Ciencia & saude coletiva最新文献_第10页

Hospital readmissions for ambulatory care sensitive conditions in children under 5 years old in the Unified Health System. 统一卫生系统中5岁以下儿童门诊护理敏感条件的再入院率。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.17262023

Jéssica Ferreira, Hugo André da Rocha, Mariangela Leal Cherchiglia, Ilka Afonso Reis

{"title":"Hospital readmissions for ambulatory care sensitive conditions in children under 5 years old in the Unified Health System.","authors":"Jéssica Ferreira, Hugo André da Rocha, Mariangela Leal Cherchiglia, Ilka Afonso Reis","doi":"10.1590/1413-812320242911.17262023","DOIUrl":"10.1590/1413-812320242911.17262023","url":null,"abstract":"This study aimed to analyze readmissions for Ambulatory Care Sensitive Conditions (ACSC) in children under 5 years in the Unified Health System (SUS) between the years 2009 and 2015, to identify the main cause groups and associated factors. This retrospective cohort study used data from the National Health Database, an individual-centered database constructed from deterministic-probabilistic data matching from the main information systems of SUS. The study population consisted of children under 5 years old hospitalized within the SUS with a primary diagnosis listed in the Brazilian Ambulatory Care Sensitive Conditions. Sociodemographic, clinical, hospitalization-related, and hospital service-related factors were considered. Factors associated with readmission included being an infant (between 28 days and 2 years of age), being male, having been initially hospitalized in a private or non-profit institution, residing in the same municipality as the hospital, and the initial hospitalization cause being related to epilepsy, asthma, nutritional deficiencies, pulmonary diseases, bacterial pneumonia and nose, ear, and throat infections.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e17262023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions, knowledge and guidelines developed by health professionals in the post-epidemic context of the Zika virus. 卫生专业人员在寨卡病毒流行后背景下制定的观念、知识和指南。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.09892023

Fernanda Macedo da Silva Lima, Jorge Alberto Bernstein Iriart, Eduardo Massad, John Kinsman

{"title":"Perceptions, knowledge and guidelines developed by health professionals in the post-epidemic context of the Zika virus.","authors":"Fernanda Macedo da Silva Lima, Jorge Alberto Bernstein Iriart, Eduardo Massad, John Kinsman","doi":"10.1590/1413-812320242911.09892023","DOIUrl":"10.1590/1413-812320242911.09892023","url":null,"abstract":"Health professionals are a fundamental category to guide the population about various health problems and effective prevention measures. Despite this, so far, no studies have been identified in Brazil that analyze knowledge and guidance given about the zika virus by health professionals. The objective was to understand the perceptions, knowledge and guidelines developed by health professionals in Salvador-Bahia about the zika virus in the post-epidemic context. This is a qualitative study, developed through 13 semi-structured interviews. The data showed that health professionals had the perception of not being adequately prepared, even in the post-epidemic, to face the zika virus. Situation evidenced by insufficiencies in knowledge about important aspects of this arbovirus. Furthermore, guidelines in the course of the epidemic made the population responsible for mitigating the risk of infection, restricting themselves to the reproduction of the speeches of health authorities, disregarding socio-environmental vulnerabilities. In addition to professional training and appropriate health recommendations, it is necessary that the social determinants that provide different levels of susceptibility to illness are effectively transformed.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e09892023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public policies for occupational safety and health in Brazil. 巴西职业安全和健康的公共政策。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.14452023

