Top PDF Abstract This paper addresses the health challen-

Abstract This paper addresses the health challen-

Abstract This paper addresses the health challen-

ges of contemporary societies, where stakeholders with diverse, and sometimes antagonistic inte- rests, are faced with the establishment of a public agenda for the health care of the population. In this field, the modern welfare state plays an im- portant role, not only as an implementing agent of the public agenda but also as a guarantor in the provision of services. In this essay, we will explore the concept of governance, which seeks to analyze the new governance practices in late modernity, incorporating the complicated relationship among stakeholders, in a scheme where ingredients such as popular participation and social control of public affairs are put to the fore. The theme of networks is introduced as an instrument for un- derstanding the phenomenon of governance. The concept of health governance is constructed to explain the phenomena of new organizational schemes of public management, especially from the fact that new actors enter the stage. It is no longer possible to have a close picture of reality by using traditional organizational analysis models. It is essential to incorporate other theoretical-me- thodological instruments, and we believe that the analysis of social networks is an essential tool for understanding this complex reality.
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Abstract This paper addresses the health challen-

Abstract This paper addresses the health challen-

Abstract This paper addresses the health challen- ges of contemporary societies, where stakeholders with diverse, and sometimes antagonistic inte- rests, are faced with the establishment of a public agenda for the health care of the population. In this field, the modern welfare state plays an im- portant role, not only as an implementing agent of the public agenda but also as a guarantor in the provision of services. In this essay, we will explore the concept of governance, which seeks to analyze the new governance practices in late modernity, incorporating the complicated relationship among stakeholders, in a scheme where ingredients such as popular participation and social control of public affairs are put to the fore. The theme of networks is introduced as an instrument for un- derstanding the phenomenon of governance. The concept of health governance is constructed to explain the phenomena of new organizational schemes of public management, especially from the fact that new actors enter the stage. It is no longer possible to have a close picture of reality by using traditional organizational analysis models. It is essential to incorporate other theoretical-me- thodological instruments, and we believe that the analysis of social networks is an essential tool for understanding this complex reality.
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Abstract This paper examines two experiences of

Abstract This paper examines two experiences of

The new technological and cultural environ- ment has brought new possibilities for existing practices, such as training, dissemination of knowledge, management, monitoring and eval- uation of health practices, but also inaugurated new ways of producing health, with the creation of spaces of exchange and reflection on practices or the establishment of devices for the permanent education of professionals, among other pos- sibilities that are being explored. It is therefore not just an incremental issue, of incorporating “state-of-the-art technologies” for improvement and efficiency of processes already in place, but the inauguration of new relationships and new ways of producing health that, above all, are new powers of collective action, to put things in the perspective of CI. After all, in this perspective, we are interested in examining the limitations and potentialities of some specific uses of these new technologies, highlighting in this multifaceted scenario experiences involving the use of col- laborative tools and the establishment of social networks.
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Abstract This paper aims to understand how

Abstract This paper aims to understand how

Abstract This paper aims to understand how and to what extent interdisciplinary teams sup- porting public schools in the Brazilian and Por- tuguese context characterize and develop violence prevention actions. The research was carried out from an exploratory study through interviews with 24 professionals and later, a thematic ana- lysis was done. The results indicate that preven- tion is always pointed out as a possibility in the Portuguese Program; in the Brazilian program, in addition to prevention-oriented discourses, limits regarding the realization of preventive activities in schools are also mentioned. In the locations in- vestigated, flagged prevention actions are shown incipiently when compared to actions advocated by the WHO and the Pan American Health Orga- nization. It is argued that a more strategic vision of the Ministry of Education and the Education Secretariats could contribute to avoid the sole accountability of schools concerning prevention of violence and thus enhance the decline of this phenomenon and favor its effects in the long term. Key words School, Prevention, Violence, Pro- gram
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Abstract This paper aims to analyze the narra-

