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Description of the scientific method for the preparation and validation of educational technologies in digital format: a methodological study 数字格式教育技术的准备和验证的科学方法的描述:一项方法学研究
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.14615
Sabrina Alaide Amorim Alves, Luiz Carlos de Abreu, Nathalya das Candeias Pastore Cunha, Álvaro Dantas de Almeida Júnior, Claúdia Inês Pelegrini Oliveira Abreu, Ana Carolina Almeida Meirelles, José Lucas Souza Ramos, Mariana Guerra Pagio, Elisian Macêdo Fechine da Cruz, Ana Flávia Freire Tavares Lima, Italla Maria Pinheiro Bezerra
Introduction: the use of digital technologies constitutes a process that allows the dynamization of the care process, based on aspects related to criticality and creativity. It is emphasized that the development of technologies must, therefore, be inserted in a context for changes and innovation in response to the population’s health demand, and must follow a precise methodological path that goes from the construction to the validation of the appearance, content and effect .Objective: to describe the scientific method of elaboration and validation of educational technologies in digital format.Methods: methodological study, conducted according to the following steps: development of the research project and submission to the Research Ethics Committee; data collection; elaboration of the content, script, illustrations and layout of the booklet; and validation of educational technology.Results: the process of developing a technology requires methodological rigor, enabling coherence between theory and the purpose of the desired product, guaranteeing the internal quality of the developed technology. The use of educational technologies in health reinforces information, serving as a guide for guidelines regarding care and assisting in decision-making. Technological innovations in health, consists of a socio-technical process , permeated by professional and user reflections and experiences.Final considerations: educational technologies represent a potential resource for the development of health education practices, encouraging greater interaction between professionals and users, and an active attitude regarding self-care actions related to their health condition.
导语:数字技术的使用构成了一个过程,使护理过程动态化,基于与关键和创造力相关的方面。因此,强调技术的发展必须适应人口健康需求的变化和创新,必须遵循从构建到外观、内容和效果验证的精确方法路径。目的:描述以数字形式阐述和验证教育技术的科学方法。方法:方法学研究,按照以下步骤进行:制定研究项目并提交研究伦理委员会;数据收集;对宣传册的内容、文字、插图、版式进行细化;以及教育技术的验证。结果:开发一项技术的过程需要方法上的严谨性,使理论与所需产品的目的保持一致,保证所开发技术的内在质量。在保健方面使用教育技术可以加强信息,作为护理指导方针的指南,并协助决策。保健方面的技术创新是一个社会技术过程,其中渗透着专业人员和用户的思考和经验。最后考虑:教育技术是发展健康教育实践的潜在资源,鼓励专业人员和用户之间更多的互动,以及对与其健康状况有关的自我保健行动的积极态度。
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引用次数: 1
Clinical-epidemiological characterization of patients submitted to hemodialysis according to the national kidney foundation, the kidney disease outcomes quality initiative – KDOQI in a hemodialysis reference center in the metropolitan region of São Paulo, Brazil 根据巴西<s:1>圣保罗大都会区血液透析参考中心的国家肾脏基金会、肾脏疾病结局质量倡议(KDOQI)对接受血液透析的患者进行临床流行病学特征分析
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.14836
Bruno Oliveira Cardelino, Rodrigo Scabora, Thiago Oliveira e Silva, João Antônio Corrêa
Introduction: hemodialysis is a treatment that helps in the survival of patients with renal failure, through an established cardiopulmonary bypass to carry out blood filtration, as a result, there is a need for a feasible, lasting and effective vascular access. There are two types of vascular access, arteriovenous fistulas, using autogenous veins or prostheses, and venous catheters. The indications for choosing the type of vascular access are related to the characteristics and restriction of use of each patient. Objective: to analyze the epidemiological, demographic and clinical profile of patients undergoing hemodialysis in two reference services in the metropolitan region of São Paulo, Brazil, and compare the clinical-surgical processes with those defined by the Kidney Guidelines disease Outcomes Quality Initiative (KDOQI). Methods: data were collected in two public hospitals, with patients undergoing hemodialysis, through registration forms and medical records, from August to December 2016. The volunteers were informed about the procedures and objectives of the study and, after agreeing, they signed a consent form. The variables age, gender, weight, height, body mass index, hemodialysis time, types of accesses already used , complications related to the accesses and underlying disease were analyzed. Patients with chronic renal failure undergoing hemodialysis of both genders, with no age restriction, were included. Patients not able to perform one of the techniques, arteriovenous fistula or catheter, were excluded . The collected data were compared with the Kidney guidelines disease Outcomes Quality Initiative (KDOQI). Results: a total of 252 individuals were included, of which 182 are patients undergoing reference hospital treatment in the city of São Bernardo do Campo, SP and 70 patients at the State University Hospital Mário Covas, a State reference in the clinical management of patients undergoing hemodialysis care. Conclusion: chronic kidney disease is highly prevalent with progression to end-stage chronic kidney failure (dialysis). The definition of the epidemiological profile of the population undergoing treatment, as well as the journey of venous accesses for hemodialysis (catheters and fistulas), are fundamental for the multidisciplinary team’s learning curve about complications throughout the course of the disease/treatment. Furthermore, the clinical-surgical management of this population is in line with the guidelines of the National Kidney Foundation. The treatment performed in these hemodialysis centers is efficient and in line with what the KDOQI recommends.