Claudio José Dos Santos Júnior, Ildeberto Muniz de Almeida, Frida Marina Fischer

{"title":"Public policies for occupational safety and health in Brazil.","authors":"Claudio José Dos Santos Júnior, Ildeberto Muniz de Almeida, Frida Marina Fischer","doi":"10.1590/1413-812320242911.14452023","DOIUrl":"10.1590/1413-812320242911.14452023","url":null,"abstract":"This study aimed to systematize federal public policies related to occupational safety and health (OSH) in Brazil, focusing on the prevention of occupational diseases and accidents, the promotion of safe work environments, and social protection for workers, in force in Brazil in 2023. The documentary research was conducted in three stages: exploratory research and data collection, systematization, and analysis. Data collection was carried out on official platforms indexing normative instruments, as well as programs or plans instituted by the federal government, using complementary data triangulation strategies. Nine OSH public policies were identified, organized into five thematic categories: Social Security; Labor and Employment; Health; Management; and Inspection and Regulation. Each category encompasses specific strategies to protect workers and promote safe workplaces. In summary, Brazil has adopted a series of governmental efforts to protect workers, expanding protective measures over the past decades. However, there is a need for institutional redesign to minimize the isolation of the identified policies and to carry out their monitoring and evaluation.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e14452023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scientific evidence in decision making: a reflection for healthcare organizations. 决策中的科学证据：对医疗保健组织的反思。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.02782024

Silvio Fernandes da Silva, Romeu Gomes, Maria Lúcia Teixeira Machado, Jorge Otávio Maia Barreto, Rachel Riera

{"title":"Scientific evidence in decision making: a reflection for healthcare organizations.","authors":"Silvio Fernandes da Silva, Romeu Gomes, Maria Lúcia Teixeira Machado, Jorge Otávio Maia Barreto, Rachel Riera","doi":"10.1590/1413-812320242911.02782024","DOIUrl":"10.1590/1413-812320242911.02782024","url":null,"abstract":"The objective was to analyze the results of the project Support for the formulation and implementation of evidence-informed health policies (ESPIE) developed between 2015 and 2023, at Hospital Sírio-Libanês, to support decision-making in health organizations. This study was carried out through triangulation between the published results of the project, Simon's Decision-Making Theory and the experience of the authors, participants in the implementation of the project. The analysis was guided by the following question: What advances, limits and learnings were observed in the implementation of the use of scientific evidence in decision-making in organizational contexts, within the scope of the project? It was found that the incorporation of knowledge in health organizations is a complex process that needs to consider the dynamics of the decision-making chain, the behavior of authorities in favoring or legitimizing them, and barriers rooted in the organization's culture and that compete with new knowledge. It is concluded that the more successful the strategies are, the more the individual capabilities acquired interact with the contexts of the organizations and with the actors in the decision-making chain.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e02782024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding and decision-making of older people in face of the information about Covid-19: a case study in southern Brazil. 面对Covid-19信息，老年人的理解和决策：以巴西南部为例

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1590/1413-812320242911.12632023

Marina Bittelbrunn Severo, Katia Bones Rocha, Irani Iracema de Lima Argimon, Ricardo Bezerra Cavalcante, Tatiana Engel Gerhardt, Alexandre Fávero Bulgarelli

{"title":"Understanding and decision-making of older people in face of the information about Covid-19: a case study in southern Brazil.","authors":"Marina Bittelbrunn Severo, Katia Bones Rocha, Irani Iracema de Lima Argimon, Ricardo Bezerra Cavalcante, Tatiana Engel Gerhardt, Alexandre Fávero Bulgarelli","doi":"10.1590/1413-812320242911.12632023","DOIUrl":"10.1590/1413-812320242911.12632023","url":null,"abstract":"Information about the Covid-19 pandemic has become the focus of attention in the population's health. In this sense, older people, in addition to being classified as a risk group, are vulnerable to the impacts of the quantity and quality of information received, as they need to go through a digital literacy process. Objective: to understand how active older people use information about Covid-19. Methodologically, a Case Study of a unique type of qualitative methodological theoretical approach was carried out, based on Thomas Wilson's theory of Information Behavior. Semi-structured interviews were carried out, seeking to reach theoretical saturation of the data. Thus, 31 elderly people were interviewed, obtaining an average age of 69 years, mostly with high education. As a result, it was observed that the information was used to assimilate the phenomenon experienced, in the search for understanding how to act and make decisions about health care. It is considered that the case presented elderly people who started to feel more able to select the news during the pandemic period. The findings can contribute to the construction of instructional materials in relation to health information, aiming to make appropriate decisions.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 suppl 1","pages":"e12632023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Implementation of reverse logistics for medicines and their packaging in São Paulo, Brazil: advances in the first year (2021)]. [在巴西圣保罗实施药品及其包装逆向物流：第一年（2021年）的进展情况]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-05-26 DOI: 10.1590/1413-81232025306.00462024