Abstract This paper aims to analyze the narra-

Also, it should be considered that the site hosting the reports is linked to the dissemination of information about pharmacological abortion, a factor that certainly affects the recurrent de- scription of the use of the remedy as an abortive method. The vast number of stories about the ac- quisition and use of the drug, which is legally un- available in Brazil for abortion, therefore reveals a series of problems related to the clandestine market, including the use of drugs that, if not falsified, at least did not work. Without relying on the formal guidance of health professionals, women report in their accounts the use of vary- ing doses and administration routes. Some paths involve repeated uses of medicines purchased from different suppliers, in routes that are true epics:
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Abstract This paper aims to analyze the main

Abstract This paper aims to analyze the main

Abstract This paper aims to analyze the main characteristics of Road Traffic Accidents (RTA) mortality in Brazil for the period 1996-2015, focusing on the 10-29 years’ age group. This is a two-step study consisting of (i) a bibliographic re- view on the topic of traffic violence in Brazil, and (ii) a study on RTA mortality in the Mortality Information System (SIM). The former situates the state of the art of scientific production on the theme and produces the theoretical reference for the analysis of the latter. During the period, about 39,000 people died by RTA, of which about 13,200 adolescents and young people died. The coun- try should curb mortality to somewhere around 19,500/year and, among adolescents and young people, to 6,500/year to achieve SDG 3.6. With the establishment of the Brazilian Traffic Code (CTB), RTA mortality rate fell between 1997 and 2000. The rate increased in the subsequent decade. The focus on adolescents and young peo- ple help us understand that, in the post-CTB and Prohibition, male black and brown motorcyclists became the main victims. The literature provides data analysis and shows that reduction is cur- rently submitted to an articulated discussion that involves worker’s health, gender, employment, ur- ban mobility and advertising policies. Concerning SDG, this means that achieving SDG 3.6 is a pro- cess that involves interacting with policies target- ing other SDGs.
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Abstract This paper aims to analyze the main

Abstract This paper aims to analyze the main

Abstract This paper aims to analyze the main characteristics of Road Traffic Accidents (RTA) mortality in Brazil for the period 1996-2015, focusing on the 10-29 years’ age group. This is a two-step study consisting of (i) a bibliographic re- view on the topic of traffic violence in Brazil, and (ii) a study on RTA mortality in the Mortality Information System (SIM). The former situates the state of the art of scientific production on the theme and produces the theoretical reference for the analysis of the latter. During the period, about 39,000 people died by RTA, of which about 13,200 adolescents and young people died. The coun- try should curb mortality to somewhere around 19,500/year and, among adolescents and young people, to 6,500/year to achieve SDG 3.6. With the establishment of the Brazilian Traffic Code (CTB), RTA mortality rate fell between 1997 and 2000. The rate increased in the subsequent decade. The focus on adolescents and young peo- ple help us understand that, in the post-CTB and Prohibition, male black and brown motorcyclists became the main victims. The literature provides data analysis and shows that reduction is cur- rently submitted to an articulated discussion that involves worker’s health, gender, employment, ur- ban mobility and advertising policies. Concerning SDG, this means that achieving SDG 3.6 is a pro- cess that involves interacting with policies target- ing other SDGs.
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Abstract This paper presents an analysis of the

Abstract This paper presents an analysis of the

the system insist on penalising instead of finding ways to ameliorate such failings? The parameters for behaviour change (like the parameters for educational attainment as investigated by Bour- dieu) are almost unreachable for those who lack the habitus and capital needed for those chang- es. Prison is then a further case in point where- upon it knows the majority of those in its care suffer far greater instances of mental ill-health and drug addiction than the general population, yet criminalises and punishes disproportion- ately those who are unable to navigate the sys- tem without succumbing to the problems most prevalent within its population. Thus, despite its rehabilitation rhetoric, the prison acts more as a sifting system that punishes those most in need of support by keeping them in prison for longer, and claiming success for its efficacy in respect of those already in possession of the skills to navi- gate and adapt to the prison environment 38 . Fur-
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Abstract The scope of this paper was to assess the

