazil, rethinking the decentralization process based on mediation between Federal government guidelines and the health services' daily practice. This was a cross-sectional study using a semi-structured questionnaire applied to municipal health secretaries in the Southeastern Health Macro-Region (Minas Gerais State. The municipal health secretaries had a mean age of 39.4 years and low schooling, and a large proportion did not belong to the health field. As for the workforce in the Family Health Program, the municipal governments hired 93.3% of the health professionals, mostly on temporary contracts. The findings confirm gaps in the workers' political and

  9. [Side Effects of Modernity : Dam Building, Health Care, and the Construction of Power in the Context of the Control of Schistosomiasis in Egypt in the 1960s and early 1970s].

    Science.gov (United States)

    Brendel, Benjamin

    2017-09-01

    This article analyzes the modernization campaigns in Egypt in the 1960s and early 1970s. The regulation of the Nile by the Aswan High Dam and the resulting irrigation projects caused the rate of schistosomiasis infestation in the population to rise. The result was a discourse between experts from the global north and Egyptian elites about modernization, development aid, dam building and health care. The fight against schistosomiasis was like a cipher, which combined different power-laden concepts and arguments. This article will decode the cipher and allow a deeper look into the contemporary dimensions of power bound to this subject. The text is conceived around three thematic axes. The first deals with the discursive interplay of modernization, health and development aid in and for Egypt. The second focuses on far-reaching and long-standing arguments within an international expert discourse about these concepts. Finally, the third presents an exemplary case study of West German health and development aid for fighting schistosomiasis in the Egyptian Fayoum oasis.

  10. Visão de profissionais e estudantes da área de saúde sobre a interface saúde e meio ambiente View of health area professionals on the interface between health and the environment

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    Silviamar Camponogara

    2013-04-01

    Full Text Available Este artigo apresenta a visão de profissionais e estudantes da área da saúde sobre a interface saúde e meio ambiente. Estudo de abordagem qualitativa, descritivo, desenvolvidos com diferentes atores sociais que integram o processo de formação profissional e laboral da área da saúde em um município do Rio Grande do Sul. Os dados foram coletados por meio de entrevista semiestruturada com questões norteadoras sobre o objeto de estudo, feita com trabalhadores hospitalares, enfermeiros, docentes, acadêmicos da área da saúde e agentes comunitários de saúde. Cada subprojeto foi analisado individualmente, com base no referencial sobre análise de conteúdo. Os resultados evidenciam que os sujeitos possuem visões dicotômicas sobre meio ambiente e reconhecem os efeitos prejudiciais da atual crise ambiental, alegando que o ser humano é o principal causador. Os sujeitos do estudo entendem que há estreita interface entre saúde e meio ambiente, sendo as populações menos privilegiadas economicamente as mais afetadas pelos danos ambientais. Conclui-se que o aprofundamento do debate sobre o tema no processo de formação e prática profissional em saúde é fundamental no sentido de se buscar a efetiva responsabilidade socioambiental por parte dos atores sociais atuantes no setor.This article presents the view health area professionals and students have concerning the interface between health and the environment. It is a qualitative, descriptive study undertaken with different social players that are part of the vocational training process in the health care area in a municipality in Rio Grande do Sul, Brazil. The data were collected through a semistructured interview comprising gui-ding questions on the study subject and carried out among hospital workers, nurses, health care professors and students, and community health agents. Each subproject was analyzed individually based on the content analysis framework. The results show that the

  11. Application of total quality tools in the operational process modernization and optimization of large hydroelectric power plants; Aplicacao de ferramentas da qualidade total na modernizacao e otimizacao de processos operacionais de grandes usinas hidreletricas

    Energy Technology Data Exchange (ETDEWEB)

    Potenza, Luiz Frederico; Kassem, Faisal Ali; Medlo, Gerson Ricardo; Santos, Valdemir Chalito dos [Companhia Paranaense de Energia (COPEL), Capitao Leonidas Marques, PR (Brazil). Superintendencia de Gerencia da Manutencao. Area de Operacao e Manutencao Salto Caxias]. E-mail: potenza@mail.copel.br

    1998-07-01

    This work highlights a practical example of Total Quality tools application, and as the institutional changes advances, the necessity of being better and more competitive becomes evident. By using Total Quality Control tools in the modernization and optimization of operational processes for large hydroelectric power plants of the COPEL-Brazil this work contributes for the continuous increasing of the customers satisfaction and the profitability of the company.

  12. Louis Blajan, DVM, 1924-2010: The dynamic veterinarian who brought the World Organisation for Animal Health (Office International des Épizooties: OIE into the modern age

    Directory of Open Access Journals (Sweden)

    Anon.

    2010-03-01

    Full Text Available Chevalier de la Légion d’honneurCroix du Combattant volontaire 1939-1945Officier du Mérite agricoleOfficier de l'Ordre national de la Côte d'Ivoire Louis Blajan was born in Lahage (Haute-Garonne, France on 10 April 1924 and passed away in Mont-de-Marsan on 10 February 2010. After studying at the Pierre de Fermat Lycée in Toulouse, Louis graduated from the Toulouse Veterinary School in 1948. He received the Institut d’élevage et de médecine vétérinaire des pays tropicaux (IEMVT diploma in 1949 and was posted in the French Overseas Territory of Mali from 1949 to 1952. Upon his return to France, Louis was appointed to the position of State Veterinarian in the Ministry of Agriculture from 1953 to 1968; there he was responsible for foot and mouth disease, swine fever and Newcastle disease. He also headed the consultative committee on infectious diseases. Subsequently, he was appointed Veterinary Inspector-in-Chief and Head of Border Controls Policy.Louis married Janine in 1952. She was extremely supportive of him throughout his career. She died in an accident a month before Louis retired in 1990.He was the technical director of Cofranimex (Compagnie française pour l’importation et l’exportation des animaux reproducteurs et leur semence from 1968 to 1977 and Director of the Association pour le développement des techniques de l’élevage français (ADETEF from 1977 to 1978.Louis moved to the Office International des Épizooties (now known as the World Organisation for Animal Health or ‘OIE’ where he was Head of the Technical Department from 1978 to 1980. Two years later, he was elected to the most prestigious of positions for a veterinarian, Director General, in 1980. He was re-elected in 1985 and retired in 1990.Louis succeeded in modernising the rather old-fashioned OIE and transformed it into a modern and efficient international organisation. He was instrumental in developing the International zoo-sanitary code (now the

  13. História da saúde mental infantil: a criança brasileira da Colônia à República Velha History of childhood mental health: brazilian child from Colony to Old Republic

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    Paulo Rennes Marçal Ribeiro

    2006-04-01

    Full Text Available Este texto descreve a trajetória da Saúde Mental e dos cuidados à infância no Brasil da Colônia à República Velha. No período colonial não havia cuidados especiais à criança. O que temos para compreender a criança colonial são relatos descritos em documentos, tratados e cartas da época, e em descrições de viajantes que aqui aportaram para conhecer o Novo Mundo. Depois do século XVIII a urbanização das cidades requer a intervenção médica nas questões de higiene e saúde, e gradativamente muda a concepção de criança, primeiro na Europa, depois no Brasil, chegando o século XIX com médicos preocupados com a questão da mortalidade infantil e com os cuidados que se deveria ter com a criança, negligenciada até então. É no século XIX que se inicia a institucionalização dos saberes médicos e psicológicos aplicados à infância e é quando podemos obter mais registros sobre que cuidados eram reservados à criança.This paper proposes a reflection on Child Mental Health in Brazil and describes the process of constitution and development of medical, psychological and psychiatric care to children from Colony to Old Republic. In the colonial period there are reports and documents written by voyagers. In the 18th century a new concept of childhood was developed and in the 19th century the main concern about infancy was mortality and family care.

  14. Comportamento adaptativo e perspectivação do futuro: algumas evidências nos contextos da educação e da saúde Adaptive behaviour and future time perspective: some evidence from education and health settings

    Directory of Open Access Journals (Sweden)

    Renato Gil Carvalho

    2010-01-01

    Full Text Available O papel do futuro no comportamento actual dos indivíduos, em particular dos jovens, tem sido alvo de atenção ao longo do tempo, destacando-se aquele que tem vindo a ser um efeito consistente de associação entre, por um lado, a perspectivação e a construção de planos de futuro - expressados pelo conceito de perspectiva temporal de futuro (PTF - e, por outro, a expressão de comportamentos adaptativos, que contribuem para uma maior adaptação ao meio. Dois dos contextos de estudo em que essa relação é mais abordada são os da educação e da saúde, este último especificamente ao nível da promoção de comportamentos saudáveis e da prevenção de riscos. Tendo em conta estes dois contextos, o presente trabalho pretende sistematizar e discutir um conjunto de dados, resultantes de vários estudos, e que se consideram relevantes para a evidenciação dessa relação.The role of future in the current individual behavior, especially among youngsters, has been receiving considerable attention. It is important to underline the consistent effect of association between future plans construction and perspectives - as expressed by the Future Time Perspective (FTP concept and adaptive behavior expression. This aspect is considered as a contributor to higher adaptation. Two of the contexts where that relation is studied are education and health, the latter specifically at healthy behavior development and risk prevention levels. Having in mind these two dimensions, the present article intends, to discuss some data from several studies, which are considered relevant for giving emphasis on such relation.

  15. Modern community care program

    International Nuclear Information System (INIS)

    Nordin, Staffan

    2000-01-01

    Going into the next millennium do we see nuclear energy? Yes we will see an expanding nuclear sector in the modem community. he modem community that cares for people, health and environment needs nuclear. Energy saves lives. Electricity is efficient use of energy. Energy will be the key to a sustainable society, energy is life. Nuclear energy protects the environment. Nuclear is an integral part of the modern community caring for people, health and environment. The dynamics of the public opinion-forming process and its effects on the nuclear industry are a challenge of the global nuclear industry. Current communications strategy and its consequences are on of the key issues. The nuclear industry must be perceived in certain ways in order to move towards achieving the vision and avoiding the harassment scenario. Each perception goal does not bear the same function within the communications process. As the nuclear industry is oe of the keys to a sustainable society, it must achieve legitimacy in its capacity as an interesting agenda-setter for tackling problems and as an expert. We have to build our communication activities on an open and honest attitude and we have to establish trust and confidence. The nuclear industry must also prove its ability and performance. If this could be achieved there will be an option for the future

  16. Programa Saúde da Família: a experiência de equipe multiprofissional Family Health Program: the experience of a multiprofessional team

    Directory of Open Access Journals (Sweden)

    Elaine Machado de Oliveira

    2006-08-01

    Full Text Available OBJETIVO: O Programa Saúde da Família propõe uma nova dinâmica para estruturação dos serviços de saúde, assim como para a relação com a comunidade e para diversos níveis de assistência. O objetivo do estudo foi analisar o significado da experiência do trabalho em equipe para os profissionais do Programa Saúde da Família. MÉTODOS: O estudo foi realizado no município de Conchas, Estado de São Paulo no ano de 2004. A abordagem utilizada foi qualitativa, na vertente da fenomenologia, buscando a essência da realidade vivenciada por oito profissionais de duas equipes do Programa Saúde da Família. RESULTADOS: Os temas revelaram que o trabalho em equipe se caracteriza por dedicação durante as atividades diárias. É necessário haver interação entre todos os membros para ações integrais, embora haja diferenças de ideologias e condutas entre os profissionais. O contato próximo com as famílias permitiu melhor intervenção nos problemas e o trabalho integrado é fundamental para atuação eficaz e de qualidade. CONCLUSÕES: O fenômeno desvelado engendra nova perspectiva de atuação para os profissionais e possibilita a compreensão do trabalho em equipe multiprofissional.OBJECTIVE: The Family Health Program proposes a new dynamics for the structuring of health service, as well as for its relationship with the community in its different levels of care. The aim of the present study was to analyze the significance of teamwork for professionals working in the Family Health Program. METHODS: The study was carried out in the city of Conchas, Southeastern Brazil, in 2004. We used a qualitative approach based on phenomenology as an attempt to reveal the essence of the reality experienced by eight professionals from two Family Health Program teams. RESULTS: Themes revealed that teamwork is characterized by dedication to daily activities. Interaction among all members is required for integral action, although there are differences in

  17. Estudo ecológico sobre o desenvolvimento da saúde no Brasil Ecological study on the development of health in Brazil

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    Maria Meimei Brevidelli

    2012-09-01

    Full Text Available Avaliar o nível de saúde das Unidades da Federação (UF do Brasil, por meio de um indicador sintético - Índice de Desenvolvimento da Saúde (IDS. O IDS foi composto pelas dimensões: (1 Recursos de saúde: disponibilidade e qualidade dos recursos de saúde; (2 Cobertura por atenção básica e saneamento; (3 Eficácia das políticas de saúde. Cada dimensão englobou um conjunto de indicadores obtidos em bases de dados nacionais. Em 2005, o Brasil apresentava nível intermediário de desenvolvimento da saúde, tendo progredido de patamares inferiores, desde 1999. A maioria das UF apresentava déficits em "recursos" e "cobertura". A dimensão da "eficácia" mostrou-se altamente desenvolvida em todo Brasil. Conclusões: A construção do indicador sintético IDS possibilitou constatar deficiências e disparidades significativas na disponibilidade e qualidade dos recursos de saúde, em grande parte do território nacional. Esses resultados podem auxiliar gestores de saúde no desafio de tornar a saúde pública universal.The scope of this paper was to assess the health level in Brazilian states using the Health Development Index (HDI. The HDI consisted of the following dimensions: (1 Health resources: Availability and quality of health resources; (2 Primary Healthcare coverage and sanitation; (3 Effectiveness of health policies. Each dimension was composed of a set of indicators obtained from national databases. In 2005, Brazil had an intermediate level of development of health, having progressed from a low level in 1999. Most states had medium and low development, with deficits in resources and coverage. The dimension of effectiveness was highly developed nationwide. With the construction of a synthetic indicator (HDI it was possible to detect that in most of the country there are severe deficiencies in the availability and quality of health resources. These results can help health managers to tackle the challenge of making public health

  18. Avaliação da implantação da atenção à hipertensão arterial pelas equipes de Saúde da Família do município do Recife (PE, Brasil The implementation analysis of the arterial hypertension care by the Family Health teams in Recife city (Pernambuco, Brazil

    Directory of Open Access Journals (Sweden)

    Juliana Martins Barbosa da Silva Costa

    2011-02-01

    Full Text Available A avaliação da atenção à hipertensão arterial pelas equipes de Saúde da Família do Recife (PE foi realizada por meio de uma avaliação normativa da estrutura e do processo de trabalho e da análise de alguns elementos contextuais. Para tanto, foram entrevistados os médicos e enfermeiros de uma amostra aleatória representativa que abrangeu 72 equipes e os coordenadores do programa de hipertensão, além da análise de documentos oficiais. Para definição do grau de implantação, foi utilizado um sistema de escores que permitiu classificá-lo em excelente (90-100% das atividades implantadas; satisfatório (70-79%; insatisfatório (50-69%; e crítico (The implementation analysis of the arterial hypertension care by the Family Health teams in Recife city (Pernambuco, Brazil was based on a normative evaluation of the structure and work process and analysis of some context elements. An interview was applied to a randomized sample of doctors and nurses of 72 Family Health teams and the hypertension programme coordinator, and official documents were analyzed. A score system was used to classify the performance of the implementation level in excellent (when 90-100% of activities were implemented; adequate (70-79%; inadequate (50-69%; and critical (<50%. The results show a significant weakness in the arterial hypertension care by the Family Health teams in Recife. The absence of specific programme coordination is related to the low performance observed. The implementation level was considered inadequate and some problems were identified due to the poor infrastructure, deficient inputs, low professional qualification for hypertension care and insipient use of information for planning the actions.

  19. Avaliação da atenção à saúde através da investigação de óbitos infantis Evaluation of health care by means of infant death investigation

    Directory of Open Access Journals (Sweden)

    Vera L. Almeida Formigli

    1996-01-01

    Full Text Available Foram investigados todos os óbitos de crianças menores de um ano residentes no Distrito Sanitário de Pau da Lima, Município de Salvador, Brasil, no ano de 1991, através de consultas aos respectivos prontuários hospitalares e visitas domiciliares. O estudo visava a aferir a efetividade dos serviços de saúde por meio da verificação de óbitos potencialmente evitáveis e o grau de adequação dos cuidados médicos prestados às crianças. De um total de 47 óbitos, observou-se que mais da metade dos mesmos ocorreu por causas vulneráveis à ação oportuna dos serviços de saúde, e que 21,3% dos óbitos ocorreram em via pública e domicílios. Houve 76,6% de perdas de informação nas entrevistas com as mães, atribuídas a problemas de preenchimento incompleto ou incorreto da Declaração de óbito, e por mudanças de endereço. A pesquisa dos prontuários nas unidades de saúde registrou perda de 58,3%, revelando o baixo grau de organização das estatísticas hospitalares; prevaleceram atendimentos classificados como pouco adequados e inadequados, principalmente nos itens exame físico e tratamento. Apesar das limitações operacionais do estudo, os resultados apontam problemas de acesso, efetividade e adequação do processo de assistência à saúde.All deaths of children under one year of age and residing in the Pau da Lima Health District, in the city of Salvador, Bahia, Brazil, during the year 1991 were investigated through home visits and analysis of patient files. The study measured effectiveness of health services by verifying potentially avoidable deaths and the level of medical care these children received. More than half of the total of 47 deaths were related to causes considered amenable to prompt action by health services; 10 (21.3% of the deaths occurred at home or in public (outside of health care facilities. Loss of information occurred in 36 (76.6% of the mother's interviews, related to incomplete information on the

  20. A proposta da rede de serviços sentinela como estratégia da vigilância de violências e acidentes The injury surveillance system based on sentinel health services

    Directory of Open Access Journals (Sweden)

    Vilma Pinheiro Gawryszewski

    2006-01-01

    Full Text Available No Brasil, as bases de dados oficiais permitem o monitoramento da mortalidade e internações no SUS, decorrentes dos acidentes e violências. É preciso conhecer a magnitude e o perfil dessas causas que demandam os serviços de emergência, bem como identificar alguns problemas ocultos tais como as violências doméstica e sexual. O propósito deste artigo é apresentar a proposta do Ministério da Saúde de implantação da Rede de Serviços Sentinela de Vigilância de Violências e Acidentes - Rede VIVA, iniciada em 2006, que visa complementar o sistema de informações existente para a vigilância dessas causas. Para obter um quadro mais completo do problema e atender à legislação vigente no País, foram estabelecidos dois componentes: 1 Vigilância de acidentes e violências em emergências hospitalares selecionadas: coleta em um mês a cada ano, através de uma amostra; 2 Vigilância das violências sexual, doméstica e/ou outras violências interpessoais em serviços de referência: coleta universal e contínua. O estabelecimento da Rede VIVA foi realizado pelo Ministério da Saúde em parceria com as Secretarias Estaduais e Municipais de Saúde a partir de critérios previamente estabelecidos. A adesão ao projeto foi acima das expectativas, todas as regiões do Brasil foram representadas.In Brazil, the official data sets allow monitoring the impact of injury deaths and injury hospitalization in the public health system. But it is necessary to gather more information about the magnitude and the characteristics of injuries at Emergency Departments (ED, as well as to identify some hidden problems, such as domestic and sexual violence. The purpose of this article is to present the new Injury Surveillance System based on Sentinel Health Services, carried out by the Ministry of Health in order to broaden the knowledge of these causes.To have a more accurate picture of injuries and to enforce the law which made mandatory the information

  1. Avaliação de um programa de controle da asma em unidades de saúde da família Evaluation of an asthma control program in family health units

    Directory of Open Access Journals (Sweden)

    Tatiane Almeida do Carmo

    2011-01-01

    Full Text Available O objetivo deste estudo foi avaliar o programa de controle da asma (programa "Respira Londrina" do Município de Londrina, Paraná, Brasil. Trata-se de estudo transversal, comparando unidade de saúde da família (USF com o programa consolidado e duas USF sem o programa consolidado. Foram entrevistados 313 asmáticos, 168 da USF com programa consolidado e 145 das USF com programa não consolidado. Na amostra estudada, houve diferenças significativas (p The objective of this study was to evaluate the asthma control program in Londrina, Paraná State, Brazil. This is a cross-sectional study, comparing a family health unit (USF with a consolidated program with two USFs without one. Interviews were performed with 313 asthma patients, 168 from the USF with a consolidated program and 145 from the USFs without one. In the studied sample, there were significant differences (p < 0.001 in the use of bronchodilators and in the number of emergency department visits between the USF with and without a consolidated program. Among the patients enrolled in the USF with a consolidated program, 55.4% reported the use of bronchodilator, in comparison with 74.5% of those enrolled in the two USF without a consolidated program. Respectively 29.2% and 55.9% of the patients from the USFs with and without a consolidated program needed emergency department care. A well-organized asthma control program may result in reduction of emergency department visits due to asthma exacerbation, thus contributing to improving health indicators and quality of life.

  2. Promoção da saúde e redes de lideranças Health promotion and leadership networks

    Directory of Open Access Journals (Sweden)

    Rosilda Mendes

    2013-01-01

    Full Text Available O estudo das redes sociais vem ganhando importância no campo da promoção da saúde, dadas a horizontalidade e a sinergia que suscitam ao agregarem grupos em torno de iniciativas que melhoram as condições de vida. Este trabalho apresenta parte dos resultados da investigação "Capela em Ação e a gestão integrada e participativa de políticas públicas", que teve como objetivo avaliar um modelo de gestão da subprefeitura de Capela do Socorro, localizada ao sul da cidade de São Paulo. A análise dos dados foi dedicada ao estudo das relações existentes entre as lideranças locais e sua articulação em redes e ao quanto elas facilitam ações voltadas para a melhoria das condições de vida. O universo de líderes e entidades não foi definido a priori, mas a partir da técnica da bola de neve (snowball. As informações foram obtidas por meio de entrevista semiestruturada, o que permitiu a identificação de grupos, movimentos e entidades e das relações que estabelecem entre si e com o poder público. Os dados mostraram 247 lideranças e 342 associações, bem como a complexidade do modelo de gestão do ponto de vista da construção de redes sociopolíticas como instrumentos de fortalecimento da participação. Nesta pesquisa, pôde-se verificar que mudanças vêm acontecendo na sociedade civil, tanto em termos da sua organização, quanto no desempenho de um papel transformador da realidade. Alguns elementos apontados neste artigo podem subsidiar a gestão local no sentido da criação de espaços de participação que facilitem o engajamento nas políticas públicas.The study of social networks has been gaining importance in health promotion because of the horizontality and synergy created by aggregating groups seeking improved living conditions. Some results of the investigation "Capela in Action and the integrated and participative management of public policies", which assessed an administrative model of the Capela do Socorro sub

  3. Modernidade, disciplina e futebol: uma análise sociológica da produção social do jogador de futebol no Brasil Modernity, discipline and soccer: a sociological analysis of the social production of soccer players in Brazil

    Directory of Open Access Journals (Sweden)

    Franciso Xavier Freire Rodrigues

    2004-06-01

    Full Text Available O trabalho investiga a relação entre modernidade, disciplina e formação do jogador de futebol profissional. Discute o futebol moderno como instituição disciplinadora, dotada de regras, normas e princípios científicos (positividades, tendo como objetivo produzir, manipular, individualizar, adestrar e aperfeiçoar o corpo do indivíduo, tornar o jogador dócil e utilitário. A modernidade, caracterizada pela secularização, subjetivação, triunfo da racionalidade instrumental, domínio da natureza e o surgimento do indivíduo moderno, transforma o ser humano em objeto de conhecimento. O campo empírico da investigação é formado pelas categorias de base do Internacional (RS. A pesquisa constata que a produção social do jogador de futebol consiste num processo de disciplinamento, adaptação, socialização, adestramento, desenvolvimento e aperfeiçoamento das potencialidades físicas e técnicas do atleta, além da administração do seu potencial genético. Trata-se de um processo disciplinador, pedagógico e civilizatório, caracterizado pela regulamentação, controle, institucionalização e racionalização. O jogador de futebol é uma força de trabalho, produto do disciplinamento, treinamentos físicos, técnicos e táticos e do desenvolvimento de suas capacidades genéticas.This work investigates the relationship between modernity, discipline and the formation of professional soccer players. It discusses modern soccer as a disciplining institution with rules, norms and scientific principles (positivities, which is aimed at producing, manipulating, individualizing, coaching and improving the individual's body and making the player docile and utilitarian. Modernity, characterized by secularization, subjectivation, the triumph of instrumental rationality, the mastering of nature and the emergence of the modern individual, makes human beings into a knowledge object. The empirical field of this investigation is composed by minor

  4. Consenso e diferenças em equipes do Programa Saúde da Família Agreements and disagreements in the Family Health Care Program team

    Directory of Open Access Journals (Sweden)

    José Ivo dos Santos Pedrosa

    2001-06-01

    Full Text Available OBJETIVO: Identificar temáticas que promovam consenso e divergências entre médicos, enfermeiros e agentes que compõem a equipe do Programa Saúde da Família. MÉTODOS: Estudo qualitativo que utiliza grupos focais como técnica de pesquisa com agentes masculinos e femininos, médicos e enfermeiras da equipe do Programa Saúde da Família, em Teresina, PI. Foram realizadas sessões com os grupos, conduzidas por monitor e participação de observador, utilizando roteiro com as questões: inserção no programa; processo de capacitação; princípios do programa; relações com a formação e com o modelo assistencial predominante; relações entre membros da equipe e comunidade; serviços demandados e disponíveis; situação trabalhista e condições de trabalho; e fatores positivos e negativos. RESULTADOS: Temáticas gerais como trabalho na comunidade, cuidados preventivos e trabalho em equipe geraram consenso entre as três categorias de profissionais. Temas que reforçaram a divisão entre categorias foram salário, organização do processo de trabalho, relações com a comunidade, responsabilidades da equipe e estratégias de atendimento à demanda. Temas que promoveram o aparecimento de subgrupos em cada categoria foram: condições de trabalho, salário, relações com a comunidade e responsabilidades da equipe. CONCLUSÕES: Temas que evidenciaram diferenças em maior grau reforçaram as características corporativas de cada categoria, enquanto temas que promoveram o aparecimento de subgrupos foram discutidos a partir de referências externas, implicando a necessidade de definir especificidades do processo de trabalho no programa. As estratégias para atendimento às demandas da comunidade representaram temáticas emergenciais ao grupo de agentes, pois a eles coube a solução imediata para os problemas na relação comunidade e serviço.OBJECTIVE: To identify issues that promote agreement and disagreement among doctors, nurses, and

  5. Er Rousseau moderne?

    DEFF Research Database (Denmark)

    Dupont, Søren

    1985-01-01

    Artiklen analyserer på hvilken måde Rousseau kan siges at være moderne, og den diskuterer på hvilken måde Rouseau har været medvirkende til at opbygge den moderne civilisation, og på hvilken måde han var kritisk i forhold til den gryende og moderne kapitalisme.......Artiklen analyserer på hvilken måde Rousseau kan siges at være moderne, og den diskuterer på hvilken måde Rouseau har været medvirkende til at opbygge den moderne civilisation, og på hvilken måde han var kritisk i forhold til den gryende og moderne kapitalisme....

  6. Late-Modern Symbolism

    DEFF Research Database (Denmark)

    Andersen, Bjørn Schiermer

    2015-01-01

    Through analysis of key texts, I seek to demonstrate the explanative potential of Durkheim’s sociology of religion in the present context. I critically readdress the idea, found in his early work, that modernity is characterized by a rupture with pre-modern forms of solidarity. First, I investigate...... the ways in which Durkheim sets up a stark distinction between the pre-modern and the modern in his early work, and how this distinction is further cemented by his orthodox critique of the modern economy and its negative effects on social life. Second, I show how another timeless and positive understanding...... of “mechanical” solidarity is to be found behind the “symbolist” template crystalizing in Durkheim’s late work. Third, I develop this template for a modern context by critically addressing and removing other obstacles and prejudices on Durkheim’s part....

  7. Influência da internet na comunidade acadêmico-científica da área de saúde pública The Internet influence on the academic-scientific public health community

    Directory of Open Access Journals (Sweden)

    Angela Maria Belloni Cuenca

    2005-10-01

    Full Text Available OBJETIVO: Verificar a influência da internet nas atividades acadêmico-científicas da comunidade brasileira que atua na área de saúde pública. MÉTODOS: Estudo descritivo, centrado na opinião de 237 docentes vinculados aos programas de pós-graduação em saúde pública, nos níveis mestrado e doutorado, no Brasil, em 2001. Para a obtenção dos dados, optou-se por questionário auto-aplicado via web e correio postal. A análise estatística foi feita por meio de proporções, médias e desvios-padrão. RESULTADOS: O uso da internet foi apontado por 94,9%(225 da comunidade, sendo o correio eletrônico (92,0% e a web (55,6% os recursos mais utilizados, diariamente. A influência da internet na comunicação entre os docentes, principalmente para o desenvolvimento de pesquisas em colaboração, foi significativa (73,8 %. Declararam não utilizar a internet 5,1% dos docentes, cujas justificativas apresentadas foram a falta de motivação, falta de tempo e facilidade de conseguir de seus colegas o material de que precisam. CONCLUSÕES: Os resultados mostraram que a internet influencia o trabalho dos docentes e afeta o ciclo da comunicação científica, principalmente na rapidez de recuperação de informações. Observou-se tendência em eleger a comunicação entre os docentes como a etapa que mais mudou desde o advento da internet no mundo acadêmico-científico brasileiro.OBJECTIVE: To investigate the influence of the Internet on the academic-scientific activities of the Brazilian public health community. METHODS: This was a descriptive study, centered on the opinions of 237 teachers connected with Brazilian postgraduate programs in public health, at master's and doctoral levels, in 2001. Data were collected by means of a self-administered questionnaire via the Internet and traditional mail. The statistical analysis was done by means of proportions, means and standard deviations. RESULTS: The vast majority of the population (225; 94

  8. Un balance personal de 25 años de gestión sanitaria moderna en el Sistema Nacional de Salud A personal balance of 25 years modern health care management in the Spanish Public Health System

    Directory of Open Access Journals (Sweden)

    R. Belenes

    2003-04-01

    Full Text Available La transferencia, a principios del año 2002, del INSALUD a todas las comunidades autónomas que no disponían todavía de las competencias sobre servicios sanitarios de la Seguridad Social cierra un ciclo de gestión sanitaria moderna en España que, no obstante, no ha tenido el dinamismo ni la capacidad de innovación de la gestión empresarial. A pesar de ello, ha conocido, en estos 25 años de existencia, un auge y florecimiento espectaculares. Los problemas de nuestro sistema sanitario, o bien están vinculados a los inherentes a un sistema público de cobertura universal, generosas prestaciones y subfinanciación clara, o son los propios de un modelo organizativo obsoleto con falta de autonomía de los centros y de los profesionales, o guardan relación con las mayores expectativas de los ciudadanos y con la enorme complejidad de la medicina del futuro. Todo ello debe abordarse desde la perspectiva de una nueva gestión propia del nuevo siglo. El Sistema Nacional de Salud es apreciado por los ciudadanos, a la vez que tiene carencias y problemas muy serios; el principal riesgo es una deslegitimación crónica y progresiva, por la que los ciudadanos pierdan la fe y la confianza en el sistema sanitario público.At the beginning of 2002, the transference of authority over public health care services from the Spanish national health System (INSALUD to all the autonomous communities hitherto lacking this authority closed a period of modern halthcare management in Spain which, nevertheless, had lacked tye dynamism and innovative capacity of business management. Despite this, during these 25 years, Spanish healthcare management underwent a spectacular growth. The problems of the Spanish public health system are either linked to the inherent problems of a system of universal coverage, with generous provisions and clear underfinancing, or they are characteristic of an obsolete organizational model in which centers and healthcare professionals lack

  9. O Brasil e a construção da ordem econômica internacional contemporânea Brazil and the making of the modern global economic order

    Directory of Open Access Journals (Sweden)

    Paulo Roberto de Almeida

    2004-06-01

    Full Text Available Entre o Congresso de Viena, no qual estiveram representados apenas oito Estados "cristãos", as Conferências de Paz da Haia e o Tratado de Versalhes, que envolveram pouco mais de duas dezenas de países, e o atual sistema onusiano, praticamente universal, a sociedade internacional conheceu uma profunda democratização nos últimos dois séculos, mesmo que os fundamentos do poder político e econômico não tenham conhecido modificação substancial. Esse fenômeno de ampliação da antiga "democracia censitária" é particularmente visível na elaboração de normas e instituições para o relacionamento econômico internacional, em que as organizações multilaterais de cooperação técnica e econômica, dentre as quais se destacam o Fundo Monetário Internacional, o Banco Mundial e a Organização Mundial do Comércio, desempenham relevante papel na construção da interdependência global. Este ensaio histórico segue, na longa duração, a evolução do multilateralismo, fundamentalmente em sua vertente econômica, e examina a inserção internacional do Brasil, um dos poucos países da periferia a ter participado ativamente da construção da ordem econômica internacional em várias épocas, por meio de sua presença nas mais diversas conferências multilaterais que presidiram ao nascimento dessas organizações intergovernamentais de cooperação.Starting from the Congress of Vienna, in which only eight "Christian" states assisted, through the Hague Peace conferences and the Versailles treaty, mobilizing no more than two dozens countries, to the current UNO system, virtually universal, international society has undergone a deep democratization in the last two centuries, even if the sources of political and economic power and its distribution among countries have been substantially maintained. This process of enlargement of the old "restrictive democracy" is mostly evident in the institutional rule making for the international economic

  10. Indonesia - Procurement Modernization

    Data.gov (United States)

    Millennium Challenge Corporation — The evaluation seeks to establish evidence on the possible effects of an intervention designed to modernize public procurement: effects on cost savings, performance...