Diego Xavier Paludetti, Gabriela Arantes Wagner, Carla Grigoletto Duarte, Fábio Kummrow

{"title":"[Implementation of reverse logistics for medicines and their packaging in São Paulo, Brazil: advances in the first year (2021)].","authors":"Diego Xavier Paludetti, Gabriela Arantes Wagner, Carla Grigoletto Duarte, Fábio Kummrow","doi":"10.1590/1413-81232025306.00462024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.00462024","url":null,"abstract":"Brazil started the reverse medicine logistics system (RML) in 2020 as a way of managing this waste. In 2021, São Paulo State brought forward the geographic target of implementing the RML system for municipalities with a population ≥ 200 thousand inhabitants. Our objective was to analyze the performance of the RML system in São Paulo during 2021. This is an ecological study on the performance of the RML system implemented in the 40 municipalities from São Paulo with operations starting in 2021. We used the database generated by the RML system operator (LogMed). The anticipation of the geographic target allowed the RML system to serve approximately 64% of the state's population. 35,514.61 kg of waste were collected in these 40 municipalities, amount that could be greater if Itapevi had started its operation. In general, the regional health departments (RHD) with the largest populations served collected the largest amounts of waste. However, there is no direct relationship between the number of fixed collection points implemented, compliance with the population target for implementing fixed points and waste collection per capita in the RHD. Educational campaigns on the disposal of pharmaceutical waste are essential to improve the performance of the RML system.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e00462024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Josué de Castro and political operations against hunger in Brazil. 卡斯特罗和巴西反饥饿的政治行动。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-21 DOI: 10.1590/1413-81232025306.02142024

Adriana Salay Leme

{"title":"Josué de Castro and political operations against hunger in Brazil.","authors":"Adriana Salay Leme","doi":"10.1590/1413-81232025306.02142024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.02142024","url":null,"abstract":"This article analyzes the operations involved in projects to combat hunger in Brazil through one of the main names in the fight against this problem: Josué de Castro. The doctor and geographer from Pernambuco was president of the FAO council, professor at different universities and federal deputy for Pernambuco. Its presence in various instances makes it a privileged actor for us to explore the social life of a public policy. In this analysis, we focus on the articulations surrounding the Social Security Food Service (Saps), the National Food Commission (CNA), the World Association to Fight Hunger (Ascofam) and the partnership with the International Child Relief Fund (Fisi). Through the analysis of his personal collection, which has more than 30 thousand documents, and the press of the period, it was possible to observe that, despite the formulations and public image of the policies presenting a character as technical and impersonal, the operations involved in their implementations took place through personal ties and political networks formed by Josué de Castro. Furthermore, they faced challenges of different kinds, such as lack of funds, misuse of purpose or operational difficulties. The proposal is not to propose a duty or judge the effectiveness of such projects, but to understand how, in fact, they happened.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e02142024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The public debate on homoparentality on the web in Brazil: virtual ethnography. 巴西网路上同性性的公开辩论：虚拟人种志。

IF 1.2 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-20 DOI: 10.1590/1413-81232025306.16182023

André Inácio da Silva, João Caio Silva Castro Ferreira, Maiara Basseto Sena, Lucas Signori, Fernando Hellmann, Sonia Silva Marcon, Anderson Reis de Sousa