Abstract The scope of this paper was to assess the

It should be said that another factor that is of considerable geopolitical, demographic and epidemiological importance, is the rapid growth of urban populations, which has never occurred before in the whole history of humanity, espe- cially in less developed or emerging countries. This process can represent a heavy burden for society, since the growth of cities does not always go hand-in-hand with the supply of adequate en- vironmental sanitation, healthy domestic living conditions and the availability of a social service network, notably in the areas of health, educa- tion and social welfare. This is underlined in a special United Nations document 4 . Urban san-
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Abstract This paper shows some reflections based

Abstract This paper shows some reflections based

Abstract This paper shows some reflections based on the authors’ participation in the AWID (Associ- ation for Women’s Rights in Development) Forum, which took place in Brazil, in September 2016. These reflections provide key issues about princi- ples and controversies in the work of research and activism on/with men and feminisms, based on the long path of work on masculinities and gender equality of these authors. From the field studies and political interventions on men and masculin- ities that take feminism as a theoretical and ethi- cal-political framework, we discuss the production of masculinities in the feminist social transforma- tion in contexts that are increasingly conservative and marked by male chauvinism and patriarchy. We also discussed how gender hierarchy emerges vigorously in the contemporary Brazilian political context, from the impeachment process of former president Dilma Rousseff to the formulation ofcur- rent education and health policies.
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Abstract: This paper aims to analyze the understandings and exercise of citizenship of

Abstract: This paper aims to analyze the understandings and exercise of citizenship of

Abstract: This paper aims to analyze the understandings and exercise of citizenship of subjects involved in the implementation of the GAM strategy in the macro-region of the 4th Regional Healthcare Coordination of Rio Grande do Sul. Its specific objectives are to describe the relations of knowledge and power around the psychiatric medications which the group of GAM activists is built upon, as well as to reflect on how abnormalities were introduced in the discourses of normality in the political exercise. Through a support participant observation, this study gathered managers, professionals, scholars and users in conversation circles to exchange experiences on GAM strategy. Both the meetings and the content of GAM user guide and moderator guide were analyzed based on the archeogenealogical perspective of Michel Foucault. The force field established by researchers considering the individuals’ freedom to constitute a critical subject of mental health was discussed in this study, as well as the awareness practices of listening and speaking in building user activism. It can be concluded that the exercise of citizenship in mental health involves stating the psychiatric vulnerability of the subject and problematizing the principles of normality by introducing the abnormality in this discursive field.
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Abstract The scope of this paper was to assess the

Abstract The scope of this paper was to assess the

Abstract The scope of this paper was to assess the temporal and geographical trends of diarrhea and its implications on the demands of hospitaliza- tions of children under five years of age in the state of Pernambuco in 1997 and 2006. Databases of two population-based surveys were assessed with probabilistic samples of 2078 children (1997) and 1650 children (2006) evaluated in 18 municipal- ities of Pernambuco, including the Metropolitan Region of Recife, Urban Interior and Rural Interi- or. Prevalence was considered to involve the occur- rence of cases on the day or in the two weeks prior to the interview and as admissions, service cases with minimal hospital stay of 24 hours in the pe- riod, covering up to one year before the interview. The prevalence of diarrhea in Pernambuco had a statistically non-significant decline (19.8% to 18.1%; p = 0.192). However, a statistically-sig- nificant reduction was observed (16.9% to 10.5%; p = 0.003) in the Metropolitan Region of Reci- fe. The number of admissions increased by more than double (2.7% to 5.5% in the State and from 1.6% to 3.8% within the Metropolitan Region of Recife), in contrast with national trends. There- fore, diarrhea in the State appears as the main component of the demands of pediatric hospital- izations during the period under scrutiny. Key words Diarrhea, Prevalence, Hospitaliza- tion and child health
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Abstract This paper aims at proposing validat-