  11. Annals of Modern Education

    African Journals Online (AJOL)

    The Annals of Modern Education will be considered for publication publishes regular papers reporting ... Curriculum and Teaching, Students' Perspectives on Learning Environments, Environmental Education, ... AJOL African Journals Online.

  12. Nuclear weapons modernizations

    Energy Technology Data Exchange (ETDEWEB)

    Kristensen, Hans M. [Federation of American Scientists, Washington, DC (United States)

    2014-05-09

    This article reviews the nuclear weapons modernization programs underway in the world's nine nuclear weapons states. It concludes that despite significant reductions in overall weapons inventories since the end of the Cold War, the pace of reductions is slowing - four of the nuclear weapons states are even increasing their arsenals, and all the nuclear weapons states are busy modernizing their remaining arsenals in what appears to be a dynamic and counterproductive nuclear competition. The author questions whether perpetual modernization combined with no specific plan for the elimination of nuclear weapons is consistent with the nuclear Non-Proliferation Treaty and concludes that new limits on nuclear modernizations are needed.

  13. Socio-demographic determinants of self-rated health in Brazil Determinantes sócio-demográficos da auto-avaliação da saúde no Brasil

    Directory of Open Access Journals (Sweden)

    Célia Landmann Szwarcwald

    2005-01-01

    Full Text Available Self-rated health has been used extensively in epidemiologic studies, not only due to its importance per se but also due to the validity established by its association with clinical conditions and with greater risk of subsequent morbidity and mortality. In this study, the socio-demographic determinants of good self-rated health are analyzed using data from the World Health Survey, adapted and carried out in Brazil in 2003. Logistic regression models were used, with age and sex as covariables, and educational level, a household assets index, and work-related indicators as measures of socioeconomic status. Besides the effects of sex and age, with consistently worst health perception among females and among the eldest, the results showed pronounced socioeconomic inequalities. After adjusting for age, among females the factors that contributed most to deterioration of health perception were incomplete education and material hardship; among males, besides material hardship, work related indicators (manual work, unemployment, work retirement or incapable to work were also important determining factors. Among individuals with long-term illness or disability, the socioeconomic gradient persisted, although of smaller magnitude.A auto-avaliação da saúde vem sendo amplamente utilizada nos estudos epidemiológicos, não só por ser importante por si, mas também pela sua validade, estabelecida por suas relações com as condições clínicas e com o maior risco de morbi-mortalidade subseqüente. Neste trabalho, são analisados os determinantes sócio-demográficos da auto-avaliação de saúde boa, utilizando os dados da Pesquisa Mundial de Saúde, inquérito domiciliar realizado no Brasil, em 2003. Foram utilizados modelos de regressão logística, considerando idade e sexo como co-variáveis, e o grau de instrução, a posse de bens no domicílio e a situação de trabalho como indicadores do nível sócio-econômico. Além das diferenças por sexo e

  14. A responsabilidade social das empresas: o contexto brasileiro em face da ação consciente ou do modernismo do mercado? Corporate social responsibility: the brazilian context behind a conscious action or a market modernism?

    Directory of Open Access Journals (Sweden)

    Carlos Nelson dos Reis

    2007-08-01

    Full Text Available A responsabilidade social das empresas vem sendo questionada e impõe novos desafios gerenciais aos negócios, trazendo a emergência de medidas de enfrentamento para os problemas sociais, pois já não é mais possível conviver com o paradoxo de importantes inovações tecnológicas, de um lado, e a degradação da vida humana, de outro. A responsabilidade social das empresas no Brasil ainda é um desafio, uma vez que as ações de filantropia não têm contribuído efetivamente para a melhoria das condições de vida da sociedade e para a transformação da realidade social vigente. Este texto desenvolve uma problematização dessa questão, tendo como foco um conjunto de empresas brasileiras.The social responsibility of corporations has been challenged, requiring new answers by the business sector. As a consequence, social responsibility brings about the need of confronting the traditional measures with the paradox of increasing technical progress existing side-by-side with the process of degradation of human life. At present, the world capitalist society is demanding a revision of its main values, shifting its growth style to the sustained development pattern, the only possibility of providing economic and social progress to the future generations. The present article deals with these issues, focusing on the actions of an ensemble of Brazilian enterprises.

  15. Crise dos serviços de saúde no cotidiano da mídia impressa The news about the health service crisis in the newspaper

    Directory of Open Access Journals (Sweden)

    Vera Sonia Mincoff Menegon

    2008-01-01

    Full Text Available Apoiando-nos na perspectiva da Psicologia Social, acatamos o pressuposto de que a mídia é um importante espaço de difusão de informações, atuando como co-produtora de sentidos e de subjetividades no cotidiano das pessoas. Assim, a partir da análise de notícias, publicadas em jornais de Campo Grande, MS, tendo como tema serviços de saúde e, mais especificamente, notícias sobre um período de crise nesses serviços, problematizamos o posicionamento do hospital como lócus privilegiado no cuidado com a saúde e as formas verticais de negociação. A ruptura com essa associação e a abertura ao diálogo é um grande desafio para que o Sistema Único de Saúde (SUS se constitua em um sistema público, pautado pelos eixos da integralidade e da humanização na atenção à saúde que, no debate atual, formatam propostas defendidas pela Saúde Coletiva e outras áreas que atuam na saúde, entre eles a Psicologia.From the perspective of Social Psychology, we agree on the assumption that news media is an important space to propagate information, acting as a co-producer of meanings and of subjectivities in people's everyday lives. Therefore, based on the analysis of newspaper news, published in local newspapers of Campo Grande , MS, and having as their subject health service, more specifically news about the crisis in this kind of service, we critically consider the positioning of hospitals as the privileged locus for health care as well as the vertical forms of negotiation. The rupture with this association and the opening for dialogue conveys a great challenge for the Sistema Única de Sáude - SUS (Brazil's public health care system so that it can be constituted as a public system, based on universal health care and humanization of health care attention which, under current debate, forms the proposals defended by Collective Health and other fields of knowledge involved in health care, including Psychology.

  16. A vigilância da qualidade da água para consumo humano: desafios e perspectivas para o Sistema Único de Saúde Surveillance in drinking-water quality: challenges and perspectives for the Brazilian Health System

    Directory of Open Access Journals (Sweden)

    Marcelo Bessa Freitas

    2005-12-01

    Full Text Available O controle da qualidade da água de consumo humano se tornou uma ação de saúde pública a partir da década de 1970, quando a portaria No 52 Bsb 77 do Ministério da Saúde instituiu a norma de potabilidade em todo o território nacional. Entretanto, a implementação de um programa de vigilância da qualidade da água só ocorreu a partir da criação do Sistema Nacional de Vigilância Ambiental em Saúde em 1999, e da publicação da portaria 1.469 em 2000. O objetivo deste artigo é discutir os desafios que se colocam para a vigilância da qualidade da água, não só como proposta racionalizadora das ações do Estado, mas como prática sanitária de vigilância em saúde que tenha como perspectiva incorporar a promoção e a proteção da saúde ao conjunto de medidas adotadas pelo SUS, atendendo ainda às seguintes diretrizes: geração de dados, análise e disseminação da informação; descentralização; intersetorialidade e participação da sociedade. O artigo está organizado de modo a descrever, a partir de uma perspectiva histórica, o processo de normatização e regulação da qualidade da água para o consumo humano, abordando os principais desafios e perspectivas da vigilância da qualidade da água no sentido da busca por ações intersetoriais e descentralizadas, abertas a uma gestão participativa voltada para o controle social.The control of the drinking water quality became itself an action of public health from 70's, when the Norm 52 BSB 77, through of Ministry of Health, stated the norm of drinkability of water supply in all country. However, the achievement of a program of drinking water surveillance alone occurred from the creation of the National System of Environmental Health Surveillance in 1999. This paper approach the challenges put on itself by drinking water surveillance as proposals, not just by rationalizing of the Government, but incorporating the perspective of surveillance in health: the promotion and

  17. Utilization of modern contraceptives among female traders in Jos ...

    African Journals Online (AJOL)

    McRoy

    use of modern contraceptives has remained low despite the high level of awareness of the modern contraceptives among the female traders. Health education on the ... protecting women's health and rights, impacting upon fertility ..... India. The Internet Journal of World Health and. Societal Politics 2008;5. 16. Makumbi F ...

  18. Odontologia e Saúde Suplementar: marco regulatório, políticas de promoção da saúde e qualidade da atenção Dentistry and supplementary health: regulatory framework, health promotion policies and quality of care

    Directory of Open Access Journals (Sweden)

    Daniela Garbin

    2013-02-01

    Full Text Available A partir do marco regulatório e de um panorama da odontologia na saúde suplementar, este artigo discute as especificidades do setor odontológico no que se refere às políticas de promoção da saúde e qualidade da atenção à saúde propostas pela Agência Nacional de Saúde Suplementar (ANS. A atuação do Estado na saúde suplementar se dá a partir das leis 9.656/98, que define relações entre operadoras, produtos e seus beneficiários e 9.961/2000, que cria a ANS. Concomitantemente, houve elevado crescimento da odontologia no setor, por conta de mudanças no exercício liberal da profissão, trazendo a necessidade de conhecer a lógica de organização dos serviços quanto à assistência prestada e ao modelo de atenção praticado. A ANS desenvolve ações para estimular as operadoras na implantação de programas de promoção da saúde, na busca por um modelo de atenção integral. Ao mesmo tempo, promove a Política de Qualificação na saúde suplementar, com ênfase na dimensão assistencial, porém na odontologia o enfoque da avaliação ainda é o atendimento individual e fragmentado. Por fim, o grande desafio da odontologia passa pelo seu fortalecimento enquanto política de saúde pública, acessível a toda a população, e pela qualificação da atenção odontológica na saúde suplementar.Based on the regulatory framework and an overview of dentistry in supplementary health, this paper discusses the specifics of the dental sector with respect to health promotion policies and quality of health care services proposed by the National Supplementary Health Agency (ANS. The State's activities in supplementary health are based on law 9.656/98, which defines the relations between operators, products and their beneficiaries, and law 9.961/2000, which created the ANS. Concomitantly there was a great increase in dentistry in the private health plan market, because of changes in the practices of the profession. This required the

  19. A 'teoria da práxis': retomando o referencial marxista para o enfrentamento do capitalismo no campo da saúde The 'theory of praxis: ' retrieving the marxist framework to confront capitalism in the health field

    Directory of Open Access Journals (Sweden)

    Regina Helena Simões Barbosa

    2010-06-01

    Full Text Available Este ensaio tem a intenção de recolocar o marxismo - como corpo epistemológico, teórico, metodológico e político voltado para a superação do capitalismo - na pauta do debate conceitual e político do campo da Saúde Coletiva. Discute o campo simbólico como campo de expressão de ideologias que sustentam o capitalismo e que utiliza, dentre outras estratégias, o silenciamento sobre o marxismo, e mesmo sobre o capitalismo, para esvaziar a crítica e o questionamento político. Relaciona estes mecanismos à saúde, identificando alguns campos onde o capitalismo opera nesta área. Apresenta alguns fundamentos filosóficos, teóricos e metodológicos da 'teoria da práxis', destacando a unidade indissolúvel entre teoria crítica e ação transformadora. Por fim, conclama os profissionais, pesquisadores e educadores do campo sanitário a se (reengajarem na luta contra o capitalismo, retomando a bandeira do socialismo, rumo à conquista do efetivo direito à saúde.This essay is intended to retrieve Marxism - as an epistemological, theoretical, methodological and political body aimed toward overcoming Capitalism - in the political and conceptual debate agenda in field of Collective Health. It discusses the symbolic field as a field for the expression of ideologies that underpin capitalism and which uses, among other strategies,the silencing of Marxism, and even of capitalism, to eliminate criticism and political questioning. It relates these mechanisms to health, identifying some fields in which capitalism operates in this area. It presents a few philosophical, theoretical and methodological foundations of the 'theory of praxis,' highlighting the indissoluble unity between critical theory and transformative action. Finally, it urges health care practitioners, researchers and educators to (reengage in the struggle against Capitalism, taking up the banner of Socialism aiming to achieve the actual right to health.

  20. SaDA: From Sampling to Data Analysis-An Extensible Open Source Infrastructure for Rapid, Robust and Automated Management and Analysis of Modern Ecological High-Throughput Microarray Data.

    Science.gov (United States)

    Singh, Kumar Saurabh; Thual, Dominique; Spurio, Roberto; Cannata, Nicola

    2015-06-03

    One of the most crucial characteristics of day-to-day laboratory information management is the collection, storage and retrieval of information about research subjects and environmental or biomedical samples. An efficient link between sample data and experimental results is absolutely important for the successful outcome of a collaborative project. Currently available software solutions are largely limited to large scale, expensive commercial Laboratory Information Management Systems (LIMS). Acquiring such LIMS indeed can bring laboratory information management to a higher level, but most of the times this requires a sufficient investment of money, time and technical efforts. There is a clear need for a light weighted open source system which can easily be managed on local servers and handled by individual researchers. Here we present a software named SaDA for storing, retrieving and analyzing data originated from microorganism monitoring experiments. SaDA is fully integrated in the management of environmental samples, oligonucleotide sequences, microarray data and the subsequent downstream analysis procedures. It is simple and generic software, and can be extended and customized for various environmental and biomedical studies.

  1. SaDA: From Sampling to Data Analysis—An Extensible Open Source Infrastructure for Rapid, Robust and Automated Management and Analysis of Modern Ecological High-Throughput Microarray Data

    Science.gov (United States)

    Singh, Kumar Saurabh; Thual, Dominique; Spurio, Roberto; Cannata, Nicola

    2015-01-01

    One of the most crucial characteristics of day-to-day laboratory information management is the collection, storage and retrieval of information about research subjects and environmental or biomedical samples. An efficient link between sample data and experimental results is absolutely important for the successful outcome of a collaborative project. Currently available software solutions are largely limited to large scale, expensive commercial Laboratory Information Management Systems (LIMS). Acquiring such LIMS indeed can bring laboratory information management to a higher level, but most of the times this requires a sufficient investment of money, time and technical efforts. There is a clear need for a light weighted open source system which can easily be managed on local servers and handled by individual researchers. Here we present a software named SaDA for storing, retrieving and analyzing data originated from microorganism monitoring experiments. SaDA is fully integrated in the management of environmental samples, oligonucleotide sequences, microarray data and the subsequent downstream analysis procedures. It is simple and generic software, and can be extended and customized for various environmental and biomedical studies. PMID:26047146

  2. SaDA: From Sampling to Data Analysis—An Extensible Open Source Infrastructure for Rapid, Robust and Automated Management and Analysis of Modern Ecological High-Throughput Microarray Data

    Directory of Open Access Journals (Sweden)

    Kumar Saurabh Singh

    2015-06-01

    Full Text Available One of the most crucial characteristics of day-to-day laboratory information management is the collection, storage and retrieval of information about research subjects and environmental or biomedical samples. An efficient link between sample data and experimental results is absolutely important for the successful outcome of a collaborative project. Currently available software solutions are largely limited to large scale, expensive commercial Laboratory Information Management Systems (LIMS. Acquiring such LIMS indeed can bring laboratory information management to a higher level, but most of the times this requires a sufficient investment of money, time and technical efforts. There is a clear need for a light weighted open source system which can easily be managed on local servers and handled by individual researchers. Here we present a software named SaDA for storing, retrieving and analyzing data originated from microorganism monitoring experiments. SaDA is fully integrated in the management of environmental samples, oligonucleotide sequences, microarray data and the subsequent downstream analysis procedures. It is simple and generic software, and can be extended and customized for various environmental and biomedical studies.

  3. ViDa1: The Development and Validation of a New Questionnaire for Measuring Health-Related Quality of Life in Patients with Type 1 Diabetes

    Science.gov (United States)

    Alvarado-Martel, Dácil; Ruiz Fernández, M. Angeles; Cuadrado Vigaray, Maribel; Carrillo, Armando; Boronat, Mauro; Expósito Montesdeoca, Ana; Nattero Chávez, Lía; Pozuelo Sánchez, Maite; López Quevedo, Pino; Santana Suárez, Ana D.; Hillman, Natalia; Subias, David; Martin Vaquero, Pilar; Sáez de Ibarra, Lourdes; Mauricio, Didac; de Pablos-Velasco, Pedro; Nóvoa, Francisco J.; Wägner, Ana M.

    2017-01-01

    This study describes the development of a new questionnaire to measure health-related quality of life (HRQoL) in patients with type 1 diabetes (the ViDa1 questionnaire) and provides information on its psychometric properties. For its development, open interviews with patients took place and topics relevant to patients' HRQoL were identified and items were generated. Qualitative analysis of items, expert review, and refinement of the questionnaire followed. A pilot study (N = 150) was conducted to explore the underlying structure of the 40-item ViDa1 questionnaire. A Principal Component Analysis (PCA) was performed and six of the items that did not load on any of the factors were eliminated. The results supported a four-dimensional structure for ViDa1, the dimensions being Interference of diabetes in everyday life, Self-care, Well-being, and Worry about the disease. Subsequently, the PCA was repeated in a larger sample (N = 578) with the reduced 34-item version of the questionnaire, and a Confirmatory Factor Analysis (CFA) was performed (N = 428). Overall fit indices obtained presented adequate values which supported the four-factor model initially proposed [(χ(df=554)2= 2601.93) (p diabetes and low correlations with other constructs such as self-efficacy, anxiety, and depression were presented. The ViDa1 also discriminated between different aspects of clinical interest such as type of insulin treatment, presence of chronic complications, and glycemic control, temporal stability, and sensitivity to change after an intervention. In conclusion, the ViDa1 questionnaire presents adequate psychometric properties and may represent a good alternative for the evaluation of HRQoL in type 1 diabetes. PMID:28620331

  4. Modelo para avaliação da gestão de recursos humanos em saúde Evaluation model for human resource management in health

    Directory of Open Access Journals (Sweden)

    Sirlesia Vigarani Scalco

    2010-03-01

    Full Text Available Este artigo apresenta um modelo de avaliação da gestão de recursos humanos na saúde. Trata-se de uma pesquisa metodológica, estruturada por meio de indicadores testados a partir de pesquisa avaliativa. Utilizou-se como base a Norma Operacional Básica de Recursos Humanos (NOB/RH-SUS, estabelecendo-se como dimensões: Gestão do Trabalho, Desenvolvimento do Trabalhador, Saúde do Trabalhador e Controle Social. O modelo foi discutido e aperfeiçoado em oficinas de consenso com especialistas em avaliação e gestão de recursos humanos, configurando uma matriz de avaliação com 12 indicadores. A aplicabilidade da proposta foi testada em 15 municípios da macrorregião da Grande Florianópolis, Santa Catarina, Brasil. O modelo demonstrou viabilidade em municípios de diferentes portes populacionais e estruturas administrativas. Os dados foram obtidos nos sistemas locais de informação e em documentos oficiais das Secretarias de Saúde. A validade do modelo pode ser inferida pelos resultados da aplicação que foram compatíveis com a literatura.This paper presents an assessment model for human resource management in health. This methodological research was structured through indicators tested in evaluative research. The Basic Operational Standard for Human Resources in the Unified National Health System (NOB/RH-SUS was used as the baseline, and the following dimensions were analyzed: work management, workers' development, workers' health, and social control. The model was discussed and refined during a consensus workshop involving experts in human resources evaluation and management, by defining an assessment matrix with 12 indicators. The model was applied to 15 municipalities in Greater Metropolitan Florianópolis, Santa Catarina State, Brazil, and proved applicable to municipalities with different population sizes and administrative structures. Data were obtained from local information systems and official documents from the municipal

  5. Traditional leadership factor in modern local government system in ...

    African Journals Online (AJOL)

    Traditional leadership factor in modern local government system in Ghana: policy Implementation, role conflict and marginalization. ... at promoting education, health and environmental management, are highly commendable in Ghana.

  6. Avaliação econômica em saúde: triagem neonatal da galactosemia Newborn screening for galactosemia: a health economics evaluation

    Directory of Open Access Journals (Sweden)

    José Simon Camelo Junior

    2011-04-01

    Full Text Available Este trabalho avalia a eficiência da adição do exame da galactosemia junto ao Teste do Pezinho. Baseado na incidência média estimada de galactosemia, de 1:19.984 recém-nascidos, no Estado de São Paulo, Brasil, este estudo desenvolve um modelo de análise de custo-benefício, utilizando a relação benefício/custo (B/C, a taxa de juros de 9,25% ao ano para descapitalização dos resultados obtidos. Também se realiza uma análise de sensibilidade, em função da variação da taxa de juros entre 0 e 20% e do intervalo de 95% de confiança da incidência da galactosemia (1:7.494 a 1:59.953 recém-nascidos. A economia obtida com a melhora da saúde das crianças doentes identificadas precocemente é superior aos custos (B/C = 1,33, caracterizando como eficiente a política de adição do exame neonatal para galactosemia no Teste do Pezinho. Quanto menor a taxa de juros vigente na economia, mais eficiente é a política de triagem neonatal, não considerados os custos sociais intangíveis evitados.This study assesses the efficiency of the galactosemia add-on test in neonatal screening performed on regular Guthrie card blood spots. Based on estimated average incidence of galactosemia (1:19,984 newborns in São Paulo State, Brazil, the study develops a cost-benefit analysis model, using a B/C ratio and a 9.25% annual interest rate in order to decapitalize the results. Sensitivity analysis is also performed, varying (as a function of the interest or discount rate from 0 and 20% and according to the 95% confidence interval (1:7,494-1:59,953 newborns. The results show that the savings obtained by improved health of galactosemic patients detected early by add-on neonatal screening is superior to the costs (B/C=1.33, characterizing galactosemia add-on testing in neonatal screening as an efficient policy. The lower the prevailing interest rate in the economy, the more efficient the neonatal screening policy.

  7. A recodificação pós-moderna da perversão: sobre a produção do comportamento de consumo e sua gramática libidinal The post-modern recodification of perversion: on the production of consumer behavior and its libidinal grammar

    Directory of Open Access Journals (Sweden)

    Nelson da Silva Junior

    2006-06-01

    Full Text Available Considerando a crítica de Adorno à indústria cultural, a qual torna a cultura um meio de produção do comportamento de consumo, tentamos demonstrar como a gramática da perversão tende a monopolizar as formas de prazer na pós-modernidade. De acordo com nossa hipótese, a produção de consumo recodifica o recalcamento originário concebido por Freud: tal gramática suprime a satisfação libidinal de forma análoga à repressão primária, contudo, ao invés de utilizar as tensões insatisfeitas da libido para o trabalho, ela direciona a satisfação erótica para o prazer de consumir. Desta forma, ela formata a satisfação perversa para que esta se coadune com os interesses da economia.Assuming Theodore Adorno's criticism about the cultural industry, which turns it into a means of production of consumer behavior, we try to demonstrate how the grammar of perversion tends to monopolize the forms of pleasure in post-modernity. According to our hypothesis, consumer production recodifies the primal repression conceived by Freud: that grammar suppresses libidinal satisfaction in the same manner that primal repression does. However, instead of utilizing dissatisfied powers of the libido into work, such grammar directs erotic surfeit towards the pleasure of consuming: this way, it follows the perverse model of satisfaction in order to attend the economic interests.

  8. Modern examples of extinctions

    DEFF Research Database (Denmark)

    Lövei, Gabor L

    2013-01-01

    No species lives forever, and extinction is the ultimate fate of all living species. The fossil record indicates that a recent extinction wave affecting terrestrial vertebrates was parallel with the arrival of modern humans to areas formerly uninhabited by them. These modern instances of extinction...

  9. Modern History of Tibet

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Authored by Xu Guangzhi, this book is a subsidiary project of Research Into Traditional Culture and History (of the PRC Ministry of Education) conducted by China Tibetology Research Institute of Tibet University. The book combines modern history of Tibet with modern history of China as a whole. It tells the close ties between various members of the Chinese nation.

  10. Adult learning in modernity

    DEFF Research Database (Denmark)

    Rasmussen, Palle

    2007-01-01

    The paper discusses the conditions for the growth of adult education in modern societies. It is argued that in modern adult life individual biographical reflection plays an increasing role, not only for educational and occupational choice but also in the process of identity formation and emotional...

  11. Liquid Modernity & Late Capitalism

    DEFF Research Database (Denmark)

    Hansen, Claus D.

    In Liquid Modernity, Bauman portrays Adorno and the rest of the early Frankfurt School as sociologists and thinkers belonging to the ‘heavy’ phase of modernity. In other words, they are deemed irrelevant to the discussion of current sociological time diagnoses and the purpose of critique under co...

  12. Understanding modern transparency

    NARCIS (Netherlands)

    Meijer, A.J.|info:eu-repo/dai/nl/172436729

    2009-01-01

    Proponents and opponents fiercely debate whether computer-mediated transparency has a positive effect on trust in the public sector. This article enhances our understanding of transparency by presenting three perspectives: a premodern, modern and post-modern perspective, and analyzing the basic

  13. Early Modern Philosophical Systems

    NARCIS (Netherlands)

    L. van Bunge (Wiep)

    2014-01-01

    textabstractThe occurrence of an entry on early modern philosophical systems in an encyclopaedia of Neo-Latin studies is fraught with complications, if only on account of the gradual disappearance during the early modern period of Latin as the main vehicle of philosophical communication. What

  14. Mod den moderne skole

    DEFF Research Database (Denmark)

    Vindum, Kjeld; Birk Morgen, Pernille

    2003-01-01

    Gennemgang af fem skoler som eksemplificerer væsentlige udviklingstrin i overgangen fra det sene 1800 tals etageskolebygninger til det moderne skolebyggeris gennemsalg i 1930erne.......Gennemgang af fem skoler som eksemplificerer væsentlige udviklingstrin i overgangen fra det sene 1800 tals etageskolebygninger til det moderne skolebyggeris gennemsalg i 1930erne....

  15. Spotting modern Copenhagen

    DEFF Research Database (Denmark)

    Ovesen, Hans; Bøgelund, Helle; Darger, Birgitte

    2002-01-01

    Med udgangspunkt i Københavns Rådhus og området omkring Banegårdspladsen analyseres Københavns indtræden i det moderne......Med udgangspunkt i Københavns Rådhus og området omkring Banegårdspladsen analyseres Københavns indtræden i det moderne...

  16. Productions, modern (Scandinavia)

    DEFF Research Database (Denmark)

    Lech, Marcel Lysgaard

    2017-01-01

    Greek comedy has never been as popular on the modern Scandinavian scene as Greek tragedy, but one play stands out among them all as a modern classic, Aristophanes’ Lysistrata, which has inspired many adaptations not only on the stage, but also in radio and cinema....

  17. O Judiciário como Ator Regulador da Internet: seu papel no esquema de forças do Estado moderno / The Judiciary as Regulatory Actor of the Internet: Its Role in the Framework of Forces of the Modern State

    Directory of Open Access Journals (Sweden)

    Amanda Nunes Lopes Espiñeira Lemos

    2018-05-01

    Full Text Available Purpose – To understand the role of Judiciary Power in regulating the Internet from the perspective of the WhatsApp blocking cases between 2015 and 2016 that led to the questioning of Judiciary's interpretation of the issue and the role of a Data Protection Authority in conflict resolution. Methodology/approach/design – Qualitative analysis from issues of internet regulation in relation to the theory that includes the positioning of Judiciary in scheme of forces of the modern State. It also presents a dialogue between the regulatory and argumentative theories pertinent to the arguments of the public decision to block WhatsApp. Finally, a brief analysis of the public audience discourse of the Bill of personal data and comparative international experience on DPAs. Findings – The Civil Internet Framework has been used as an isolated regulation to an entire legal system and the peculiarities of cyberspace that do not reproduce in the physical world, which requires the improvement of the interpretation of regulatory milestones in the network architecture. DPAs are facilitators in resolving conflicts that involve Internet and even to reduce prosecution of demands such as WhatsApp block. Resumo Propósito – Compreender o papel do Judiciário na regulação da Internet, a partir dos casos de bloqueio do WhatsApp entre 2015 e 2016, que levaram ao questionamento sobre a interpretação do Judiciário sobre o tema e o papel de uma Agência de Proteção de Dados Pessoais na resolução de conflitos. Metodologia/abordagem/design – Análise qualitativa das questões de regulação da internet frente à teoria que compreende o posicionamento do Judiciário no esquema de forças do Estado moderno. Apresenta-se também diálogo entre as teorias regulatórias e argumentativas pertinentes para os argumentos da decisão pública de bloqueio do WhatsApp. Por fim, uma breve análise do discurso da audiência pública do PL de dados pessoais e comparativa

  18. O uso da variável "raça" na pesquisa em saúde The use of the "race" variable in health research

    Directory of Open Access Journals (Sweden)

    Josué Laguardia

    2004-07-01

    Full Text Available Nos últimos anos, um interesse crescente tem sido observado no uso das categorias raciais e étnicas na Saúde Pública. Entretanto, isso não tem sido acompanhado por um aprofundamento da discussão dos problemas teóricos e práticos relacionados à utilização da variável "raça". Embora o conceito biológico de "raça" ainda tenha forte apelo entre os pesquisadores da área, vários estudos têm proposto outras formas de definir o conceito e estabelecer seu uso na pesquisa em saúde. Neste artigo, busca-se delinear as implicações analíticas das diferentes definições e usos de "raça" e etnicidade na pesquisa em saúde, bem como apontar seus limites e potencialidades.Recent years have witnessed growing interest in the use of racial and ethnic categories in public health. However, this interest has not been accompanied by a more in-depth discussion of the theoretical and practical problems related to the utilization of the "race" variable. Although the biological concept of "race" still holds a strong appeal among health researchers, various studies have proposed other forms of defining the concept and applying it to health research. This article seeks to outline the analytical implications of the different definitions and uses of "race" and ethnicity in health research, besides identifying its limits and potentials.