导读:血液透析是一种有助于肾衰竭患者生存的治疗方法,通过既定的体外循环进行血液过滤,因此,需要一种可行、持久、有效的血管通路。有两种类型的血管通路,动静脉瘘,使用自体静脉或假体,和静脉导管。选择血管通路类型的适应症与每位患者的特点和使用限制有关。目的:分析巴西圣保罗大都会地区两家参考机构血液透析患者的流行病学、人口学和临床概况,并将临床手术过程与肾脏指南疾病结局质量倡议(KDOQI)定义的过程进行比较。方法:收集2016年8 - 12月在两家公立医院进行血液透析的患者的资料,通过登记表和病历进行收集。志愿者被告知研究的程序和目的,在同意后,他们签署了一份同意书。分析年龄、性别、体重、身高、体质指数、血液透析时间、已使用通道类型、通道相关并发症及基础疾病。接受血液透析的慢性肾衰竭患者不分性别,没有年龄限制。不能使用动静脉瘘或动静脉导管的患者被排除在外。收集的数据与肾脏指南疾病结局质量倡议(KDOQI)进行比较。结果:共纳入252人,其中182人是在SP o Bernardo do Campo市接受参考医院治疗的患者,70人是在州立大学医院Mário Covas接受血液透析护理患者临床管理的国家参考医院。结论:慢性肾脏疾病是高度普遍进展到终末期慢性肾衰竭(透析)。接受治疗人群的流行病学概况的定义,以及血液透析静脉通路(导管和瘘管)的旅程,是多学科团队了解整个疾病/治疗过程中并发症的基础。此外,这一人群的临床外科治疗符合国家肾脏基金会的指导方针。在这些血液透析中心进行的治疗是有效的,符合KDOQI的建议。
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引用次数: 1
Roux-en-y gastric bypass reduces body parameters but does not alter diet quality during six months follow-up Roux-en-y胃旁路术降低了身体参数,但在六个月的随访中没有改变饮食质量
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.14730
Gabriela Bernabé Braga, Amanda Motta de Bortoli, Beatriz Bobbio de Brito, Luciane Bresciani Salaroli, Andressa Bolsoni Lopes, F. Kenji Haraguchi
Backgroung: the diet quality contributes for the success of weight loss treatment after bariatric surgery. Objective: to evaluate weight loss, body parameters and diet quality during the short-term (6 months) follow-up of subjects undergoing Roux-en-Y Gastric Bypass (RYGB). Methods: prospective and observational study, carried out with adult patients, of both sexes, submitted to RYGB. Weight, BMI, percentage of total weight loss (%TWL), waist circumference (WC), fat mass (FM), fat-free mass (FFM) and diet quality were evaluated before (T0), and approximately in the second (T1) and sixth month (T2) after RYGB. Diet quality was assessed by the Healthy Eating Index. Data were analyzed by repeated measures ANOVA or Friedman’s test, with 5% significance level. Results: the final sample consisted of 18 patients, (89% female). %TWL was 16.2% at T1 and 26.7% at T2. There was a significant reduction in weight, BMI, WC, FM, FFM (p<0.001), in total daily calorie intake (p=0.017), and in total fat consumption (p=0.009) over the course of the evaluated moments. The diet was classified as low quality, mainly due to the low intake of cereals, roots, tubers, fruits, vegetables, legumes, meat, eggs, milk and derivatives, not differing between the evaluated moments (p>0.05). Conclusion: in the present study, despite adequate weight loss and reduction of body parameters, subjects submitted to RYGB showed a low diet quality during the follow-up, indicating the maintenance of inadequate eating habits.