Abstract This paper aims at proposing validat-

Abstract This paper aims at proposing validat- ed principles to underpin clinical management as a means to transform healthcare for integrat- ed healthcare systems. The starting point was the conception of clinical management based on structuring elements that do not separate man- agement, care and education. The authors’ pro- posal was submitted to specialists so that a con- sensus could be reached. At the end of the process, the following principles of clinical management were presented: (1) Focus on health needs and comprehensive care, (2) Quality and safety in healthcare, (3) Articulation and legitimation of different health practices and types of knowledge to face health problems, (4) Power sharing and co-accountability among managers, health profes- sionals and citizens in healthcare production; (5) Education of people and organizations; (6) Focus on outcomes that add value to health and life; (7) Transparency and accountability regarding col- lective interests. It is concluded that the principles of clinical management express connections that shed new light on management, healthcare, and education in integrated healthcare systems, re- quiring critical awareness in relation to the simul- taneity of “permanence” and change in practices. Key words Clinical management, Delivery of healthcare, Health systems, Health management Roberto de Queiroz Padilha 1
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Braz. oral res.  vol.26 número especial 1

Braz. oral res. vol.26 número especial 1

Abstract: This paper discusses adult oral health in Brazil according to three perspectives: 1) the available epidemiological evidence about the population’s oral-health-related epidemiological situation, especially adults and the elderly population, in relation to two high prevalence oral injuries (dental caries and tooth loss), 2) the main health care models for dealing with this situation, by analyzing the related historical processes in order to reveal the likely social, political and epidemiological impli- cations of the different models, and 3) lastly, the possible challenges to Brazilian dentistry or collective oral health in overcoming these obsta- cles. The main results of the study indicate that, from an epidemiological point of view, Brazil is undergoing a transition in dental caries and tooth loss, which is not yet relected in the proile of the elderly, but which is tentatively evidenced in young adults. Tooth loss remains high. Certain aspects of society’s economic and political superstructure have an im- portant impact on oral health indicators and existing inequalities. Oral health care models have a relative importance and must not be neglected. Vestiges of ideological movements, like preventive medicine, may explain the current impasse in collective oral health practices, such as the pre- eminence of Finalized Treatment (FT) in clinics and of preventive care in schools fostered by community-based programs. It is therefore important to develop conceptual, theoretical relections and to increase the objects of intervention, their purposes and their modus operandi. The practice of dentistry according to these alternative models is still being constructed. New studies related to the different formats of these new practices are recommended.
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Abstract This paper aims at proposing validat-

Abstract This paper aims at proposing validat-

Abstract This paper aims at proposing validat- ed principles to underpin clinical management as a means to transform healthcare for integrat- ed healthcare systems. The starting point was the conception of clinical management based on structuring elements that do not separate man- agement, care and education. The authors’ pro- posal was submitted to specialists so that a con- sensus could be reached. At the end of the process, the following principles of clinical management were presented: (1) Focus on health needs and comprehensive care, (2) Quality and safety in healthcare, (3) Articulation and legitimation of different health practices and types of knowledge to face health problems, (4) Power sharing and co-accountability among managers, health profes- sionals and citizens in healthcare production; (5) Education of people and organizations; (6) Focus on outcomes that add value to health and life; (7) Transparency and accountability regarding col- lective interests. It is concluded that the principles of clinical management express connections that shed new light on management, healthcare, and education in integrated healthcare systems, re- quiring critical awareness in relation to the simul- taneity of “permanence” and change in practices. Key words Clinical management, Delivery of healthcare, Health systems, Health management Roberto de Queiroz Padilha 1
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Abstract This paper aimed to characterize the

Abstract This paper aimed to characterize the

The Health Work Education Program (PET- Saúde) was implemented in 2008 and was a rel- evant driving policy. This movement promoted advances, but the great challenge of breaking with the continuous fragmentation, the inclusion of integrality and practice humanization, as ear- ly as during graduation, still persisted. However, most higher education institutions have consis- tently perpetuated conservative and fragmented training models, focused on specialized technol- ogies and highly dependent on hard technology for diagnostic and therapeutic support 7,10,15 .
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Abstract This paper presents the pronounce-