  19. Promoção da saúde da pessoa idosa: compromisso da enfermagem gerontogeriátrica Promoción de la salud de la persona de la tercera edad: compromiso de la enfermería gerontogeriátrica Health promotion for the elderly: gerontogeriatric nursing commitment

    Directory of Open Access Journals (Sweden)

    Silvana Sidney Costa Santos

    2008-01-01

    Full Text Available Este artigo teve como objetivo realizar uma revisão da história das políticas de saúde voltadas às pessoas idosas, inicialmente utilizando as conferências internacionais de saúde, depois as políticas nacionais, correlacionando com a perda de poder usualmente atribuída ao ser idoso. Utilizou-se o modelo de promoção da saúde de Nola Pender para interligar os temas, resultando no ganho de poder como estratégia de promoção da saúde da pessoa idosa. Para atingir o objetivo proposto, foram utilizados como fonte de dados material bibliográfico como as Cartas de Promoção da Saúde, temas da Gerontologia e da Enfermagem. Enfatiza-se a necessidade do enfermeiro ficar atento às questões de promoção/educação para saúde e às políticas públicas voltadas às pessoas idosas.Este artículo tuvo como objetivo realizar una revisión de la historia de las políticas de salud orientadas a las personas de la tercera edad, inicialmente utilizando las conferencias internacionales de salud, después las políticas nacionales, correlacionando con la pérdida de poder usualmente atribuida a ser de la tercera edad. Se utilizó el modelo de promoción de la salud de Nola Pender para interligar los temas, resultando en la ganancia de poder como estrategia de promoción de la salud de la persona de la tercera edad. Para alcanzar el objetivo propuesto, como fuente de datos fue utilizado el material bibliográfico constituido por las Cartas de Promoción de la Salud, temas de Gerontología y Enfermería. Se enfatiza en la necesidad de que el enfermero esté atento a las cuestiones de promoción/educación para la salud y a las políticas públicas volcadas a las personas de la tercera edad.This article had the purpose of reviewing the history of health policies for the elderly, initially using international health conferences, and then national policies, correlating them with the loss of power usually attributed to the elderly population. Nola

  20. Avaliação da aplicação da estratégia da Atenção Integrada às Doenças Prevalentes da Infância (AIDPI por Agentes Comunitários de Saúde Evaluation of the Integrated Management Childhood Illness (IMCI strategy application by Community Health Agents

    Directory of Open Access Journals (Sweden)

    Suely Arruda Vidal

    2003-06-01

    Full Text Available OBJETIVOS: avaliar a utilização da estratégia da Atenção Integrada às Doenças Prevalentes da Infância por Agentes Comunitários de Saúde. MÉTODOS: estudo do tipo avaliativo realizado nas cidades de Recife e Olinda, Nordeste do Brasil. Foram aplicados 195 questionários estruturados durante as visitas domiciliares realizadas por 106 agentes comunitários de saúde às crianças menores de cinco anos, no período de outubro a novembro de 2002. RESULTADOS: observou-se que 91,7% dos menores de dois meses foram avaliados corretamente quanto aos sinais de perigo e 83,3% quanto aos sinais de alerta. A avaliação das seções sobre "alimentação", "crescimento" e "vacina" demonstrou que o método foi bem aplicado em 96,9%, 99% e 99% dos casos, respectivamente. Em 73,1% das visitas às crianças na faixa etária entre dois meses e cinco anos, os agentes de saúde seguiram corretamente a padronização para verificação dos sinais de perigo e em 80,8% para os sinais de alerta. CONCLUSÕES: verificou-se que os agentes comunitários foram capazes de apreender o conteúdo e aplicar corretamente a estratégia. O "Manual de condutas" demonstrou ser um adequado instrumento à correta abordagem dos problemas de saúde dos menores de cinco anos na comunidade.OBJECTIVES: to assess the strategy for Integrated Management Childhood Illness by Community Health Agents. METHODS: assessment study accomplished in the cities of Recife and Olinda, Northeast Brazil. One hundred and ninety five structured questionnaires were applied by 106 community health agents during home visits to children under five years old in the period of October to November, 2002. RESULTS: 91,7% of the children under two months old were correctly assessed for signs of danger and 83,3% for signs of alert. The assessment of conditions such as "nutrition", "growth" and "vaccination" indicated that the method was well performed in 96,9%, 99% and 99% of the cases, respectively. In 73,1% of

  1. Relações sociais e autopercepção da saúde: projeto envelhecimento e saúde Social relations and self- rated health: the ageing and health project

    Directory of Open Access Journals (Sweden)

    Ana Paula Nogueira Nunes

    2012-06-01

    Full Text Available OBJETIVO: Investigar a associação entre as relações sociais e a autopercepção da saúde em idosos. MÉTODOS: Estudo transversal de amostra representativa de idosos cobertos pelo Programa de Saúde da Família e residentes em uma área de alta vulnerabilidade para a saúde em Belo Horizonte, MG. As informações foram obtidas por meio de entrevista estruturada. Idosos que relataram autopercepção ruim ou muito ruim da saúde foram comparados aos demais e os fatores associados foram determinados por meio de regressão logística múltipla. RESULTADOS: 363 dos 371 idosos elegíveis participaram do estudo. A autopercepção ruim da saúde foi relatada por 17,1% dos idosos e foi positivamente associada com o número de doenças crônicas e o grau de dificuldade para realizar as atividades de vida diária, apresentando um gradiente dose resposta. Idosos com auto-avaliação negativa dos relacionamentos pessoais e que não podiam contar com alguém caso ficassem acamados tiveram mais chance de autoperceber sua saúde como ruim. Trabalhar foi associado negativamente com a autopercepção ruim da saúde. CONCLUSÃO: Os resultados encontrados corroboram a estrutura multidimensional da autopercepção da saúde englobando fatores sociodemográficos, aspectos relacionados à saúde e às relações sociais e reforçam o papel dessas últimas sobre a saúde.OBJECTIVE: To investigate the association between social relationships and self-perceived health in the elderly. METHODS: cross-sectional study of a representative sample of elderly individuals covered by the Family Health Program and residents in an area of high health vulnerability in Belo Horizonte, MG. Information was obtained through structured interviews. Factors associated with poor or very poor self-perceived health were identified by multiple logistic regression analysis. RESULTS: 363 out of 371 eligible elderly participated; 17.1% of elderly self-perceived their health as poor. There was

  2. Considerações sobre o uso da epidemiologia nos estudos em saúde ambiental Notes concerning the epidemiologic aspects of environmental health studies

    Directory of Open Access Journals (Sweden)

    Volney de Magalhães Câmara

    2003-06-01

    Full Text Available No Brasil, a Saúde Ambiental incorporou como situações de risco questões como saneamento, água para consumo humano, poluição química, pobreza, eqüidade, condições psicossociais e a necessidade de um desenvolvimento sustentável para preservar as gerações futuras. As metodologias para estudos epidemiológicos e ações de vigilância que dizem respeito à relação da saúde com estas questões são necessariamente mais diversas e complexas do que nas outras áreas da Saúde Coletiva. Neste documento são discutidas as informações sobre as características da exposição e dos efeitos à saúde que constituem os principais substratos para a definição do desenho e da factibilidade dos estudos epidemiológicos voltados para o campo da Saúde Ambiental. Também é enfatizado o uso da Epidemiologia no desenvolvimento de ações de vigilância através da definição de indicadores de saúde para um sistema de informação, e do desenvolvimento de atividades de monitoramento dos impactos das ações de mitigação e controle. Finaliza realçando a necessidade de um trabalho integrado interdisciplinar e intersetorial, os preceitos éticos que devem nortear estes estudos, e as principais características que devem influir na definição dos recursos humanos para a formação das equipes científicas e técnicas.This article emphasizes the fact that epidemiologic studies on the relationship between health and the environment necessarily need more diverse and complex methodologies than other areas of Public Health. This thought also applies to the development of preventive actions and interventions. Information on the characteristics of exposure and outcome is the main substratum that defines the design and feasibility of epidemiologic studies and surveillance actions. Epidemiology also contributes for the methodological elements for risk assessment proposed by institutions that deal with Environmental Health. In this manner, given the

  3. Os pressupostos filosóficos do maquiavelismo e o surgimento da via moderna em política = The philosophical assumptions of the machiavellianism and the emergence of the modern via in politics

    Directory of Open Access Journals (Sweden)

    Jacarandá, Rodolfo de Freitas

    2016-01-01

    Full Text Available No cenário intelectual do renascimento italiano o pensamento político de Nicolau Maquiavel antecedeu e influenciou grandes inovações que fundaram a modernidade. Um movimento geral de ideias definido no século XVI e XVII pelo conceito de maquiavelismo engendrou mudanças profundas na arquitetura conceitual dos pensadores e articulistas dos assuntos públicos, afetando a obra de grandes filósofos, de Bodin e Lipsius até Hobbes. A partir de pesquisas desenvolvidas no programa de doutorado em filosofia da Unicamp pretendo demonstrar neste trabalho quais foram os pressupostos filosóficos centrais dessa ruptura e como Maquiavel reconstruiu em suas principais obras, O Príncipe e Os discursos sobre a primeira década de Tito Lívio, uma série de conceitos antigos para dar-lhes um sentido completamente novo e radical

  4. Ergonomic and postural aspects and the health workers Aspectos ergonômicos e posturais e o trabalhador da área de saúde

    Directory of Open Access Journals (Sweden)

    Neusa Maria Costa Alexandre

    2007-10-01

    Full Text Available Musculoskeletal disorders are an important occupational health problem. Health workers are at high risk of developing musculoskeletal symptoms due to inadequate ergonomic conditions. The procedures that involve the moving and transportation of patients are considered the most dangerous ones for health workers. Therefore, training programs on handling patients are a compulsory part of prevention programs. The purpose of the study was to synthesize and describe basic strategies to prevent and control musculoskeletal symptoms in health workers by means of an ergonomic theoretical framework. A systematic review was used in order to integrate empiric evidence produced by the author’s scientific research. Themes related to postural orientations, specific ergonomic aspects and considerations about handling patients are presented. This study also describes the devices that should be used when moving and transferring patients, taking into consideration that they have to be urgently implemented in health practical activities. Os distúrbios osteomusculares representam um importante problema de saúde ocupacional. Os trabalhadores da área de saúde estão sujeitos a sintomas osteomusculares, atribuídos particularmente a condições ergonômicas inadequadas. Os procedimentos que envolvem a movimentação e o transporte de pacientes são considerados os mais penosos para esses trabalhadores, e a implementação de treinamento é parte obrigatória de programas de prevenção. O presente trabalho teve por objetivo sintetizar e descrever criticamente os pontos básicos das principais estratégias de prevenção e controle dos sintomas osteomusculares, em trabalhadores da área de saúde, dentro de uma abordagem ergonômica. A metodologia empregada foi uma revisão sistemática, articulando evidências empíricas produzidas por trabalhos científicos da autora. Nele se discutem temas relativos às orientações posturais, aspectos ergonômicos espec

  5. Políticas de Atenção à Saúde da Mulher: Desafios e Realidades Policies on Women's Health Care: Challenges and Realities Políticas de Atenção à Saúde da Mulher: Desafios e Realidades

    Directory of Open Access Journals (Sweden)

    Denise de Azambuja Zocche

    2012-11-01

    Full Text Available

    Relato de uma Oficina sobre Políticas de Saúde da Mulher realizada no III Seminário Rotas Criticas: situações limite decorrentes de violências de gênero. Os participantes foram mulheres, dez no total, três estudantes da área da saúde, quatro profissionais da saúde (técnica de enfermagem, psicóloga, enfermeira e assistente social, uma pedagoga e uma advogada. A metodologia utilizada foi a de debate a partir da exposição oral sobre Políticas Publicas de Saúde para mulheres e da audição da música: Mariana foi ao Mar. Ao final do debate concluiu-se que, para compreender e dar conta das necessidades de saúde das mulheres que sofrem violência é preciso revisar, não só, as Políticas de Saúde para as mulheres, mas, também, o ensino da saúde e os processos de trabalho no âmbito da segurança pública.

    Report of a workshop on Women's Health Policy held in the third Critical Paths Seminar: extreme situations resulting from gender violence. The participants were ten women, three health students, four health professionals (nursing technician, psychologist, nurse and social worker, an educator and a lawyer. The methodology used was a debate about Women Public Policy and listening of music: Mariana went to the sea. By the end of the debate, we concluded that to understand and cope with the health needs of women who suffer violence is necessary to review not only the women health policy, but also health education and the work processes within the public safety sector.

    Relato de uma Oficina sobre Políticas de Saúde da Mulher realizada no III Seminário Rotas Criticas: situações limite decorrentes de violências de gênero. Os participantes foram mulheres, dez no total, três estudantes da área da saúde, quatro profissionais da saúde (técnica de enfermagem, psicóloga, enfermeira e assistente social, uma pedagoga e uma advogada. A metodologia utilizada foi a de debate a partir da exposição oral sobre Pol

  6. História da saúde pública no Estado de São Paulo History of public health in the S. Paulo State, Brazil

    Directory of Open Access Journals (Sweden)

    Rodolfo dos Santos Mascarenhas

    2006-02-01

    Full Text Available Estuda-se a história, através da evolução dos serviços estaduais de saúde pública em São Paulo, desde 1891 até o presente. Dois vultos se destacam: Emílio Ribas e Geraldo de Paula Souza. Emílio Ribas conseguiu debelar no fim do século passado surtos epidêmicos de febre amarela, febre tifóide, varíola e cólera e, na Capital, malária. Prova, em um grupo de voluntários, no qual foi o primeiro, a transmissão, por vector, de febre amarela, repetindo, um ano depois, a experiência norte-americana em Cuba. Funda o Instituto Butantã, entregando-o a outro cientista, Vital Brasil. Paula Souza reorganiza, em 1925, o Serviço Sanitário do Estado, introduzindo o centro de saúde, a educação sanitária, a visitação domiciliaria. Lidera, posteriormente, no SESI, a assistência médica, odontológica, alimentar e social do operário. Em junho de 1947 foi criada a Secretaria da Saúde Pública e da Assistência Social cujo primeiro titular foi o Dr. José Q. Guimarães. Deu-se ênfase à implantação de campanhas de erradicação ou controle de doenças transmissíveis (malária, chagas, poliomielite, variola, etc. e à reforma total da Secretaria da Saúde iniciada em 1970.The history through the evolution of the estate public health services in S. Paulo from 1891 till 1971 was studied. Two public health leaders are distinguished: Emilio Ribas and Geraldo de Paula Souza. At the end of the later century Emilio Ribas succeeded in overcoming outbreaks of epidemics, such as yellow fever, smallpox, cholera and malaria in the city of S. Paulo. In a group of volunteers he experimented the transmission of yellow fever by vector, and one year after the American experience in Cuba. He set up the Institute Butantã and placed it in the hands of another great scientist, Vital Brasil. In 1925 Paula Souza reorganizes the Sanitary Service of the State, introducing the health center, public health education, home visits and so on. Later, in the SESI

  7. Pesquisa participante e formação ética do pesquisador na área da saúde Participative research and health researcher's ethical formation

    Directory of Open Access Journals (Sweden)

    Maria Luisa Sandoval Schmidt

    2008-04-01

    Full Text Available O presente artigo discute o conceito de ética como morada e modo de habitar e busca articulá-lo a elementos da pesquisa participante de matriz etnográfica, mostrando a relação indissociável entre método e ética nesta perspectiva. Focaliza, sobretudo, a idéia de autonomia do sujeito ético, associando-a às temáticas da auto-reflexão e da alteridade na etnografia. Aborda, ainda, a pesquisa participante de cunho etnográfico como prática propícia à formação ética do pesquisador na área de saúde.The present article discusses Ethics concept as dwell and way of dwelling, aiming to articulate it with some elements of participative research from an ethnographic matrix. Mainly, it focuses the idea of the ethical subject's autonomy, associating it with self-reflection and alterity in ethnography. Yet, it approaches the participative research in an ethnographic perspective as a praxis that induces to health researcher's ethical formation.

  8. Prevalência e caracterização da anemia em idosos do Programa de Saúde da Família Prevalence and characteristics of anemia in an elderly population attending a Health Family Program

    Directory of Open Access Journals (Sweden)

    Diana L. Barbosa

    2006-12-01

    Full Text Available A anemia é considerada um problema de saúde pública em escala mundial e é o distúrbio hematológico de maior prevalência que acomete a população idosa. O objetivo deste trabalho foi estimar a prevalência e características da anemia em idosos do Programa de Saúde da Família de Camaragibe, PE. O delineamento foi transversal, com amostra aleatória sistemática de 284 idosos > 60 anos, de ambos os sexos, realizado em novembro/dezembro-2003. A anemia foi avaliada pela hemoglobina (Hb, concentração de hemoglobina corpuscular média (CHCM, volume corpuscular médio (VCM e amplitude de distribuição eritrocitária (RDW. A prevalência de anemia foi, em média, de 11,0%. A morfologia eritrocitária não mostrou associação com as concentrações de Hb. A grande maioria dos idosos apresentou anemia normocrômica, normocítica, sem anisocitose, sugestivo de anemia por doença crônica. A ínfima prevalência de microcitose e macrocitose com anisocitoseminimiza a gênese da deficiência de ferro, bem como da deficiência de vitamina B12 e ácido fólico na etiologia da anemia em idosos. Concluímos que o uso de indicadores que reflitam o grau de anisocitose eritrocitária associados àqueles que avaliam o estado nutricional do ferro é extremamente recomendado para o diagnóstico das anemias em idosos.Anemia is a serious public health problem worldwide that mainly affects children and women of childbearing age. However, data about anemia in elderly individuals are still scarce in developing countries. This study aimed at assessing the prevalence and characteristics of anemia among an elderly population attending the Health Family Program in Camaragibe, northeast Brazil. Following a systematic sampling procedure, a cross-sectional study was carried out in November and December 2003 involving 284 subjects of both genders with ages grater than or equal to 60 years old. Anemia was estimated by the measurement of hemoglobin, mean cell hemoglobin

  9. Um enfoque epidemiológico da promoção da saúde: as idéias de Geoffrey Rose An epidemiological approach to health promotion: the ideas of Geoffrey Rose

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    Dóra Chor

    2000-01-01

    Full Text Available Neste artigo, apresentamos princípios sistematizados por Geoffrey Rose, raramente explicitados no debate contemporâneo sobre promoção da saúde. São enfatizadas as seguintes noções: muitos parâmetros biológicos apresentam-se ao longo de um continuum e não seguem as dicotomias expostos/não expostos ou doentes/não doentes; a relação entre determinadas exposições e seus efeitos ocorre linearmente, ao longo de toda a gama dos valores da exposição; portanto, muitos indivíduos expostos a um risco baixo podem gerar um número maior de casos do que poucos indivíduos expostos a um risco alto de adoecer. Além disso, há forte relação entre os comportamentos populacionais médios e os desviantes, como resultado da dinâmica entre forças biológicas e sociais, que favorecem ou limitam a diversidade de características individuais. Assim, o risco de alguns agravos, em populações concretas, torna-se alto ou baixo em virtude do deslocamento em bloco da distribuição populacional, e não em função do número de indivíduos na faixa de alto risco. Em conjunto, esses conceitos favorecem estratégias voltadas para o conjunto da população, em vez das que apenas visam indivíduos considerados de alto risco.In this paper, we discuss some of the ideas developed by Geoffrey Rose, which are seldom explicitly expressed in the contemporary debate on health promotion. The following notions are emphasized: many health exposures and outcomes are expressed in a continuum, and do not follow the dichotomy exposed/non-exposed or diseased/ non-diseased; there is a linear relationship between certain exposures and their effects along the range of exposure levels; thus, many individuals exposed to low risk may generate more cases of a disease than few individuals exposed to high risk. In addition, there is a strong relationship between average behaviors and the occurrence of deviance, as a result of the balance between biological and social forces

  10. ViDa1: The Development and Validation of a New Questionnaire for Measuring Health-Related Quality of Life in Patients with Type 1 Diabetes

    Directory of Open Access Journals (Sweden)

    Dácil Alvarado-Martel

    2017-05-01

    Full Text Available This study describes the development of a new questionnaire to measure health-related quality of life (HRQoL in patients with type 1 diabetes (the ViDa1 questionnaire and provides information on its psychometric properties. For its development, open interviews with patients took place and topics relevant to patients' HRQoL were identified and items were generated. Qualitative analysis of items, expert review, and refinement of the questionnaire followed. A pilot study (N = 150 was conducted to explore the underlying structure of the 40-item ViDa1 questionnaire. A Principal Component Analysis (PCA was performed and six of the items that did not load on any of the factors were eliminated. The results supported a four-dimensional structure for ViDa1, the dimensions being Interference of diabetes in everyday life, Self-care, Well-being, and Worry about the disease. Subsequently, the PCA was repeated in a larger sample (N = 578 with the reduced 34-item version of the questionnaire, and a Confirmatory Factor Analysis (CFA was performed (N = 428. Overall fit indices obtained presented adequate values which supported the four-factor model initially proposed [(χ(df=5542= 2601.93 (p < 0.001; Root Mean Square Error of Approximation = 0.060 (CI = 0.056 −0.064]. As regards reliability, the four dimensions of the ViDa1 demonstrated good internal consistency, with Cronbach's alphas ranging between 0.71 and 0.86. Evidence of convergent-discriminant validity in the form of high correlations with another specific HRQoL questionnaire for diabetes and low correlations with other constructs such as self-efficacy, anxiety, and depression were presented. The ViDa1 also discriminated between different aspects of clinical interest such as type of insulin treatment, presence of chronic complications, and glycemic control, temporal stability, and sensitivity to change after an intervention. In conclusion, the ViDa1 questionnaire presents adequate psychometric

  11. Estudo da soroprevalência do AgHBs em gestantes da 15ª Regional de Saúde e da imunoprofilaxia para os recém-nascidos das gestantes AgHBs positivo = Study into the HBsAg seroprevalence in pregnant women from the 15th Health Regional and the immunoprophylaxia on the newborns of these HBsAg-positive women

    Directory of Open Access Journals (Sweden)

    Sonia Kaori Miyamoto

    2008-01-01

    Full Text Available Determinar a prevalência do AgHBs nas gestantes da 15ª Regional de Saúde (15ª R.S. atendidas no Laboratório de Ensino e Pesquisa em Análises Clínicas (Lepac, Universidade Estadual de Maringá, e verificar se foi solicitada a imunoprofilaxia para hepatite B aos recém-natos das gestantes AgHBs positivo, no período de janeiro de 1998 a dezembro de 2002. A pesquisa do AgHBs foi realizada pela técnica imunoenzimática IMxHBsAg e Axsym HBsAg (Laboratório Abbott. As solicitações de imunobiológicos especiais para a imunoprofilaxia da hepatite B ao CRIE foram obtidas na Seção de Epidemiologia da 15ª R.S. Foram analisadas 12.274 gestantes e a prevalência do AgHBs foide 1,0%. Dentre as 125 gestantes AgHBs positivo, foram solicitadas imunoprofilaxia para 32 (25,6% recém-nascidos. Ainda que a prevalência encontrada indique ser esta uma área de baixa endemicidade, os resultados reafirmam a importância da realização do diagnóstico da hepatite B no atendimento pré-natal, para adoção da imunoprofilaxia no recém-nascido.To determine HBsAg prevalence among pregnant women from the 15th Health Regional assisted in the Laboratório de Ensino e Pesquisa em Análises Clínicas (Lepac, Universidade Estadual de Maringá, and verify whether immunoprophylaxis with vaccine and immunoglobulin was requested for the newborns of HBsAg-positive women during the period from January 1998 to December 2002. The research about HBsAg was conducted using the immunoenzymatic IMxHBsAg (Abbot Lab and Axsym HBsAg (Abbot Lab techniques. The requests to the CRIE for specialimmunobiologic agents for Hepatitis B immunoprophylaxis were obtained in the Department of Epidemiology from the 15th Health Regional. The analysis includes 12,274 pregnant women, and the HBsAg prevalence was 1.0%. Among 125 HBsAg positive pregnant women, immunoprophylaxis was requested for 32 (25.6% newborns. Although the prevalence detected demonstrates this to be a low endemic area, the

  12. Modern technologies in Endodontics

    Directory of Open Access Journals (Sweden)

    Alfredo Iandolo

    2016-06-01

    Conclusions: The positive results highlighted by these clinical cases demonstrate how the use of modern technologies are essential to avoid iatrogenic injury, and guarantee, on the other hand, safe and reproducible results.

  13. Etymology and Modern Linguistics

    Science.gov (United States)

    Malkiel, Yakov

    1975-01-01

    Discusses the estrangement between etymology and modern linguistics, and concludes that a reconciliation between spatio-temporal linguistics and etymology must occur, because without it, both disciplines are doomed to inanition. (Author/AM)

  14. INFECTIVE ENDOCARDITIS: MODERN COURSE

    Directory of Open Access Journals (Sweden)

    T. L. Vinogradova

    2014-07-01

    Full Text Available The paper presents the characteristic features of the modern course of infective endocarditis. Unresolved questions of classification of diseaseand drug therapy are discussed. Clearly defined indications for surgical treatment of endocarditis.

  15. Anthropology and Multiple Modernities

    DEFF Research Database (Denmark)

    Thomassen, Bjørn

    “modernities” over the last 10 years, this paper wishes to address the analytical usefulness of this conceptual development. What is it about these concepts that make them useful as we try to capture the World today? Rather than providing any substantial definitions as to what those modernities are about (or...... what they are not about), anthropologists have used ethnographies to demonstrate how modernities are lived and constructed differently in different cultural contexts. To a very large extent, anthropologists intend these multiple modernities to refer to the interplay between local and global...... configurations. However, if the current pluralizing of modernity ultimately serves to describe the variety of cultural forms that co-exist in the World today, the analytical value of the concept risks being watered down, and little is gained in perspective. Arguably, other concepts would have served the purpose...

  16. Genealogies of Modern Technology

    DEFF Research Database (Denmark)

    Riis, Søren

    2008-01-01

    Does modern technology differ from ancient technology and does it have a unique essence? This twofold question opens one of Martin Heidegger's most influential philosophical inquiries, The Question Concerning Technology. The answer Heidegger offers has inspired various critiques and appraisals from...... a vast number of contemporary scholars of technology.1 Heidegger's answer is traditionally thought to suggest a great difference between ancient and modern technology. However, by re-examining Heidegger's text, it is possible to discover previously ignored or misunderstood lines of thoughts that affirm...... a multi-stable interpretation of the origin of modern technology. In what follows, we shall see how The Question Concerning Technology in fact supports three different genealogies of modern technology...

  17. Modern optimization with R

    CERN Document Server

    Cortez, Paulo

    2014-01-01

    The goal of this book is to gather in a single document the most relevant concepts related to modern optimization methods, showing how such concepts and methods can be addressed using the open source, multi-platform R tool. Modern optimization methods, also known as metaheuristics, are particularly useful for solving complex problems for which no specialized optimization algorithm has been developed. These methods often yield high quality solutions with a more reasonable use of computational resources (e.g. memory and processing effort). Examples of popular modern methods discussed in this book are: simulated annealing; tabu search; genetic algorithms; differential evolution; and particle swarm optimization. This book is suitable for undergraduate and graduate students in Computer Science, Information Technology, and related areas, as well as data analysts interested in exploring modern optimization methods using R.

  18. Modernizing Electricity Delivery

    Science.gov (United States)

    Explains how modern grid, or smart grid, investments can enable grid operators to respond faster to changes in grid conditions and allow for two-way communication between utilities and electricity end-users.

  19. Formação em política pública de saúde e domínio da informação para o desenvolvimento profissional Training in public health policies and mastery of information for professional development

    Directory of Open Access Journals (Sweden)

    Maria Helena Magalhães de Mendonça

    2007-06-01

    Full Text Available O trabalho aborda a formação pós-graduada na área de políticas públicas e saúde do Programa de Pós-Graduação em Saúde Pública/ENSP. Objetiva rever o processo de constituição histórica dessa área enquanto prática política e área de conhecimento voltada a profissionalizar sujeitos envolvidos com a formulação, implementação e avaliação de políticas. Descreve a experiência de desenvolvimento da área de concentração com base na análise documental produzida pela Pós-graduação da ENSP e formadores da área, sistematizado em ementas disciplinares que traduzem objetivos, conteúdo programático e propostas pedagógicas utilizadas ao longo do tempo. Parte de uma concepção de políticas públicas comprometida com o aperfeiçoamento da democracia no contexto de emergência e desenvolvimento da função estatal de saúde no Brasil e indica a exigência de renovação permanente na formação de especialistas neste campo interdisciplinar. Considera essencial a modernização de métodos e técnicas de investigação articulada ao avanço da área da informação em saúde e da informática. Observa uma transição de certo isolamento e pouco diálogo da área de concentração no Programa, para um foco maior na Saúde Pública e abordagens metodológicas complexas correspondentes aos objetos construídos.This paper analyses the Public Policies and Health Course offered by the Graduate Studies Program at the National School of Public Health, Brazil. Its purpose is to review the historical constitution of this area as policy praxis and a field of knowledge designed to train specialists engaged in policy formulation implementation and evaluation. It describes the course development experience, based on an analysis of the documents produced by the Graduate Studies Coordination in this area, systematized in alterations to subjects that reflect the educational objectives, contents and proposals deployed over time. Grounded on a

  20. Concepts in modern parenting

    OpenAIRE

    Dolenc, Anja

    2011-01-01

    The main focus of my dissertation represents changes in parenthood, which are a consequence of a wider specter of social changes. Besides, I am interested in modern trends of educational strategies and how parents deal with the demands of society and those of professional public for nothing less than a perfect parenthood. Theoretical cognitions are divided into three parts: in the first one, new forms of family and social changes which affected the development of the modern family are describ...

  1. Turbine maintenance and modernization

    Energy Technology Data Exchange (ETDEWEB)

    Unga, E. [Teollisuuden Voima Oy, Olkiluoto (Finland)

    1998-12-31

    The disturbance-free operation of the turbine plant plays an important role in reaching good production results. In the turbine maintenance of the Olkiluoto nuclear power plant the lifetime and efficiency of turbine components and the lifetime costs are taken into account in determining the turbine maintenance and modernization/improvement program. The turbine maintenance program and improvement/modernization measures taken in the plant units are described in this presentation. (orig.)

  2. Badges of modern slavery

    OpenAIRE

    Paz-Fuchs, Amir

    2016-01-01

    Notwithstanding the 19th century formal abolition of slavery as legal ownership of people, modern slavery and forced labour have not been consigned to the past. In fact, their existence is more widespread, and made more difficult to tackle due to the lack of formal, legal criteria. This article suggests that reference to the past, historical institutions reveals seven ‘badges of slavery’ that are helpful in identifying occurrences of modern slavery and forced labour. These are: humiliation, o...

  3. Turbine maintenance and modernization

    Energy Technology Data Exchange (ETDEWEB)

    Unga, E [Teollisuuden Voima Oy, Olkiluoto (Finland)

    1999-12-31

    The disturbance-free operation of the turbine plant plays an important role in reaching good production results. In the turbine maintenance of the Olkiluoto nuclear power plant the lifetime and efficiency of turbine components and the lifetime costs are taken into account in determining the turbine maintenance and modernization/improvement program. The turbine maintenance program and improvement/modernization measures taken in the plant units are described in this presentation. (orig.)

  4. A Modern Education

    OpenAIRE

    Macfarlane, Alan

    2015-01-01

    What is western modernity and how did education help to shape that modernity? Through an examination of schooling in elite British institutions, Alan Macfarlane tries to answer these question, particularly to explain the choices facing China and other emerging superpowers. One section looks at his English education; society and power, play and performance, head and heart, spirit and character. Another looks at education more widely: how it shaped the English world, English and Continental Eur...

  5. Modern mathematics made simple

    CERN Document Server

    Murphy, Patrick

    1982-01-01

    Modern Mathematics: Made Simple presents topics in modern mathematics, from elementary mathematical logic and switching circuits to multibase arithmetic and finite systems. Sets and relations, vectors and matrices, tesselations, and linear programming are also discussed.Comprised of 12 chapters, this book begins with an introduction to sets and basic operations on sets, as well as solving problems with Venn diagrams. The discussion then turns to elementary mathematical logic, with emphasis on inductive and deductive reasoning; conjunctions and disjunctions; compound statements and conditional

  6. A memória e o valor da síncope: da diferença do que ensinam os antigos e os modernos Memory and value of syncopation: on the difference between what the old and the modern teach

    Directory of Open Access Journals (Sweden)

    Sérgio Paulo Ribeiro de Freitas

    2010-12-01

    Full Text Available A síncope é um tema privilegiado nos estudos da música popular que reaparece aqui em um conjunto de considerações que, marcado pelo viés dos saberes das velhas disciplinas de Contraponto e Harmonia, sublinham a interação e, principalmente, a inseparabilidade entre métrica (divisão, ritmo, acentuação, prosódia, etc. e altura (notas, intervalos, relação dissonância-consonância, acordes, notas auxiliares, etc. na apreciação crítica das figurações sincopadas. Na primeira parte percorre-se uma mínima memória da arte e da teoria da síncope na tradição ocidental culta para, na segunda parte, observar-se que, em medida tácita e sutil, resíduos dessa tradição afetam juízos de valor em alguns dos sincopados cenários da música popular atual.Syncopation is a privileged issue in popular music studies that reappears here in a number of considerations that, marked by the bias of knowledge of the old disciplines of Counterpoint and Harmony, underline the interaction and, especially, the inseparability between metric (division, rhythm, accentuation, prosody, etc. and pitches (notes, intervals, dissonance-consonance relationship, chords, auxiliary notes, etc. in a critical analysis of the figures of syncopation. The first part covers up a minimum memory of the art and theory of syncopation in the Western erudite tradition, so that, in the second part, it can be noted that, in tacit and subtle manner, residues of this tradition can affect the value judgment in some of the syncopated worlds of popular music today.

  7. Modernization of credit relations

    Directory of Open Access Journals (Sweden)

    S.V. Volosovich

    2015-03-01

    Full Text Available Nowadays it is essential to modernize credit relations in the conditions of global economy transformations. This is due to the influence of integration processes on credit relations and transformation of the risks inherent in the credit field. The purpose of this article is to develop measures that help to improve the efficiency of interaction of credit relations’ participants. Modernization of credit relations is based on the interaction of its main and indirect subjects who belong to the subsystems of loans granting, deposits attraction and provision of related services. Its goal is to pass from extensive to intensive model of interaction between the subjects of credit relations. Components of the credit relations modernization are the following: institutional modernization, which is based on the interaction of credit relations’ subjects, and ensures the development of competition in all credit market’s segments, the creation of its corresponding infrastructure, qualitative change in the approaches of regulation and supervision; technological modernization, which involves the formation of joint products on the credit market and the formation of an integrated informational and analytical system. In the result of the credit relations’ modernization it is expected to achieve synergies between the subjects of credit relations, that will lead to changes in the business architecture of the financial market.

