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Статті в журналах з теми "Time out na assistência à saúde"
Grazziano, Eliane Da Silva. "Segurança no cuidado em cirurgias: onde estamos?" Revista SOBECC 20, no. 2 (April 29, 2016): 63. http://dx.doi.org/10.5327/z1414-4425201500020001.
Повний текст джерелаToldo, Ana Paula Ribeiro, Hildegard Magdalena Klever Krause, and Inez Maria de Fátima Robert. "Implantação de um Programa Multiprofissional de Assistência em Cuidado Paliativo: Relato de Experiência / Implementation of a Multiprofessional Assistance Program in Palliative Care: Experience Report." ID on line. Revista de psicologia 15, no. 57 (October 31, 2021): 436–49. http://dx.doi.org/10.14295/idonline.v15i57.3219.
Повний текст джерелаdos Santos Pimenta, Camilla Gabriely, and Ana Carolina de Souza Amorim. "Atenção e Cuidado de Enfermagem às Crianças Portadoras do Transtorno do Espectro Autista e seus Familiares." Ensaios e Ciência C Biológicas Agrárias e da Saúde 25, no. 3 (September 29, 2021): 381–89. http://dx.doi.org/10.17921/1415-6938.2021v25n3p381-389.
Повний текст джерелаBorges, Rodrigo Emmanuel Santana, Maria Lúcia Teixeira Garcia, Arelys Esquenazi Borrego, Aline Faé Stocco, and Aline Elisa Maretto Lang. "POLÍTICA SOCIAL E DESENVOLVIMENTO DA PRIMEIRA INFÂNCIA: mapeando condições no Espírito Santo, 2012 a 2017." Revista de Políticas Públicas 24, no. 2 (December 27, 2020): 858. http://dx.doi.org/10.18764/2178-2865.v24n2p858-877.
Повний текст джерелаBraga, Dayse Aparecida de Oliveira, Regilane Matos da Silva Prado, Leina Mércia de Oliveira Vasconcelos, Cícero Ramon Bezerra dos Santos, Jéssica Dávila Oliveira Braga, and Karla Bruna Nogueira Torres Barros. "ADESÃO DE CRIANÇAS COM HIV/AIDS À TERAPIA ANTIRRETROVIRAL: PERFIL DO CUIDADO, FATORES INTERFERENTES E IMPLANTAÇÃO DE ESTRATÉGIAS." Revista Expressão Católica Saúde 4, no. 1 (May 28, 2019): 15. http://dx.doi.org/10.25191/recs.v4i1.2218.
Повний текст джерелаMaria Ferreira Cajazeiras, Monaliza, Kelli Costa Souza, Ankilma do Nascimento Andrade Feitosa, Ocilma Barros de Quental, and Macerlane Lira Silva. "EFETIVIDADE DOS CUIDADOS DE ENFERMAGEM EM PACIENTES COM DIABETES GESTACIONAL." Revista interdisciplinar em saúde 9, Único (December 3, 2022): 936–45. http://dx.doi.org/10.35621/23587490.v9.n1.p936-945.
Повний текст джерелаCosta, Mikael Ferreira, Luana Rachel Farias Mangueira Santos Silva, Bárbara Da Silva Nunes, Raquel Ferreira Melo, Tatiane Negrão Assis da Rocha, and Adriana Dos Santos Estevam. "As tecnologias de informação e comunicação no âmbito da enfermagem." Revista Recien - Revista Científica de Enfermagem 9, no. 27 (September 17, 2019): 108. http://dx.doi.org/10.24276/rrecien2358-3088.2019.9.27.108-116.
Повний текст джерелаCastro, Gisely Gabrieli Avelar, Paloma De Lima Mendes Medeiros de Souza, Airle Miranda de Souza, and Victor Augusto Cavaleiro Corrêa. "Sobre o significado das atividades de grupo para usuários de um centro de atenção psicossocial/On the meaning of group activities for users of a Psychosocial Care Center." Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO 1, no. 3 (July 31, 2017): 332–52. http://dx.doi.org/10.47222/2526-3544.rbto4780.