Abstract This paper presents the pronounce-

ments on humanization of professionals and users of a health care and research institution. Inter- views were conducted with 16 professionals and 44 users. The analytical method employed was the Discourse of the Collective Subject, the results of which were discussed based on the theoretical framework presented, which includes the Theory of communicative action of Habermas and rec- ognized authors in the public health area. The findings point to the importance of the set of hard, light-hard and light technologies for humanized practice. The articulation role played by com- municative action was highlighted both for the creation of a network of professionals and in the relationship between professionals and patients. The practice of research was considered by pro- fessionals and users as a factor that increases the quality of care and contributes to humanization. Care at the institute was considered good, both by practitioners and users, who emphasized the importance of problem resolution for humaniza- tion. The professionals highlighted the working conditions and the autonomy of professionals and patients, with the appreciation of each person’s knowledge. The intersectoral work revealed itself to be an important challenge for the Brazilian Health System (SUS).
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Abstract This paper presents the pronounce-

Abstract This paper presents the pronounce-

Discourse G.2 highlights the importance of using clear nontechnical language that is under- standable to the patient and clearing up doubts. This discourse highlights the assumption of in- telligibility 14 , which states that the language used should be understood by all participants in the conversation. This discourse and the one be- fore it (F.2) complement each other and involve some of the elements of communicative action as, through their shared lifeworld and seeking mutually acceptable validity claims, health pro- fessionals and service users negotiate and reach a noncoercive understanding, building consen- suses in pursuit of the continuity of treatment 5,14 . Discourse I.2 concerns resolutividade (“re- solvability”, or the capacity of health services to solve individual health problems), highlighting the importance of the treatment having an effect and the patient being cured of the illness. This is the ultimate goal of all patient care: solve the pa- tient’s problem and promote health by improv- ing the quality of life. According to Benevides and Passos 3 , the position of service users in the debate about the humanization of the SUS is his- torically tied to claiming their rights or, in other words, to atenção com acolhimento e de modo res- olutivo (welcoming and resolutive patient care) 3 .
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Rev. bras. epidemiol.  vol.17 número1

Rev. bras. epidemiol. vol.17 número1

AbstrAct: The purpose of this paper was to identify the common contents between São Paulo’s Health Survey Questionnaire (Physical Disability and Emotional Health Blocks) and the International Classiication of Functionality, Disability, and Health. The irst stage of the research consisted of the search for the modules of São Paulo’s Health Survey, which addressed the issue of disability, and the passages about this theme were highlighted and inserted into a new ile. In the second stage, the signiicant contents were extracted. In the last one, these contents were codiied to the codes of the International Classiication of Functionality, Disability, and Health by two independent researchers. For the descriptive statistical analysis, crude numbers, percentages, and simple frequencies were used. The degree of agreement between the two professionals was calculated using Kappa’s coeicient and the conidence interval. The most common domains were those about functions and body structures and about activities and participation, in which the domain of environmental factors presented a lower frequency of approach.
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Abstract This paper aimed to characterize the

Abstract This paper aimed to characterize the

Abstract This paper aimed to characterize the historical trajectory, including the advances and challenges, of the teaching-service integration in the medical training process. In this context, through scientific studies indexed in databases, a critical review of the literature was performed from the search for works of reference until the present moment. Most of the works consulted were reference material on the topic published in scientific journals and indexed in the databases of the Virtual Health Library. The search evidenced that the country underwent transformative ex- periences in the fields of health and education in the 1970’s and, since then, the teaching-service integration has drawn universities and health institutions closer through the reorganization of education and healthcare. Despite the prog- ress achieved mainly in the last decade, there are challenges to overcome in the integration of these different worlds, of one which is the creation and implementation of management tools such as the Organizing Contract for Public Health Education Action (COAPES), capable of withstanding the complexity of this process.
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