研究背景:饮食质量是减肥手术后减肥治疗成功的关键。目的:评价Roux-en-Y胃旁路术(RYGB)短期(6个月)随访期间体重减轻、身体参数及饮食质量。方法:对提交RYGB的成年患者进行前瞻性和观察性研究。体重、BMI、总减重百分比(%TWL)、腰围(WC)、脂肪质量(FM)、无脂质量(FFM)和饮食质量在RYGB后的第2个月(T1)和第6个月(T2)进行评估。饮食质量通过健康饮食指数进行评估。数据分析采用重复测量方差分析或Friedman检验,显著性水平为5%。结果:最终样本包括18例患者,其中89%为女性。T1时为16.2%,T2时为26.7%。体重、BMI、WC、FM、FFM均显著降低(p0.05)。结论:本研究中,接受RYGB治疗的受试者在体重减轻和身体参数降低的情况下,在随访期间饮食质量较低,表明其饮食习惯维持不佳。
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引用次数: 1
Nursing assistance systematization: understanding the care implementation process 护理辅助系统化:理解护理实施过程
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.14756
Jaçamar Aldenora dos Santos, Ana Paula de Araújo Machado, Francisco Naildo Cardoso Leitão, José Lucas de Souza Ramos, Blanca Elena Guerrero Daboin, Ionar Cilene de Oliveira Cosson, Mauro José de Deus Morais, Daniel Paulino Venâncio
Introduction: the Systematization of Nursing Care is one of the main tools for the development and organization of services for nursing professionals, its application guides the planning of individualized care and focuses on the specific needs of each individual.Objective: the study’s general purpose is to analyze primary health nursing care in light of the basic human needs theory.Methods: this is a descriptive study with a qualitative approach, developed in the city of Rio Branco, Acre, Brazil, with nurses from the Basic Family Health Units. As a method for organization and interpretation, we opted for the content analysis proposed by Bardin.Results: the Systematization of Nursing Care is perceived by nurses as an instrument for organizing care, but in practice, they think it is focused on assistance directed to the use of ministerial protocols. In this context, it was also evidenced that they focus on aid for health problems and complaints, indicating the anamnesis as a phase of the implemented nursing process with the other stages focused on the diagnosis of the disease and specific interventions.Conclusion: our findings showed that professionals in primary health care end up directing their care only to momentary complaints, failing to broaden their look as a whole. In this way, assistance occurs in a fragmented way, failing to meet the real needs of the population.
引言:护理系统化是发展和组织护理专业人员服务的主要工具之一,其应用指导个性化护理的规划,并关注每个人的具体需求。目的:从人的基本需求理论出发,对基层卫生护理进行分析。方法:这是一项采用定性方法的描述性研究,在巴西阿克里的里奥布兰科市进行,由基本家庭卫生单位的护士参与。作为一种组织和解释的方法,我们选择了Bardin提出的内容分析。结果:护士们认为护理系统化是组织护理的工具,但在实践中,他们认为它侧重于针对部长级协议的使用提供帮助。在这种情况下,也有证据表明,他们专注于对健康问题和投诉的援助,这表明记忆是实施护理过程的一个阶段,其他阶段专注于疾病的诊断和具体干预。结论:我们的研究结果表明,初级卫生保健专业人员最终只针对一时的抱怨进行护理,未能拓宽他们的整体视野。这样一来,援助就支离破碎,无法满足人民的真正需求。
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引用次数: 1
Fatores associados à vulnerabilidade clínico-funcional de idosos de uma Unidade Básica de Saúde 基础卫生单位老年人临床和功能脆弱性的相关因素
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.13675
Cecília Sanglard, Maria Carolina Pereira e Silva, Gracielle Pampolim, Luciana Carrupt Machado Sogame