Повний текст джерелаMartins, Gabriela, Giuliana Duarte de Oliveira da Silva, Ludmyla Caroline de Souza Alves, Diana Quirino Monteiro, and Aline Cristina Martins Gratão. "Orientações aos cuidadores familiares de idosos pós-alta hospitalar: revisão sistemática." Revista Recien - Revista Científica de Enfermagem 12, no. 38 (June 11, 2022): 107–17. http://dx.doi.org/10.24276/rrecien2022.12.38.107-117.
Повний текст джерелаChaves, Bárbara Jeane Pinto, Jacira Dos Santos Oliveira, Mayara Muniz Peixoto Diniz, Renata Maia de Medeiros Falcão, Suzanna Valeria Oliveira de Souza, Emanuella Abrantes da Silva Carvalho, Suzana Cristina Andrade Bezerra, and Amanda Melo Fernandes. "Fatores extrínsecos para risco de quedas de idosos hospitalizados." Revista de Enfermagem UFPE on line 12, no. 7 (July 3, 2018): 1835. http://dx.doi.org/10.5205/1981-8963-v12i7a231271p1835-1840-2018.
Повний текст джерелаДисертації з теми "Time out na assistência à saúde"
Moriya, Giovana Abrahão de Araujo. "Prazo de validade de esterilização de materiais utilizados na assistência à saúde: um estudo experimental." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/7/7139/tde-23082012-154144/.
Повний текст джерелаMany countries have adopted guidelines that relate sterility validity period of health care critical materials with the occurrence of related events. Research has validated the maintenance of sterility of the material during transportation and storage for long periods of time. The theoretical rationale has already refuted the old paradigm of sterility validity period based on the time clock/calendar (time-related) due to the efficiency of packaging with microbial barrier characteristics, hermetic seal and the theory of absence of spontaneous generation of micro-organisms. However, in Brazil, it can be stated that the Central Supply and Sterilization Departments still practice the control of sterilized materials based on arbitrarily assigned deadlines, this practice is encouraged by recommendation documents drawn up by official national entities of standardizing and supervising. In the belief that performing an experimental investigation in vitro, producing robust scientific evidence, would help in strengthening the breaking of the old paradigm, we proposed to evaluate the maintenance of sterility of materials stored for up to 6 months after the packages suffer intentional contamination of their external surfaces. The experiment consisted of packing the specimens that simulate surgical instrument (porcelain cylinders) in four different types of wrappers: cotton, crepe paper, nonwoven fabric (SMS) and paper-plastic pouches. All packages have previously been autoclaved at the same sterilization cycle. Subsequently, the external surfaces of the packages were intentionally manipulated with hands contaminated with Serratia marcescens (106 C.F.U./mL). After storage at predetermined intervals (0, 7, 14, 28, 90 and 180 days), a specific quantity of packages of each type of packaging has been opened and the samples were seeded directly in soybean-casein culture medium. The packages with samples with zero time of storage were considered as negative controls. In order to ensure the viability of the test micro-organism on the outer surface of the packages, cultivation of samples of each package contaminated with the test microorganism were made weekly up to 180 days, constituting the positive control group. For each interval of time of storage, 600 samples were analyzed (150 for each type of package). Considering the confidence interval for the exact binomial distribution, the sample size calculated in the study ensured a confidence interval of 95% with 0 to 0.006 probability of finding a contaminated sample. As result, there were no recovered test micro-organism Serratia marcescens in any of the time intervals of storage. Based on the results of this study, it was observed that packages wrapped in wrappers with microbial barrier properties and hermetically sealed are capable of protecting the sterile contents up to 6 months. This study contributes to the clinical practice in Central Supply and Sterilization Department, preventing unnecessary reprocessing of the material, while warns that the related events should be monitored and each material, before use, must be inspected for its integrity of the packaging and sealing.
Souza, Júlio César Botelho de. "Desenvolvimento de uma ferramenta computacional para avaliação da assistência hospitalar a partir de indicadores de qualidade." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/82/82131/tde-28032016-145950/.
