Cadernos de Saúde Pública最新文献_第6页

Changing the degradation footprint of mining on Indigenous Lands 改变土著土地上采矿造成的退化足迹

Cadernos de Saúde Pública Pub Date : 2023-12-04 DOI: 10.1590/0102-311XEN111223

Antonio Francisco Perrone Oviedo, Estevão Benfica Senra

引用次数: 0

Doenças raras: quem paga qual conta? 罕见病:谁来买单?

Cadernos de Saúde Pública Pub Date : 2019-09-09 DOI: 10.1590/0102-311x00145719

Anete Trajman

引用次数: 1

Alienação no trabalho médico no enfoque da humanização-desumanização 以人性化-去人性化为重点的医疗工作异化

Cadernos de Saúde Pública Pub Date : 2018-11-29 DOI: 10.1590/0102-311x00152118

Serafim Barbosa Santos Filho

引用次数: 2

Disasters and icebergs: we must go beyond 灾难和冰山:我们必须超越

Cadernos de Saúde Pública Pub Date : 1900-01-01 DOI: 10.1590/0102-311xen052523

C. Freitas

引用次数: 0

Contributions from research on the Health Economic-Industrial Complex to the teaching project in Public Health 卫生经济产业综合体研究对公共卫生教学项目的贡献

Cadernos de Saúde Pública Pub Date : 1900-01-01 DOI: 10.1590/0102-311xen224720

E. Levcovitz

引用次数: 0

Position statement of ANCP and SBGG on shared decision-making in palliative care ANCP和SBGG关于姑息治疗共同决策的立场声明

Cadernos de Saúde Pública Pub Date : 1900-01-01 DOI: 10.1590/0102-311xen130022

Edison Iglesias de Oliveira Vidal, M. Kovács, J. Silva, L. Silva, Daniele Pompei Sacardo, A. Bersani, Ana Beatriz Galhardi Di Tommaso, Laiane de Moraes Dias, Antônio Carlos Moura de Albuquerque Melo, S. Iglesias, F. G. Lopes

{"title":"Position statement of ANCP and SBGG on shared decision-making in palliative care","authors":"Edison Iglesias de Oliveira Vidal, M. Kovács, J. Silva, L. Silva, Daniele Pompei Sacardo, A. Bersani, Ana Beatriz Galhardi Di Tommaso, Laiane de Moraes Dias, Antônio Carlos Moura de Albuquerque Melo, S. Iglesias, F. G. Lopes","doi":"10.1590/0102-311xen130022","DOIUrl":"https://doi.org/10.1590/0102-311xen130022","url":null,"abstract":"Health care for patients with serious illnesses usually implies the need to make a large number of decisions, ranging from how information is shared to which diagnostic or therapeutic procedures will be adopted. The method of such decision-making has important implications from an individual and collective point of view and may contribute to either relieving or aggravating suffering. In this consensus document, the Bioethics Committee of the Brazilian National Academy of Palliative Care (ANCP) and the Permanent Committee on Palliative Care of the Brazilian Geriatrics and Gerontology Society (SBGG) adopt the principles of compassionate listening proposed by Saunders, of the nature of suffering proposed by Cassel, of dignity-preserving care proposed by Chochinov, and of cultural humility as a starting point for the construction of an official position of ANCP and SBGG on shared decision-making in palliative care. The position statement posits that, unlike paternalistic and consumerist models, the decision-making process in the sphere of palliative care must follow the mutualistic model of shared decision, where decisions are built based on dialogue between healthcare professionals and patients/family. The document sets forth the assumptions of this process, the limits of autonomy of patients/family and healthcare professionals and the distinction between futile and potentially inappropriate treatments, besides ratifying its incompatibility with any forms of coercion and conflict of interest foreign to the best interests of patients.","PeriodicalId":122102,"journal":{"name":"Cadernos de Saúde Pública","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128972704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

50 years of the United Nations Environmental Conferences: what is the legacy on human health conditions? 联合国环境会议50周年:在人类健康状况方面留下了什么遗产?