Introdução: o envelhecimento é um processo natural que vem ocorrendo de maneira acelerada e que, pelo declínio fisiológico dos sistemas, pode propiciar ao aparecimento de vulnerabilidades no idoso.Objetivo: verificar os fatores socioeconômicos, condições de saúde e hábitos de vida associados ao grau de Vulnerabilidade Clínico-funcional de idosos da ESF São Vicente em Manhuaçu utilizando o IVCF-20. Método: estudo transversal, quantitativo, realizado com idosos cadastrados na ESF São Vicente. Para coleta de dados foi empregado o instrumento IVCF-20 para o grau de vulnerabilidade e a ficha de coleta de dados para o perfil geral, hábitos de vida e condições de saúde. Realizou-se teste do qui-quadrado para verificar associação das variáveis independentes à vulnerabilidade clínico funcional. Resultado: dos 255 idosos avaliados, 60% apresentaram baixa vulnerabilidade clínico funcional, 22% moderada vulnerabilidade e 18% alta vulnerabilidade. A média de idade foi de 72 anos ± 8 anos, em sua maioria, sexo feminino (62,5%), autodeclaram brancos (60%), casados (56%), não possuem cuidador (89,5%), são aposentados (82%), possuem doenças crônicas (78,5%), auto avaliam a saúde como ótima/bom (63,5%), a prática religiosa (87%), saem de casa sozinhos (82%) e 40% pertencem a classe social D/E. Comportaram-se como variáveis associadas p < 0,05 a baixa vulnerabilidade, não ter cuidador, ser negro/pardo, não ser pensionista, sair de casa sozinho, não ser doença crônica, ter uma ótima/boa percepção de saúde. Conclusão: é de grande importância a identificação dos fatores socioeconômicos, hábitos de vida e vulnerabilidade dos idosos para elaboração de ações efetivas que mantenham a funcionalidade e qualidade de vida.
引言:衰老是一个加速发生的自然过程,由于系统的生理衰退,可能会导致老年人脆弱性的出现。目的:利用IVCF-20评估manhuacu中fhs sao Vicente老年人临床和功能脆弱性相关的社会经济因素、健康状况和生活习惯。方法:对在ESF sao Vicente登记的老年人进行横断面定量研究。数据收集采用IVCF-20工具进行脆弱性评估,数据收集采用一般概况、生活习惯和健康状况表。采用卡方检验验证自变量与临床功能脆弱性的关系。结果:255名被评估的老年人中,60%的人临床功能脆弱性较低,22%的人中度脆弱性,18%的人高度脆弱性。的平均年龄是72岁的±8年,在多数情况下,女性(5%,62),autodeclaram白人(60%)、结婚(56%),没有母亲(89 . 5%),退休人员(82%),慢性疾病(78 5%),自我评估健康好/坏(63 . 5%),宗教活动(87%),独自离开家(82%),40%属于社会地位(D / e。相关变量p < 0.05:低脆弱性,没有照顾者,黑人/棕色,不是退休人员,独自离开家,不是慢性病,有良好/良好的健康感知。结论:识别老年人的社会经济因素、生活习惯和脆弱性对于制定有效的行动以保持功能和生活质量具有重要意义。
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引用次数: 0
Working conditions of nursing professionals in the context of COVID-19 COVID-19背景下护理专业人员的工作条件
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.14753
Kelly Cristina da Costa, Maria Edla de Oliveira Bringuente, Andressa Barcelos de Oliveira, Candida Caniçali Cousin, Marcia Valeria de Souza Almeida, T. Nascimento do Prado, Júlia Papi de Souza Diniz, Walckiria Garcia Romero Sipolatti
Introduction: the COVID-19 pandemic has increased the number of hospitalizations and is responsible for increasing the workload of nursing professionals with a deficiency in human resources and personal protective equipment.Objective: to analyze aspects related to the working conditions of Nursing professionals in the context of COVID-19.Methods: documentary research recorded under narratives in the databases of the Federal Nursing Council, the Regional Nursing Councils of Espírito Santo and Pernambuco, the Federal Public University and Social Media.Results: are presented and analyzed according to the categories: a) nursing work conditions, threatening the worker’s health and life; b) the autonomy of nurses in the full exercise of their profession and the cultural aspect of the dominant ideology; c) the Federal Nursing Council and the Regional Nursing Councils of Espírito Santo and Pernambuco as disciplining, normalizing, managing and controlling bodies for the professional practice of nursing.Conclusion: the narratives found in this study demonstrate the precarious working conditions, exacerbated by the pandemic, and the role of nursing in coping with COVID-19.