Повний текст джерелаInpatient quality indicators are measures that provide relevant inforrnation on the level of quality of care delivered by hospitals and healthcare services. These measures are capable of signaling eventual problems or successful practices associated with the quality of care provided by health services. This project was aimed to create an instrument to assess the quality of care delivered by hospitals by developing a web application whose functionalities focused on monitoring a subset of inpatient quality indicators (IQIs), extracted from the Agency for Healthcare Research and Quality (AHRQ). Based on literature review and on the components of process and outcomes defined by the Donabedian model, there were selected twenty-two AHRQ\'s inpatient quality indicators that are commonly used to evaluate the mortality associated with certain conditions and procedures, as well as the quantity and quality of certain medical procedures. The software is composed by two components: one is responsible for calculating the indicators using admission data extracted from an operational database; the other one is meant for the study and analysis of time series of the indicators, which allows the monitoring of its values over the years. The indicators were ca1culated using administrative data from the Observatory for Hospital Care\'s database (ORAH, from the acronyrn in Portuguese \"Observatório Regional de Atenção Hospitalar\"). The Observatory for Hospital Care is responsible for processing admission data collected from forty hospitals located throughout Ribeirao Preto region, in the Brazilian state of Sao Paulo. The management of hospitals located in the Ribeirao Preto region is conducted by the Regional Department of Health XIII (DRS-XIII, from the acronyrn in Portuguese \"Departamento Regional de Saúde XIII). The web application\'s services were made available to health service administrators and academic personnel through the ORAH\'s website. The results provided by this computational tool were also used to analyze the situation of care delivered by the hospitals in Ribeirao Preto region, which is subdivided into three microregions: Aquifero Guarani, Horizonte Verde e Vale das Cachoeiras. The historic values of the indicators were compared between these three microregions. The analysis of these results was also important to verify whether the web application is actually able to provi de enough inforrnation to acknowledge the reality of the hospitals in Ribeirao Preto region. According to the results, we verified that the AHRQ\'s inpatient quality indicators have fulfilled their role in signalizing certain aspects related to the quality of care of the hospitals, but they do not provi de enough inforrnation to establish a defini tive quality assessment of hospital services. Therefore, we verified the need of introducing new attributes in order to understand and acknowledge the clinical condition of the hospitalized patients, as well as the structure and resources available in the hospitals.
Celeste, Roger Keller. "Desigualdades socioeconômicas e saúde bucal." Universidade do Estado do Rio de Janeiro, 2009. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=7153.
Повний текст джерелаEsta tese tem como foco os efeitos da desigualdade de renda na saúde bucal e as tendências em desigualdades socioeconômicas em saúde bucal. Qualquer injustiça social, pelo caráter moral é digna de estudo, porém nem toda desigualdade de renda é socialmente injusta. Ela se torna injusta quando as pessoas com menos recursos são aquelas que permitem que as desigualdades econômicas afetem direitos humanos, como o direito a um nível de vida que assegure ao indivíduo e a sua família uma vida saudável. As desigualdades de renda foram estudadas em duas vertentes:a) efeitos contextuais da desigualdade de renda na saúde bucal ; b) tendências na diferença de saúde bucal entre pessoas com maior e menor renda. A primeira parte contém quatro artigos originais que estudaram a associação e os mecanismos contextuais p elos quais a desigualdade de renda afeta a saúde bucal. Para isso, foram utilizados dados do inquérito em saúde bucal SBBrasil de 2002. Os resultados mostraram que: a) a associação entre desigualdade de renda e saúde bucal é mais forte em relação à cárie dental do que outras doenças bucais (e.g. doenças periodontais e maloclusões); b)seus efeitos estão mais fortemente associados à doenças bucais de menor latência; c) os efeitos associados à cárie dental afetam pobres e ricos igualmente; e d) a ausência de políticas públicas parece ser a melhor explicação para os efeitos da excessiva desigualdade de renda no Brasil. Ainda em relação às políticas públicas, foi encontrados que os ricos beneficiam-se mais de políticas públicas municipais do que os pobres. A segunda parte desta tese contém dois artigos originais que descrevem as tendências em saúde bucal e o uso dos serviços odontológicos em grupos de maior e menor renda, no Brasil e na Suécia. Para essas análises, foram usados dados dos inquéritos em saúde bucal no Brasil dos anos de 1986 e 2002, e para Suécia foram obtidos dados do "Swedish Level of Living Survey" para 1968, 1974, 1981, 1991 e 2000. As tendências relacionadas à prevalência de edentulismo mostraram que houve uma redução das desigualdade em percentuais absolutos nos dois países, porém, no Brasil houve um aumento das diferenças quando o desfecho foi a prevalência de nenhum dente perdido. As reduções das disparidades em edentulimo estiveram associadas à presença de uma diferença inicial significativa ,já o aumento das desigualdade na prevalência de nenhum dente perdido esteve relacionado a uma pequena desigualdade no início da coleta de dados. Em relação às desigualdades de uso dos serviços, ressalta-se que o grupo mais pobre permanece utilizando menos os serviços odontológicos em ambos os países e as diferenças continuam significantes através dos tempos. Entretanto, tanto no Brasil como na Suécia, essas diferenças reduziram levemente nas coortes jovens em função do declínio no percentual de pessoas mais ricas que visitam o dentista. Nossos dados permitem concluir que as desigualdades, em saúde bucal, mesmo em países altamente igualitários, como a Suécia.