  8. Belisário Penna, combatente: um capítulo da história da saúde pública brasileira Belisário Penna, a champion in the history of Brazilian public health

    Directory of Open Access Journals (Sweden)

    Luiz Antonio de Castro-Santos

    2012-12-01

    Full Text Available A contribuição do médico sanitarista Belisário Penna (1868-1939 à história da saúde pública no Brasil constitui o tema central do texto. Belisário Penna é retratado aqui a partir de sua militância, dos combates que travou em defesa do saneamento rural e pela melhoria das condições de saúde de toda a população brasileira. O propósito também é situá-lo em meio aos debates de sua época, esclarecendo, por exemplo, como as ideias de Belisário - tão bem apresentadas em suas eloquentes palestras - primavam por se contrapor ao pensamento racista dominante entre as elites do País. Belisário argumentava que os obstáculos ao progresso nacional residiam na precariedade tanto da saúde quanto da instrução pública. Nessa medida, os problemas referidos à questão da eugenia no País eram interpretados sob um prisma otimista: no lugar de determinismos raciais intangíveis, a presença do Estado, por meio de programas de higiene e educação cívica, traria o progresso desejado. O "otimismo sanitário" do combatente mineiro não consistiu em um atributo só dele, mas era compartilhado por outros médicos e intelectuais em torno de movimentos como a Liga Pró-Saneamento, cujas bandeiras acenavam a necessidade de mudanças sociais e alcançaram significativa ressonância popular.The contribution of the sanitarian Belisário Penna (1868-1939 to the history of public health in Brazil constitutes the central topic of this text. The intellectual, professional, and political profile of Belisário Penna is here reconsidered, in the light of his entrenched defense of rural sanitation, his militancy in favor of the improvement of living conditions in the backlands of Brazil, and his criticism of oligarchical power. The intention is also to point out how he opposed, through a series of speeches of great eloquence, the climate of opinion in Brazil's early Republic. He took in the preoccupations of Brazilian elite with "eugenics," discussing

  9. A tese da judicialização da saúde pelas elites: os medicamentos para mucopolissacaridose The thesis of judicialization of health care by the elites: medication for mucopolysaccharidosis

    Directory of Open Access Journals (Sweden)

    Ida Vanessa Doederlein Schwartz

    2013-04-01

    Full Text Available O artigo avalia a hipótese de se a judicia­lização de medicamentos para o tratamento das mucopolissacaridoses no Brasil seria uma ação das elites econômicas. Debatem-se estudos prévios que defendem a tese da judicialização pelas elites em outros medicamentos. Discute-se, a metodologia desses estudos e as inferências dela derivadas e o respaldo empírico dessa tese no caso de um dos medicamentos judicializados de mais alto custo para o SUS. Foram analisados os 196 processos julgados entre fevereiro de 2006 e dezembro de 2010 que determinam a provisão gratuita dos medicamentos para mucopolissacaridoses pelo Ministério da Saúde. Há evidências de que os custos advocatícios sejam financiados por entidades interessadas nos resultados da judicialização, como as empresas distribuidoras ou indústrias farmacêuticas, de que pode haver migração dos pacientes para diagnóstico e tratamentos em centros universitários de referência para a inovação médica no país, e de que a opção por serviços públicos se dá por sua capacidade técnica e científica supe­rior à de outras instituições. Logo, a advocacia privada, indicadores de exclusão social do local de residência dos pacientes e uso de serviços públicos não são informações de classe que corroborem ou refutem a tese da judicialização pelas elites.This paper evaluates the hypothesis that the judicialization of medicine for mucopolysaccharidosis in Brazil is an action promoted by economic elites. Previous studies upholding the thesis of judicialization by elites in the case of other types of medication that are more costly for the Unified Health Service are discussed. An analysis of all 196 processes containing information about judicial processes brought to court between February 2006 and December 2010 that ended by determining that the State should provide such medication free of charge to patients was conducted. There is evidence that attorneys' fees were covered

  10. Politics of modern muslim subjectivities

    DEFF Research Database (Denmark)

    Jung, Dietrich; Petersen, Marie Juul; Sparre, Sara Lei

    Examining modern Muslim identity constructions, the authors introduce a novel analytical framework to Islamic Studies, drawing on theories of successive modernities, sociology of religion, and poststructuralist approaches to modern subjectivity, as well as the results of extensive fieldwork...

  11. Profissionalização e regulação da atividade do agente comunitário de saúde no contexto da reforma sanitária Professionalization and regulation of the community health agent's activity in the context of the sanitary reform

    Directory of Open Access Journals (Sweden)

    Maria Helena Magalhães de Mendonça

    2004-09-01

    Full Text Available O artigo tem como tema a profissionalização da atividade do agente comunitário de saúde, no contexto das reformas sociais formuladas no processo de redemocratização do Brasil nos anos 80 e 90, com ênfase na Reforma Sanitária brasileira. O argumento central é a existência de uma relação entre projetos de renovação das práticas sociais em saúde, como a reorganização da atenção básica de saúde a partir dos Programas de Agentes Comunitários de Saúde (Pacs e Saúde da Família (PSF, e a emergência de nova categoria de trabalhador em saúde, que exige um esforço de profissionalização, entendida como educação profissional específica e regulação da atividade no mercado de trabalho em saúde. Primeiro, trabalha-se o contexto em que se definem políticas sociais de saúde como parte da constituição da cidadania social, que se baseia nos princípios da universalidade e da igualdade entre beneficiários. No segundo momento, trata-se da emergência desse novo agente, do seu papel no processo de mudança na produção da saúde e do papel do Estado na normalização de sua atuação e regulação no mercado de trabalho em saúde. Por fim, reflete-se sobre os desafios que a recente regulação da profissão traz para a formação profissional dos trabalhadores em saúde, cujo enfrentamento favorece a implementação da estratégia de Saúde da Família e auxilia na consolidação do processo de reforma social.The article deals with the professionalization of the community health agent's activity in the context of the social reforms formulated during Brazil's return to democracy in the 80s and 90s, with emphasis on the Brazilian sanitary reform. The central argument is that there is a relationship between the projects for the renovation of social practices in health - such as the reorganization of basic health care through the Programmes of Community Health Agents (Pacs and Family Health (PSF - and the emergence of a new

  12. O Programa de saúde da família e a reestruturação da atenção básica à saúde nos grandes centros urbanos: velhos problemas, novos desafios The Family Health Program and restructuring of basic health care in large Brazilian cities: old problems, new chanenges

    Directory of Open Access Journals (Sweden)

    Rosângela Caetano

    2002-06-01

    Full Text Available Este artigo apresenta alguns Tesultados da pesquisa sobre a perspectiva de implantação do Programa de Saúde da Família em grandes cidades. Discute algumas das dificuldades específicas para a reestruturação do modelo assistencial dos grandes centros, bem como os desafios a serem superados pela adoção do programa. Funciona, assim, como uma abertura da temática deste número de Physis, detalhada nos demais artigos. O Ministério da Saúde elegeu o Programa de Saúde da Família como a estratégia de transformação dos modelos assistenciais vigentes. Quase dez anos após seu início, constata-se uma grande heterogeneidade na sua implantação no país, com uma cobertura mínima em municípios de grande porte, notadamente nas capitais brasileiras. A expansão para as grandes cidades é condição, tanto para elevações mais significativas de cobertura populacional atingida pelo programa, como para que o PSF possa realmente vir a ser um elemento central na transformação do modelo assistencial do país.This article presents research results on implementation of the Family Health Program (PSF in large cities of Brazi!. lt discusses some of the specific difficulties in restructuring the health care model in large cities and in the adoption of the Programo lt thus serves as an introduction to the theme of this edition of Physis, analyzed in detail in the subsequent articles. The Brazilian Ministry of Health chose the Family Health Program as its strategy for transforming prevailing health care models. Almost ten years after the Program was launched, there is a great heterogeneity in its implementation around the country, with minimum coverage in large municipalities, especiany in the State capitals. Expansion of the PSF to the large cities is a condition both for attaining higher population coverage and for the Program to actuany become a key element in transforming the country's health care model.

  13. Convergence of obesity and high glycemic diet on compounding diabetes and cardiovascular risks in modernizing China: An emerging public health dilemma

    Directory of Open Access Journals (Sweden)

    Malik Vasanti S

    2008-02-01

    Full Text Available Abstract As China is undergoing dramatic development, it is also experiencing major societal changes, including an emerging obesity epidemic, with the prevalence of overweight and obesity doubling in the past decade. However, the implications of a high glycemic index (GI and glycemic load (GL traditional Chinese diet are adversely changing in modern times, as a high-glycemic diet is becoming a greater contributor to diabetes and cardiovascular risks in a population with rising obesity and decreasing physical activity. Specifically, a high GI diet adversely impacts metabolism and appetite control regulation, and notably confers substantially greater risk of weight gain, type 2 diabetes, cardiovascular disease, and certain cancers among overweight and obese individuals (P

  14. A estruturação do Programa de Capacitação Profissional de Biossegurança no contexto do Projeto de Modernização da Gestão Científica do Instituto Oswaldo Cruz Development of a Biosafety Training Program aligned with the Scientific Management Modernization Project of the Oswaldo Cruz Institute

    Directory of Open Access Journals (Sweden)

    Maria Eveline de Castro Pereira

    2010-06-01

    Scientific Management Modernization Project of IOC. The program, including the "Biosafety Course in Biomedical Research Laboratory", was structured according to the planning-development-evaluation cycle. Initially, for the diagnosis cycle, the IOC laboratories representatives answered a questionnaire that showed that both professional categories (middle and higher levels were interested in participating in BTP and mentioned, as preferential themes, biosafety and good laboratory practices. In the planning phase it was defined that BTP would be divided into two projects (Good Laboratory Practices in Public Health for middle level professionals and Biosafety Course in Biomedical Research Laboratories for higher level professionals. During the development phase of the Biosafety Course, the following modules were chosen: introduction, chemical, physical and biological risks, quality management and animal experimentation. Thus, in the period from 2006 to 2008, 315 professionals were trained and the respective evaluations were performed according to David Kirkpatrick's model. The first level of evaluation, called reaction, showed that 54.03% of the professionals said that the course was excellent, 39.59% classified the course as good and 6.38% as regular or did not express any opinion. For learning evaluation, pre and post-tests were carried out in each module. All the modules showed an increase in the grades of the post-test when compared to the pre-test. The results pointed to strategies that should be followed in order to improve this biosafety continuing education model.

  15. Impacto dos praguicidas na saúde: estudo da cultura de tomate Pesticide impact on health: a study of tomato cultivation

    Directory of Open Access Journals (Sweden)

    Adélia CP Araújo

    2000-06-01

    Full Text Available OBJETIVO: A presença de resíduos de praguicidas em alimentos, somada à contaminação da água, oferece risco para a população em geral e representa, sem dúvida, um grande problema de saúde pública no Brasil. Com o objetivo de obter melhor conhecimento da situação, foi estudada a utilização de praguicidas em tomates produzidos no Estado de Pernambuco. MÉTODOS: Foram aplicados questionários semi-estruturados para obtenção de informações socioambientais e de morbidade referida aos trabalhadores rurais, durante a safra de tomates. Foram selecionadas seis propriedades, localizadas em duas regiões produtoras do agreste pernambucano. O total de entrevistados foi de 186. RESULTADOS/CONCLUSÕES: Ficou constatado que as duas regiões estudadas carecem, indiscriminadamente, de ações que visem à proteção da saúde dos trabalhadores rurais, que lidam com os praguicidas, e de medidas contra os danos para o meio ambiente, que se encontra gravemente comprometido.OBJECTIVE: In addition to water contamination, the presence of pesticide residues in food poses a risk to the population, being a serious public health problem in Brazil. With the purpose of getting a better understanding of this scenario, the use of pesticides in tomate crops in the State of Pernambuco, Brazil, was studied. METHODS: Questionnaires were applied to obtain social and environmental information as well as morbidity rates and additional data on rural workers involved in tomato plantations in two regions of Pernambuco, Brazil. RESULTS/CONCLUSIONS: The results obtained in the two studied regions show that there is a lack effective policies to both protect the health of rural workers who have to deal with pesticides and the environment which has already been severely damaged.

  16. Saúde bucal no Programa Saúde da Família: uma avaliação do modelo assistencial Oral health in the Brazilian Family Health Program: a health care model evaluation

    Directory of Open Access Journals (Sweden)

    Tatyana Maria Silva de Souza

    2007-11-01

    Full Text Available O objetivo deste estudo foi avaliar a incorporação da saúde bucal no Programa Saúde da Família no Rio Grande do Norte, com base na análise de fatores capazes de interferir no processo de mudança dos modelos assistenciais em saúde bucal. Esta avaliação tomou como referência três dimensões: o acesso, a organização do trabalho e as estratégias de programação. Foram sorteados 19 municípios no estado. Os instrumentos de coleta foram a entrevista estruturada aplicada a gestores e dentistas, a observação estruturada e a pesquisa documental. Foi possível identificar precariedade nas relações de trabalho e dificuldades no referenciamento para média e alta complexidade, na intersetorialidade, no diagnóstico epidemiológico e na avaliação das ações. A maioria dos municípios apresentou pouco ou nenhum avanço no modelo assistencial em saúde bucal. Os municípios que demonstraram avanços apresentaram alta expectativa de vida ao nascer, baixas taxas de mortalidade infantil, valores per capita entre os mais altos do Estado e altos valores de IDH-M. Concluiu-se que políticas públicas que contemplam aspectos além dos pertinentes ao setor saúde são decisivas para uma real mudança nos modelos assistenciais.The purpose of this study was to evaluate the addition of oral health teams to the Family Health Program in the State of Rio Grande do Norte, Brazil, by analyzing factors that can affect the process of changing oral health care models. The evaluation involved three dimensions: access, work organization, and planning strategies. 19 counties (municipalities were randomly selected. The data collection instruments were: structured interviews with health managers and dentists, structured observation, and documental research. The study identified a lack of formal employment contracts for dentists, difficulty in referring patients for high-complexity procedures, and problems with the development of inter-sector activities

  17. From Alma-Ata to the Global Fund: the history of international health policy De Alma-Ata ao Fundo Global: a história da política internacional de saúde

    Directory of Open Access Journals (Sweden)

    Gavino Maciocco

    2007-12-01

    Full Text Available 'Verticalization' of health care delivery, in one form or another, is the common theme pervading the history of international health policy over the last sixty years. It is often accompanied by radical policies of privatization of health services, everywhere resulting in people being forced to pay for all services. The failure of the vertical approach, of which the global public-private partnership initiatives are a modernized version, has been well recognized and its reasons are clear: actions on the distal determinants of disease (income, education, housing, the environment and infrastructure, etc are overlooked; distribution of services dedicated to specific diseases and interventions (such as AIDS, malaria, tuberculosis, etc. are artificially and temporarily reinforced, creating absurd and harmful forms of competition between services and making even more precarious and inefficient the work of already fragile basic health systems. This article describes the role played in this disturbing historical development by the prevailing economic ideology and its operational arm, the World Bank, with the view to reclaim international policy making processes and actors that really respond to people's health needs.A "verticalização" da assistência à saúde, de uma forma ou de outra, é o tema comum que permeia a história política internacional de saúde ao longo desses últimos sessenta nos, muitas vezes acompanhada com políticas radicais de privatização dos serviços de saúde, resultando, em todos os lugares, na obrigatoriedade de pagamento pelo povo, de todos os serviços. A falência da abordagem vertical, cujas iniciativas de parcerias globais público-privadas constituem sua versão moderna, tem sido reconhecida, tendo sido claras as suas razões: negligenciamento das ações sobre os determinantes distais das doenças (renda, educação, moradia, o ambiente e a infra-estrutura, etc.; a distribuição de serviços dirigidos para doen

  18. Prevalência da retinopatia diabética em unidade do Programa de Saúde da Família Prevalence of the diabetic retinopathy in a Family's Health Program unity

    Directory of Open Access Journals (Sweden)

    Murielem Fernandes Guedes

    2009-04-01

    Full Text Available OBJETIVO: Determinar a prevalência da retinopatia diabética na população cadastrada no Programa de Saúde da Família (PSF - Parque Prazeres, em Campos dos Goytacazes, RJ, e o nível de conhecimento desta doença pelos pacientes diabéticos. MÉTODOS: Estudo descritivo de série de casos onde foram convidados a participar do trabalho de pesquisa todos os 72 pacientes diabéticos cadastrados através da ficha A (ficha de cadastro das famílias do PSF estudado. Para a realização do estudo aceitaram participar 46 (64% dos 72 pacientes. Os pacientes foram submetidos ao exame de acuidade visual, sendo posteriormente aplicado um questionário para a avaliação do nível de conhecimento das alterações visuais causadas pelo diabetes, em seguida foi realizado o exame de fundoscopia direta. O estudo estatístico foi feito com auxílio do programa Microsoft Excel e Bioestat 5.0 RESULTADOS: A prevalência da retinopatia diabética foi de 19,5% ( IC 95% entre 8,1 e 31%; 13% possuíam retinopatia diabética não proliferativa e 6,5% retinopatia diabética proliferativa. De acordo com critério da Organização Mundial de Saúde: 8,5% foram considerados cegos e 8,9% com baixa visão no momento do exame ocular. Setenta e dois por cento dos pacientes afirmaram ter conhecimento que o diabetes poderia causar alterações visuais, mas 80% não sabiam dos exames necessários para diagnóstico e 65% nunca foram anteriormente submetidos ao exame de fundoscopia. CONCLUSÃO: Programas de prevenção à cegueira pela retinopatia diabética no PSF são justificados, considerando que a prevalência desta doença nas comunidades carentes assistidas pode estar em níveis elevados, como a observada neste estudo. A melhora do conhecimento dos pacientes sobre o risco de perda de visão e exames oftalmológicos periódicos poderá contribuir para um melhor controle da retinopatia diabética.OBJECTIVE: Determine the diabetic retinopathy prevalence in a Family's Health

  19. O impacto dos efeitos da ocupação sobre a saúde de trabalhadores: II - Mortalidade The impact of occupation on worker's health: II - Mortality

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    René Mendes

    1988-10-01

    Full Text Available Foi realizada revisão bibliográfica analítica com o objetivo de quantificar o impacto dos efeitos da ocupação sobre a mortalidade de trabalhadores em suas implicações sobre o setor saúde. As repercussões sobre a mortalidade de trabalhadores são medidas através das mortes diretamente relacionadas com o trabalho (acidentes do trabalho fatais e intoxicações fatais e das indiretamente relacionadas. Partindo das grandes causas de morte entre adultos - doenças cardiovasculares, câncer e mortes violentas - e explorando as informações obtidas em estudos epidemiológicos realizados em outros países, estimou-se a força da contribuição da ocupação sobre a mortalidade. O peso e a complexidade das repercussões sobre o setor saúde pressupõem um desempenho mais ativo na definição de políticas e responsabilidades, e na organização de ações destinadas a identificar, reduzir ou eliminar a participação dos riscos ocupacionais nas grandes causas de doença e morte.An attempt to estimate the impact of occupation on worker's health was made as part of the rationale for the progressive integration of Occupational Health into the Health Sector. In this second study, based on a critical review of the literature, the repercussions on mortality are discussed on this basis analysis of the Brazilian data on deaths directly related to occupation (fatal occupational accidents and acute poisonings, as well as on those indirectly so related. The analysis of the major causes of adult deaths - cardiovascular diseases, cancer and violent deaths - compared with the proportion of "work-relatedness" according to several epidemiologic studies carried out in developed countries, make possible an estimation of the influence of the contribution of occupation on mortality. The size of this contribution is the main argument for an active involvement of the health sector in Occupational Health issues, because of the heavy toll in terms of adult morbidity

  20. Nurse health and lifestyle modification versus standard care in 40 to 70 year old regional adults: study protocol of the Management to Optimise Diabetes and mEtabolic syndrome Risk reduction via Nurse-led intervention (MODERN) randomized controlled trial.

    Science.gov (United States)

    Carrington, Melinda J; Zimmet, Paul

    2017-12-06

    Metabolic syndrome (MetS), the clustering of multiple leading risk factors, predisposes individuals to increased risk for developing type 2 diabetes and/or cardiovascular disease (CVD). Cardio-metabolic disease risk increases with greater remoteness where specialist services are scarce. Nurse-led interventions are effective for the management of chronic disease. The aim of this clinical trial is to determine whether a nurse-implemented health and lifestyle modification program is more beneficial than standard care to reduce cardio-metabolic abnormalities and future risk of CVD and diabetes in individuals with MetS. MODERN is a multi-centre, open, parallel group randomized controlled trial in regional Victoria, Australia. Participants were self-selected and individuals aged 40 to 70 years with MetS who had no evidence of CVD or other chronic disease were recruited. Those attending a screening visit with any 3 or more risk factors of central obesity, dyslipidemia (high triglycerides or low high density lipoprotein cholesterol) elevated blood pressure and dysglycemia were randomized to either nurse-led health and lifestyle modification (intervention) or standard care (control). The intervention included risk factor management, health education, care planning and scheduled follow-up commensurate with level of risk. The primary cardio-metabolic end-point was achievement of risk factor thresholds to eliminate MetS or minimal clinically meaningful changes for at least 3 risk factors that characterise MetS over 2 year follow-up. Pre-specified secondary endpoints to evaluate between group variations in cardio-metabolic risk, general health and lifestyle behaviours and new onset CVD and type 2 diabetes will be evaluated. Key outcomes will be measured at baseline, 12 and 24 months via questionnaires, physical examinations, pathology and other diagnostic tests. Health economic analyses will be undertaken to establish the cost-effectiveness of the intervention. The MODERN

  1. Coverage of the Brazilian population 18 years and older by private health plans: an analysis of data from the World Health Survey Cobertura da população brasileira com 18 anos ou mais por plano de saúde privado: uma análise dos dados da Pesquisa Mundial de Saúde

    Directory of Open Access Journals (Sweden)

    Francisco Viacava

    2005-01-01

    Full Text Available This study analyzes data from the World Health Survey (WHS conducted in 2003, with a sample of 5,000 individuals 18 years and older. Some 24.0% of the interviewees had private health insurance, and the main variables associated with private coverage were number of household assets, age, level of education, formal employment, living in municipalities with more than 50,000 inhabitants, and good self-rated health. The socioeconomic profiles of needs for and use of health services in the population covered by private health plans are different, confirming the findings of other studies reporting that this population segment as a whole presents better health conditions and greater use of services as compared to the population without private coverage, even after adjusting for socio-demographic variables and self-rated health. The WHS data also suggest that individuals with private health plans do not always use their insurance to pay for services, except in the case of mammograms.Esse estudo analisa os dados da Pesquisa Mundial de Saúde (PMS, realizada em 2003, em uma amostra de 5 mil indivíduos com 18 anos ou mais. Cerca de 24,0% dos indivíduos entrevistados têm seguro privado de saúde, sendo que os fatores associados à posse do plano são o número de bens, idade, escolaridade, ter emprego formal, residir em municípios com menos de 50 mil habitantes e referir boa auto-avaliação do estado de saúde. Os perfis sócio-demográficos de necessidades e uso de serviços de saúde da população coberta por plano de saúde são distintos, confirmando os achados de outros trabalhos que referem que esse segmento populacional como um todo apresenta melhores condições de saúde e um maior uso de serviços em relação à população não coberta por seguro de saúde, mesmo após o controle por variáveis sócio-demográficas e a auto-avaliação do estado de saúde. Os dados da PMS também sugerem que pessoas cobertas por plano de saúde nem sempre

  2. Paism: um marco na abordagem da saúde reprodutiva no Brasil The Program for Integrated Women's Health Care (PAISM: a landmark in the approach to reproductive health in Brazil

    Directory of Open Access Journals (Sweden)

    Maria José Martins Duarte Osis

    1998-01-01

    Full Text Available O Programa de Assistência Integral à Saúde Mulher (PAISM foi lançado pelo Ministério da Saúde em 1983, sendo anunciado como uma nova e diferenciada abordagem da saúde da mulher. Paradoxalmente, o PAISM constitui-se também na primeira vez em que o Estado brasileiro propôs explicitamente, e implantou, embora de modo parcial, um programa que contemplava a regulação da fecundidade. Isso suscitou suspeitas acerca de possíveis intenções ocultas de controle da natalidade. Porém, analisando brevemente a história desse Programa e seu significado social, conclui-se que o PAISM foi pioneiro, inclusive no cenário mundial, ao propor o atendimento à saúde reprodutiva das mulheres, no âmbito da atenção integral à saúde, e não mais a utilização de ações isoladas em planejamento familiar. Por isso mesmo, os movimentos de mulheres, de imediato, passaram a lutar por sua implementação. Seu conteúdo inclui plenamente a definição de saúde reprodutiva adotada pela Organização Mundial da Saúde em 1988, ampliada e consolidada no Cairo em 1994 e em Beijing em 1995. Conseqüentemente, a adoção do PAISM representou, sem dúvida, um passo significativo em direção ao reconhecimento dos direitos reprodutivos das mulheres, mesmo antes que essa expressão ganhasse os diversos foros internacionais de luta.The Program for Integrated Women's Health Care (PAISM was launched by the Brazilian Ministry of Health in 1983 as a new and different approach to women's health. Paradoxically, the PAISM also became the first case in which the Brazilian state explicitly proposed and implemented (albeit partially a program regulating fertility. This raised suspicions as to disguised promotion of birth control. However, a brief analysis of the history of this program and its social significance suggests that the PAISM was a pioneering undertaking (even within the international scenario in proposing integrated women's health care as opposed to isolated

  3. Análise da atenção básica em cinco municípios da amazônia ocidental, com ênfase no Programa Saúde da Família Analysis of primary care in five municipalities of western amazonia, with emphasis on Family Health Program

    Directory of Open Access Journals (Sweden)

    Janete Maria Rebelo Vieira

    2010-12-01

    Full Text Available O objetivo deste artigo é analisar o processo de gestão da atenção básica, aí incluído o Programa de Saúde da Família (PSF, em cinco municípios da Amazônia Ocidental. A descentralização, entendida como meio de aprimoramento da gestão local, também foi investigada. Trata-se de um estudo qualitativo, que explorou o plano político-institucional dos sistemas de saúde dos municípios, através das dimensões projeto de governo, capacidade de governo e governabilidade. A coleta de dados foi realizada por meio de técnicas combinadas: análise da documentação oficial dos sistemas municipais de saúde; realização de entrevistas semiestruturadas junto aos gestores municipais de saúde e gerentes intermediários da atenção básica, do PSF e da direção de unidades de saúde (PSF e não PSF para subsidiar estudo sobre o modelo de gestão e atenção à saúde, e consulta aos sistemas nacionais e municipais de informação. Os resultados mostraram baixa capacidade gestora, dificuldade em definir prioridades para a saúde, inexistência ou incipiência de ações intersetoriais, limitação na autonomia financeira e uma base de apoio político precária; limitada formação técnica dos gestores e de suas equipes, com carência de aperfeiçoamento profissional; quadro técnico dos profissionais da rede de serviços insuficiente em número e em qualificação para efetuar uma gerência qualificada de serviços de atenção primária à saúde.The objective of this paper was to analyze the primary healthcare management process, including the Programa Saúde da Família (PSF - Family Health Program, in five municipalities located in the western part of the Amazon region. Decentralization, understood as a means of improving the local management, was also investigated. This was a qualitative study that explored the political-institutional level of the municipalities' healthcare systems through the dimensions of government project

  4. Requirements of modernization strategies

    International Nuclear Information System (INIS)

    Heinbuch, R.

    1997-01-01

    Instrumentation and control contributed a major share to the current level of safety, economic efficiency, and availability of the German nuclear power plants. German NPPs occupy a top position in this respect at international level, but novel instrumentation and digital control technology alone will not guarantee further enhancements. Therefore, the owner/operators established carefully devised maintenance and modernization strategies in order to safeguard their NPPs top position in the long run. The German NPPs are the most thoroughly automated plants of the world. In addition to the sweeping modernization strategies recommended by the plant manufacturers, based on computer-supported control, alternative modernization strategies have been considered in the evaluation process. This approach provides for room for maneuvre, for manufacturers as well as managers responsible for risk and cost optimization, which is a major task in view of the changing regulatory framework in the electricity market. (orig./CB) [de

  5. Liminality and the Modern

    DEFF Research Database (Denmark)

    Thomassen, Bjørn

    of the liquid structures of modern society. Shedding new light on a concept central to social thought, as well as its capacity for pushing social and political theory in new directions, this book will be of interest to scholars across the social sciences and philosophy working in fields such as social......-for-granted order of the world ceases to exist and novel forms emerge, often in unpredictable ways. Liminality and the Modern offers a comprehensive introduction to this concept, discussing its development and laying out a conceptual and experiential framework for thinking about change in terms of liminality...

  6. Introduction to modern physics

    International Nuclear Information System (INIS)

    Pfeffer, J.; Nir, S.

    1993-01-01

    The modern physics and its uses changed our world of concepts and ways of life. This book explains the basics of modern physics in a simple and extensive form. The main subjects included in the book are: The relativistic theory, quantum theory, the structure of the atom, the interaction of radiation with matter and nuclear physics. The book elaborates on some advanced subjects: The laser, Moessbauer effect, Nuclear magnetic Resonance and solids electric conductivity. The book is for natural sciences students, whose main subject is not physics. The book can be used also in high schools. (authors)

  7. Modern electronic maintenance principles

    CERN Document Server

    Garland, DJ

    2013-01-01

    Modern Electronic Maintenance Principles reviews the principles of maintaining modern, complex electronic equipment, with emphasis on preventive and corrective maintenance. Unfamiliar subjects such as the half-split method of fault location, functional diagrams, and fault finding guides are explained. This book consists of 12 chapters and begins by stressing the need for maintenance principles and discussing the problem of complexity as well as the requirements for a maintenance technician. The next chapter deals with the connection between reliability and maintenance and defines the terms fai

  8. Det sentimentalt moderne

    DEFF Research Database (Denmark)

    Thule Kristensen, Peter

    2005-01-01

    Romantikken er blevet afskrevet som en mørk epoke, hvor en hang til mystik og tvetydighed ikke passer til det moderne oplysningsprojekts mål om klarhed og orden. Afhendlingen viser imidlertid, hvordan dele af arkitekturen i det 20. århundrede er fyldt med romantisk tankegods, og hvordan romantisk...... nøglemotiver som f.eks. fragment, arabesk, krystal, symbol eller poesi kan bruges i en analyse - også af moderne arkitektur. det ses i bogens nyfortolkninger af værker og teorier hos arkitekterne Erik Gunnar Asplund, Josef Frank, Rudolf Schwarz, Aldo Rossi og Daniel Libeskind...