简介:新冠肺炎大流行增加了住院人数,并增加了人力资源和个人防护设备不足的护理专业人员的工作量。目的:分析COVID-19背景下护理专业人员工作条件的相关方面。方法:在联邦护理委员会、圣埃斯皮里托和伯南布哥地区护理委员会、联邦公立大学和社交媒体数据库的叙述下记录的文献研究。结果:按类别呈现和分析:a)护理工作条件,威胁工作人员的健康和生命;b) 护士在充分行使其职业和主导意识形态的文化方面的自主权;c) 联邦护理委员会以及圣埃斯皮里托和伯南布哥地区护理委员会,作为护理专业实践的纪律、规范、管理和控制机构。结论:本研究中发现的叙述证明了因疫情而加剧的不稳定工作条件,以及护理在应对新冠肺炎中的作用。
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引用次数: 1
Validation of the regret coping scale for healthcare professionals (RCS-HCP) in portuguese for Brazil 巴西医疗保健专业人员后悔应对量表(RCS-HCP)葡萄牙文验证
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.13880
Fabiana Rosa Neves Smiderle, Stela Maris de Jezus Castro, Delphine Sophie Courvoisier, Rita Mattiello
Introduction: the assessment of the ability to cope with regret can contribute to support strategies for health professionals. However, in Brazil there are few instruments that evaluate this ability in the general context. Objective: the aim of the study was to adapt and validate the Regret Coping Scale for Healthcare Professionals (RCS-HCP) for Brazilian health professionals. Methods: in the validation, the instruments were translated, and the psychometric properties evaluated for validity and reliability. Three hundred and forty-one professionals participated, with an average age of 38.6 ± 9.2, and 87 participated in a retest survey 30 days later. Results: exploratory factor analysis showed adequacy of the structure (KMO = 0.786) composed of three factors. In the confirmation, the performance was close to acceptable. Reliability was good for the maladaptive strategies (α = 0.834) and adequate for the problem-focused strategies (α = 0.717), but slightly too low for adaptive strategies (α = 0.595). Test-retest showed lower than expected values, with a Spearman-Brown coefficient of 0.703. Conclusion: the RCS-HCP scale showed satisfactory performance in relation to the properties evaluated.
导言:对应对后悔能力的评估有助于为卫生专业人员提供支持策略。然而,在巴西,在一般情况下评估这种能力的工具很少。目的:本研究的目的是对巴西卫生专业人员的后悔应对量表(RCS-HCP)进行调整和验证。方法:在验证中,对量表进行翻译,并对心理测量特性进行效度和信度评估。341名专业人员参与,平均年龄38.6±9.2岁,87人在30天后参加复测调查。结果:探索性因子分析显示三因素构成的结构充分性(KMO = 0.786)。在确认中,性能接近可接受。不适应策略的信度较好(α = 0.834),问题聚焦策略的信度较好(α = 0.717),而适应策略的信度略低(α = 0.595)。重测结果低于期望值,Spearman-Brown系数为0.703。结论:RCS-HCP量表具有满意的评价指标。
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引用次数: 0
Early diagnosis of diabetic neuropathy and prophylaxis of diabetic foot 糖尿病神经病变的早期诊断及糖尿病足的预防
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.14252
Bárbara Peres Lapetina Gonçalves Saraiva, Juliana Daud Ribeiro, Bárbara De Araújo Casa, Renato Hideki Osugi, Gustavo Sawazaki Nakagome, Orlando Vitorino de Castro Neto, Manuela de Almeida Roediger, João Antônio Corrêa
Introduction: the diabetic foot is one of the most serious complications of diabetes mellitus. About 50% of non-traumatic amputations occur in these patients. In addition, it is an important public health problem and constitutes a chronic and complex metabolic disorder that is characterized by impaired metabolism of glucose and other complications in essential organs for the maintenance of life.Objective: to evaluate the sensitivity and specificity of diabetic neuropathy using the Michigan self-assessment and physical examination in type 1 and type 2 diabetics.Methods: this is a cross-sectional study. The “Michigan Neuropathy Screening Instruments” classification was used to assess the degree of peripheral neuropathy, in which participants answered the questionnaire and were evaluated for the presence of foot lesions. All participants were stratified by the risk of developing foot ulcers according to the IWGDF protocol.Results: the sample had 200 participants. Regarding the IWGDF classification, 23 patients were classified as moderate risk (11.50%) and 61 as high risk for developing foot ulcers (30.50%). Using a cutoff of 2.5 on the physical examination score to diagnose neuropathy, a sensitivity of 97.62% and a specificity of 47.41% were obtained. Using a score greater than or equal to 6 in the self-assessment for the diagnosis of neuropathy, a sensitivity of 50.00% and a specificity of 94.83% were found.Conclusion: the association of the Michigan physical examination (high sensitivity) with self-assessment (high specificity) increases the accuracy for the diagnosis of diabetic neuropathy.