This thesis focuses on the effect of income distribution on oral health and trends on socioeconomic disparities in oral health. Any social injustice, because of moral issues, is worth studying, though not all inequality of is unfair. Income inequality is unfair when people with less economic resources are penalized with poor health because of their condition of poverty. Unjust societies are those that allow economic inequalities to affect human rights as the right to a standard of living that ensures the individuals and their family a healthy life. Income inequalities were studied in two aspects: a) the contextual effects of income inequality in oral health, and; b) trends in the difference in oral health among people with higher and lower income. The first part contains 4 original articles that studied the association and the contextual mechanism by which income inequality affects oral health. For this we used data of the oral health survey SSBrasil in 2002. The results showed that: a) the association between income inequality and oral health is stronger in relation to dental caries than other oral diseases (e.g. periodontal diseases and malocclusions); b) the effects of inequality of income are more strongly associated with oral diseases of a shorter latency: c) that the effects associated with dental caries affect equally the rich and the poor. The second part of this thesis contains two original articles that described the trends in oral health and in the use of dental services into groups of higher and lower income, in Brazil and Sweden. For this analysis data were obtained from the Brazilian oral health surveys for the year 2002, while for Sweden were used data from the "Swedish Level of Living Survey" for the years 1968, 1974, 1981, 1991 and 2000. Trends in the prevalence of edentulismo showed a reduction in absolute disparities in both countries, but in Brazil trends in the prevalence of "no missing tooth" increased. Reductions in disparities in edentulismo were associated with the presence of a significant initiak difference, while the increase in inequality for outcome "no missing tooth" was related to small inequalities in the begining of data collection. Trends in the use of dental services highlighted that the poorer have been using less the dental services in both countries and the difference remain saignificant over time. however, in Brazil and Sweden, these differences decrease slightly in the cohort of young people because there was a decline in the percentage of rich people who visit the dentist. Our data show that income inequalities in oral health and use of dental serviceshave historically favored the more affluent population even in highly egalitarian countires as Sweden.
Veiga, Viviane Cordeiro 1976. "Atuação do time de resposta rápida nos indicadores de melhoria da qualidade assistencial." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311906.
Повний текст джерелаTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Introdução: A segurança do paciente tornou-se prioridade estratégica para o sistema de saúde. Ações têm sido implantadas nas Instituições, na tentativa de reduzir a mortalidade hospitalar e os eventos não previsíveis. Objetivo: O objetivo deste trabalho é avaliar a atuação do time de resposta rápida nos indicadores de melhoria da qualidade assistencial, comparando dois períodos de seguimento. Casuística e Método: No período de maio de 2010 a dezembro de 2012, foram avaliados os atendimentos realizados pelo time de resposta rápida, em pacientes com idade maior ou igual a 18 anos. O estudo foi dividido em dois períodos, denominado "antes" e "depois", sendo que o primeiro compreendeu o intervalo de maio de 2010 a julho de 2011 e o segundo, entre agosto de 2011 e dezembro de 2012. O acionamento do grupo era feito por qualquer profissional da equipe assistencial, baseado em critérios preestabelecidos e amplamente divulgados na Instituição. Após 15 meses de seguimento, optou-se pela alteração nos critérios de acionamento (período "depois"), visando à detecção precoce da deterioração clínica e baseados no perfil epidemiológico da Instituição. No período, foram atendidos 8009 pacientes, sendo 1830 no "antes" e 6179 no "depois", com idade média de 66,37±16,88 e 65,99±20,08 anos, respectivamente. O gênero masculino foi predominante em ambos os períodos, representando 52,5% dos atendimentos no primeiro e 53% no segundo. No período "antes", as alterações respiratórias representaram o maior número de chamados, enquanto que, no período "depois", a busca ativa de sepse foi o critério mais acionado, seguido pelas alterações respiratórias. Foi denominado código azul, os atendimentos de parada