  9. Modern recording techniques

    CERN Document Server

    Huber, David Miles

    2013-01-01

    As the most popular and authoritative guide to recording Modern Recording Techniques provides everything you need to master the tools and day to day practice of music recording and production. From room acoustics and running a session to mic placement and designing a studio Modern Recording Techniques will give you a really good grounding in the theory and industry practice. Expanded to include the latest digital audio technology the 7th edition now includes sections on podcasting, new surround sound formats and HD and audio.If you are just starting out or looking for a step up

  10. BARCELONA: URBANSCAPES OF MODERNITY

    Directory of Open Access Journals (Sweden)

    Antoni Remesar

    2015-04-01

    The Do.Co.Mo.Mo’s. database, referring to Barcelona, lists 34 buildings that could be classified as rationalists and / or modern. According to other sources, we could reach fifty constructed buildings between the late 1920s and the end of the war in Spain. The article presents the results of a field work that, using different sources, has tried to to order and record the architectural production that can be considered modern / rationalist in Barcelona in the 1920s and 1930s

  11. Modern physics for engineers

    CERN Document Server

    Singh, Jasprit

    1999-01-01

    Linking physics fundamentals to modern technology-a highly applied primer for students and engineersReminding us that modern inventions-new materials, information technologies, medical technological breakthroughs-are based on well-established fundamental principles of physics, Jasprit Singh integrates important topics from quantum mechanics, statistical thermodynamics, and materials science, as well as the special theory of relativity. He then goes a step farther and applies these fundamentals to the workings of electronic devices-an essential leap for anyone interested in developing n

  12. Integração entre vigilância sanitária e assistência à saúde da mulher: um estudo sobre a integralidade no SUS Integration of health surveillance and women's health care: a study on comprehensiveness in the Unified National Health System

    Directory of Open Access Journals (Sweden)

    Christiane Maia

    2010-04-01

    Full Text Available A integralidade é um princípio do SUS, com várias perspectivas, entre as quais a da articulação de seus serviços. O debate sobre esse princípio está presente na assistência à saúde, com destaque para a área de Saúde da Mulher, e nas diretrizes da Vigilância Sanitária. Como as duas áreas buscam a qualidade dos serviços de saúde, o objetivo é analisar a integração entre Vigilância Sanitária e assistência à saúde da mulher. Trata-se de estudo de caso, qualitativo, com entrevistas de profissionais de Vigilância Sanitária de serviços de saúde e coordenadores de Saúde da Mulher (CSM. Os achados apontam para isolamento da Vigilância Sanitária nas secretarias de saúde. A importância da integração é citada por CSM, porém não é fácil de ser aplicada. As relações, se ocorrem, são por situações emergenciais. Os trabalhadores de Vigilância Sanitária acham que não há articulação por não haver problemas na Saúde da Mulher que demandem sua participação e que, com inspeções e palestras, estão colaborando com a área. Mostram-se dificuldades à concretização da integralidade, com o desafio de articular ações em saúde, sobretudo para a Vigilância Sanitária.Comprehensiveness is a key principle in Brazil's Unified National Health System (SUS, approached from various perspectives, including linkage between services. The debate on this principle appears in health care, especially in the area of Women's Health, and in Health Surveillance guidelines. Since both areas target quality of health services, the aim of this study is to analyze the integration between Health Surveillance and Women's Health Care. This is a qualitative case study that interviewed Health Surveillance staff in health services and coordinators of Women's Health services. The findings point to the isolation of Health Surveillance within the health secretariats. The importance of integrating the two areas is cited by Women's Health

  13. Implantação da estratégia DOTS no controle da Tuberculose na Paraíba: entre o compromisso político e o envolvimento das equipes do programa saúde da família (1999-2004 Implementation of the DOTS strategy in the control of TB in Paraiba: between the political commitment and the involvement of the teams of the family health program (1999-2004

    Directory of Open Access Journals (Sweden)

    Lenilde Duarte de Sá

    2011-09-01

    Full Text Available Foi analisada a implantação da estratégia Tratamento Diretamente Observado de Curta Duração (DOTS no controle da tuberculose, sob a ótica dos coordenadores do Programa de Controle da Tuberculose (PCT, nos seis municípios prioritários da Paraíba. Foram realizadas entrevistas semiestruturadas com sete coordenadores de PCT. Fortalezas do DOTS: cinco municípios alcançaram a taxa de cura de 90%. Entre as debilidades identificou-se, na dimensão política, a descontinuidade do cargo de coordenador de PCT, o despreparo da equipe local, a precariedade da estrutura técnico-administrativa e a insuficiência da rede laboratorial; na dimensão operacional ainda é baixa a incorporação da busca de sintomáticos respiratórios pelas Equipes de Saúde da Família. Ocorreram mudanças de cunho epidemiológico, operacional e político. a implantação e garantia da sustentabilidade do DOTS no Estado dependem do modo da organização dos serviços de saúde e o compromisso político do gestor no apoio a estratégia.The scope of this paper is to analyze the implementation of the Directly Observed Treatment Short-Course (DOTS strategy in the control of tuberculosis, from the standpoint of the coordinators of the Tuberculosis Control Program (TCP in six priority municipalities in the state of Paraíba, Brazil. Semi-structured interviews were conducted with seven TCP coordinators. Five municipalities proved to be DOTS success points achieving a 90% cure rate. Among the DOTS weak points in the political dimension, the following aspects were identified: lack of continuity of the TCP coordinator position; lack of preparedness of the local team; precarious technical-administration structure and insufficiency of the laboratory network. In the operational dimension, the search for respiratory symptoms by the Family Health Teams is still low. Changes of an epidemiological, operational and political nature have been incorporated, though the implementation and

  14. Rastreamento da depressão pós-parto em mulheres atendidas pelo Programa de Saúde da Família Post-partum depression screening among women attended by the Family Health Program

    Directory of Open Access Journals (Sweden)

    Eliane Bezerra da Silva Cruz

    2005-04-01

    Full Text Available OBJETIVOS: estimar a prevalência de depressão puerperal (DP sua associação com transtorno mental comum (TMC nas mulheres atendidas por duas unidades do Programa de Saúde da Família (PSF da cidade de São Paulo e identificar os fatores de risco associados à DP. MÉTODOS: estudo de corte transversal com 70 puérperas atendidas nas Unidades do PSF, Fazenda da Juta II e Jardim Sinhá, entre outubro de 2003 e fevereiro de 2004. Como instrumentos utilizaram-se: questionário com informações sociodemográficas econômicas e dados obstétricos e perinatais; Self-Report Questionnaire 20 (SRQ-20, para rastreamento de TMC e a Edinburgh Post-Natal Depression Scale (EPDS, para avaliação de DP. Para testar as associações entre variáveis explicativas (fatores de risco e a presença de DP foram utilizados os testes t de Student, chi2 e chi2 de tendência linear, quando indicados. Para avaliar a concordância entre a EPDS e o SRQ foi utilizado o coeficiente de concordância kappa (kapa. RESULTADOS: a prevalência de TMC e de DP foi de 37,1%. As escalas apresentaram boa concordância (kapa = 0,75. As variáveis explicativas idade materna, cor, escolaridade, ocupação e estado civil, além de idade, ocupação e instrução do companheiro, renda familiar, número de gestações, paridade, abortamentos, filhos vivos, partos prematuros, idade gestacional, tipo do parto, planejamento da gestação, Apgar de 1º e 5º minuto, sexo e peso do recém-nascido e aleitamento materno não apresentaram significância estatística. Quanto maior a percepção de suporte social do marido, menor a prevalência de DP (p=0,03. CONCLUSÃO: devido à alta prevalência e impacto negativo sobre a mãe e seu filho, é valioso sensibilizar o profissional de saúde para a importância da DP.PURPOSE: to estimate the prevalence of Family Health Program postpartum depression (PPD and its association with minor mental disorders (MMD among women attended in two (FHP PSF units

  15. Produção de alimentos da agricultura familiar para a alimentação escolar: desafios da regulação sanitária / Family farm food production for school meals: Health Regulation challenges

    Directory of Open Access Journals (Sweden)

    Maria Raquel Hidalgo Campos

    2014-11-01

    Full Text Available Este estudo de caráter descritivo configura uma das respostas de projeto de pesquisa e extensão de parceria entre docentes e acadêmicos de uma instituição de ensino superior e um grupo de agricultoras familiares, proprietárias de uma pequena agroindústria no estado de Goiás. O objetivo foi implementar boas práticas de fabricação de alimentos com vistas à adequação sanitária de produtos destinados à comercialização para o Programa Nacional de Alimentação Escolar. Realizou-se o diagnóstico in loco do processo de trabalho desenvolvido pelas agricultoras e propôs-se um programa de formação em Boas Práticas Agrícolas e Boas Práticas de Fabricação. A formação ocorreu em treze encontros presenciais, totalizando 100 horas com diferentes abordagens metodológicas. Realizou-se também pesquisa da vida de prateleira e elaboração da rotulagem nutricional dos produtos fabricados. As análises microbiológicas realizadas obedeceram aos padrões microbiológicos da Agência Nacional de Vigilância Sanitária. Observou-se grande interesse das agricultoras nas atividades fundamentadas na construção coletiva. Definiu-se o prazo de validade dos dezesseis produtos analisados e sua respectiva rotulagem. A atividade alcançou os objetivos propostos, como contribuição técnica e formação em boas práticas a um grupo com potencial em atender às exigências sanitárias quanto à comercialização de alimentos oriundos da agricultura familiar para a alimentação escolar. ------------------------------------------------------------------------------------------ This descriptive study is one of the outcomes of a research and extension project that involved a partnership between teachers and students at a higher education institution and a group of family farmers, owners of a small agribusiness in the state of Goiás. The objective was to implement best practices for production of appropriately healthy food products marketed to the

  16. Análise da associação entre saneamento e saúde nos países da América Latina e do Caribe, empregando dados secundários do banco de dados da Organização Pan-Americana de Saúde - OPAS An analysis of the relationship between health and sanitation in Latin America and the Caribbean, using secondary data from PAHO - The Pan American Health Association

    Directory of Open Access Journals (Sweden)

    Júlio César Teixeira

    2005-12-01

    Full Text Available O presente estudo teve como objetivo avaliar a associação entre condições de saneamento - cobertura populacional por sistemas de abastecimento de água e por sistemas de esgotamento sanitário - e indicadores epidemiológicos - taxa de mortalidade infantil, mortalidade em menores de cinco anos de idade e mortalidade por enfermidades diarréicas agudas em menores de cinco anos de idade - nos países da América Latina e do Caribe, utilizando dados secundários da Organização Pan-Americana de Saúde - OPAS. O universo da pesquisa foi composto por 44 países integrantes da América Latina e do Caribe, com população total estimada de 561,3 milhões de habitantes, para o ano de 2005. O método epidemiológico empregado foi um delineamento ecológico. Pode-se afirmar que a universalização dos serviços de saneamento, a implantação de infra-estrutura urbana, o combate à desnutrição infantil e a ampliação da prevalência de aleitamento materno exclusivo até 120 dias de idade são medidas que contribuirão para a melhoria da saúde infantil na região.This study aimed to assess the relationship between sanitation conditions - population covered by water supply and sewerage services - and epidemiological indicators - infant mortality, mortality in children below 5, and mortality from acute diarrhoeal diseases in children below 5 - in Latin American and Caribbean countries, using secondary data from PAHO - the Pan American Health Organization. The research included 44 countries of Latin America and the Caribbean, with an estimated population of 561.3 million inhabitants in year 2005. The epidemiological method used was ecological delineation. It is possible to state that the universalization of sanitation services, implementation of urban infrastructure, fight against infant malnutrition, and increase in the prevalence of exclusive breastfeeding up to 120 days of life are actions that will contribute towards the improvement of infant

  17. A reforma do sistema de saúde no Brasil e o Programa de Saúde da Família The reorganization of the brazilian health system, and the Family Health Program

    Directory of Open Access Journals (Sweden)

    Ana Luiza D'ávila Viana

    2005-01-01

    Full Text Available O texto examina as etapas de formulação e implementação do Programa de Saúde da Família, indicando as estratégias esboçadas e analisando os resultados, com vistas a extrair lições para o aperfeiçoamento da política de saúde no Brasil. Foram identificados três modelos de implantação do programa: Modelo Regional, Modelo Singular e Modelo Principiante. O primeiro se caracteriza pelo desenvolvimento regional do programa, sendo fortemente influenciado por uma política estadual de apoio à mudança nas práticas assistenciais; o segundo desenvolve uma experiência singular, sem envolvimento de outras esferas de governo; e o terceiro se desenvolve de forma incipiente e incerta.The text examines the genesis of the Family Health Program, identifying the formulation and implementation strategies and progress indicators aiming at learning the lessons that may help improve Brazilian health policies. Three models of program implementation were identified: a Regional Model, a Singular Model and a Beginner's Model. The first is characterized by the regional development of the program, and is strongly influenced by a state policy of support for change in the health care practice; the second developed a singular experience, without involvement of any other government authority; and the third model is developed in an incipient and uncertain way.

  18. Saúde perinatal: metodologia e características da população estudada Perinatal health: methodology and some characteristics of the population studied

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    Heloisa Bettiol

    1998-02-01

    Full Text Available OBJETIVO: Descrever os procedimentos metodológicos e algumas características demógrafo-sociais e da atenção médica da população estudada em um projeto de pesquisa em saúde perinatal realizado no Município de Ribeirão Preto, SP, Brasil, em 1994, visando a realizar comparações históricas com indicadores de saúde materno-infantil. MATERIAL E MÉTODO: Entre junho de 1978 e maio de 1979 foram estudados todos os nascimentos hospitalares de Ribeirão Preto através de entrevistas com as mães, onde eram obtidos dados sobre hábitos maternos e paternos, situação social da família, atenção médica à gestação e parto, duração da gestação e dados antropométricos e de mortalidade dos recém-nascidos. Em 1994 foi realizado novo estudo com metodologia semelhante, sendo coletados dados de uma amostra de 1/3 dos nascimentos ocorridos no município naquele ano (todos os nascimentos hospitalares observados num período de 4 meses, e também a mortalidade desse grupo até um ano após o encerramento da coleta de dados do nascimento. As entrevistas eram realizadas após o parto, e o peso e comprimento da criança eram aferidos logo após o nascimento. A mortalidade infantil foi avaliada através do levantamento de todos os óbitos de crianças nascidas durante o período do projeto até um ano após seu encerramento. RESULTADOS: Foram analisados 3.663 nascimentos, dos quais 3.579 eram nascimentos únicos; destes, 2.846 eram procedentes do município estudado. Quando comparados com os dados do estudo anterior, verifica-se que houve aumento da freqüência de alguns indicadores como mães adolescentes, prematuridade, baixo peso ao nascer e parto cesáreo; por outro lado, houve diminuição da metade da mortalidade infantil e seus componentes.OBJECTIVE: To describe the methodological procedures and some sociodemographic and medical care characteristics of the population studied in a research project on perinatal health developed in the

  19. Modern Fortran in practice

    NARCIS (Netherlands)

    Markus, A.

    2012-01-01

    From its earliest days, the Fortran programming language has been designed with computing efficiency in mind. The latest standard, Fortran 2008, incorporates a host of modern features, including object-orientation, array operations, user-defined types, and provisions for parallel computing. This

  20. Modern Versus Traditional Mathematics

    Science.gov (United States)

    Roberts, A. M.

    1974-01-01

    The effect of different secondary school mathematics syllabi on first-year performance in college-level mathematics was studied in an attempt to evaluate the syllabus change. Students with a modern mathematics background performed sigficantly better on most first-year units. A topic-by-topic analysis of results is included. (DT)

  1. Late-modern hipsters

    DEFF Research Database (Denmark)

    Andersen, Bjørn Schiermer

    2014-01-01

    The article deals with the cultural significance of a new figure in late-modern Western culture: the hipster. The current hipster culture, so I argue, can be used as a magnifying glass that makes impending changes to our conception of culture and of cultural development visible. It ushers...

  2. Dimensions of Modern Federalism.

    Science.gov (United States)

    Williams, Robert F.; And Others

    1995-01-01

    Encapsulates a series of brief essays exploring different aspects of modern federalism. Issues include further protection of individual rights extended through state constitutions and federalism and the world economy. Authors include Robert F. Williams, Earl H. Fry, and Daniel J. Elazar. (MJP)

  3. Landau and modern physics

    International Nuclear Information System (INIS)

    Pokrovsky, Valery L

    2009-01-01

    This article describes the history of the creation and further development of Landau's famous works on phase transitions, diamagnetism of electron gas (Landau levels), and quantum transitions at a level crossing (the Landau-Zener phenomenon), and its role in modern physics. (methodological notes)

  4. Meta Modernism: An Introduction

    Science.gov (United States)

    Snell, Joel

    2016-01-01

    The author introduces Hegel. From the triad (Hegelian Dialect), he briefly gives an overview of the history of philosophy. In true Hegelian form, it is now time to reform "Postmodernism" and replace it with "Meta modernism." Postmodern had a short life from 1950 to now and has left few adherents. It is confusing and…

  5. Modern vs. Traditional.

    Science.gov (United States)

    Zhenhui, Rao

    1999-01-01

    This article discusses traditional methods, such as the grammar-translation, and modern methods, the communicative approach, for teaching English-as-a-foreign-language in China. The relationship between linguistic accuracy and communicative competence, student-centered orientation, and the role of the teacher are highlighted. (Author/VWL)

  6. Den moderne bevidstheds katedral

    DEFF Research Database (Denmark)

    Ostenfeld Pedersen, Simon

    2002-01-01

    Interview med idéhistorikeren Dorthe Jørgensen der under overskriften ”Den moderne bevidstheds katedral” blotlægger hendes mangeårige arbejde med Hegel, og hvor hun giver en række relevante bud på en aktualiserende Hegel-læsning centreret omkring felter som metafysik, historiefilosofi og æstetik....

  7. Euripides in Modern Europe

    NARCIS (Netherlands)

    den Boer, P.

    2010-01-01

    Euripides is considered the most human, modern and existentialist of the famous Greek tragedians. Extremely popular after his death, he continued to be staged, read and much recited in Hellenistic and Roman times. As the Greek-speaking elite of the Roman Empire disappeared, the popularity of the

  8. A Modern Periodic Table.

    Science.gov (United States)

    Herrenden-Harker, B. D.

    1997-01-01

    Presents a modern Periodic Table based on the electron distribution in the outermost shell and the order of filling of the sublevels within the shells. Enables a student to read off directly the electronic configuration of the element and the order in which filling occurs. (JRH)

  9. Modern Reduction Methods

    CERN Document Server

    Andersson, Pher G

    2008-01-01

    With its comprehensive overview of modern reduction methods, this book features high quality contributions allowing readers to find reliable solutions quickly and easily. The monograph treats the reduction of carbonyles, alkenes, imines and alkynes, as well as reductive aminations and cross and heck couplings, before finishing off with sections on kinetic resolutions and hydrogenolysis. An indispensable lab companion for every chemist.

  10. Modern programming language

    Science.gov (United States)

    Feldman, G. H.; Johnson, J. A.

    1980-01-01

    Structural-programming language is especially-tailored for producing assembly language programs for MODCOMP II and IV mini-computes. Modern programming language consists of set of simple and powerful control structures that include sequencing alternative selection, looping, sub-module linking, comment insertion, statement continuation, and compilation termination capabilities.

  11. A inserção da saúde bucal no Programa Saúde da Família: da universidade aos pólos de capacitação Oral health in the Brazilian Family Health Program: from the university to training centers

    Directory of Open Access Journals (Sweden)

    Patrícia Elizabeth de Souza Matos

    2004-12-01

    Full Text Available O objetivo deste trabalho foi verificar a concepção de formadores e estudantes de Odontologia sobre a atuação do cirurgião-dentista no Programa Saúde da Família (PSF e oferecer contribuições para sua qualificação em Pólos de Educação Continuada. Fez-se uso do método de pesquisa qualitativa com construção do Discurso do Sujeito Coletivo, com base em entrevistas gravadas. A pesquisa abrangeu três instituições de ensino superior de Odontologia, localizadas nos municípios de Lins e Bauru, São Paulo, Brasil, sendo formados dois grupos focais: grupo 1 - Formadores e grupo 2 - Estudantes. Após a organização dos Discursos do Sujeito Coletivo por grupo focal, observou-se que tanto Formadores como Estudantes apresentam conceitos em construção sobre a atuação do cirurgião-dentista na saúde coletiva. Isso implica a necessidade de maior envolvimento do ensino superior com os serviços públicos de saúde, de modo a complementar algumas lacunas na formação e na prática dos cirurgiões-dentistas no PSF.This study focuses on dentistry professors' and students' concepts concerning the dentist's role in the Family Health Program (FHP and proposes a contribution to training at the Centers for Continuing Education. A qualitative research method was use to construct a collective subject's discourse, based on taped interviews. The study covered three institutions of higher education in dentistry, located in the municipalities of Lins and Bauru, São Paulo State, Brazil, with two focus groups, consisting of faculty and students, respectively. After the organization of the collective subject's discourse by focus group, it was observed that both faculty and students display concepts-in-progress in relation to the dentist's role in public health. This suggests the need for greater involvement by higher education in public health services, in order to fill some gaps in training and practice by dentists in the FHP.

  12. Integrated management of childhood illness (IMCI: an innovative vision for child health care Atenção integrada às doenças prevalentes da infância (AIDPI: uma visão inovadora para os cuidados da saúde da criança

    Directory of Open Access Journals (Sweden)

    Yehuda Benguigui

    2001-12-01

    Full Text Available The Integrated Management of Childhood Illness (IMCI strategy developed by the World Health Organization (WHO, Panamerican Health Organization (PAHO and the United Nation Children's Fund (UNICEF, joint experiences of previous frequent diseases programs in children, with prevention and health promotion activities. In this new approach the family, the community and health workers have a leading role in health condition of the child. The strategy aims a reduction in Infant Mortality Rate, specially in those regions and countries in which it is high. Pneumonia, diarrhea, malnutrition and other preventable diseases are the main causes of deaths in this settings. Health workers can early recognized danger signs of severe diseases, as well as they can evaluate and treat the most frequent health problems. By enhancing prevention and health promotion activities, as better conditions of life, giving an holistic vision of the child and his family, and not only looking for the symptom that motivate the consultation.A estratégia de Atenção Integrada às Doenças Prevalentes da Infância (AIDPI, desenvolvida pela Organização Mundial da Saúde (OMS, Organização Panamericana da Saúde (OPAS e Fundo das Nações Unidas para à Infância (UNICEF, incorpora as experiências prévias de programas para tratar as principais doenças infantis, acrescentando aspectos preventivos e de promoção à saúde. Nesta nova visão, outorga papéis fundamentais à família, à comunidade e ao trabalhador de saúde que desenvolve o seu trabalho no primeiro nível de atenção. A estratégia visa principalmente diminuir as taxas de mortalidade infantil em países e regiões onde elas ainda são muito elevadas, com cifras acima de 40 por 1.000 nascidos vivos, situações em que as pneumonias, diarréias, desnutrição e outras doenças evitáveis são as principais causas de óbito. Pretende também mudar o perfil da demanda ambulatorial dando ênfase a atividades

  13. Conselhos de saúde e a participação social no Brasil: matizes da utopia Health councils and social participation in Brazil: shades of an utopia

    Directory of Open Access Journals (Sweden)

    Poliana Cardoso Martins

    2008-01-01

    Full Text Available Este artigo discute a construção social da participação da sociedade civil no Sistema Único de Saúde, tendo como reflexão inicial os avanços alcançados no plano legal, em contrapartida aos obstáculos observados no cotidiano da construção dos espaços de exercício da democracia; ou seja, a distância entre "o espírito e a letra da lei". Visa a analisar o processo de criação dos conselhos de saúde no Brasil, descrevendo sua importância para uma efetiva participação da sociedade civil na tomada de decisão na área da saúde, refletindo sobre os matizes desta utopia; destaca os desafios encontrados e as possibilidades apresentadas para concretização desta ação; ressalta a possibilidade da presença ativa dos sujeitos na construção do processo democrático no SUS e abre a discussão sobre a necessidade de empoderamento e libertação da população. Por fim, discorre sobre a exclusão e marginalização de um substantivo contingente da população, colocando em questão não apenas a construção da cidadania no país, mas o próprio conceito de cidadania.This article discusses the social construction of the participation of civil society in the Unified Health System, and initially reflects on the progress in the legal area, against the daily obstacles in the construction of spaces to practice democracy; in other words, the distance between "the spirit and the letter of the law". It focuses on the analysis of the process of creation of health councils in Brazil, describing its importance for an effective participation of the civil society in decision-making in the health area, thinking over the shades of this utopia; it points out the challenges and possibilities for an effective social participation; it emphasizes the possibility of the active presence of subjects in the construction of the democratic process in the SUS and starts the discussion on the need to empower and to release the population. Finally it discusses the

  14. Riscos químicos ambientais à saúde da criança Environmental chemical hazards and child health

    Directory of Open Access Journals (Sweden)

    Carlos Augusto Mello-da-Silva

    2005-11-01

    Full Text Available OBJETIVO: Rever, na literatura médica recente, as informações disponíveis sobre os riscos da exposição de crianças a agentes químicos no meio ambiente. FONTES DOS DADOS: Foi realizada uma busca de artigos publicados sobre o tema na base de dados bibliográficos MEDLINE entre os anos de 1999 e 2005 e também em livros, manuais e recomendações publicados nos últimos anos por instituições como a Academia Americana de Pediatria e a Organização Mundial da Saúde, abordando saúde ambiental com foco na criança. SÍNTESE DE DADOS: Nos últimos anos, observa-se uma preocupação crescente em todo o mundo com os riscos relacionados à exposição de crianças a agentes químicos presentes no meio ambiente. Em torno de 85.000 produtos químicos sintéticos são produzidos nos dias de hoje, dos quais 2.800 são considerados de alto volume de produção. Sabe-se ainda muito pouco a respeito de seus efeitos sobre organismos em desenvolvimento. Crianças, por conta de suas características fisiológicas (maior demanda de água e alimentos e hábitos (como engatinhar, levar objetos a boca, brincar próximo ao solo estão particularmente expostas à contaminação por agentes químicos presentes em água, ar e solo. Agentes como metais pesados, pesticidas, poluentes orgânicos persistentes e contaminantes do ambiente doméstico, como a fumaça do tabaco, têm sido cada vez mais relacionados ao aumento da ocorrência de doenças como asma, distúrbios neurológicos e comportamentais e câncer infantil. CONCLUSÃO: Estimula-se a identificação de situações de risco utilizando instrumentos como a anamnese ou história ambiental, bem como o envolvimento dos pediatras na busca da redução da exposição de crianças e adolescentes a agentes químicos.OBJECTIVES:To review the recent medical literature on environmental chemical hazards to child health. SOURCES OF DATA: Articles published on this subject between 1999 and 2005 were searched in the

  15. Transtornos mentais em comunidade atendida pelo Programa Saúde da Família Mental disorders in a community assisted by the Family Health Program

    Directory of Open Access Journals (Sweden)

    Daniel Maffasioli Gonçalves

    2008-07-01

    Full Text Available O objetivo principal deste estudo é estimar a prevalência de transtornos mentais de humor, ansiedade e somatização (THAS utilizando o Self-Reporting Questionnaire-20 Itens (SRQ-20 em comunidade atendida pelo Programa Saúde da Família (PSF em Santa Cruz do Sul, Rio Grande do Sul, Brasil. Objetivo secundário é verificar a associação de THAS com variáveis demográficas. Todos os moradores da área do PSF avaliada maiores de 14 anos foram convidados a participar. A amostra total analisada foi composta de 1.122 indivíduos. A prevalência encontrada de THAS foi de 38% (IC95%: 35,12-40,88. Sexo feminino, baixa escolaridade e situação ocupacional desfavorável mostraram associação independente com THAS. A alta prevalência de THAS na área estudada demonstra a importância destes transtornos em termos de saúde pública, e pode trazer alguma contribuição para o entendimento da alta incidência de mortalidade por suicídio verificada em Santa Cruz do Sul na última década (4,66 vezes maior que a incidência nacional. Incluir o tema saúde mental nas metas e prioridades do PSF no Brasil é muito importante.The first objective of this study was to estimate the prevalence of mood, anxiety, and somatoform disorders (MASD using the screening tool Self-Reporting Questionnaire-20 Items (SRQ-20 in a community assisted by the Family Health Program (FHP in Santa Cruz do Sul, Rio Grande do Sul, Brazil. The second goal was to verify associations between demographic variables and MASD. We invited all residents > 14 years of age to participate. The total sample consisted of 1,122 subjects. MASD prevalence was 38% (95%CI: 35.12-40.88. Female gender, low schooling, and unemployment were independently associated with MASD. The high prevalence of MASD observed in this study confirms the relevance of these disorders for public health planning, and could also help explain the high suicide rate in Santa Cruz do Sul in the last decade (4.66 times the

  16. Informação e informática em saúde: caleidoscópio contemporâneo da saúde Information and information technology in health: contemporary health kaleidoscope

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    Ilara Hämmerli Sozzi de Moraes

    2007-06-01

    Full Text Available Este ensaio assume como pressuposto que as atuais práticas e saberes de Informação e Informática em Saúde não dão conta da complexidade dos processos de saúde/doença/cuidado e dos problemas contemporâneos a serem superados, constituindo-se em um dos limitantes para a ampliação da capacidade de resposta do Estado brasileiro. Tem por objetivos aprofundar a compreensão da gênese e dos determinantes desses limites e analisar alternativas para sua superação que dependem menos de iniciativas pontuais internas ao campo da informação e mais, dentre outras, da adoção de novos referenciais, a começar pelo significado e conceito de Saúde. Identifica a existência de um 'intercampo de informação e informática em saúde' que se consubstancia tanto a partir de uma epistemologia que tenha por referencial a abordagem transdisciplinar, quanto da consolidação de um processo político-histórico de construção institucional, espaço portador de potência e relevância: intercampo político-epistemológico. Desenvolve essa análise através de estudo exploratório dos processos sociopolíticos e epistemológicos presentes na construção histórica das redes de informação em saúde constituídas pela C&T em saúde, pelos sistemas e serviços de saúde e pelas informações sociais, políticas e econômicas.This essay is based on the assumption that current practices and knowledge of Information and Information Technology in Health are unable to deal with the complexity of the health/disease/care processes and contemporary problems that must be overcome, curbing the expansion of the response capacity of the Brazilian State. It aims to further explore the understanding of the roots and determining factors behind these constraints, analyzing alternatives for confronting them that depend less on location-specific initiatives in the field of information and more - among others - on the adoption of new benchmarks, starting with the meaning

  17. Reflexões sobre a educação de profissionais da área de saúde Reflections on the education of health professionals

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    Fátima Maria Namen

    2011-01-01

    Full Text Available O objetivo do presente ensaio é o levantamento de polêmicas sobre a educação como um todo e o conhecimento científico como alicerces importantes na formação acadêmica. Acreditando que a busca incessante dos cursos de pós-graduação não se deveria restringir às teses como mera formalização, questiona-se a dinâmica metodológica do conhecimento, bem como verdade e saber. A condição humana é introduzida como um tema que faz um viés com a era dita pós-moderna, discutindo a liquidez e efemeridades humanas. A complexidade e interdisciplinaridade foram questionadas como um novo formato de trabalho. A abordagem da pesquisa qualitativa correlaciona-se com a questão humana e existencial. Além de outros tópicos a respeito de educação e pesquisa tais como bioética, viabilidade da pesquisa desinteressada, produção massificante e teses bem direcionadas, quisemos mostrar o quanto o processo de educação e conhecimento podem formar eventos para que o aluno se torne sujeito, um indivíduo com autocrítica e com postura dialética.The objective of the present article is primordially to rise controversies about the education as a whole and the scientific knowledge as important foundations in the academic formation. Believing that the incessant search of the masters degree courses should not limit to the theories as a mere academic education. The methodological dynamics of the knowledge is questioned, as well as truth and knowledge. The human condition is introduced as a theme that has a tendency to the post-modern era, discussing the liquidity and human fragileness. The complexity and interdisciplinarity were questioned. The approach of the qualitative research was correlated to the human and existential issue. Besides other topics regarding education and research such as bioethics, viability of the uninterested research, mass production and theories well addressed, we aimed at showing that the education process and knowledge can

  18. Saúde Pública é...: permanências e modernidades nas representações de universitários Public Health is...: permanences and modernities in university students' representations

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    Marta Julia Marques Lopes

    2007-12-01

    Full Text Available Este artigo apresenta e discute os resultados de uma pesquisa sobre as formas com que indivíduos e grupos entendem e representam a saúde pública como espaço de intervenção e assistência na área da saúde. Discute-se como estudantes universitários da área de saúde representam essas práticas, considerando que as representações são processos sócio-cognitivos, dependentes do sujeito, mas influenciados pelas condições sociais nas quais se elaboram e se transmitem. Trata-se de um estudo qualitativo, que se estendeu por oito semestres com oito turmas de estudantes de graduação em enfermagem, totalizando, aproximadamente, 350 alunos. Durante quatro anos (2000-2004, utilizamos a técnica de associação livre de palavras e expressões para desencadear, em sala de aula, a discussão temática ou "problemática" da saúde pública como campo de estudo e prática. Foram produzidos oito cartazes associativos categorizando o material por turmas de estudantes. A saúde pública configura-se em palco de representações com significados, predominantemente negativos para diferentes sujeitos. Predominou a idéia de que a saúde pública "serve para quem não tem escolha" ao lado de uma idealização do seu potencial transformador configurado no Sistema Único de Saúde (SUS.This article presents and discusses results of a study that investigated the ways in which subjects and groups understand and represent public health as a space of intervention and care in the health field. The discussion is about how university students in the health area represent such practices, considering that the representations are social and cognitive processes that depend on the subject but which are influenced by the social conditions in which they are elaborated and transmitted. It is a qualitative study conducted along 8 semesters with 8 groups of undergraduate students of the Nursing School, totaling 350 students approximately. During 4 years (2000/2004, we

  19. O papel da odontologia na equipe interdisciplinar: contribuindo para a atenção integral ao idoso The role of dentistry in the interdisciplinary team: contributing to comprehensive health care for the elderly

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    Rosemary Sadami Arai Shinkai

    2000-12-01

    Full Text Available Este trabalho bibliográfico teve por objetivo discutir a atuação da odontologia na atenção integral à saúde do idoso, considerando-se a necessidade da abordagem interdisciplinar. É apresentada a atual situação da odontologia geriátrica e os problemas que ocorrem no Brasil pela falta de estudos específicos e de recursos humanos capacitados em geriatria e gerontologia dentro da odontologia. São destacadas as interações entre as diversas profissões de saúde e a odontologia, para a promoção de saúde, prevenção específica e reabilitação de pacientes idosos, com ênfase na importância da comunicação e troca de informações.This literature review focuses on dentistry's role in comprehensive health care for the elderly. The authors discuss the need for an interdisciplinary approach. They begin by analyzing the current situation in geriatric dentistry and related problems in Brazil, relating primarily to the lack of specific studies and human resources with training in geriatrics and gerontology. The authors emphasize interactions between dentistry and other health professions for health promotion, specific prevention, and rehabilitation of elderly patients, with special attention to the importance of communication and information exchange.

