Ciencia & saude coletiva最新文献

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[Is bullying associated with health risk and quality of life behaviors in adolescents?]
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-01-20 DOI: 10.1590/1413-81232025303.14772023
Ana Beatriz Pacífico, Eliane Denise Araújo Bacil, Thiago Silva Piola, Michael Pereira da Silva, Fabio Fontana, Jhonatan Gritten Campos, Ademar Avelar, Wagner de Campos
{"title":"[Is bullying associated with health risk and quality of life behaviors in adolescents?]","authors":"Ana Beatriz Pacífico, Eliane Denise Araújo Bacil, Thiago Silva Piola, Michael Pereira da Silva, Fabio Fontana, Jhonatan Gritten Campos, Ademar Avelar, Wagner de Campos","doi":"10.1590/1413-81232025303.14772023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.14772023","url":null,"abstract":"<p><p>This study assessed the practice of bullying, health risk behavior and quality of life in adolescent boys and girls from the city of Maringá, Paraná. A representative sample of 1,020 adolescents participated in the study to assess the association between bullying, health-risk behavior, and quality of life factors through self-reported questionnaires. Odds ratios with 95% confidence intervals (95%CI) were obtained using both crude and adjusted binary and ordinal logistic regression, with a significance level of p<0.05. Male bullying perpetrators were 2.2 (95%CI=1.4-3.4) and 2.0 (95%CI=1.2-3.2) times more likely to consume alcohol and engage in physical activity compared to non-bullying males. Female bullying perpetrators were 2.1 (95%CI=1.3-3.5), 3.6 (95%CI=1.3-10.1), 1.8 (95%CI=1.1-2.9), and 2.7 (95%CI=1.1-6.3) times more likely to smoke, use illicit drugs, be addicted to smartphones, and have poorer sleep quality. These girls also had a 60% higher chance of having a worse perception of quality of life, respectively, compared to non-bullying females. The conclusion drawn is that bullying may be associated with health risk behaviors for both boys and girls.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e14772023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708828","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
[Spirituality as an inductive dimension of health and well-being].
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-13 DOI: 10.1590/1413-81232025303.14092023
Dirce Stein Backes, Bruno Cassol Camera, Andressa Caetano da Veiga, Irani Rupolo, Márcio Paulo Cenci, Andreas Büscher, Léris Salete Bonfanti Haeffner
{"title":"[Spirituality as an inductive dimension of health and well-being].","authors":"Dirce Stein Backes, Bruno Cassol Camera, Andressa Caetano da Veiga, Irani Rupolo, Márcio Paulo Cenci, Andreas Büscher, Léris Salete Bonfanti Haeffner","doi":"10.1590/1413-81232025303.14092023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.14092023","url":null,"abstract":"<p><p>The scope of this study was to analyze interventions related to spirituality as a contribution to the health and well-being of women in a recyclable materials association. The method used was action research, complemented by phenomenological analysis, the intervention being conducted through spirituality workshops in a recyclable materials Association in southern Brazil, between July/2022 and June/2023, with the participation of working women from this context. Three thematic categories emerged from the reflexive analysis technique, which enabled the recording of senses, insights and the significance of the interventions, namely: The data organized and analyzed resulted in three thematic categories, namely: Recognizing oneself in another dimension; Connecting with oneself and with others; and Feeling empowered and committed. The conclusion drawn is that the analysis of interventions related to spirituality as a contribution to the health and well-being of women from an association of recyclable materials highlighted the need to diversify theoretical-practical and investigative approaches, in order to broaden the perception of health and understand the human being in its singular and multidimensional dimension.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e14092023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708907","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
[Protection network for child/adolescent victims of violence: a scoping review].