导读:糖尿病足是糖尿病最严重的并发症之一。约50%的非创伤性截肢发生在这些患者身上。此外,糖尿病是一个重要的公共卫生问题,是一种慢性和复杂的代谢紊乱,其特征是维持生命的重要器官的葡萄糖代谢受损和其他并发症。目的:评价密歇根自我评估和体格检查在1型和2型糖尿病患者中诊断糖尿病神经病变的敏感性和特异性。方法:这是一个横断面研究。使用“密歇根神经病变筛查工具”分类来评估周围神经病变的程度,参与者回答问卷并评估足部病变的存在。根据IWGDF方案,根据发生足部溃疡的风险对所有参与者进行分层。结果:样本有200名参与者。根据IWGDF分级,23例患者为中度风险(11.50%),61例为高风险(30.50%)。采用体格检查评分2.5的临界值诊断神经病变,敏感性为97.62%,特异性为47.41%。采用大于或等于6分的自评评分诊断神经病变,灵敏度为50.00%,特异性为94.83%。结论:密歇根体格检查(高敏感性)与自我评估(高特异性)相结合可提高糖尿病性神经病变的诊断准确性。
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引用次数: 1
Electronic cigarettes: a new social practice and the challenge of tobacco control policies 电子烟:一种新的社会实践和控烟政策的挑战
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.14897
Flaviane Cristina de Oliveira Ferreira Delanos, Italla Maria Pinheiro Bezerra
Smoking is a chronic disease and is considered a serious public health problem and has been the target of many preventive and health promotion actions over time. The most consumed tobacco product among adults and young people is the conventional cigarette, however, the consumption of smokeless tobacco or other smoked tobacco products, such as electronic cigarettes, has been observed on an increasing basis in the world. Electronic smoking devices (EFD), which have increasingly attracted the attention of young consumers, involve different equipment and technologies. Based on the precautionary principle, since 2009, Brazil has prohibited the sale, importation and advertising of all types of DEF that offer the replacement of cigarettes, cigarillos, cigars, pipes and the like or that aim at an alternative to the treatment of smoking, through RDC n 46, of August 28, 2009. Even though it is prohibited in Brazil, the use of electronic cigarettes as an alternative is evident, revealing a new challenge to be faced by tobacco control policies. The knowledge gaps inherent to a new social practice, as well as the need to build references that contribute to better decision-making, whether in the scope of professional intervention or the management of public policies, with a view to protecting the health of the population, for itself already makes the expansion of knowledge about this theme relevant. However, it is necessary to understand that prevention, promotion and control actions must be understood in a transversal and interdisciplinary way, so that one can reflect on the processes that involve political, socioeconomic and cultural aspects that interact directly with the health process -illness. Thus, based on the problem presented and considering the relevance of the issue in question, as a field little faced in this area, it is emphasized that the expansion of investigations and the deepening of discussions about it, will allow a better understanding and visibility of the problem.