cardiorrespiratória e código amarelo, os atendimentos decorrentes de deterioração clínica. Os indicadores de qualidade assistencial mensurados foram: reinternação precoce em terapia intensiva (UTI), transferências para UTI, chamados de código amarelo, número de paradas cardiorrespiratórias fora da UTI e mortalidade hospitalar. Resultados: No período analisado, não houve diferença estatisticamente significante de perfil dos pacientes nos dois períodos, quanto ao gênero e idade (p=0,631 e p=0,550, respectivamente). Ao longo dos meses avaliados, houve um aumento significativo no número total de atendimentos, com 98,1% de chamados de código amarelo no segundo período. A proporção encontrada de códigos azuis foi de 7,59% no período "antes" e 1,91% no período "depois". O número de pacientes atendidos que necessitaram transferência para a UTI representava 33,3% dos atendimentos no período "antes", com redução para 20,8% no "depois" (p<0,001). Houve redução no número de reinternações em UTI na comparação entre os dois períodos (p <0,001). Não houve diferença estatisticamente significante no número de paradas cardiorrespiratórias fora da UTI e na mortalidade entre os períodos, no entanto, com tendência de redução no decorrer do tempo. Conclusão: A implantação do time de resposta rápida resulta em melhoria da qualidade assistencial, com redução no número de transferências e reinternação precoce em UTI. O número de paradas cardiorrespiratórias e a mortalidade apresentaram tendência de redução ao longo do tempo estudado
Abstract: Introduction: Patient safety has become a strategic priority for the health system. Actions have been implemented in health institutions in an attempt to reduce mortality and adverse events. Objective: The objective of this study is to evaluate the performance of the rapid response team on indicators of improving quality of care, comparing two periods of follow-up. Methods: Between May 2010 and December 2012, we assessed the care provided by a rapid response team in patients aged greater than or equal to 18 years. The study was divided into two periods, "before" and "after", the first of which included the period May 2010 to July 2011 and the second between August 2011 and December 2012. The group was called by any professional health care team, based on predetermined criteria. After 15 months of follow-up, we decided to drive change in criteria (period "after"), aimed at early detection before clinical deterioration and based on the epidemiological profile of the institution. During the period, 8009 patients were treated, and 1830 in the period "before" and in 6179 "after", with a mean age of 66.37 ± 16.88 and 65.99 ± 20.08 years, respectively. The male gender predominated in both periods, representing 52.5% of visits in the 1st period and 53% in the second. In the period "before", the respiratory changes accounted for the largest number of calls, while in the period "after" sepsis was the most called, followed by respiratory disorders. Blue code was called the attendance of cardiac arrest and yellow code, the clinic visits resulting from deterioration. The quality of care indicators measured were: unplanned admission to intensive care unit (ICU), ICU transfers, time-driven service, called code yellow and number of cardiac arrests outside the ICU. Results: During the period analyzed, there was no statistically significant difference in the profile of patients in both periods, according to gender and age (p = 0.631 and p = 0.550, respectively). Over the months studied, there was an increase of approximately 300% in the total number of visits, with 98.1% of calls to code yellow in the second period. The proportion of code blue was 7.59% in the period "before" and 1.91% in the period "after." The number of patients seen who required transfer to the ICU represented 33.3% of attendances in period "before", with a reduction to 20.8% in the "after" (p <0.001). There was a reduction in the number of unplanned ICU admissions when comparing the two periods (p <0.001). There was no statistically significant difference in the number of cardiac arrests outside the ICU and mortality between the periods. Conclusion: The implementation of the rapid response team results in improving quality of care, reducing the number of transfers and early readmission to the ICU. The number of cardiopulmonary arrests and mortality tended to decrease over time studied
Doutorado
Fisiopatologia Cirúrgica
Doutora em Ciências
Boaventura, Rafaela Peres. "Desempenho dos indicadores de qualidade da assistência na fase aguda do infarto do miocárdio." Universidade Federal de Goiás, 2015. http://repositorio.bc.ufg.br/tede/handle/tede/5598.