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-09-01 DOI: 10.1590/1413-81232025303.18142023
Carla Alessandra Rodrigues Rubio, Daiane Bayer Moreira, Natália Sperli Geraldes Marin Dos Santos Sasaki, Gabriel Lucas Rodrigues Rubio, Lara Helk de Souza, Amena de Alcantara Ferraz, Maria de Lourdes Sperli Geraldes Santos
{"title":"[Protection network for child/adolescent victims of violence: a scoping review].","authors":"Carla Alessandra Rodrigues Rubio, Daiane Bayer Moreira, Natália Sperli Geraldes Marin Dos Santos Sasaki, Gabriel Lucas Rodrigues Rubio, Lara Helk de Souza, Amena de Alcantara Ferraz, Maria de Lourdes Sperli Geraldes Santos","doi":"10.1590/1413-81232025303.18142023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.18142023","url":null,"abstract":"<p><p>The scope of the study is to analyze how the protection network for children and adolescent victims of violence is organized to guarantee their rights in the Brazilin context. A scoping review was carried out through the portals of the Virtual Health Library (VHL) and CAPES journals in all indexed databases. The question was how is the protection network structured to guarantee the rights of child/adolescent victims of violence? From the 67 publications, two thematic units were identified: organizational and operational axes of the network. Intersectoral and multidisciplinary actions based on decentralized public policies have repercussions on regional characteristics, and the identification of overlooked groups contributes to the construction of a strengthened, agile and effective network in the development of protection and intervention mechanisms to guarantee the fundamental rights of this population. The lack of coordination between policy formulation and professional practice is reflected in the protection network, which often revictimizes children and adolescents. Ethical and moral values are identified as factors that have an impact on decision-making, thereby broadening the disparities.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e18142023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708830","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
Secular trend of cervical cancer mortality in Brazil and regions.
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-30 DOI: 10.1590/1413-81232025303.09962023
Yasmim Anayr Costa Ferrari, Carla Viviane Freitas de Jesus, Jefferson Felipe Calazans Batista, Brenda Evelin Barreto da Silva, Anderson Batista Cavalcante, Carlos Anselmo Lima
{"title":"Secular trend of cervical cancer mortality in Brazil and regions.","authors":"Yasmim Anayr Costa Ferrari, Carla Viviane Freitas de Jesus, Jefferson Felipe Calazans Batista, Brenda Evelin Barreto da Silva, Anderson Batista Cavalcante, Carlos Anselmo Lima","doi":"10.1590/1413-81232025303.09962023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.09962023","url":null,"abstract":"<p><p>The scope of this study was to describe the secular trend of cervical cancer mortality in Brazil and its various regions from 1980 to 2021. It involved a populational and ecological study, based on data available at the Department of Informatics of the Unified Health System, using codes 180 and C53. Crude rates, age-specific rates, and age-standardized rates were calculated for the Brazilian and world population. The Average Annual Percent Change (AAPC) was obtained by trend analysis using the Joinpoint Regression Program, with a significance level of 0.05 and 95% confidence intervals (95%CI). There were 171,793 deaths from cervical cancer. In Brazil (AAPC -0.3; CI95%-1.0; 0.4), North (AAPC 0.6; 95%CI -0.1; 1.3) and South (AAPC 0.0; 95%CI -0.5; 0.5) the trends were stationary, increasing in the Northeast (AAPC 0.6; 95%CI 0.3; 0.8) and in the Midwest (AAPC -1.3; 95%CI -1.5; -1.1), and decreasing in the Southeast (AAPC -0.9; 95%CI -1.4; -0.5). Regional differences indicate that public policies need to be improved regarding women's access to a health system that offers adequate prevention, screening and treatment through management strategies that include the most vulnerable population.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e09962023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708820","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
Common Mental Disorders and rural living conditions: analysis of vulnerabilities in farmers and fishermen.
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-01-20 DOI: 10.1590/1413-81232025303.20762022
Luis Lopes Sombra Neto, Roberto Wagner Júnior Freire de Freitas, Magda Moura de Almeida, Fernando Ferreira Carneiro, Vanira Matos Pessoa
{"title":"Common Mental Disorders and rural living conditions: analysis of vulnerabilities in farmers and fishermen.","authors":"Luis Lopes Sombra Neto, Roberto Wagner Júnior Freire de Freitas, Magda Moura de Almeida, Fernando Ferreira Carneiro, Vanira Matos Pessoa","doi":"10.1590/1413-81232025303.20762022","DOIUrl":"https://doi.org/10.1590/1413-81232025303.20762022","url":null,"abstract":"<p><p>This study relates the living conditions with common mental disorders (CMD) in farmers and fishermen in rural territory. Data were collected in rural municipality through cross-sectional study design with 152 family farmers and/or artisanal fishermen who responded form about their living conditions: demographic, housing, environment, production mode, income, education, leisure, transportation and nourishment, in addition to application of the Self-Reporting Questionnaire (SRQ-20) to screen for CMD. A association was found between CMD and demografic and nourishment variables: \"sex\" [X2(1) = 9.786; p = 0.002], \"concern about food ending up at home\" [X2(1) = 5.466; p = 0.019] and \"limitation of favorite food due to lack of production/money\" [X2(1) = 8.953; p = 0.003]. In the adjusted analysis of regression, there was association between females sex [PR = 2.20; 95%CI = 1.13-4.261; p = 0.019] with outcome of CMD. The women were predominantly responsible for domestic work concomitantly with work in agriculture and/or fishing (82.6% n = 57; p < 0,01) in this group. This relationship between CMD and living conditions, mainly related to the female sex, need to be focus of rural health care actions.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e20762022"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708614","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
Advances and difficulties of the National Accident and Violence Reduction Policy: the implementers' point of view.