  20. Efeitos da utilização de prebi��ticos (oligossacarídeos na saúde da criança Effects of prebiotics (oligosaccharides use on child's health

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    Elisabete Millani

    2009-12-01

    Full Text Available OBJETIVO: Avaliar os efeitos da utilização de prebióticos (oligossacarídeos na saúde da criança, suas aplicações e os possíveis mecanismos envolvidos. FONTES DE DADOS: Os artigos para esta revisão foram selecionados das bases de dados virtuais de saúde da Biblioteca Regional de Medicina (Bireme, que incluem Lilacs, Medline e SciELO. Foram pesquisados artigos entre 1998 e 2008, compreendendo a faixa etária até 12 anos. SÍNTESE DOS DADOS: Os oligossacarídeos prebióticos em produtos alimentares demonstraram efeitos benéficos quanto ao aumento do número total de bifidobactérias, redução do número de microorganismos patogênicos no intestino e melhora da consistência das fezes e frequência das evacuações. Tais efeitos sugerem a recomendação de seu uso em crianças constipadas. Foram verificados resultados benéficos em diversos estudos quanto ao menor desenvolvimento de alergias, infecções respiratórias, febre, irritabilidade, flatulência, diarreia, regurgitação, vômito, cólica e choro, menor uso de antibióticos e melhora nas características de fermentação de ácidos graxos e pH fecal. Entretanto, o número de artigos encontrados aponta para a necessidade de realizar mais investigações. Estudos sobre absorção de cálcio foram contraditórios, não permitindo conclusões definitivas. Quanto à tolerância, foi evidenciado o uso de quantidades diversas de suplemento em crianças de diferentes faixas etárias e características clínicas, impossibilitando identificar a segurança desses produtos. CONCLUSÕES: Apesar dos prebióticos parecerem promissores e oferecerem efeitos benéficos em determinadas situações, alguns aspectos duvidosos devem ser investigados de forma a avaliar o real efeito e segurança de sua utilização em curto e longo prazo, a fim de comprovar a ausência de consequências prejudiciais à saúde da criança.OBJECTIVE: To evaluate the use of prebiotics (oligosaccharides in child health

  1. Trabalhadores da saúde sob risco: o uso de pulverizadores no controle de vetores Worker's Health at risk: the use of sprayers on the vectors control

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    Rodolfo Andrade de Gouveia Vilela

    2005-08-01

    Full Text Available Objetivos: apresentar resultados de estudo ergonômico do trabalho dos desinsetizadores, destacando-se avaliação do ruído, calor e medidas de controle durante aplicação de inseticidas com pulverizador costal motorizado. Métodos: Reuniões com equipes, video-gravação e análise da atividade através do método preconizado por Guerin et al. (2001. Avaliação quantitativa do ruído e ensaios para redução deste através de modificações no equipamento. Medição do IST durante a pulverização, estudo da perda de peso corpóreo de expostos e não-expostos à radiação solar, antes e depois da atividade. Exames médicos dos trabalhadores. Resultados: nível equivalente de ruído medido foi 97,5 dB(A e em baixas freqüências acima de 100 dB. IBUTG de 29,37ºC, para um LT de 25,5ºC. Perda de peso dos expostos 2,31% em média e 1,71% para o grupo-controle. Conclusões: reestudos da forma de trabalho e de engenharia são necessários para redução de desgastes à saúde decorrentes da atividade e da concepção do equipamento.Aims: Present results of ergonomic job analyze with emphasis at noise and heat evaluation and control during application of pesticides with. Methods: Based on Guerin et all (2001 such as meeting with team-workers, video-records and job analyze. Quantitative evaluation of emitted noise from equipment. Experiments for noise level reduction through changes in the exhaust equipment and placement of sound barriers. Measurement of environment heat from solar radiation, through the Wet Bulb Globe Temperature Index. Study of weight loss before and after the spraying activities, comparing a group of exposed and not-exposed to solar radiation. Medical examination of the exposed workers. Results: The equivalent noise level is 97,5 dB (A, with high levels (over 100 dB in the low frequency. WBGT index was 29,37ºC. Weight loss in exposed workers was 2,31% in average weight loss being 1,71% in the control-group. Conclusions: New

  2. Tendências da produção científica em odontologia no Brasil Scientific output trends in oral health in Brazil

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    Aldo Angelim Dias

    2008-07-01

    Full Text Available OBJETIVO: Descrever a tendência da produção científica odontológica no Brasil, destacando-se a área de saúde bucal coletiva, nos primeiros anos do século XXI. MÉTODOS: Os resumos de trabalhos apresentados nas reuniões da Sociedade Brasileira de Pesquisa Odontológica (SBPqO de 2001 a 2006 foram avaliados em termos do seu desenho metodológico (estudo agregado ou individuado; estudo observacional ou de intervenção; estudo transversal ou longitudinal, natureza geral (revisões bibliográficas, estudos com seres humanos ou pesquisas laboratoriais e enquadramento em uma das 19 especialidades reconhecidas pelo Conselho Federal de Odontologia (CFO. Dos 10 406 trabalhos apresentados nesse período, foram lidos 5 203 (50,0% do total. RESULTADOS: Quanto ao desenho metodológico, 87,5% dos resumos eram do tipo operativo individuado e 12,5% do tipo agregado. Na classificação da natureza geral da pesquisa, 41,7% dos resumos tratavam de estudos com seres humanos. Os resumos restantes (58,3% tratavam de pesquisas laboratoriais in vitro (31,1%, pesquisas laboratoriais in vivo (23,6% e revisões bibliográficas (3,6%. Com relação às áreas de conhecimento do CFO, apenas cinco atingiram percentuais de ocorrência superiores a 10,0%: dentística, periodontia, endodontia, odontopediatria e saúde coletiva. CONCLUSÕES: A produção científica odontológica brasileira no período de 2001 a 2006 foi equilibrada, com crescente interesse na área de saúde bucal coletiva.OBJECTIVE: To describe dental research trends in Brazil (especially population-based oral health in the early Twenty-first Century. METHODS: The abstracts of studies presented at meetings of the Brazilian Society for Dental Medicine Research (Sociedade Brasileira de Pesquisa Odontológica from 2001-2006 were assessed in terms of methodological design (aggregate or population-based and individual-based studies, observational and intervention studies, cross-sectional and longitudinal

  3. Health worker exposure risk during inhalation sedation with sevoflurane using the (AnaConDa®) anaesthetic conserving device.

    Science.gov (United States)

    González-Rodríguez, R; Muñoz Martínez, A; Galan Serrano, J; Moral García, M V

    2014-03-01

    Occupational exposure to sevoflurane should not exceed 2 ppm. During inhalation sedation with sevoflurane using the anaesthetic conserving device (AnaConDa(®)) in the post-anaesthesia care unit, waste gases can be reduced by gas extraction systems or scavenging devices such as CONTRAfluran™. However, the efficacy of these methods has not been clearly established. To determine the safest scenario for healthcare workers during inhalation sedation with sevoflurane in the post-surgical intensive care unit. An experimental study on occupational exposure was conducted in a post-cardiothoracic care unit during March-August 2009. The measurements were performed in four post-cardiac surgery sedated adults in post-surgical intensive care unit and four nurses at the bedside, and at four points: scenario A, inhalation sedation without gas extraction system or contrafluran as a reference scenario; scenario B, applying a gas extraction system to the ventilator; scenario C, using contrafluran; and scenario 0, performing intravenous isolation sedation. Sevoflurane concentrations were measured in the nurses' breathing area during patient care, and at 1.5 and 8 m from the ventilator using diffusive passive monitor badges. All badges corresponding to the nurses' breathing area were below 2 ppm. Levels of sevoflurane detected using prevention systems were lower than that in the control situation. Only one determination over 2 ppm was found, corresponding to the monitor placed nearest the gas outlet of the ventilator in scenario A. Trace concentrations of sevoflurane were found in scenario 0 during intravenous sedation. Administration of sevoflurane through the AnaConDa(®) system during inhalation sedation in post-surgical intensive care units is safe for healthcare workers, but gas extraction systems or scavenging systems, such as CONTRAfluran™ should be used to reduce occupational exposure as much as possible. Copyright © 2013 Sociedad Española de Anestesiología, Reanimaci

  4. Geoprocessing in health area Geoprocesamiento aplicado en el área de salud Geoprocessamento aplicado à área da saúde

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    Paula Hino

    2006-12-01

    Full Text Available The map's usage and the concerns about geographic distribution related with diseases are not a recent issue. A classical example is the John Snow survey -maps were used to locate cholera's cases and related them with the water supplying. The spatial representation techniques are fewer used in health sectors due to troubles in managing such information. So, the aim of this survey was to establish the disease spatial distribution in Ribeirão Preto, 2002. Secondary data were used to elaborate this study. The spatial distribution of cases was realized by using the MapInfo 7.8 software. Although many cases were concentrated in the northeast region in the city, which consists the quarters of low economical income. The results contribute to show the Tb spatial distribution in Ribeirao Preto, they also reinforce the space category as a methodological alternative to manage, to monitor and to evaluate the health actions by directing interventions to decrease the iniquities.El uso de mapas y la preocupación con la distribución geográfica de enfermedades se remonta a un pasado bastante distante. Un ejemplo clásico fue el trabajo realizado por John Snow, que utilizó el mapeamiento para localizar casos de cólera. A pesar de su gran potencial, las técnicas de representación espacial aún son relativamente poco utilizadas en el área de la salud. El objetivo de este trabajo fue establecer la distribución espacial de la enfermedad en Ribeirão Preto, 2002. Se utilizó la base de datos secundarios Epi-tb. El georreferenciamiento de los casos fue realizado por el software MapInfo 7.8. Los casos estuvieron concentrados en una parte de la región nor-oeste del municipio. Los resultados contribuyen para el conocimiento de la distribución espacial de la Tb en de Ribeirão Preto, resaltando la importancia de la categoria espacio como alternativa metodológica para auxiliar en el planeamiento, monitoramiento y evaluación de las acciones en salud, dirigiendo

  5. A prostituição infantil sob a ótica da sociedade e da saúde Child prostitution from the point of view of society and as a health question

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    Romeu Gomes

    1999-04-01

    Full Text Available OBJETIVO: Analisar as representações sociais e as relações estruturais em torno da prostituição infantil, presentes nos depoimentos prestados à Comissão Parlamentar de Inquérito que tratou dessa problemática. MÉTODOS: Com base em metodologia qualitativa, a análise procurou identificar os núcleos de sentido presentes nos depoimentos. RESULTADOS: São apresentados dados das regiões do Brasil acerca do objeto de estudo. Focaliza-se a visão do cenário social em torno dos dados, expressando determinações histórico-culturais relacionadas à temática. CONCLUSÃO: A prostituição infanto-juvenil está calcada na comercialização do corpo como coerção ou escravidão ou para atender às necessidades básicas de sobrevivência. Destaca-se ainda a necessidade de ações sociais, aí incluindo as da saúde coletiva, para que o tema não fique apenas nas hipérboles dos discursos e dos números; transforme a fala em atitude.OBJECTIVE: The social representations and the structural relationships related to child prostitution, as presented in the depositions made before of the Parliamentary Comission Inquiry dealing with the problem are analyzed. METHODS: On the basis of qualitative methodology, the analysis attempts to identify the units of meaning present in the depositions. RESULTS: Data on the subject are presented by region. A vision of the social scene is built up on the basis of the data such as to breing out the related historical and cultural determining factors. CONCLUSION: The child juvenile prostitution is based on the commercialization of the body as coercion or slavery is seen as a means of meeting the basis needs of survival. The need for social action is brought out, including that of collective health, so that the theme does not serve only the amposes of rhetoric on statistics, because in calls for decisive action.

  6. Humanização e ambiente de trabalho na visão de profissionais da saúde Humanization and work environment in health professionals' view

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    Izabel Cristina Rios

    2008-12-01

    Full Text Available É conhecido o fato de que os profissionais da área da saúde estão particularmente sujeitos ao estresse ocupacional devido à natureza do trabalho nessa área e às suas condições nas instituições. Preocupada com esse fato, a Política Nacional de Humanização (PNH propõe ações transformadoras das práticas de saúde e gestão dos processos de trabalho que começam pela compreensão de como é o ambiente de trabalho no ponto de vista dos trabalhadores. Com o objetivo de entender essa visão do trabalho no CRT-DST/Aids, em 2005, realizamos junto aos profissionais uma pesquisa de fatores psicossociais do trabalho (aspectos referentes à organização do trabalho e relações interpessoais. Os resultados mostraram que os trabalhadores do CRT-DST/AIDS têm alto nível de consciência e motivação. Entretanto, mostraram-se insatisfeitos quanto à participação e autonomia no processo de trabalho. Em 2007, com a criação de um setor voltado para o Desenvolvimento Profissional e Institucional, colocou-se a tarefa de aprofundar as questões levantadas nessa pesquisa e propor respostas que auxiliem a consolidação da PNH na vida institucional do CRT-DST/AIDS.Health professionals are particularly susceptible to occupational stress due to the nature of the work in this field and their conditions in the institutions. The National Politics of Humanization (PNH, concerned with this situation, considers transforming actions in health practices and in the management of the work processes that start by understanding the work environment according to the workers' perspective. To understand this work view at CRT-DST/IDS, we conducted, in 2005, a survey of psychosocial factors of work (aspects regarding work organization and interpersonal relations. The results showed that workers at CRT-DST/AIDS have a high level of awareness and motivation. However, they were dissatisfied with participation and autonomy in the work process. In 2007, with the

  7. Trafficking in persons: a health concern? Tráfico de pessoas: uma preocupação da Saúde?

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    Cathy Zimmerman

    2009-08-01

    Full Text Available Human trafficking is a phenomenon that has now been documented in most regions in the world. Although trafficking of women and girls for sexual exploitation is the most commonly recognised form of trafficking, it is widely acknowledged that human trafficking also involves men, women and children who are trafficked for various forms of labour exploitation and into other abusive circumstances. Despite the violence and harm inherent in most trafficking situations, there remains extremely little evidence on the individual and public health implications of any form of human trafficking. The Brazilian government has recently launched a national plan to combat human trafficking. However, because the health risks associated with human trafficking have not been well-recognised or documented, there is extremely limited reliable data on the health needs of trafficked persons to inform policy and practices.. Brazilian policy-makers and service providers should be encouraged to learn about the likely range of health impacts of trafficking, and incorporate this into anti-trafficking protection and response strategies. As well as prevention activities, the government, international and local organisations should work together with the public health research community to study the health needs of trafficked persons and explore opportunities to provide safe and appropriate services to victims in need of care.O tráfico de pessoas é um fenômeno que foi registrado na maioria das regiões do mundo. Embora o tráfico de mulheres e meninas para exploração sexual seja a forma mais comumente reconhecida de tráfico, sabe-se que o comércio ilegal de pessoas envolve também homens, mulheres e crianças, em várias formas de exploração de trabalho e circunstâncias abusivas. Apesar da violência e danos inerentes à maioria das situações de tráfico, há ainda muito pouca evidência sobre as implicações do tráfico de pessoas para a saúde individual e p

  8. O Papel da epidemiologia no planejamento das ações de saúde bucal do trabalhador Epidemiology role in worker oral health actions planning

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    Tatiana Frederico de Almeida

    2005-12-01

    Full Text Available Este é um estudo de revisão que sistematiza achados de pesquisas sobre exposições ocupacionais e seus efeitos na saúde bucal, destacando a importância dos dados epidemiológicos no planejamento de programas de saúde bucal do trabalhador. Existem relatos de associação potencial entre exposições ocupacionais e alterações bucais; entretanto, são escassos os estudos sobre as condições de saúde bucal dos trabalhadores em países em desenvolvimento como o Brasil. Entre as exposições ocupacionais presentes na literatura odontológica, observa-se uma predominância de estudos sobre substâncias ácidas e também exposições relacionadas com o açúcar, como a poeira de açúcar. As alterações bucais podem manifestar-se tanto nos tecidos duros (cárie, erosão dental, etc. como nos tecidos moles (lesões da mucosa oral, doenças periodontais, etc. Por outro lado, observa-se que os programas de saúde bucal do trabalhador, quando existem, muitas vezes não consideram as especificidades dessa parcela da população que, além de exposta aos fatores de risco mais conhecidos das principais doenças bucais, está submetida a outros fatores relacionados ao ambiente de trabalho. Assim, considera-se relevante a discussão sobre a necessidade de maior produção de conhecimento nessa área, de capacitação de recursos humanos e de implementação de programas mais efetivos, baseados nos princípios da vigilância em saúde do trabalhador.This study is a review of published research findings in occupational exposures and their impact on oral health, emphasizing the relevance of epidemiological studies in the planning of workers' oral health programs. There are some studies reporting potential association between occupational exposures and oral diseases; nevertheless, there are few studies concerning workers oral health conditions in developing countries, as Brazil. In current dental literature related to occupational exposures, there are

  9. Phase transitions modern applications

    CERN Document Server

    Gitterman, Moshe

    2014-01-01

    This book provides a comprehensive review of the theory of phase transitions and its modern applications, based on the five pillars of the modern theory of phase transitions i.e. the Ising model, mean field, scaling, renormalization group and universality. This expanded second edition includes, along with a description of vortices and high temperature superconductivity, a discussion of phase transitions in chemical reaction and moving systems. The book covers a close connection between phase transitions and small world phenomena as well as scale-free systems such as the stock market and the Internet. Readership: Scientists working in different fields of physics, chemistry, biology and economics as well as teaching material for undergraduate and graduate courses.

  10. Methods in Modern Biophysics

    CERN Document Server

    Nölting, Bengt

    2006-01-01

    Incorporating recent dramatic advances, this textbook presents a fresh and timely introduction to modern biophysical methods. An array of new, faster and higher-power biophysical methods now enables scientists to examine the mysteries of life at a molecular level. This innovative text surveys and explains the ten key biophysical methods, including those related to biophysical nanotechnology, scanning probe microscopy, X-ray crystallography, ion mobility spectrometry, mass spectrometry, proteomics, and protein folding and structure. Incorporating much information previously unavailable in tutorial form, Nölting employs worked examples and 267 illustrations to fully detail the techniques and their underlying mechanisms. Methods in Modern Biophysics is written for advanced undergraduate and graduate students, postdocs, researchers, lecturers and professors in biophysics, biochemistry and related fields. Special features in the 2nd edition: • Illustrates the high-resolution methods for ultrashort-living protei...

  11. Methods in Modern Biophysics

    CERN Document Server

    Nölting, Bengt

    2010-01-01

    Incorporating recent dramatic advances, this textbook presents a fresh and timely introduction to modern biophysical methods. An array of new, faster and higher-power biophysical methods now enables scientists to examine the mysteries of life at a molecular level. This innovative text surveys and explains the ten key biophysical methods, including those related to biophysical nanotechnology, scanning probe microscopy, X-ray crystallography, ion mobility spectrometry, mass spectrometry, proteomics, and protein folding and structure. Incorporating much information previously unavailable in tutorial form, Nölting employs worked examples and about 270 illustrations to fully detail the techniques and their underlying mechanisms. Methods in Modern Biophysics is written for advanced undergraduate and graduate students, postdocs, researchers, lecturers, and professors in biophysics, biochemistry and related fields. Special features in the 3rd edition: Introduces rapid partial protein ladder sequencing - an important...

  12. Modernization mixed with nationalism

    Directory of Open Access Journals (Sweden)

    Nikiforov Konstantin V.

    2014-01-01

    Full Text Available This essay reflects on a particular manner in which modernisation have taken place in the Balkans in modern history, from the 1878 Berlin Congress onwards. The Balkan countries faced twofold difficulties in their development: they had to overcome their backwardness stemming from the centuries of the Ottoman yoke and catch up with modern Western Europe, and resolve their numerous mutual territorial and political disputes. The latter task was especially difficult due to the constant interference in Balkan affairs on the part of Great Powers. This interference further aggravated nationalistic tensions between the Balkan states. The peculiar mixture of modernisation efforts and nationalism remains to this day when the entire region strives to join the European Union.

  13. Modern real analysis

    CERN Document Server

    Ziemer, William P

    2017-01-01

    This first year graduate text is a comprehensive resource in real analysis based on a modern treatment of measure and integration. Presented in a definitive and self-contained manner, it features a natural progression of concepts from simple to difficult. Several innovative topics are featured, including differentiation of measures, elements of Functional Analysis, the Riesz Representation Theorem, Schwartz distributions, the area formula, Sobolev functions and applications to harmonic functions. Together, the selection of topics forms a sound foundation in real analysis that is particularly suited to students going on to further study in partial differential equations. This second edition of Modern Real Analysis contains many substantial improvements, including the addition of problems for practicing techniques, and an entirely new section devoted to the relationship between Lebesgue and improper integrals. Aimed at graduate students with an understanding of advanced calculus, the text will also appeal to mo...

  14. Relativity in modern physics

    CERN Document Server

    Deruelle, Nathalie

    2018-01-01

    This comprehensive textbook on relativity integrates Newtonian physics, special relativity and general relativity into a single book that emphasizes the deep underlying principles common to them all, yet explains how they are applied in different ways in these three contexts. Newton's ideas about how to represent space and time, his laws of dynamics, and his theory of gravitation established the conceptual foundation from which modern physics developed. Book I in this volume offers undergraduates a modern view of Newtonian theory, emphasizing those aspects needed for understanding quantum and relativistic contemporary physics. In 1905, Albert Einstein proposed a novel representation of space and time, special relativity. Book II presents relativistic dynamics in inertial and accelerated frames, as well as a detailed overview of Maxwell's theory of electromagnetism. This provides undergraduate and graduate students with the background necessary for studying particle and accelerator physics, astrophysics and ...

  15. Modern particle physics

    CERN Document Server

    AUTHOR|(CDS)2079874

    2013-01-01

    Unique in its coverage of all aspects of modern particle physics, this textbook provides a clear connection between the theory and recent experimental results, including the discovery of the Higgs boson at CERN. It provides a comprehensive and self-contained description of the Standard Model of particle physics suitable for upper-level undergraduate students and graduate students studying experimental particle physics. Physical theory is introduced in a straightforward manner with full mathematical derivations throughout. Fully-worked examples enable students to link the mathematical theory to results from modern particle physics experiments. End-of-chapter exercises, graded by difficulty, provide students with a deeper understanding of the subject. Online resources available at www.cambridge.org/MPP feature password-protected fully-worked solutions to problems for instructors, numerical solutions and hints to the problems for students and PowerPoint slides and JPEGs of figures from the book

  16. Modern operating systems

    CERN Document Server

    Tanenbaum, Andrew S

    2015-01-01

    Modern Operating Systems, Fourth Edition, is intended for introductory courses in Operating Systems in Computer Science, Computer Engineering, and Electrical Engineering programs. It also serves as a useful reference for OS professionals ' The widely anticipated revision of this worldwide best-seller incorporates the latest developments in operating systems (OS) technologies. The Fourth Edition includes up-to-date materials on relevant'OS. Tanenbaum also provides information on current research based on his experience as an operating systems researcher. ' Modern Operating Systems, Third Editionwas the recipient of the 2010 McGuffey Longevity Award. The McGuffey Longevity Award recognizes textbooks whose excellence has been demonstrated over time.'http://taaonline.net/index.html " Teaching and Learning Experience This program will provide a better teaching and learning experience-for you and your students. It will help: ' *Provide Practical Detail on the Big Picture Concepts: A clear and entertaining writing s...

  17. Modern water resources engineering

    CERN Document Server

    Yang, Chih

    2014-01-01

    The Handbook of Environmental Engineering series is an incredible collection of methodologies that study the effects of pollution and waste in their three basic forms: gas, solid, and liquid. This exciting new addition to the series, Volume 15: Modern Water Resources Engineering , has been designed to serve as a water resources engineering reference book as well as a supplemental textbook. We hope and expect it will prove of equal high value to advanced undergraduate and graduate students, to designers of water resources systems, and to scientists and researchers. A critical volume in the Handbook of Environmental Engineering series, chapters employ methods of practical design and calculation illustrated by numerical examples, include pertinent cost data whenever possible, and explore in great detail the fundamental principles of the field. Volume 15: Modern Water Resources Engineering, provides information on some of the most innovative and ground-breaking advances in the field today from a panel of esteemed...

  18. The Great Scottish Housing Disaster: The Impacts of Feudalism, Modernism, Energy Efficiency and Vapour Barriers on Indoor Air Quality, Asthma and Public Health

    Directory of Open Access Journals (Sweden)

    Stirling Howieson

    2017-12-01

    Full Text Available This paper represents 30 years of research into the arena of housing and health. It brings together the conclusions of three books and the findings of multiple research papers undertaken by the author and published by medical, engineering and social policy journals. This work aims to highlight the links and connections between the diverse arenas of urban form, building design, energy efficiency, indoor air quality, respiratory medicine and immunology, all within the socio-economic framework of a small damp country on the fringe of northern Europe.

  19. Cobol software modernization

    CERN Document Server

    Barbier, Franck

    2015-01-01

    Nowadays, billions of lines of code are in the COBOL programming language. This book is an analysis, a diagnosis, a strategy, a MDD method and a tool to transform legacy COBOL into modernized applications that comply with Internet computing, Service-Oriented Architecture (SOA) and the Cloud.  It serves as a blueprint for those in charge of finding solutions to this considerable challenge.

  20. Modern optical science

    International Nuclear Information System (INIS)

    2001-05-01

    This book deals with modern optical science, which gives description of properties of light and transmission, ray tracing like Gaussian image, ray tracing and optical system, properties about light wave, a vector properties of light, interference and an interferometer, transform and application of interferometer, diffraction, application on diffraction, solid optical science, measurement of light and laser such as basic principle of laser, kinds of laser, pulse laser, resonator and single mode and multimode.

  1. Designing Modern Equity Portfolios

    OpenAIRE

    Ronald Jean Degen

    2011-01-01

    This aim of this paper is to describe possible ways of investing in equity; choosing the right stocks(among small-cap, large-cap, value, growth, and foreign) using fundamental analysis, defining their appropriate mix in the portfolios according to the desired return-risk profiles based on Markowitz?s modern portfolio theory, and using technical analysis to buy and sell them.

  2. Modern Human Capital Management

    OpenAIRE

    Feldberger, Madita

    2008-01-01

    Title: Modern Human Capital Management Seminar date: 30th of May 2008 Course: Master thesis in Business Administration, 15 ECTS Authors: Madita Feldberger Supervisor: Lars Svensson Keywords: Human capital, SWOT Analysis, Strategic Map, Balanced Scorecard Research Problem: Despite of the success of Human Capital Management (HCM) in research it did not arrive yet in the HR departments of many companies. Numerous firms even have problems to set their strategic goals with focus on HR. The HR Bala...

  3. 1998 Army Modernization Plan

    Science.gov (United States)

    1998-01-01

    Biological (CB) Protective Duty Uniform (STO) • Biometrics (SRO) • Nanoscience (SRO) • Millimeter Wave Material and Dissemination Technology... Biometrics and Nanoscience SROs will enable the development of advanced NBC detection and characterization systems, including the exploitation of biologically...Requirements Trailers • Procure HEMAT Trailers Figure K-23 K-19 //;<?. U.S. Army 1997Modernization Plan This final fleet assessment, made against the

  4. Modern electronic materials

    CERN Document Server

    Watkins, John B

    2013-01-01

    Modern Electronic Materials focuses on the development of electronic components. The book first discusses the history of electronic components, including early developments up to 1900, developments up to World War II, post-war developments, and a comparison of present microelectric techniques. The text takes a look at resistive materials. Topics include resistor requirements, basic properties, evaporated film resistors, thick film resistors, and special resistors. The text examines dielectric materials. Considerations include basic properties, evaporated dielectric materials, ceramic dielectri

  5. Modern algebra essentials

    CERN Document Server

    Lutfiyya, Lutfi A

    2012-01-01

    REA's Essentials provide quick and easy access to critical information in a variety of different fields, ranging from the most basic to the most advanced. As its name implies, these concise, comprehensive study guides summarize the essentials of the field covered. Essentials are helpful when preparing for exams, doing homework and will remain a lasting reference source for students, teachers, and professionals. Modern Algebra includes set theory, operations, relations, basic properties of the integers, group theory, and ring theory.

  6. Modern electrochemistry and industry

    International Nuclear Information System (INIS)

    Kim, Sun Yong

    1985-04-01

    This book is divided into fifteen chapters on modern electrochemistry and industry. The contents of this book are electrochemistry and industry, electrochemistry for electrolyte like ionic mobility quantity of activity of electrolyte, potential balance system like cell potential, concentration cell and membrane potential, electrochemical kinetics, electrochemistry for surfactant, electrochemistry for electrolysis test such as polarography, chronopotentiometry and Cyclic voltametry, electrolysis reactor NaOH electrolysis industry, H 2 O electrolysis, molten metal electrolysis, copper electrolysis, battery and electro-organic chemistry.

  7. Bioética e promoção da saúde docente na educação superior: uma interface necessária/Bioethics and promotion of teacher health in higher education: an interface required

    Directory of Open Access Journals (Sweden)

    Ivani Nadir Carlotto

    2017-12-01

    Full Text Available Data de Submissão: 1-11-2017 Data de Aceitação 20-12-2017A abordagem denominada Health Promoting Universities (HPU ou Universidades Promotoras da Saúde (UPS – Organização Mundial da Saúde (OMS considera que as Instituições de Ensino Superior (IES possuem um papel preponderante na preservação da saúde e bem-estar da comunidade acadêmica. As IES são, sob este paradigma, conduzidas pelos marcos conceituais da promoção da saúde (PS, e por valores interdisciplinares como inclusão, equidade, justiça social e sustentabilidade. A Bioética, em conjunto com as UPS e a PS, apresenta-se como uma ferramenta reflexiva, mutuamente compartilhada e interdisciplinar que objetiva a adequação das ações que compreendem a vida e a cidadania, em seu caráter equitativo e inclusivo, no contexto da Educação Superior. Neste texto a Bioética busca refletir sobre a PS docente nas IES, contribuindo para a construção de processos qualificados de ações em saúde docente.Bioethics and promotion of teacher health in higher education: an interface requiredThe Health Promoting Universities (HPU - World Health Organization (WHO approach considers that Higher Education Institutions (HEI play a preponderant role in preserving the health and well-being of the academic community. HEIs under this paradigm are driven by conceptual frameworks of health promotion (HP, and by interdisciplinary values such as inclusion, equity, social justice and sustainability. Bioethics, together with HPU and HP, presents itself as a reflexive, mutually shared and interdisciplinary tool that aims at the adequacy of actions that comprise life and citizenship, in its equitable and inclusive character, in the context of Higher Education. In this text Bioethics seeks to reflect on the teaching HP in HEI, contributing to the construction of qualified processes of actions in teacher’s health.Keywords: Bioethics; Higher Education; Teachers; Health Promotion

  8. Modern windships. Phase 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-11-01

    Knud E. Hansen A/S (KEH) has, partly funded by the Energy Research Programme, (EFP-95) investigated in the possibilities of using windships for transportation of cargo on long routes, i.e. across the Atlantic or Pacific Ocean. The task was to peruse experiences from projects made during the past 30 years and then, based on new materials and design principle to make proposals to modern wind driven ships to transportation of cargo - especially bulk carriers. KEH has thus prepared a suggestion for a 50,000 DWT wind driven bulk carrier on these terms. The bulk carrier in question is a modern rig inspired by the classical lugger and junk sail with a total sail area of abt. 10,000 m{sup 2}. The hull of the ship has been developed in order to limit wave resistance and drifting. Project Windship has, in contrast to earlier tests and projects, designed a bulk carrier based on a complete evaluation of ecology, safety, economy and reasonable transportation speed. The research project shows that international sea transportation, with wind as the primary source of energy, does not seem to run up against any obstacles as regards safety. The economical analyses show that windship transportation, with today`s oil prices, will be about 10% higher compared to the diesel driven transportation. In the light of the positive results of the research project the steering committee recommends that phase II of project `Modern Windships` is carried out. (EG)

  9. Modern windships. Phase 1

    International Nuclear Information System (INIS)

    1996-11-01

    Knud E. Hansen A/S (KEH) has, partly funded by the Energy Research Programme, (EFP-95) investigated in the possibilities of using windships for transportation of cargo on long routes, i.e. across the Atlantic or Pacific Ocean. The task was to peruse experiences from projects made during the past 30 years and then, based on new materials and design principle to make proposals to modern wind driven ships to transportation of cargo - especially bulk carriers. KEH has thus prepared a suggestion for a 50,000 DWT wind driven bulk carrier on these terms. The bulk carrier in question is a modern rig inspired by the classical lugger and junk sail with a total sail area of abt. 10,000 m 2 . The hull of the ship has been developed in order to limit wave resistance and drifting. Project Windship has, in contrast to earlier tests and projects, designed a bulk carrier based on a complete evaluation of ecology, safety, economy and reasonable transportation speed. The research project shows that international sea transportation, with wind as the primary source of energy, does not seem to run up against any obstacles as regards safety. The economical analyses show that windship transportation, with today's oil prices, will be about 10% higher compared to the diesel driven transportation. In the light of the positive results of the research project the steering committee recommends that phase II of project 'Modern Windships' is carried out. (EG)

  10. Code Modernization of VPIC

    Science.gov (United States)

    Bird, Robert; Nystrom, David; Albright, Brian

    2017-10-01

    The ability of scientific simulations to effectively deliver performant computation is increasingly being challenged by successive generations of high-performance computing architectures. Code development to support efficient computation on these modern architectures is both expensive, and highly complex; if it is approached without due care, it may also not be directly transferable between subsequent hardware generations. Previous works have discussed techniques to support the process of adapting a legacy code for modern hardware generations, but despite the breakthroughs in the areas of mini-app development, portable-performance, and cache oblivious algorithms the problem still remains largely unsolved. In this work we demonstrate how a focus on platform agnostic modern code-development can be applied to Particle-in-Cell (PIC) simulations to facilitate effective scientific delivery. This work builds directly on our previous work optimizing VPIC, in which we replaced intrinsic based vectorisation with compile generated auto-vectorization to improve the performance and portability of VPIC. In this work we present the use of a specialized SIMD queue for processing some particle operations, and also preview a GPU capable OpenMP variant of VPIC. Finally we include a lessons learnt. Work performed under the auspices of the U.S. Dept. of Energy by the Los Alamos National Security, LLC Los Alamos National Laboratory under contract DE-AC52-06NA25396 and supported by the LANL LDRD program.