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Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG
This study aimed to analyze the pre-hospital course of patients undergoing percutaneous myocardial reperfusion in acute myocardial infarction and evaluate the performance of health care quality indicators of myocardial infarction in these patients. This is a retrospective cohort study with convenience sample. It was analyzed 39 cases of myocardial infarction with ST segment elevation, with Delta T up to 12 hours without previous administration of fibrinolytic agents, admitted for treatment at the General Hospital of Palmas / TO in 2013. Data were collected in the pre-hospital phase in records and interview and in the in-hospital phase through secondary data. For statistical analysis we used the Shapiro-Wilk test, Student's t test and ANOVA with 5% significance level. Most were male (76.9%), with a stable partner (74.4%), with up to nine years of education (64.1%) and at least three cardiovascular risk factors (79.5%). In the pre-hospital delta T phase was high (06h34min ± 03:14) and 10.2% achieved the recommended metric. The delta T was higher among patients that did not previously recognized symptoms of AMI (mean 07h09min ± 03h12min) and lower among those who were treated during the day (mean 03h 25min ± 05h35min). In-hospital phase, 56% were admitted during the day. In 30.8% of cases the Killip Kimball was > I. Among the other infarcted walls prevailed the bottom wall. Five patients (12.8%) died. Time door-ECG and needle holder did not follow international recommendations for all variables. The early recognition of symptoms and time of care are interfering for prehospital delay. There was no statistical correlation-balloon time and door-ECG door to the profile of patients with clinical variables in the hospitalization phase. The metric assessment of infarct treatment quality indicators in the acute phase was unsatisfactory throughout the study period.
Objetivou-se analisar a trajetória pré-hospitalar dos pacientes submetidos à reperfusão miocárdica percutânea na fase aguda do infarto do miocárdio e avaliar o desempenho dos indicadores de qualidade da atenção ao infarto do miocárdio desses pacientes. Trata-se de coorte retrospectiva, com amostra por conveniência. Foram analisados 39 casos de infarto do miocárdio com supradesnível do segmento ST, com Delta T até 12 horas e sem administração prévia de fibrinolíticos, admitidos para tratamento no Hospital Geral de Palmas / TO em 2013. Os dados foram coletados na fase pré-hospitalar por consulta em prontuário e entrevista; na fase intra-hospitalar, por meio de dados secundários. Para a avaliação estatística foram utilizados o teste de Shapiro-Wilk, o teste t de Student e ANOVA, com nível de significância de 5%. A maioria era do sexo masculino (76,9%), com companheiro estável (74,4%), com até nove anos de estudo (64,1%) e com pelo menos três fatores de risco cardiovasculares (79,5%). Na fase pré-hospitalar o Delta T foi elevado (06h34min ± 03h14min) e 10,2% atingiram a métrica recomendada. O Delta T foi maior entre os pacientes que não reconheceram previamente os sintomas de IAM (média 07h09min ± 03h12min) e menor entre aqueles que foram atendidos durante o dia (média 05h35min ± 03h 25min). Na fase intra-hospitalar, 56% foram admitidos durante o dia. Em 30,8% dos casos o Killip Kimball foi > I. Dentre as demais paredes infartadas prevaleceu a parede inferior. Cinco pacientes (12,8%) evoluíram para óbito. Os tempos porta-ECG e porta-agulha não seguiram as recomendações internacionais para todas as variáveis. O reconhecimento prévio dos sintomas e o horário do atendimento estão interferindo para o atraso pré-hospitalar. Não houve correlação estatística do tempo porta-balão e porta-ECG com o perfil dos pacientes e com as variáveis clínicas na fase intra-hospitalar. A avaliação métrica dos indicadores de qualidade do tratamento do infarto na fase aguda foi insatisfatória durante todo o período avaliado.
Hotimsky, Sonia Nussenzweig. "Parto e nascimento no ambulatório e na Casa de Partos da Associação Comunitária Monte Azul: uma abordagem antropológica." Universidade de São Paulo, 2001. http://www.teses.usp.br/teses/disponiveis/6/6136/tde-21102013-102743/.