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-09-27 DOI: 10.1590/1413-81232025303.16932024
Maria Cecília de Souza Minayo, Kathie Njaine, Edinilsa Ramos de Souza
{"title":"Advances and difficulties of the National Accident and Violence Reduction Policy: the implementers' point of view.","authors":"Maria Cecília de Souza Minayo, Kathie Njaine, Edinilsa Ramos de Souza","doi":"10.1590/1413-81232025303.16932024","DOIUrl":"https://doi.org/10.1590/1413-81232025303.16932024","url":null,"abstract":"<p><p>A qualitative study analyzes advances and challenges in implementing the National Policy for Reducing Morbidity and Mortality from Accidents and Violence from the perspective of 63 implementers from the Brazilian regions. Aspects of institutionalizing complex public policies that require inter-organizational coordination are discussed. The results show that Primary Care is the level that most developed the Policy guidelines, and the Rehabilitation sector is the least engaged. From national coordination, the following stand out: training processes, formalization of commitments at all levels, decision, and negotiation mechanisms, permanent consultancy, creation of prevention centers, strengthening information systems, and financial subsidies. Of the local coordinations, the following stand out: actors from the prevention and health surveillance centers; leadership capacity to promote training and integration with other areas to carry out local diagnoses and choose priorities; networking; creating mechanisms for routinizing procedures. Obstacles to the implementation of PNRMAV are also addressed, which today can be seen as a glass half full and half empty. However, the country has sufficient capacity for it to be institutionalized.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e16932024"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708205","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
[Modeling of COVID-19 in Brazil and the interplay between Academia and health managers during the Pandemic].
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-16 DOI: 10.1590/1413-81232025303.12972023
Michelle Quarti Machado da Rosa, Ângela Maria Bagattini, Isabella Inês Rodrigues Rosa, Gabriel Berg de Almeida, Lorena Mendes Simon, Suzi Alves Camey, Cristiana Maria Toscano
{"title":"[Modeling of COVID-19 in Brazil and the interplay between Academia and health managers during the Pandemic].","authors":"Michelle Quarti Machado da Rosa, Ângela Maria Bagattini, Isabella Inês Rodrigues Rosa, Gabriel Berg de Almeida, Lorena Mendes Simon, Suzi Alves Camey, Cristiana Maria Toscano","doi":"10.1590/1413-81232025303.12972023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.12972023","url":null,"abstract":"<p><p>Modeling played a significant role in underpinning public policy during the COVID-19 pandemic, when decision-making faced a context of limited evidence. This is a cross-sectional study that included and characterized institutions and research groups that worked with COVID-19 modeling and decision-making support. Two strategies were used for identification: 1) scoping review, and 2) group identification by snowball sampling. A total of 100 studies and 30 institutions were identified. Of the 40 researchers who reported interaction with health managers, 20 programmers, mathematicians, physicians, epidemiologists, statisticians and physicists were interviewed. With respect to institutional partnerships, 14 researchers reported having participated in national and/or international partnerships. Only a few (5/20) reported some type of formal collaboration between the group and health management. A deficiency was observed in the demand for modeling and in communication to support management during the COVID-19 pandemic. Reshaping the process of formulating and implementing public policy in health emergencies can promote strong health systems and ensure a better response to pandemics.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e12972023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708829","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
[Psychological impacts of mastectomy in elderly people with breast cancer].