  11. Regulamentação da propaganda de alimentos infantis como estratégia para a promoção da saúde Regulation of publicity for children's food as a strategy for promotion of health

    Directory of Open Access Journals (Sweden)

    Patrícia Henriques

    2012-02-01

    Full Text Available As práticas alimentares da população brasileira vêm se alterando nas últimas décadas e a publicidade é um dos fatores que contribuem para esta situação. O objetivo deste trabalho foi avaliar o conteúdo das propagandas de alimentos veiculadas na televisão e dirigidas a crianças, sob a ótica da regulação. As propagandas foram gravadas em fitas VHS de duas grandes emissoras de televisão, no período de férias escolares. Foram utilizadas técnicas de análise de conteúdo e definidas oito categorias de análise a partir do referencial teórico sobre as práticas alimentares e seus determinantes. Para subsidiar a análise utilizou-se a proposta de Regulamento Técnico da Anvisa. Foram contabilizadas 1018 propagandas, das quais foram selecionadas as 132 (12,9% que anunciavam alimentos dirigidos para as crianças, sendo identificados somente 12 produtos diferentes. De acordo com o Regulamento proposto, todas as propagandas analisadas infringiam pelo menos três artigos, entre os quais se destaca o 4º, Incisos III e VIb. É nítida a urgência do setor público de regular o conteúdo das propagandas de alimentos infantis, cujo consumo pode ser prejudicial à saúde devido à influência que exercem na decisão pela compra, tanto por parte das próprias crianças, quanto dos pais.The eating habits of the Brazilian population have been changing in recent decades and publicity is one of the factors contributing to this situation. The objective of this study was to evaluate the content of food publicity broadcast on television and addressed to children, from the standpoint of regulation. The publicity broadcast on the two major television stations during the school holidays was recorded on VHS tapes. Content analysis techniques were used and eight categories of analysis were defined based on the theoretical benchmark of the eating habits and their determining factors. The proposal for a Technical Regulation of Anvisa was used to conduct

  12. Agente Comunitário de Saúde: um novo ator no cenário da saúde do Brasil Community Health Agent: a new actor in the Brazilian health scenario

    Directory of Open Access Journals (Sweden)

    Andréa Sabino Filgueiras

    2011-01-01

    Full Text Available O Programa de Agentes Comunitários de Saúde (PACS foi introduzido no Brasil em 1991 como uma tática para o desenvolvimento de atividades relacionadas à prevenção de doenças e educação em saúde. Em 1994, o Ministério da Saúde propôs o Programa de Saúde da Família (PSF como estratégia de reestruturação da atenção à saúde. Essas propostas introduzem, no cenário da saúde, um novo ator, o Agente Comunitário de Saúde (ACS, desempenhando importante papel na atenção básica, ao agir como um elo entre famílias, usuários e serviço de saúde. O estudo toma como objeto o trabalho desenvolvido pelos ACS em uma unidade do PSF do município de Volta Redonda-RJ. Tem como objetivo discutir os aspectos facilitadores e limitantes das atividades designadas aos ACS. Trata-se de uma pesquisa do tipo descritiva, com abordagem qualitativa. A análise de dados se deu por categorias analíticas, que emergiram a partir dos dados encontrados nas entrevistas. Após a apreciação dos dados, pôde-se constatar que os ACS do PSF de Volta Redonda ainda não recebem formação destinada à execução de suas atividades e que consideram a experiência prática como o principal motor para o desempenho delas. O trabalho em equipe é reconhecido como espaço de circulação de saberes científicos e o saber popular como mediador entre a equipe e a população. Os ACS têm como eixo de trabalho a visita domiciliar, focada principalmente na doença.The Community Health Agents Program (PACS was created in 1991 as a strategy to implement the SUS, developing activities related to prevention and health education. In 1994, the Health Ministry proposed the Family Health Program (PSF as a strategy for restructuring the dominant care model. With the emergence of these two programs, there is the emergence of a new actor in the health scenario, the Community Health Agent (ACS. This actor plays an important role in basic care, acting as a link between families

  13. Acessibilidade aos serviços de saúde em um município do Estado da Bahia, Brasil, em gestão plena do sistema Health services accessibility in a city of Northeast Brazil

    Directory of Open Access Journals (Sweden)

    Alcione Brasileiro Oliveira Cunha

    2010-04-01

    Full Text Available Com o objetivo de analisar a implantação de ações voltadas para a acessibilidade à atenção básica em um município da Bahia, Brasil, foi realizado estudo de caso único a partir de dois níveis de análise: organização do sistema e dos serviços. Os dados foram obtidos por intermédio de entrevistas semi-estruturadas, da observação das rotinas de atendimento e da análise documental. Das quatro unidades analisadas, três apresentaram nível intermediário de implantação de ações voltadas para a acessibilidade. As unidades de saúde da família tiveram melhor desempenho devido à presença de ações voltadas para o acolhimento e a referência a serviços especializados, porém apresentaram problemas para a marcação de consultas. Apesar do estabelecimento da atenção básica como porta de entrada ao sistema e da implantação da central de marcação de consultas especializadas, persistem barreiras organizacionais no município estudado. Recomenda-se a formulação de política específica para melhoria da acessibilidade voltada para a organização da oferta na perspectiva de mudança do modelo assistencial.In order to analyze the implementation of measures targeting accessibility to primary health care in a municipality (county in the State of Bahia, Brazil, a single case study was performed with two levels of analysis: system and services organization. The data were obtained from semi-structured interviews, observation of routine care, and document analysis. Of the four health units analyzed, three showed intermediate-level implementation of measures targeting accessibility. The Family Health Units showed better performance, due to measures for patient reception and referral to specialized services, but they revealed problems with scheduling of appointments. Despite having defined primary care as the portal of entry into the system and the implementation of a help desk for setting appointments with specialists, there are

  14. Financiamento da assistência farmacêutica no sistema único de saúde Financing of pharmaceutical services in Brazilian public health system

    Directory of Open Access Journals (Sweden)

    Fabiola Sulpino Vieira

    2013-03-01

    Full Text Available Objetivos. Descrever e discutir a evolução do financiamento da assistência farmacêutica no Sistema Único de Saúde - SUS. Métodos. Foram identificados os valores alocados para aquisição de medicamentos, para o Programa Farmácia Popular e para estruturação de serviços farmacêuticos públicos. Os valores referentes ao financiamento da União, por meio do Ministério da Saúde, foram obtidos do sistema Siga Brasil e, dos Estados, do Distrito Federal e dos municípios, do Sistema de Informações sobre Orçamentos Públicos em Saúde - SIOPS. Resultados. Entre 2005 e 2009 houve aumento de 65,3% nos recursos financeiros da União para aquisição de medicamentos. No mesmo período, ampliou-se o volume de transferências feitas às esferas subnacionais. Verificou-se que os Estados e o Distrito Federal aumentaram em 112,4% o volume de recursos próprios alocados no financiamento de medicamentos e que para os municípios este crescimento foi de 22,7%. Em 2008, a participação das despesas com medicamentos em relação às despesas com saúde foi de 7,8%. O gasto total com medicamentos em 2009 foi de 8,9 bilhões de reais. Observou-se aumento de 20,6 vezes no valor alocado no Programa Farmácia Popular e, no caso dos recursos destinados à estruturação de serviços, crescimento de 41,6%, chegando a 10,1 milhões de reais em 2009. Conclusão: Houve ampliação do financiamento de medicamentos no SUS entre 2005 e 2009.Objectives. To describe and discuss developments in the financing of pharmaceutical services in the Brazilian public health system - SUS. Methods. The amounts allocated for drug procurement, for the Farmácia Popular Program and for structuring of public pharmaceutical services were identified. The values regarding the financing of the Federal government were obtained from the Siga Brasil database. Data regarding states, Federal District and municipalities were obtained from Information System on Public Health Budget - SIOPS

  15. Aposentadoria por invalidez de trabalhadores da área da saúde de um hospital universitário Disability retirement of workers in the health field at a university hospital

    Directory of Open Access Journals (Sweden)

    Júlia Trevisan Martins

    2017-01-01

    Full Text Available Objetivo: Identificar as causas da aposentadoria por invalidez de trabalhadores da área da saúde de um hospital universitário. Método: Estudo seccional retrospectivo, realizado em 2014, por meio da análise dos registros dos prontuários de saúde dos trabalhadores da área da saúde do hospital universitário de uma universidade pública paranaense que se aposentaram por invalidez, no período de 2000 a 2013. Os dados foram analisados por meio de estatística descritiva e inferencial, considerando o nível de significância de 5% (p<0,05. Resultados: Foram concedidas 40 aposentadorias por invalidez. As principais causas da aposentadoria por invalidez foram os transtornos mentais e comportamentais (45,0%, seguidos pelas doenças osteomusculares (25,0%, as doenças do aparelho circulatório (7,5% e as neoplasias (7,5%. Não ouve associação significativa entre as variáveis estudadas. Conclusão: Os grupos de doenças que levaram a aposentadoria por invalidez são as mais comuns entre a população brasileira e passíveis de prevenção.

  16. Modernization of African Armed Forces

    DEFF Research Database (Denmark)

    Mandrup, Thomas

    2015-01-01

    Concept paper framing the debate at the Dakar Forum Workshop on Modernization of Armed forces in Africa.......Concept paper framing the debate at the Dakar Forum Workshop on Modernization of Armed forces in Africa....

  17. Saúde da família: mudando práticas? Estudo de caso no município de Natal (RN Family health: changing practices? A case study in the city of Natal (RN, Brazil

    Directory of Open Access Journals (Sweden)

    Marize Barros de Souza Araújo

    2009-10-01

    Full Text Available Este trabalho, representa um estudo de caso qualitativo, cuja unidade de análise é a equipe de Saúde do Programa Saúde da Família do município de Natal (RN. Tem como objetivos analisar as concepções dos profissionais sobre a prática do trabalho em equipe e reconhecer nessas práticas elementos que contribuam para a efetiva mudança do modelo de saúde hegemônico. Partiu-se da definição e tipologia de equipe de saúde elaborada por Peduzzi (1998, como principal fundamentação teórica. O estudo foi realizado em seis unidades de saúde da família, nos distritos sanitários Norte e Oeste. Esses serviços foram selecionados de acordo com critérios preestabelecidos. Foi utilizada como método para coleta dos dados empíricos a entrevista semi-estruturada com as equipes de saúde da família. Para análise do material empírico, utilizou-se o discurso do sujeito coletivo proposto por Lefèvre e Lefèvre (2003. Os resultados apontam para um predomínio da equipe do tipo integração. O trabalho em equipe surge como elemento essencial para o desenvolvimento da Estratégia de Saúde da Família.This article presents a qualitative case study where the unit of analysis was the Family Health Program team of Natal city, Rio Grande do Norte State, Brazil. The objectives were to analyze the conceptualizations of the professionals regarding teamwork as well as to identify in these practices the elements that contribute to an effective change in the hegemonic health model. The study was based on the Peduzzi (1998 typology and definition of health team and was conducted in six family health units in the North and East health districts selected by a pre-established criteria. Data were collected using a semi-structured interview applied in family health teams, which were analyzed using the Collective Subject Discourse proposed by Lefèvre and Lefèvre (2003. The results indicate a predominance of an integrated team type, and also that teamwork is an

  18. Judicialização da política pública de assistência farmacêutica e eqüidade "Judicialization" of public health policy for distribution of medicines

    Directory of Open Access Journals (Sweden)

    Ana Luiza Chieffi

    2009-08-01

    Full Text Available O fornecimento de medicamentos por ação judicial, pela Secretaria de Estado da Saúde de São Paulo (SES-SP, tornou-se uma prática rotineira e cada vez mais freqüente. A judicialização do sistema de saúde entra em confronto com princípios básicos do SUS, como o da eqüidade. Este trabalho caracterizou as demandas judiciais para obtenção de medicamentos sob a ótica da judicialização da política pública e da quebra do princípio da eqüidade na dimensão coletiva. O estudo é um trabalho descritivo dos processos judiciais de solicitação de medicamentos à SES-SP relacionados no Sistema de Controle Jurídico (SCJ no ano 2006. A maioria das ações analisadas foi ajuizada por advogados particulares; 47% dos pacientes possuíam receitas da rede privada e cerca de 73% dos processos foram provenientes de pacientes residentes nos três estratos de menor vulnerabilidade social do Município de São Paulo, Brasil. Os dados demonstram que essas demandas judiciais não respeitam princípios do SUS como o da eqüidade, privilegiando indivíduos com melhor poder aquisitivo e com acesso à informação.The supply of medicines in response to court orders or injunctions has become a common practice in the State of São Paulo, Brazil. This "judicialization" of the health system clashes with basic principles of the Brazilian Unified National Health System (SUS, such as equal opportunity to access health services. The aim of this paper is to analyze the legal action used to obtain medicines through the São Paulo State Health Department, from two main angles: judicialization of public policies and breach of the equity principle. This is a descriptive study of legal action taken to obtain medicines through the São State Health Department, as listed in the Electronic Court Docket System for the year 2006. Most cases were filed through private attorneys; 47% of the patients had obtained their prescriptions through private care; and 73% of the cases

  19. Condições de trabalho e saúde dos professores da rede particular de ensino de Vitória da Conquista, Bahia, Brasil Labor and health conditions of private school teachers in Vitória da Conquista, Bahia, Brazil

    Directory of Open Access Journals (Sweden)

    Núria Serre Delcor

    2004-02-01

    Full Text Available A literatura científica sobre a saúde dos professores é escassa e recente, enfocando especialmente o desgaste e estresse. Este trabalho objetivou descrever as condições de trabalho e saúde dos professores da rede particular de ensino da cidade de Vitória da Conquista, Bahia, Brasil. Num questionário auto-aplicado foram coletadas informações de 250 professores de dez escolas. Entre as características do trabalho docente, avaliadas pelo Job Content Questionnaire, destacaram-se ritmo acelerado de trabalho, ser criativo e ter boas relações com as pessoas no trabalho. As queixas de saúde mais freqüentes estavam relacionadas à postura corporal, à saúde mental e a queixas relacionadas à voz. A prevalência de distúrbios psíquicos menores (DPM, medida pelo Self Reporting Questionnaire-20, foi de 41,5% e estava fortemente associada a longos períodos de intensa concentração em uma mesma tarefa e volume excessivo de trabalho. Os resultados sugerem relação entre a prevalência de DPM e algumas características do trabalho docente, evidenciando desgaste psicológico do educador.The scientific literature on teachers' health is scarce, recent, and focuses predominantly on stress and burnout. This study describes the labor conditions of private school teachers in Vitória da Conquista, Bahia State, Brazil. Information on 250 teachers from the ten largest schools in the municipality was collected through a self-applied questionnaire. The most relevant characteristics of teachers' work, evaluated by the Job Content Questionnaire were: speed of work, creativity at work, and relations with colleagues. The most frequent complaints related to posture, mental strain, and voice problems. Prevalence of minor psychological disorders according to the Self Reporting Questionnaire-20 was 41.5%, strongly associated with long periods of intense concentration on the same job and excessive work. Results suggest an association between the prevalence of

  20. A construção da integralidade no trabalho cotidiano da equipe saúde da família La construcción de la integralidad en el trabajo cotidiano del equipo de salud familiar The construction of integrality in the daily work of health family team

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    Selma Maria da Fonseca Viegas

    2013-03-01

    Full Text Available Trata-se do recorte de uma tese de doutorado de abordagem qualitativa, delineada pela estratégia de pesquisa Estudo de Casos Múltiplos Holísticos, com objetivo de compreender a construção das práticas de integralidade em saúde no trabalho cotidiano das equipes de Saúde da Família e de gestores de três municípios do Vale do Jequitinhonha-MG. Foram entrevistados 48 trabalhadores das equipes Saúde da Família e de apoio, além dos secretários municipais. Apresenta-se uma das categorias de análise que mostra a importância dada ao trabalho em equipe multiprofissional e o reconhecimento da necessidade do trabalho do outro, isto é, a complementaridade e a interdependência das ações para prestar uma assistência integral e resolutiva. Algumas equipes apresentaram ações interdisciplinares com uso das diferentes habilidades na identificação e resolução dos problemas. Outras convivem com ações individualizadas, mas referem a necessidade de responsabilidade compartilhada nas ações e decisões da equipe para alcançar a integralidade em saúde.Se trata de un recorte de una tesis doctoral de enfoque cualitativo delineada por la estrategia de investigación "Estudio de Casos Múltiples Holísticos", con el fin de comprender la construcción de las prácticas integrales de salud en el trabajo diario de los equipos de salud de la familia y los administradores de tres municipios del Vale de Jequitinhonha (MG. Los entrevistados son 48 trabajadores de los Equipos de Salud de la Familia y de apoyo, además de los secretarios municipales. Se presenta una de las categorías de análisis que evidencia la importancia dada al trabajo en equipo multiprofesional y el reconocimiento de la necesidad del trabajo del otro, es decir, la complementariedad y la interdependencia de las medidas para proporcionar una atención integral y eficaz. Algunos equipos tienen las medidas disciplinarias con el uso de diferentes habilidades para identificar y

  1. Quarantine as a public health measure against an emerging infectious disease: syphilis in Zurich at the dawn of the modern era (1496–1585

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    Gall, Gabriella Eva Cristina

    2016-06-01

    Full Text Available Syphilis is considered as one of the most devastating sexually transmitted diseases in human history. Based on historical records, the (German for spread through Europe after 1495 and shared symptoms with what we know today as syphilis. Many cities took measures to protect their population. Here, transliterations of archival documents from the 15 and 16 century (provided in the appendix are used to trace the steps taken by the governing authorities in Zurich to deal with this emerging infectious disease. One of the central measures taken by the city was to establish a quarantine facility referred to as the The city doctors, including the well-known physician and naturalist Conrad Gessner, oversaw the obligatory quarantine and treatment of patients with symptoms. Treatment could range from better nutrition, herbal remedies and skin ointments to aggressive heat therapy and “smoking”. Furthermore, the affliction was suspected as a sexually acquired disease, hence prostitutes and infected foreigners were extradited from the city. Meanwhile, the church used its social influence to promote a more “Christian” behavior. In several respects, the public health measures taken in the 16 century against a new and menacing epidemic do not diverge in their basic rationale from approaches used during the 20 century and today.

  2. Institutions and Modernity

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    Witold Morawski

    2013-09-01

    Full Text Available Purpose: Modernity consists of many confl icting aspects: It brings many empty promises, yet has resulted in new institutions that create bridges between the values and interests of millions of people who seek freedom, prosperity, quality of life, strengthened democracy and social justice. In this paper I attempt to a gain and loss account against modernity, because institutional rules are not only conducive to cooperative interactions, but to hostile interactions as well. People are not always guided by moral commitment, but rather more often driven by cold calculation or coercion.Methodology: Modernity has at least three defi nitions. The fi rst defi nition is based on ideas that took over the imagination of the era. The second defi nition is based on an analysis of the behavior of people who respond to reason as well as emotion and believe that they act more rationally than their ancestors or the traditional “others”. The third defi nition is the one closest to my heart, consisting of the use of institutional categories. Institutions offer practical ways of connecting ideas and people. The challenge for them is the result of deepening local and national interdependencies, but increasingly often also regional (e.g. European and global. Interdependencies are the result of the scientifi c and technological revolution, global markets, global governance mechanisms, the emergence of new social forces and cultural confl icts (against the background of reconciling identity and differences.Conclusions: The most important task is to identify the mechanisms of complex systems so that people know how to act under conditions of uncertainty, risk and crisis. Hence, the expectations toward institutions often exceed their abilities. Even though new institutions are being created and old ones are being fixed, we are witnessing and participating in, institutional paralysis and the decay (e.g. corruption. In this situation, it is imperative not only to

  3. Promoção da saúde e cultura política: a reconstrução do consenso Health promotion and political culture: reconstructing the consensus

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    Eduardo Navarro Stotz

    2004-08-01

    Full Text Available O presente texto faz uma avaliação das noções de promoção da saúde e de empowerment ao problematizar os princípios que integram a cultura da saúde pública e orientam as propostas de políticas públicas formuladas especialmente para os chamados países "em desenvolvimento". Analisa-se particularmente empowerment, usualmente visto como uma forma de promoção individual e coletiva (comunitária, social da saúde de grupos em situação de maior vulnerabilidade social. Examina-se esta proposta à luz da crise do Estado de Bem-Estar Social e de sua superação, pela via neoliberal, nos anos da década de 1980, com destaque para as mudanças na apreensão conceitual e moral da realidade do capitalismo, em particular da política social, desde então pautada pelo princípio da equidade, em oposição ao da universalidade. A adoção deste princípio pela Organização Mundial da Saúde integra a cultura dominante no setor da saúde que é, contudo, pouco reflexiva, fortemente tecnicista e normativa. Construir uma nova cultura capaz de reconhecer o saber comum, incorporar as experiências sociais, apoiar as lutas reivindicativas e expressar a saúde como direito universal são os desafios propostos pelos autores.An evaluation about health promotion and empowerment is presented in this paper. Fundamental principles of a public health culture are studied from a problem-posing point of view, as they are the base of public policy proposals specially formulated for the so called "developing" countries. Empowerment is particularly analyzed, since it is considered a way chosen for individual and collective (community, social health promotion, connected to social groups under more vulnerable social conditions. The Welfare State crisis and the neoliberal approach, applied during the eighties to overcome it, gave grounds to examine this proposal, focusing on the changes occurred to capitalism in terms of conceptual and moral introjection of reality

  4. Organizações contra-hegemônicas e a possibilidade de redescoberta da política na modernidade: uma contribuição a partir do pensamento de Hannah Arendt Counter-hegemonic organizations and the possibility of rediscovering politics in modernity: a contribution through Hannah Arendt's thought

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    Lara Bethânia Zilio

    2012-12-01

    Full Text Available Este artigo apresenta um ensaio de natureza teórica cujo objetivo é situar um referencial capaz de abordar organizações que, instaladas numa forma social como sujeitos políticos coletivos, constituem-se como alternativas. Partimos do pensamento de Hannah Arendt, para quem política é a ação que busca acordos, ação em conjunto, reflexo da condição plural do homem e fim em si mesma. Com base nesta perspectiva, procurou-se demonstrar que do mesmo modo que o sistema capitalista cristaliza o esquecimento da política nos tempos atuais, o modelo hegemônico de organizar e a abordagem teórica tradicional dos estudos organizacionais (reflexos do sistema do capital são instrumentos de despolitização e dominação social, ao legitimarem as necessidades de produção, acumulação e regulação na sociedade contemporânea. Nesse contexto, pensa-se nas organizações contra-hegemônicas como uma possibilidade de recuperação da política em suas determinações agonísticas. Nessas organizações, muito mais o grupo e as pequenas comunidades em movimento representam possibilidades de espaços políticos de fundação, resistência, civilidade e de revelação dos homens como agentes, através do exercício das categorias propostas por Arendt: identidade, pluralidade e capacidade de iniciar algo novo.This paper presents a theoretical essay which aims to situate a framework able to address organizations that, established in a social way as collective political subjects, present themselves as alternatives. One is based upon Hannah Arendt's thought, according to whom politics is the action which seeks agreements, joint actions, a reflection of the plural condition of man, and an end in itself. Thus, taking this perspective as a foundation, one tried to demonstrate that, in the same way how the capitalist system crystallizes political forgetfulness in modern times, the hegemonic organizing model and the traditional theoretical approach of

  5. Visualization in modern cartography

    CERN Document Server

    MacEachren, AM

    1994-01-01

    Visualization in Modern Cartography explores links between the centuries-old discipline of cartography and today's revolutionary developments in scientific visualization. The book has three main goals: (1) to pass on design and symbolization expertise to the scientific visualization community - information that comes from centuries of pre-computer visualization by cartographers, and their more recent experiences with computerizing the discipline; (2) to help cartographers cope with the dramatic shift from print cartography to a dynamic virtual cartography for which their role is changing from

  6. Modern gear production

    CERN Document Server

    Watson, H J

    1970-01-01

    Modern Gear Production focuses on the processes and methods in gear making. The book first gives information on the history of gear making and types of gears. Topics such as the classification of gears based on the disposition of their shafts; shafts lying in the same plane with axes intersecting; and shafts lying in parallel planes but with axes inclined to one another are then discussed. The text describes gear groups, tooth forms, and gear materials. Heat treatment of steels, casehardening, nitriding, induction hardening, sulfinuzing, and flame hardening are explained. The book takes a look

  7. Modern Physics Simulations

    Science.gov (United States)

    Brandt, Douglas; Hiller, John R.; Moloney, Michael J.

    1995-10-01

    The Consortium for Upper Level Physics Software (CUPS) has developed a comprehensive series of Nine Book/Software packages that Wiley will publish in FY `95 and `96. CUPS is an international group of 27 physicists, all with extensive backgrounds in the research, teaching, and development of instructional software. The project is being supported by the National Science Foundation (PHY-9014548), and it has received other support from the IBM Corp., Apple Computer Corp., and George Mason University. The Simulations being developed are: Astrophysics, Classical Mechanics, Electricity & Magnetism, Modern Physics, Nuclear and Particle Physics, Quantum Mechanics, Solid State, Thermal and Statistical, and Wave and Optics.

  8. Modern TTL circuits manual

    CERN Document Server

    Marston, R M

    2013-01-01

    Modern TTL Circuits Manual provides an introduction to the basic principles of Transistor-Transistor Logic (TTL). This book outlines the major features of the 74 series of integrated circuits (ICs) and introduces the various sub-groups of the TTL family.Organized into seven chapters, this book begins with an overview of the basics of digital ICs. This text then examines the symbology and mathematics of digital logic. Other chapters consider a variety of topics, including waveform generator circuitry, clocked flip-flop and counter circuits, special counter/dividers, registers, data latches, com

  9. Dialogues on modern physics

    CERN Document Server

    Sachs, Mendel

    1998-01-01

    In this book, important conceptual developments of the two major revolutions of modern physics - the quantum and relativity theories - are presented in a nonmathematical, dialectical form of dialogue. The implications of conflicting philosophical attitudes of these revolutions in physics and applications to topics such as cosmology/astrophysics and high energy physics are emphasized. It is argued that for any substantial progress in our understanding of 21st century physics, it will be necessary to resolve these 20th century conflicts. These richly rewarding dialogues provide a starting point

  10. Introduction to modern cryptography

    CERN Document Server

    Katz, Jonathan

    2014-01-01

    Praise for the First Edition:""This book is a comprehensive, rigorous introduction to what the authors name 'modern' cryptography. … a novel approach to how cryptography is taught, replacing the older, construction-based approach. … The concepts are clearly stated, both in an intuitive fashion and formally. … I would heartily recommend this book to anyone who is interested in cryptography. … The exercises are challenging and interesting, and can benefit readers of all academic levels.""-IACR Book Reviews, January 2010""Over the past 30 years, cryptography has been transformed from a mysterious

  11. Liminality and the Modern

    DEFF Research Database (Denmark)

    Thomassen, Bjørn

    This book provides the history and genealogy of an increasingly important subject: liminality. Coming to the fore in recent years in social and political theory and extending beyond is original use as developed within anthropology, liminality has come to denote spaces and moments in which the taken...... of the liquid structures of modern society. Shedding new light on a concept central to social thought, as well as its capacity for pushing social and political theory in new directions, this book will be of interest to scholars across the social sciences and philosophy working in fields such as social...

  12. Modern fluid dynamics

    CERN Document Server

    Kleinstreuer, Clement

    2018-01-01

    Modern Fluid Dynamics, Second Edition provides up-to-date coverage of intermediate and advanced fluids topics. The text emphasizes fundamentals and applications, supported by worked examples and case studies. Scale analysis, non-Newtonian fluid flow, surface coating, convection heat transfer, lubrication, fluid-particle dynamics, microfluidics, entropy generation, and fluid-structure interactions are among the topics covered. Part A presents fluids principles, and prepares readers for the applications of fluid dynamics covered in Part B, which includes computer simulations and project writing. A review of the engineering math needed for fluid dynamics is included in an appendix.

  13. Modern vacuum physics

    CERN Document Server

    Chambers, Austin

    2005-01-01

    Modern Vacuum Physics presents the principles and practices of vacuum science and technology along with a number of applications in research and industrial production. The first half of the book builds a foundation in gases and vapors under rarefied conditions, The second half presents examples of the analysis of representative systems and describes some of the exciting developments in which vacuum plays an important role. The final chapter addresses practical matters, such as materials, components, and leak detection. Throughout the book, the author''s explanations are presented in terms of first principles and basic physics, augmented by illustrative worked examples and numerous figures.

  14. Modern wiring practice

    CERN Document Server

    Steward, W E

    2012-01-01

    Continuously in print since 1952, Modern Wiring Practice has now been fully revised to provide an up-to-date source of reference to building services design and installation in the 21st century. This compact and practical guide addresses wiring systems design and electrical installation together in one volume, creating a comprehensive overview of the whole process for contractors and architects, as well as electricians and other installation engineers. Best practice is incorporated throughout, combining theory and practice with clear and accessible explanation, all

  15. Late Modern Play Culture

    DEFF Research Database (Denmark)

    Karoff, Helle Skovbjerg

    2008-01-01

    and the Danish University of Education (among others) have been working with different kind of products, all referred to as PlAYWARE. Playware combines modern technology and knowledge about play culture in order to produce playful experiences for its players. This paper will exemplify how the concept of play can...... from one generation to the next. Because older children are no longer present as younger children grow up, the traditional "cultural leaders" are gone. They have taken with them much of the inspiration for play as well as important knowledge about how to organise a game. In that sense we can say...

  16. Early modern mathematical instruments.

    Science.gov (United States)

    Bennett, Jim

    2011-12-01

    In considering the appropriate use of the terms "science" and "scientific instrument," tracing the history of "mathematical instruments" in the early modern period is offered as an illuminating alternative to the historian's natural instinct to follow the guiding lights of originality and innovation, even if the trail transgresses contemporary boundaries. The mathematical instrument was a well-defined category, shared across the academic, artisanal, and commercial aspects of instrumentation, and its narrative from the sixteenth to the eighteenth century was largely independent from other classes of device, in a period when a "scientific" instrument was unheard of.

  17. Modern dictionary of electronics

    CERN Document Server

    Graf, Rudolf F

    1999-01-01

    Included in this fully revised classic are well over 28,000 terms, phrases, acronyms, and abbreviations from the ever-expanding worlds of consumer electronics, optics, microelectronics, computers, communications, and medical electronics. From the basic elements of theory to the most cutting-edge circuit technology, this book explains it all in both words and pictures.For easy reference, the author has provided definitions for standard abbreviations and equations as well as tables of SI (International System of Units) units, measurements, and schematic symbolsModern Dictionary of Electronics is

  18. History as Modernity. Introduction

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    Pierangelo Schiera

    2016-12-01

    Full Text Available The introduction starts from the exhaustion of modernity, drawing the fundamental lines of its development inside Western historical experience. The end of the political nexus between theology and politics, the evanescence of nation-state sovereignty, the check of great historical interpretations reveal the necessity of new categories and new organizational models, able to make us answer to the violence that the ongoing processes are liberating. Schiera underlines in particular the relevance of the administrative apparatus because of its capacity to link the global government with global organization, human rights and the commons.