Cadernos de Saúde Pública Pub Date : 1900-01-01 DOI: 10.1590/0102-311xen130522

Leandro Dias de Oliveira

引用次数: 0

Factors associated with delay in specialized treatment after diagnosis of cervical cancer in Bahia State, Brazil 巴西巴伊亚州宫颈癌诊断后延迟专科治疗的相关因素

Cadernos de Saúde Pública Pub Date : 1900-01-01 DOI: 10.1590/0102-311xen022421

Dândara Santos Silva, Mônica Conceição Pinto, M. A. Figueiredo

{"title":"Factors associated with delay in specialized treatment after diagnosis of cervical cancer in Bahia State, Brazil","authors":"Dândara Santos Silva, Mônica Conceição Pinto, M. A. Figueiredo","doi":"10.1590/0102-311xen022421","DOIUrl":"https://doi.org/10.1590/0102-311xen022421","url":null,"abstract":"This study aimed to analyze factors associated with delay in specialized treatment after diagnosis of cervical cancer in the State of Bahia, Brazil. This was a cross-sectional hospital-based study of women treated in accredited units in the Hospital-Based Cancer Registry (HBCR) system in the State of Bahia from 2008 to 2017. A descriptive analysis and logistic regression were performed with backward stepwise modeling to estimate crude and adjusted prevalence ratios (PR), defining statistical significance as p ≤ 0.05 in Pearson’s chi-square test. We analyzed 9,184 cases, and 65% had delayed treatment (time between diagnosis and first treatment > 60 days). Delayed treatment was more prevalent among women 65 years or older (PR = 1.30; 95%CI: 1.21-1.39), with no schooling (PR = 1.24; 95%CI: 1.15-1.33), and in advanced stages (PR = 1.17; 95%CI: 1.13-1.21). Most of the cases analyzed had delayed treatment, more prevalent among older women, with less schooling, and advanced tumor stages, highlighting the need to expand access to cancer treatment services in Bahia state, especially for these groups in worse conditions.","PeriodicalId":122102,"journal":{"name":"Cadernos de Saúde Pública","volume":"283 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131890727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variations in cesarean and repeated cesarean section rates in Brazil according to gestational age at birth and type of hospital 巴西根据出生胎龄和医院类型的剖宫产和重复剖宫产率的变化

Cadernos de Saúde Pública Pub Date : 1900-01-01 DOI: 10.1590/0102-311xen073621

Barbara Almeida Soares Dias, M. Leal, A. P. Esteves-Pereira, M. Nakamura‐Pereira

{"title":"Variations in cesarean and repeated cesarean section rates in Brazil according to gestational age at birth and type of hospital","authors":"Barbara Almeida Soares Dias, M. Leal, A. P. Esteves-Pereira, M. Nakamura‐Pereira","doi":"10.1590/0102-311xen073621","DOIUrl":"https://doi.org/10.1590/0102-311xen073621","url":null,"abstract":"This study aimed to describe cesarean and repeated cesarean section rates in Brazil according to gestational age (GA) at birth and type of hospital. This is an ecologic study using data from the Brazilian Information System on Live Births and the 2017 National Registry of Health Facilities. Overall and repeated cesarean section rates were calculated and analyzed according to GA, region of residence, and type of hospital. Spearman correlations were performed between cesarean and repeated cesarean section rates by GA subgroups at birth (≤ 33, 34-36, 37-38, 39-41, and ≥ 42 weeks) and analyzed according to the type of hospital. Overall and repeated cesarean section rates were 55.1% and 85.3%, respectively. More than 60% of newborns between 37-38 weeks were delivered via cesarean section. Private hospitals in all regions showed the highest cesarean section rates, especially those in the Central-West Region, with more than 80% at all GAs. The overall cesarean section rate was highly correlated with all cesarean section rates of GA subgroups (r > 0.7, p < 0.01). Regarding repeated cesarean sections, the overall rate was strongly correlated with the rates of 37-38 and 39-41 weeks in public/mixed hospitals, differing from private hospitals, which showed moderate correlations. This finding indicates the decision for cesarean section is not based on clinical factors, which can cause unnecessary damage to the health of both the mother and the baby. Then, changes in the delivery care model, strengthening public policies, and encouragement of vaginal delivery after a cesarean section in subsequent pregnancies are important strategies to reduce cesarean section rates in Brazil.","PeriodicalId":122102,"journal":{"name":"Cadernos de Saúde Pública","volume":"211 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121028439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5