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-02-29 DOI: 10.1590/1413-81232025303.17402023
Mariana Pereira Barbosa Silva, Júlia Diana Pereira Gomes, João Felipe Tinto Silva, Maria do Livramento Fortes Figueiredo
{"title":"[Psychological impacts of mastectomy in elderly people with breast cancer].","authors":"Mariana Pereira Barbosa Silva, Júlia Diana Pereira Gomes, João Felipe Tinto Silva, Maria do Livramento Fortes Figueiredo","doi":"10.1590/1413-81232025303.17402023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.17402023","url":null,"abstract":"<p><p>Aging is one of the main risk factors for breast cancer and one of the most common treatment options is surgery, including mastectomy, which can result in psychological impacts on women. The scope of this article is to conduct a bibliographical survey on the psychological impacts of mastectomy on elderly women with breast cancer. It involved an integrative literature review, conducted between August and September 2023, via the VHL portal, in the following databases: LILACS, BDENF, SciELO, MEDLINE and Google Scholar. A total of 2,021 articles were located, 22 of which were selected in line with the inclusion criteria. Among the psychological impacts, fear, anguish, sadness, feelings of loss, low self-esteem, shame, changes in body image, depression and anxiety stand out, as well as positive feelings such as resilience, hope, optimism, among others, however the predominance of negative feelings tend to prevail. The conclusion drawn is that the mastectomy process is experienced individually by each woman, bringing with it physical and psychological changes. Social support from family, friends and, especially, partners, are essential aspects of a woman's well-being and mental health.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e17402023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708833","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
Survival rate and readmission rate after the first episode of myocardial infarction.
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-12-22 DOI: 10.1590/1413-81232025303.08212023
Rafael Cegielka, Daniel Medeiros Moreira, Jefferson Traebert
{"title":"Survival rate and readmission rate after the first episode of myocardial infarction.","authors":"Rafael Cegielka, Daniel Medeiros Moreira, Jefferson Traebert","doi":"10.1590/1413-81232025303.08212023","DOIUrl":"https://doi.org/10.1590/1413-81232025303.08212023","url":null,"abstract":"<p><p>The aim is to estimate the overall one-year survival rate and readmission rate after the first myocardial infarction. A cohort study involving 689 patients followed up between August 2016 and March 2022. The Kaplan-Meier estimator and the log-rank test were used. Cox semiparametric model was used to estimate death and readmission risk. The mean age was 60.0 (SD 11.0) years old, 67.9% men and 50.7% with ST-elevation myocardial infarction. The overall survival rate was 96.3%, with median time of death of 41.5 days. The readmission-free survival rate was 83.4%, with median time of readmission of 54 days. Age of 60 years and over increased death risk by 10.01 and the presence of systemic arterial hypertension increased readmission risk by 1.52. The overall survival rate was 96.2% with difference in age groups. The readmission-free survival rate was 83.4%, with difference by the presence of systemic arterial hypertension. As these events are quite prevalent, a better assessment of the effectiveness of the health care provided and the actions that must be taken to reduce the incidence and consequent morbidity and mortality is necessary.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e08212023"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708844","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
Analysis of the implementation of pre-hospital and hospital care for cases of accidents and violence in Brazil.
IF 1.1 4区 医学
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-10-05 DOI: 10.1590/1413-81232025303.17592024
Adalgisa Peixoto Ribeiro, Graziella Lage Oliveira, Andréa Maria Silveira, Joviana Quintes Avanci
{"title":"Analysis of the implementation of pre-hospital and hospital care for cases of accidents and violence in Brazil.","authors":"Adalgisa Peixoto Ribeiro, Graziella Lage Oliveira, Andréa Maria Silveira, Joviana Quintes Avanci","doi":"10.1590/1413-81232025303.17592024","DOIUrl":"https://doi.org/10.1590/1413-81232025303.17592024","url":null,"abstract":"<p><p>The implementation of two guidelines of the National Policy for Reducing Morbidity and Mortality from Accidents and Violence (PNRMAV) regarding pre-hospital care (APH) and hospital care (AH) was analyzed. APH and AH managers from Brazilian municipalities participated in a cross-sectional study (2020-2022), answering a questionnaire via the Redcap platform. Descriptive and comparative analyses were performed. The response rate was 2.3% of the municipalities (n=128), of which 9 were capitals. Capitals presented better results in all items evaluated. In mobile APH, 82.8% of the municipalities and 100% of the capitals use their own transportation for patients. In the capitals, the services receive and refer more cases intersectoral (p-value<0.05). In AH, the capitals make greater use of protocols (p=0.008) and 40% of managers consider the beds adequate for their needs. The implementation of the Systematization of pre-hospital care guideline was good for 59.4% of the municipalities and 77.8% of the capitals, while the Interdisciplinary Assistance to Victims guideline was regular in 45.1% of the municipalities and good in 75% of the capitals. Despite the advances in the implementation of the PNRMAV, it is necessary to strengthen the emergency care networks and optimize the available resources.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 3","pages":"e17592024"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708432","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
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