Повний текст джерелаThis study describes some of the characteristics of lower and middle class clients of an \"alternative\" health care center in which midwives were assigned to maternity care in an out clinic. It\'s primary objective was to understand how clients became familiar with the proposal; the patterns of attendance; why they chose this form of maternity care in a context where hospital birth is predominant, and whether there were significant differences in these patterns according to social class. This study was conducted at the Monte Azul Clinic and Birth Center, administrated by the Monte Azul Community Association (ACOMA). The latter is an anthroposophical association, whose basic objective is to attend to demands of the inhabitants of two shanty towns and the surrounding neighborhood. An anthropological approach in which birth is viewed as an arena where conflicting and competitve concepts and pratices are articulated and confront themselves is adopted in analysis. Qualitative and quantitative methods and techniques were employed. Interviews focused on the experiences with respect to pregnancy and birthing among the subjects of this study. Participant observation of pre-natal consultations and of childbirths were also conducted. In order to characterize the context of the field of research, quantitative methodology was employed. A social and epidemiological profile was constructed of the 564 women (as well as their newborns) who gave birth between April 1995 and March 1998, receiving maternity care from midwives working at the Clinic and Birth Center during this period. For this purpose data was collected from the Declaração de Nascidos Vivos - Live Birth Form, a document from the Ministry of Health, filled out at birth by the birth attendant which records data concerning live births. Results indicate that the majority of it\'s clients (77,2%) did not live within the association\'s \"target\" community. On the other hand, data indicates that the majority of women attended (93,5%) belonged to the poorest segments of the population of Sao Paulo City. How clients were informed about the existence of this Clinic and Birth Center as well as patterns of attendance are described and analyzed using quantitative and qualitative approaches. Continuities and discontinuities with respect to these patterns among the Clinic\'s clients and the midwives\' private clients are described and analyzed. Many of the Clinic\'s clients, recurred to this service predominantly for their prenatal checkups and 44,2% of these women recurred to the midwives\' assistance for maternity care. Among the midwives\' private patients, on the other hand, the predominant tendency was to do prenatal checkups simultaneously at the clinic and at other clinics where they were attended by obstetricians. The latter wanted to avoid hospital maternity care and attended prenatal checkups so as to confer and perhaps adhere to the midwives\' proposal of maternity care. Reasons presented with respect to choice of care in childbirth are multiple and complex, involving social, economic and cultural constraints. Among the reasons referred to in the interviews, the most recurrent were the quality of the relationship established with the health professionals; perception of risks with respect to childbirth; and the possibility of having support persons of their choice present during labour and childbirth. Among the clinic\'s clients, the fear of not gaining access to a hospital bed in due time was their major concern with respect to hospital maternity care. Among the midwives\' private patients, the fear of being submitted to a unnecessary cesarean section was a major concern with respect to hospital maternity care. Themes which emerged in this study and require further research include notions of \'modernity\' and their association to concepts and values concerning sexuality and maternity as well as questions related to the construction of cultural and social authority.
Тези доповідей конференцій з теми "Time out na assistência à saúde"
Sousa, Gabriele Luiza de. "A INCLUSÃO DA FISIOTERAPIA NOS SERVIÇOS DE ATENDIMENTO MÓVEL DE URGÊNCIA - SAMU." In I Congresso Brasileiro de Saúde Pública On-line: Uma abordagem Multiprofissional. Revista Multidisciplinar em Saúde, 2021. http://dx.doi.org/10.51161/rems/3007.
Повний текст джерелаIto, Márcia, and Débora Pereira. "Proposta de um Ambiente Colaborativo para a Coordenação de Cuidado de Pacientes Crônicos." In ncipais do Simpósio Brasileiro de Computação Aplicada à Saúde. Sociedade Brasileira de Computação - SBC, 2015. http://dx.doi.org/10.5753/sbcas.2015.10382.
Повний текст джерелаSilva, Daniele Alves, Laiana Sepúlveda de Andrade Mesquita, Luan Marinho Morais Pereira, Nayra Ferreira Lima Castelo Branco, Hermes Manoel Galvão Castelo Branco, and Guilherme A. Barreto. "Classificação do Risco de Quedas em Idosos com Least Squares Support Vector Regression Utilizando Sinais Eletromiográficos e Dinamométricos." In Congresso Brasileiro de Inteligência Computacional. SBIC, 2021. http://dx.doi.org/10.21528/cbic2021-101.
Повний текст джерела