{"title":"The public debate on homoparentality on the web in Brazil: virtual ethnography.","authors":"André Inácio da Silva, João Caio Silva Castro Ferreira, Maiara Basseto Sena, Lucas Signori, Fernando Hellmann, Sonia Silva Marcon, Anderson Reis de Sousa","doi":"10.1590/1413-81232025306.16182023","DOIUrl":"10.1590/1413-81232025306.16182023","url":null,"abstract":"In order to analyze the public debate on homoparentality on the social network Instagram in Brazil, a qualitative netnographic study was conducted. A total of 140 posts, including textual and visual data, were subjected to reflexive thematic content analysis, grounded in social identity theory. From the analysis, four themes emerged: affirmation of homoparental identities on digital social networks; construction and strengthening of the self-concept of homoparental identity; challenges in maintaining the principles of acceptance of homoparental identity; broadening the construction of in-group and out-group for the promotion of homoparental identity. The results indicate that social networks play a fundamental role in disseminating homoparental identities and provide a significant space for public debate on homoparentality, contributing to the construction of identity self-concept. The online public debate on homoparentality reveals the resistance and political mobilization of homoparental identities, despite ongoing social challenges and persistent stigmas.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e16182023"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Towards nature based social prescription to alleviate loneliness: a co-creative experience from Ecuador]. [以自然为基础的社会处方来缓解孤独：来自厄瓜多尔的共同创造体验]。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-14 DOI: 10.1590/1413-81232025306.05692024

Pablo Paño Yáñez, Gabriela García Vélez, Karla Vásquez Pesántez, David Acurio Páez

{"title":"[Towards nature based social prescription to alleviate loneliness: a co-creative experience from Ecuador].","authors":"Pablo Paño Yáñez, Gabriela García Vélez, Karla Vásquez Pesántez, David Acurio Páez","doi":"10.1590/1413-81232025306.05692024","DOIUrl":"https://doi.org/10.1590/1413-81232025306.05692024","url":null,"abstract":"The present contribution is part of the project \"Reimagining Environments for Connection and Engagement: Testing Actions for Social Prescribing in Natural Spaces\" (RECETAS). It aims to test and evaluate nature-based social prescriptions (NBSP) for the alleviation of loneliness in Europe, Latin America, and Oceania. In contrast to the northern countries, the study of loneliness and NBSP are emerging in the Latin American countries, and particularly in Ecuador. Therefore, this contribution can be considered a pioneering research in this regard, centered on the co-creation a NBSP menu to alleviate loneliness in older adults. The article pursues a double objective: (i) to establish guidelines for a methodological process of co-creation of a NBSP menu for its replication adapted to other contexts, and (ii) to disseminate the activities identified to alleviate the loneliness of older adults. Methodologically, the study adoped a participatory approach with and for older adults, developed in Cuenca, Ecuador, between October 2021 and May 2023, that resulted in a co-created NBSP menu appropriate to the context and population group under study.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e05692024"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dietary patterns derived from three diet quality indices and associated factors: findings from the baseline of ELSA-Brasil. 饮食模式来源于三个饮食质量指数和相关因素：ELSA-Brasil基线调查结果。

IF 1.1 4区医学

Ciencia & saude coletiva Pub Date : 2025-06-01 Epub Date: 2024-06-16 DOI: 10.1590/1413-81232025306.14412023

Leandro Teixeira Cacau, Paulo Andrade Lotufo, Isabela Martins Benseñor, Dirce Maria Marchioni

{"title":"Dietary patterns derived from three diet quality indices and associated factors: findings from the baseline of ELSA-Brasil.","authors":"Leandro Teixeira Cacau, Paulo Andrade Lotufo, Isabela Martins Benseñor, Dirce Maria Marchioni","doi":"10.1590/1413-81232025306.14412023","DOIUrl":"https://doi.org/10.1590/1413-81232025306.14412023","url":null,"abstract":"The aim of this study was to describe dietary patterns using three diet quality indices and the associated factors among 15,081 participants from the baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Dietary intake was assessed through a food frequency questionnaire. Three diet quality indices were applied: the Planetary Health Diet Index (PHDI), the Cardiovascular Health Diet Index (CHDI), and the Healthy Eating Index-2015 (HEI-2015). Linear regression models were constructed to assess the associated factors. The population exhibited low to moderate scores on all three evaluated indices. It was observed that women, the elderly, individuals with higher per capita income, and those engaged in moderate and vigorous physical activity had, on average, higher scores on all three diet quality indices assessed. Conversely, smokers and individuals with overweight and obesity had, on average, lower scores on all three diet quality indices assessed. This study found that sociodemographic and lifestyle conditions are associated with adherence to healthy and sustainable dietary recommendations.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 6","pages":"e14412023"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0