吸烟是一种慢性疾病,被认为是一个严重的公共卫生问题,长期以来一直是许多预防和促进健康行动的目标。成年人和年轻人消费最多的烟草产品是传统卷烟,然而,世界上无烟烟草或其他吸烟烟草产品(如电子烟)的消费日益增加。电子烟(EFD)涉及不同的设备和技术,越来越受到年轻消费者的关注。基于预防原则,自2009年以来,巴西已通过2009年8月28日第46号RDC禁止销售、进口和广告所有类型的DEF,这些DEF提供香烟、小雪茄、雪茄、烟斗等替代品,或旨在替代吸烟治疗。尽管电子烟在巴西是被禁止的,但电子烟作为一种替代品的使用是显而易见的,这表明烟草控制政策将面临新的挑战。一种新的社会实践所固有的知识差距,以及需要建立有助于更好决策的参考资料,无论是在专业干预的范围内还是在公共政策的管理范围内,以保护人民的健康,这本身就已经使扩大关于这一主题的知识具有相关性。然而,有必要认识到,必须以横向和跨学科的方式理解预防、促进和控制行动,以便人们能够反思涉及政治、社会经济和文化方面的过程,这些过程直接与健康过程-疾病相互作用。因此,根据所提出的问题,并考虑到有关问题的相关性,作为这一领域很少遇到的领域,强调扩大调查和深化讨论将使人们更好地了解和了解这一问题。
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引用次数: 0
Analysis of the perinatal mortality rate in the metropolitan region of grande Vitória, Espírito Santo, Brazil, between 2008 and 2017 2008年至2017年巴西桑托Espírito大Vitória都市区围产期死亡率分析
Q2 Medicine Pub Date : 2023-08-14 DOI: 10.36311/jhgd.v33.14755
Larissa Zuqui Ribeiro, Cristina Ribeiro Macedo, Mariana Rabello Laignier, Bárbara Barbosa dos Santos, Luiz Vinicius de Alcantara Sousa, José Lucas Souza Ramos
Introduction: perinatal mortality is characterized by fetal deaths that occur after the 22nd week of management and neonatal deaths that precede six full days of life. This indicator has been a matter of concern and discussion on the part of entities and organizations involved in comprehensive health care for women and children.Objective: to characterize perinatal deaths in the Metropolitan Region of Greater Vitória (RMGV) in Espírito Santo and identify associated maternal factors in the period between 2008 and 2017.Methods: ecological and descriptive study with a quantitative approach, carried out in 2019 on perinatal mortality from 2008 to 2017 at RMGV. Data collection was performed by extracting data from the SIM, SINASC, IBGE databases of the Espírito Santo State Health Department, about perinatal deaths and associated maternal factors. The research respects the ethical precepts of resolution 466/12 of the National Health Council.Results: the distribution of deaths did not occur homogeneously in the municipalities in the RMGV. The municipality of Vitória had the lowest perinatal mortality rates during the study period, on the other hand, in the comparative analysis between the different municipalities that make up the RMGV, the municipality of Fundão presents the worst scenario regarding perinatal mortality over the years. Regarding the underlying causes of death, it is noted that in this study, the three causes with the highest number of occurrences are complications of the placenta, umbilical cord and maternal affections, not necessarily related to the current pregnancy and intrauterine hypoxia.Conclusion: there were no significant changes in mortality rates in the Metropolitan Region of Greater Vitória. However, the main deaths occurred in neighborhoods with greater socioeconomic inequalities. Maternal causes were highly representative of deaths, raising issues associated with the improvement of public health policies.
引言:围产期死亡率的特点是在管理第22周后发生的胎儿死亡和在生命的六整天之前发生的新生儿死亡。这一指标一直是参与妇女和儿童全面保健的实体和组织关注和讨论的问题。目的:描述圣埃斯皮里托大维多利亚大都会区(RMGV)的围产期死亡情况,并确定2008年至2017年期间的相关孕产妇因素。方法:2019年采用定量方法对RMGV 2008-2017年的围产期死亡率进行生态和描述性研究。数据收集是通过从圣埃斯皮里托州卫生部的SIM、SINASC和IBGE数据库中提取有关围产期死亡和相关孕产妇因素的数据来进行的。这项研究尊重了国家卫生委员会第466/12号决议的道德准则。结果:RMGV中各城市的死亡分布并不均匀。在研究期间,Vitória市的围产期死亡率最低,另一方面,在构成RMGV的不同市镇之间的比较分析中,Fundão市呈现了多年来围产期死亡率最差的情况。关于死亡的根本原因,值得注意的是,在这项研究中,发生次数最多的三个原因是胎盘、脐带和产妇情感的并发症,与当前妊娠和宫内缺氧不一定有关。结论:大维多利亚大都会区的死亡率没有显著变化。然而,主要的死亡发生在社会经济不平等程度更高的社区。孕产妇原因在死亡中具有很高的代表性,提出了与改善公共卫生政策有关的问题。
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引用次数: 2
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Journal of Human Growth and Development
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