  19. Family health team knowledge concerning the health needs of people with tuberculosis Conocimiento del equipo de Salud de la Familia acerca de las necesidades de salud de las personas con tuberculosis Conhecimento da equipe de saúde da família acerca das necessidades de saúde das pessoas com tuberculose

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    Paula Hino

    2012-02-01

    Full Text Available The purposes of the study were to get to know conceptions on tuberculosis and health needs and to describe the care provided to people with tuberculosis, according to health professionals' perspective. Qualitative study developed at family health units in Capão Redondo, São Paulo. The data were collected through open interviews in January 2010 and submitted to discourse analysis, resulting in three categories: meanings attributed to tuberculosis and health needs and care characteristics. The conceptions regarding the disease are supported by the multi-causal theory of the health-disease process. The care is characterized by interventions that go beyond the biological dimension. The precarious living conditions define the needs of most people with tuberculosis, and can be more important to the ill than the very diagnosis of the disease, influencing treatment adherence, and should gain relevance in care.Los objetivos del estudio fueron conocer concepciones sobre la tuberculosis y las necesidades de salud, y describir la asistencia realizada a las personas con tuberculosis, en la perspectiva de los profesionales de la salud. Se trata de un estudio cualitativo desarrollado en dos unidades de salud de la familia en Capao Redondo, Sao Paulo; los datos fueron recolectados por medio de entrevista abierta, en enero de 2010, sometidos a la técnica de análisis de discurso, resultando en tres categorías: significados atribuidos a la tuberculosis, significados atribuidos a las necesidades de salud y características de la asistencia. Las concepciones sobre la enfermedad están basadas en la teoría de la multicausalidad del proceso salud-enfermedad. La asistencia se caracteriza por intervenciones que extrapolan la dimensión biológica. Las condiciones precarias de vida definen las necesidades de la mayoría de las personas con tuberculosis, pudiendo ser más importantes para los enfermos que el propio diagnóstico de la enfermedad, influenciando la

  20. Da fragmentação à integralidade: construindo e (desconstruindo a prática de saúde bucal no Programa de Saúde da Família (PSF de Alagoinhas, BA From fragmentation to integrality: constructing and reconstructing the practice of buccal health in the Alagoinhas (BA Family Health Program

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    Adriano Maia dos Santos

    2006-03-01

    Full Text Available Estudo sobre a prática de saúde bucal no PSF de Alagoinhas ­ BA (2001-2004, com o objetivo de analisar os dispositivos que orientam a atenção integral à saúde bucal: vínculo, acolhimento, autonomia, responsabilização e resolubilidade. A metodologia é de natureza qualitativa, numa perspectiva histórico-social. Os materiais empíricos foram entrevistas com trabalhadores, gestores e usuários, observação da prática e fontes documentais. Os resultados revelam que a prática é organizada através de ações individuais e coletivas, construídas por uma demanda reprimida. O atendimento é fragmentado com a valorização excessiva da técnica e da especialidade, cujo eixo é ordenado pelo modelo médico-centrado, com resolubilidade limitada. O acolhimento é manifestado através de uma relação tensa e conflitante, porém com potencialidade para construir alternativas de mudança. Vínculo e autonomia entrecruzam-se no resgate da relação trabalhador-usuário e no encontro de suas potencialidades, possibilitando horizontalizar saberes, estreitar laços e consolidar afetos. Enfim, a prática da saúde bucal é plena de conflitos e contradições e se constitui em potencial ferramenta de mudança nos processos de trabalho, convivendo com o velho (fragmentação e o novo (integralidade, num processo inacabado, em construção.A study about the practice of buccal health in the Alagoinhas ­ BA Family Health Program (2001-2004 with intent to analyze the arrangements that direct whole attention to buccal health: vinculum, reception, autonomy, responsibility and resolubility. The methodology is of qualitative nature in a historical-social perspective. The empirical material consists of interviews with health workers, managers and patients, the observing of the practice and documentary sources. The results show that the practice is organized through individual and collective actions built by a restrained demand. Attention is fragmented; there

  1. A importância estratégica da informação em saúde para o exercício do controle social The strategic importance of health information for social control

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    Alessandra Ximenes da Silva

    2007-06-01

    Full Text Available O artigo trata da nova forma de relacionamento entre Estado e sociedade a partir da década de 80, na realidade brasileira. Destacam-se os conselhos de saúde que atuam na formulação de estratégias e no controle da execução da Política de Saúde. Analisa as Políticas de Informação em saúde para o exercício do controle social e contribui para ampliar o acesso dos conselhos de saúde a essas políticas em seus diferentes níveis de complexidade, à luz do princípio da integralidade e da atenção à saúde. O Conselho Nacional de Saúde tem contribuído nesse processo através de sua Comissão Intersetorial de Comunicação e Informação em Saúde, que foi reativada em 2005. Para tanto, foram realizados Seminários Regionais Descentralizados e um Seminário Nacional para discutir a construção do Pacto pela Democratização e Qualidade da Comunicação e Informação em Saúde. Foram analisadas as propostas apresentadas pelos conselhos de saúde, entre as quais destacam-se: estabelecer indicadores para avaliar/acompanhar a qualidade da informação e publicizar os direitos dos usuários no SUS.This paper discusses the relationship between the State and Brazilian society since the early 1980s. Particularly noteworthy are the Healthcare Councils that draw up strategies and controls for implementing Healthcare Policies. It also analyzes healthcare information policies for deploying social controls and helps extend the access of these Councils to these policies at various levels of complexity, based on the principle of all-round healthcare. Brazil's National Health Council has contributed to this process through its Intersector Healthcare Communication and Information Commission, which was brought back into operation in 2005. To do so, Decentralized Regional Seminars were held, as well as a National Seminar, discussing the construction of a Pact for the Democratization and Quality of Health Communication and Information. The proposals

  2. "Modernidad" y polarización de la salud en México. Condiciones de vida de los trabajadores y sus familias "Modernity" and polarization of health in Mexico. Living conditions for workers and their families

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    Jorge Villegas Rodríguez

    1997-09-01

    Full Text Available Se analizan las características del proceso de modernización en México y el deterioro y polarización que ha producido en las condiciones de vida y salud de la población general y de los trabajadores y sus familias. Para ello se muestran diversos indicadores socioeconómicos y de salud. Respecto a la morbilidad, las enfermedades infecciosas ocupan un porcentaje muy elevado, pero otros fenómenos como diabetes, cirrosis hepática, infarto cardiaco, tumores malignos y accidentes y violencias son también serios problemas de salud pública. En regiones del país con características socioeconómicas bien diferenciadas, como los estados de Chiapas y Nuevo León, la polarización de la salud resulta más evidente aún. Por otra parte, el deterioro de las condiciones laborales y la información existente respecto a la salud de los trabajadores, a pesar de sus limitaciones, indican que los trabajadores deben ser considerados como un grupo prioritario. Se muestra el comportamiento paradójico de los accidentes y enfermedades laborales objetos de compensación, con menos accidentes pero más graves, y detección de enfermedades en grados muy avanzados, así como diferencias significativas en la morbilidad laboral en distintas ramas de la producción manufacturera.This article analyzes the characteristics of the modernization process in Mexico and the polarization produced in living and health conditions for the general population as well as workers and their families. We studied socioeconomic and health indicators for this purpose. Infectious diseases occupy a high percentage of general morbidity, yet diseases such as diabetes, hepatic cirrhosis, myocardial infarction, malignant tumors, and accidents and violence are also serious public health problems as causes of morbidity and mortality. In some regions of the country with specific socioeconomic characteristics, polarization of health conditions is even more evident, as in the state of Chiapas as

  3. A estratégia saúde da família: motivação, preparo e trabalho segundo médicos que atuam em três distritos do município de Duque de Caxias, Rio de Janeiro, Brasil The family health program: motivation, training and work according to physicians acting at three districts of the city of Duque de Caxias, Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Ana Caroline de Medina Alves e Silva

    2010-03-01

    Full Text Available Analisou-se como o médico do Programa de Saúde da Família (PSF de Duque de Caxias percebe sua atuação. Foram feitas entrevistas semiestruturadas com 15 médicos que trabalham no primeiro, terceiro e quarto distritos, sendo o primeiro urbano e os demais rurais. Aplicou-se aos dados a análise de conteúdo, na modalidade temática. Os núcleos de sentidos referiram-se à motivação e ao preparo para ingressar na equipe, e a oportunidade que o PSF oferece para estabelecer vínculos com o paciente, reforçando o acolhimento, a escuta e a responsabilidade. Estabeleceram-se: a a maioria se ressente da opinião que os colegas fazem dela; b a preparação ofertada é eminentemente teórica; c vínculo, escuta e responsabilidade são avanços conquistados na realização profissional, e d as bases da racionalidade médica formatam a organização das práticas, traduzindo uma concepção de saúde que se define pela ausência das doenças. Consubstancia-se uma lacuna entre a realidade e a proposta do governo de fazer do PSF uma via de reorganização da atenção básica.The study analyzed how physicians working in Programa Saúde da Família (PSF - Family Health Program perceive their professional practice in the municipality of Duque de Caxias, state of Rio de Janeiro, Brazil. Semi-structured interviews were conducted with fifteen physicians working in the first, third and fourth districts. The first district is urban and the others, rural. Data was analyzed by content analysis, and the nuclear senses found were associated with motivation and training to carry out the job, and the opportunity the Program offers to establish close personal bonds between physicians and patients, reinforcing the capacity to listen and accountability. The results showed that: a the great majority resent what their colleagues think about them; b the offered training is essentially theoretical; c bonding, capacity to listen and accountability are advances and

  4. The corneal epithelium: clinical relevance of cytokine-mediated responses to maintenance of corneal health O epitélio da córnea: relevância clínica das respostas mediadas por citocinas para manter a saúde da córnea

    Directory of Open Access Journals (Sweden)

    PS Reinach

    2008-12-01

    Full Text Available We review the growth factor receptor-mediated cell signaling events that induce the responses required for the maintenance of corneal epithelial health. Our focus is to show how such responses contribute to sustaining corneal transparency and deturgescence, so basic to the pathogenesis of corneal diseases. Furthermore, we point out how alterations of receptor-mediated control of these responses account for losses in corneal transparency. In particular, the roles of growth factors in the mediation of normal corneal function, including epithelial cell proliferation, prevention of compromise of the barrier function of the cornea, and maintenance of normal renewal processes are discussed in relation to clinical entities involving the cornea.Revimos os eventos de sinalização celular mediados por receptores de fatores de crescimento, usados para manter a saúde do epitélio da córnea. O objetivo é mostrar como essas respostas contribuem para manter a transparência e a deturgescência da córnea, críticos na patogênese das doenças da córnea. Mais ainda, enfatizamos como alterações no controle mediado por receptor dessas respostas contribuem na transparência da córnea. Especificamente, o papel dos fatores de crescimento na mediação do controle funcional normal da córnea, incluindo proliferação epitelial, prevenção da quebra da função de barreira, manutenção do processo de renovação são discutidos em relação às entidades clínicas envolvidas na córnea.

  5. Barriers to utilization of modern methods of family planning amongst ...

    African Journals Online (AJOL)

    Barriers to utilization of modern methods of family planning amongst women in a ... is recognized by the world health organization (WHO) as a universal human right. ... Conclusion: The study finds numerous barriers to utilization of family ...

  6. Use of Modern Birth Control Methods Among Rural Communities in ...

    African Journals Online (AJOL)

    elearning

    ABSTRACT. This paper studied the extent of utilization of Modern Birth Control Methods (MBCM) among rural dwellers in ... respondents used MBCM while 57% of them used the traditional birth control methods. ..... School of Public Health.

  7. Plant Modernization Programs

    International Nuclear Information System (INIS)

    O'Hara, John

    2004-01-01

    Most nuclear plants were designed and built from the 1960's through the 1990's. These plants employ predominantly analog instrumentation and control (I and C) technology, and their control rooms are made up of primarily hardwired controls (e.g., switches, knobs and handles) and displays (e.g., gauges, linear scales and indicator lights). Over the past several years, these plants have been modernized with digital I and C and computer-based human-system interfaces (HSIs) such as software-based process controls, touch-screen interfaces and large-screen, overview displays. As these computer based HIS technologies are integrated into control rooms based on conventional technology, hybrid control rooms are created. The paper summarizes lessons learned from the study of plant modernization programs over the past ten years so that they can be used to help improve the modification process. While the research focused on the impact of technology change on human performance, a number of organizational and programmatic issues were observed as well. Eleven lessons learned are presented

  8. Modern introductory physics

    CERN Document Server

    Holbrow, Charles H; Amato, Joseph C; Galvez, Enrique; Parks, M. Elizabeth

    2010-01-01

    Modern Introductory Physics, 2nd Edition, by Charles H. Holbrow, James N. Lloyd, Joseph C. Amato, Enrique Galvez, and Beth Parks, is a successful innovative text for teaching introductory college and university physics. It is thematically organized to emphasize the physics that answers the fundamental question: Why do we believe in atoms and their properties?  The book provides a sound introduction to basic physical concepts with particular attention to the nineteenth- and twentieth-century physics underlying our modern ideas of atoms and their structure.  After a review of basic Newtonian mechanics, the book discusses early physical evidence that matter is made of atoms.  With a simple model of the atom Newtonian mechanics can explain the ideal gas laws, temperature, and viscosity.  Basic concepts of electricity and magnetism are introduced along with a more complicated model of the atom to account for the observed electrical properties of atoms. The physics of waves---particularly light and x-rays---an...

  9. Fragmentos da história das concepções de mundo na construção das ciências da natureza: das certezas medievais às dúvidas pré-modernas Episodes in the history of conceptions of the world of natural sciences: from medieval certainties to pre-modern doubts

    Directory of Open Access Journals (Sweden)

    Antônio Fernandes Nascimento Júnior

    2003-01-01

    Full Text Available A concepção filosófica do mundo se inicia com os gregos sintetizados por Platão e Aristóteles. Para o primeiro o mundo físico é aparente e para se chegar à verdade é preciso se lembrar das idéias originais que determinam seu significado. Para o segundo as coisas físicas são dirigidas pelas idéias e para entendê-las é preciso a lógica. Durante o helenismo a escola de Alexandria elabora o neoplatonismo, a base da Patrística. Após a queda de Roma, os filósofos bizantinos guardam a herança clássica. A Igreja constrói uma visão neoplatônica da cristandade, a Escolástica. No oriente os persas também sofreram a influência grega. Entre os árabes do Oriente o pensamento neoplatônico orienta filósofos e religiosos de forma que para eles a razão e a fé não se separam. Aí a ciências se desenvolvem na física, na alquimia, na botânica, na medicina, na matemática e na lógica, até serem subjugadas pela doutrina conservadora dos otomanos. Na Espanha mulçumana sem as restrições da teologia, a filosofia de Aristóteles é mais bem compreendida do que no resto do Islã. Também aí todas as ciências se desenvolvem rápido. Mas a Espanha sucumbe aos cristãos. Os árabes e judeus apresentam Aristóteles à Europa Ocidental que elabora um Aristóteles cristão. A matemática, a física experimental, a alquimia e a medicina dos árabes influenciam intensamente o Ocidente. Os artesãos constroem instrumentos cada vez mais precisos, os navegadores constroem navios e mapas mais eficientes e minuciosos, os armeiros calculam melhor a forma de lançamento e pontaria de suas armas e os agrimensores melhor elaboram a medida de sua área de mapeamento. Os artistas principalmente italianos, a partir dos clássicos gregos e árabes, criam a perspectiva no desenho, possibilitando a matematização do espaço. Os portugueses, junto com cientistas árabes, judeus e italianos, concluem um projeto de expansão naval e ampliam os horizontes

  10. Fragmentos da história da atenção à saúde para usuários de álcool e outras drogas no Brasil: da Justiça à Saúde Pública Fragments of the history of healthcare for users of alcohol and other drugs in Brazil: from Justice to Public Health

    Directory of Open Access Journals (Sweden)

    Ana Regina Machado

    2007-09-01

    Full Text Available Identifica fatores associados ao estabelecimento, em 2003, da política de saúde no Brasil para usuários de álcool e outras drogas. Utiliza, como fonte privilegiada, a entrevista semi-estruturada, além da pesquisa bibliográfica e documental. Mostra que a abordagem do fenômeno álcool/drogas pelo Estado brasileiro surgiu no início do século XX, com a criação de um aparato jurídico-institucional para coibir o comércio e uso de drogas. Esse aparato, permitiu o surgimento de práticas assistenciais de saúde para os usuários. Conclui-se que, ainda que a ordem jurídica e a saúde pública orientem-se por racionalidades nem sempre coincidentes, nessa área específica algumas práticas do campo jurídico contribuíram para a criação de condições que favoreceram o surgimento de uma política sanitária em 2003.The purpose of this article is to identify, factors that could be associated to the establishment of the country's health policy for users of alcohol and other drugs in 2003. It makes particular use of semi-structured interviews, as well as a study of the literature and documents. The article shows that the Brazilian State's approach to alcohol and drugs emerged in the early 20th century with the creation of a legal and institutional apparatus designed to control the sale and use of drugs, justified by the need to assure public security and public health. This apparatus permitted the development of healthcare practices for drug users based on the penalties it proposed. The article concludes that even though the rationales behind legal and public health measures do not always coincide, some of the practices that emerged in the legal sphere did help provide the conditions needed for the creation of a health policy for alcohol and drug users in Brazil in 2003.

  11. Saúde Pública e meio ambiente: evolução do conhecimento e da prática, alguns aspectos éticos Public Health and environment: evolution of the knowledge and the practice, some ethical aspects

    Directory of Open Access Journals (Sweden)

    Helena Ribeiro

    2004-04-01

    Full Text Available O artigo enfoca a relação saúde-meio ambiente e a área de Saúde Ambiental. Apresenta as definições adotadas pela Organização Mundial da Saúde para a Saúde Ambiental, destacando sua preocupação tanto com estudos para verificar as possíveis relações entre os fatores ambientais e a saúde, quanto com a prática de propor formas de eliminar esses fatores de risco à saúde. Aponta, a seguir, as diferentes questões da relação homem-meio, que ganharam destaque em diferentes momentos da história humana. Faz um breve relato da história dessa relação, como campo de conhecimento e de prática, partindo dos trabalhos de Hipócrates e da concepção de saúde dos gregos, passando pela civilização romana, pela Idade Média e pelos progressos havidos nos séculos XVIII e XIX. No século XIX, o novo-Hipocratismo designa as tendências da Saúde Pública: a Reforma Sanitária, a saúde vista como um bem social, o desenvolvimento da engenharia de saúde pública, os progressos da microbiologia. Em seguida, descreve as atuais propostas do setor saúde para a Saúde Ambiental, no mundo e no Brasil, e sua relação com o desenvolvimento sustentável. Apresenta alguns aspectos éticos em Saúde Ambiental, discutindo a incorporação dos conceitos de desenvolvimento sustentável e de eqüidade nas propostas de promoção da saúde ambiental.The article discusses the relation health/environment and Environmental Health as a study field. Definitions of Environmental Health adopted by World Health Organization are presented. Secondly, there is a brief description of the history of this relation as scientific and practical area, starting by Hypocrates' works and by Ancient Greece conception of health, passing through Roman times, Median Age and the great advances achieved during the 18th and 19th Centuries: the Sanitary Reform, health as a social concern, advances in micro-biology. Continues by the description of the recent proposals of the

  12. História, saúde e seus trabalhadores: da agenda internacional às políticas brasileiras History, health and its workers: from the international agenda to the Brazilian policies

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    Fernando Pires-Alves

    2008-06-01

    Full Text Available O artigo discute, em perspectiva histórica, as agendas dirigidas para a formação de trabalhadores e para a gestão do trabalho em saúde no Brasil, em especial as suas relações com os programas desenvolvidos pela Organização Pan-Americana da Saúde (OPAS e pela Organização Mundial da Saúde (OMS. Na primeira seção, discute-se o papel da história no campo da saúde coletiva. A priorização do tema do trabalho em saúde na agenda internacional parece apontar para uma potencial renovação das relações entre história e saúde. Na segunda seção, realiza-se um balanço histórico a respeito das agendas da OMS em torno do tema recursos humanos. Na terceira parte, constrói-se balanço similar a respeito das ações da OPAS. Na quarta parte, discute-se - a partir da experiência do Programa de Preparação Estratégica de Pessoal de Saúde (PPREPS - a relação da agenda de trabalho nacional com a internacional em torno do desenvolvimento de recursos humanos, bem como se aponta para um conjunto de respostas adaptadas e soluções originais aos problemas da formação de pessoal de saúde dadas pelos técnicos brasileiros. Ao final, são levantadas algumas questões para discussão sobre a articulação entre história e as agendas de recursos humanos para a saúde discutida ao longo do artigo.This article discusses the agenda for the training and management of the health workforce in Brazil from a historical viewpoint, especially as refers to its relations with the programs in this field developed by the Pan American Health Organization (PAHO and by the World Health Organization (WHO. In the first section one discusses the role of history in the field of community health. The priority given to the topic health work in the international agenda seems to point to a potential renewal of the relations between history and health. The second section provides a historical examination of the human resources programs of the WHO. In the third

  13. Internet na promoção da saúde: um instrumento para o desenvolvimento de habilidades pessoais e sociais Internet and health promotion: a tool for the development of individual and social skills

    Directory of Open Access Journals (Sweden)

    Helena Beatriz da Rocha Garbin

    2012-01-01

    Full Text Available O desenvolvimento de habilidades pessoais e sociais, no sentido da aquisição de maior controle e maior poder de decisão (Empowerment, é considerado estratégia de fundamental importância na promoção da saúde. O acesso à informação é uma das bases para tal. Muito vem sendo dito e escrito sobre o imenso potencial da internet, estudos apontam-na como um instrumento especial para obtenção de informação e de capacitação, tanto individual, quanto comunitária. Este texto se apoia na literatura científica nacional e internacional sobre promoção da saúde, informação e saúde na internet e divisão/exclusão digital, com o objetivo de discutir a possibilidade de utilização da rede como recurso em projetos voltados para a promoção da saúde, apontando pontos positivos e possíveis barreiras, com destaque para a questão da divisão/exclusão digital de boa parte da população brasileira. Os autores consideram que a internet pode vir a ser uma grande aliada na construção de projetos de promoção da saúde. No entanto, no desenvolvimento desses projetos, é fundamental considerar os potenciais riscos e compreender que as estratégias e programas na área da promoção da saúde precisam se adaptar às necessidades e possibilidades de cada local e levar em conta as diferenças sociais, culturais e econômicas.The development of individual and social skills, in the sense of acquiring greater control and produce empowerment, is considered a very important Health Promotion strategy. Access to information is one of the bases for such process. Much has been said and written about the immense potential of the internet, as studies point it as a special tool to obtain information and develop skills, both individual and communal. This article is based on national and international scientific literature on Health Promotion, Health Information on the internet and Digital Divide, with the aim of discussing the possibility of using the

  14. The Multiple Modernities of Europe

    DEFF Research Database (Denmark)

    Thomassen, Bjørn

    What Europe? Eric Voegelin on the Mediterranean and the Atlantic modernities. The concept ‘multiple modernities’ has during the last decade established itself in social and political theory, not least due to contributions made by Shmul Eisenstadt. The debate on multiple moderntities has served...... to question certain eurocentric assumptions about modernity and has also reignited the question of European particularity in a world historical perspective. This paper will discuss how ‘Europe’ itself can be considered a result of (at least) two different modernities, as proposed by the political theorist......, Eric Voegelin. Eric Voegelin talked of two spatio-temporal specific modernities, the Mediterranean and the Atlantic modernities. In short, for Voegelin the Atlantic modernity with its breakthroughs in the 17th and 18th centuries was a specific figuration that should not be mistaken for ‘modernity...

  15. The Imaginary Significations of Modernity

    DEFF Research Database (Denmark)

    Carleheden, Mikael

    2010-01-01

    This article deals with the concept of modernity upon which one of the most interesting contemporary theories about modern social change is based - Peter Wagner's theory of successive modernities. Wagner understands modernity as a double imaginary signification which entails a basic tension between...... liberty and discipline. This conception is almost directly taken from Cornelius Castoriadis. I argue that this tension exists in two versions in Castoriadis' philosophy and that the two versions are incompatible. It is further claimed that the two versions reappear in Wagner's theory, which makes his...... theory of successive modernities partly inconsistent. A stance is taken for one of these versions and it is argued that the theory of successive modernities should appropriate that version as its point of departure in order to grasp the history of modernity in a consistent way. Keywords: Cornelius...

  16. Riesgos y daños a la salud derivados del uso de videoterminal Health hazards associated with the use of video display terminals

    Directory of Open Access Journals (Sweden)

    Silvia Tamez González

    2003-06-01

    Full Text Available OBJETIVO: Evaluar la relación de daños a la salud con el uso de videoterminal, riesgos laborales y factores psicosociales en trabajadores de un diario informativo. MATERIAL Y MÉTODOS: En 1998 se estudió una muestra representativa (n=68 de una población de 218 trabajadores de un diario informativo de la Ciudad de México. Se presentan los resultados obtenidos a partir de una encuesta de autoaplicación, los cuales fueron comparados posteriormente con datos de exámenes clínicos. La hipótesis de esta investigación sustenta que, tanto el uso actual como la exposición acumulada de videoterminal, se asocian con mayor riesgo de presentar padecimientos visuales, músculo-esqueléticos y dermatológicos; trastornos mentales y psicosomáticos, y fatiga general. Los resultados fueron analizados en función de diferentes riesgos laborales: (riesgo visual, trabajo sedentario, uso de mouse, riesgo postural, calor excesivo y hacinamiento y factores psicosociales derivados de la organización del trabajo (demandas psicológicas, control sobre el trabajo y apoyo social. Para valorar su relación con los daños derivados del uso de videoterminal, se estimaron razones de prevalencias ajustadas por confusores potenciales (edad, sexo y escolaridad. RESULTADOS: Las mujeres presentaron prevalencias más elevadas de trastornos músculo-esqueléticos en la mayoría de los daños investigados, y las diferencias fueron significativas entre ambos sexos para dermatitis y eczema seborreico. El uso de videoterminal se asoció con mayor riesgo de fatiga neurovisual, trastornos músculo-esqueléticos en manos y extremidades superiores, dermatitis y eczema seborreico. De los riesgos laborales, los más asociados con trastornos fueron el uso de mouse y el riesgo postural. Los factores psicosociales se relacionaron principalmente con los padecimientos de naturaleza psicológica (trastornos mentales, psicosomáticos y fatiga general. CONCLUSIONES: Con el uso intensivo de

  17. Análise da eficácia de programas sociais de promoção da saúde realizados em condições macroestruturais adversas Analysis of health promotion social programs developed under adverse structural conditions

    Directory of Open Access Journals (Sweden)

    Vera Lucia Góes Pereira Lima

    2004-09-01

    Full Text Available É discutida a eficácia do Programa Escola de Pais, da 1ª Vara da Infância e Juventude do Rio de Janeiro. Os objetivos são: construção da evidência de eficácia da promoção da saúde; discussão sobre o conceito de eficácia; identificação de estratégias para sustentabilidade de resultados, e discussão de modelos de avaliação. A análise baseia-se no acompanhamento de 48 pais ou responsáveis por crianças e adolescentes. Os resultados são fortemente favoráveis para "integração familiar" e "busca dos direitos sociais", e favoráveis para "reintegração de crianças" antes institucionalizadas.The efficacy of the "School for Parents" program undertaken by the First Court of Childhood and Youth of Rio de Janeiro is discussed. Objectives: building up the evidence of efficacy of health promotion; discussion on the efficacy concept; identification of strategies that foster results sustainability; discussion of evaluation models. The analysis is grounded on the monitoring of 48 parents in charge of children under 18. Results indicate highly favorable answers for family integration and searching for social rights; and favorable for the reintegration of children previously sheltered in institutions.

  18. Eating disorders among health science students at a university in southern Brazil Transtornos alimentares em universitárias da área da saúde de universidade do sul do Brasil

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    Luiza do Nascimento Ghizoni Pereira

    2011-01-01

    Full Text Available OBJECTIVES: To analyze eating disorders among female university students and to assess the frequency of bulimia nervosa, anorexia nervosa, and inappropriate weight loss strategies in this population. METHODS: The sample comprised 214 female university students attending different health science programs at a university in southern Brazil, aged over 18 years, assessed using self-administered questionnaires. The 26-item version of the Eating Attitudes Test (EAT-26, the Bulimic Investigatory Test, Edinburgh (BITE, and a supplementary questionnaire covering data on weight status and inappropriate weight loss strategies were used to assess dietary abnormalities. RESULTS: Mean age (± standard deviation was 21±9.93 years, and mean body mass index (BMI was 21.1±2.59. Among the respondents, 72.9% said they would like to weigh less, 29% reported the use of different weight loss methods (diuretics were the most common, followed by laxatives, amphetamine-derived drugs, and self-induced vomiting. With regard to EAT-26 scores, 22.4% (95%CI 17.7-27.1 revealed abnormal feeding patterns; BITE indicated that 9.8% (95%CI 6.5-13.1 were at risk for developing bulimia and 36.9% (95%CI 31.5-42.3 required clinical evaluation. Mean BMI was lower among students with normal scores on both tests, but no association was found between BMI and satisfaction with own weight. CONCLUSION: There was a strong trend toward eating disorders in the health science students assessed, as demonstrated by EAT-26 and BITE scores; inadequate weight loss strategies are frequently used as well.OBJETIVOS: Analisar a presença de transtornos alimentares em universitárias e avaliar a frequência dos quadros de bulimia, anorexia nervosa e estratégias inadequadas para emagrecimento na amostra estudada. MÉTODOS: Foram estudadas 214 universitárias matriculadas em diferentes cursos da área da saúde em uma universidade do sul do Brasil, com idade igual ou superior a 18 anos; a avaliação se

  19. Health financing changes in the context of health care decentralization: the case of three Latin American countries Mudanças no financiamento da saúde no contexto de descentralização da saúde: o caso de três países latino-americanos

    Directory of Open Access Journals (Sweden)

    Armando Arredondo

    2000-10-01

    Full Text Available OBJECTIVE: The results of an evaluative longitudinal study, which identified the effects of health care decentralization on health financing in Mexico, Nicaragua and Peru are presented in this article. METHODS: The methodology had two main phases. In the first, secondary sources of data and documents were analyzed with the following variables: type of decentralization implemented, source of financing, funds for financing, providers, final use of resources, mechanisms for resource allocation. In the second phase, primary data were collected by a survey of key personnel in the health sector. RESULTS: Results of the comparative analysis are presented, showing the changes implemented in the three countries, as well as the strengths and weaknesses of each country in matters of financing and decentralization. CONCLUSIONS: The main financing changes implemented and quantitative trends with respect to the five financing indicators are presented as a methodological tool to implement corrections and adjustments in health financing.OBJETIVO: São apresentados os resultados de um estudo longitudinal com o objetivo de identificar os efeitos da descentralização nas políticas de financiamento em três países da América Latina: México, Nicarágua e Peru. MÉTODOS: A metodologia teve duas fases principais. Na primeira, foram analisadas as fontes de dados secundários, referentes às seguintes variáveis: tipo de descentralização implementada, fontes de financiamento, provedores de serviços, mecanismos de alocação de recursos e destino final de recursos. Na segunda fase, foram analisadas as fontes de dados primários obtidos por meio de entrevistas diretas com pessoal-chave do setor de saúde, tomando como guia as mesmas variáveis da primeira etapa. RESULTADOS: Os resultados identificaram as fortalezas e as debilidades de cada país em matéria de políticas de financiamento e de descentralização. CONCLUSÕES: As principais mudanças no

  20. A política de incentivos do Ministério da Saúde para a atenção básica: uma ameaça à autonomia dos gestores municipais e ao princípio da integralidade? Brazilian Ministry of Health policy providing incentives for basic health care: a threat to the autonomy of Municipal administrators and the principle of integrality?

    Directory of Open Access Journals (Sweden)

    Rosa Maria Marques

    2002-01-01

    Full Text Available Passados 13 anos do surgimento do Sistema Único de Saúde, o governo federal aumentou o uso de normas e regulações que visam racionalizar os recursos e priorizar o nível de Atenção Básica dentro do sistema. Isso significa dizer que, embora as ações e serviços sejam de responsabilidade do município, a instância federal reforçou, mediante o financiamento, seu papel na determinação da política a ser adotada. Na primeira parte do artigo, analisa-se a evolução do gasto e do financiamento da atenção à saúde no país, as prioridades e as estratégias de financiamento. Na segunda parte, relaciona-se a Norma Operacional Básica de 1996 com a política de transferência de recursos para os municípios, adotada pelo governo federal; discuti-se a importância assumida pelo Programa Saúde da Família no interior da lógica do financiamento e destaca-se o papel da Norma Operacional da Assistência à Saúde no reforço da racionalização e da ênfase na Atenção Básica.Thirteen years after the Unified National Health System was implemented in Brazil, the Federal government increased the use of norms and regulations aimed at rationalizing resources and prioritizing basic care within the system. In other words, although actions and services are the responsibility of Municipal governments, the Federal government used financing to reinforce its role in determining the policy to be adopted. The first part of this article analyzes trends in health care expenditures and financing in the country and priorities and strategies for financing. The second part relates the 1996 Basic Operational Norm to the Federal government policy of transferring resources to the Municipalities, discussing the importance of the Family Health Program as part of the financing logic and the role of the Health Care Operational Norm in reinforcing rationalization and emphasizing basic care.