Mestrado Profissional em Saúde Coletiva (IPTSP)

URI Permanente para esta coleçãohttp://200.137.215.59/tede/handle/tede/10828

Navegar

Agora exibindo 1 - 20 de 24

Os PPC do curso de graduação de odontologia e suas relações com a saúde coletiva
(Universidade Federal de Goiás, 2025-05-26) Morais, Rosana Ferreira de; Lemos, Cristiane Lopes Simão; http://lattes.cnpq.br/9279795437962960; Lemos, Cristiane Lopes Simão; Assis, Thaís Rocha; Padilha, Wilton Wilney Nascimento
Embargado
Avaliação temporal dos modelos de cuidado em saúde mental no estado de Goiás (GO)
(Universidade Federal de Goiás, 2025-07-07) Santos Filho, Airton Ferreira dos; Guimarães , Rafael Alves; http://lattes.cnpq.br/7847112412490217; Silva, Nathália dos Santos; http://lattes.cnpq.br/9837208542154956; Silva, Nathália dos Santos; Carneiro, Larissa Arbués; Caixeta, Camila Cardoso
Mental health care models have been revised since the second half of the 20th century, in Brazil and other countries, as part of the so-called psychiatric reform movements, which advocate reversing the logic of care centered on psychiatric hospitals to care in freedom, with a focus on guaranteeing human rights and community and territorial psychosocial care. The aim of this study was to evaluate the temporal trend of mental health care models in the state of Goiás (GO) over the last two decades. To this end, a time series study was carried out evaluating indicators of the community model (Care Coverage Index of the Psychosocial Care Network - iRAPS) and the hospital based model (Rate of specialized psychiatric beds per 100,000 inhabitants), from 2008 to 2019. The results showed an increase in the supply of Psychosocial Care Network (RAPS) devices - iRAPS increased from 0.10 in 2008 to 0.37 in 2019 - and a reduction in the coverage of psychiatric beds in specialized hospitals by the SUS - 17.7 beds per 100,000 inhabitants (2008) and 8.5 beds per 100,000 inhabitants (2019). The findings of this study show an uneven transition between the two models in the period analyzed. Despite the clear reduction in the supply of specialized psychiatric beds by the SUS, the increase in psychosocial care devices occurred slowly and heterogeneously between the state's health macro-regions. These findings reinforce the permanent and unfinished nature of the Brazilian psychiatric reform, especially in the state of Goiás, within the scope of the Unified Health System (SUS).
Educação em saúde do trabalhador: uma estratégia para vigilância do trabalho na saúde
(Universidade Federal de Goiás, 2024-02-08) Fernandes, Lara Marins; Carneiro, Larissa Arbués; http://lattes.cnpq.br/6576103363656577; Carneiro, Larissa Arbués; http://lattes.cnpq.br/6576103363656577; Parreira, Fernanda Ramos; http://lattes.cnpq.br/7773546658792556; Santos , Elise Alves dos; http://lattes.cnpq.br/9993967950290971
INTRODUCTION: Workers’ health is a global concern that requires an integrated approach. OBJECTIVE: To analyze work in the Unified Health System (SUS) from the perspective of participants in a formative process in surveillance of the Workers health. METHODOLOGY: Qualitative research with documentary analysis of the experience of a Surveillance of the Workers Health course. Were examined course reports, transcripts and recordings of eight workshops, also the participants’ intervention projects. The webQDA software supported the analysis, and Meaning Interpretation Method was adopted for data analyzis. RESULTS: Among 53 participants, 46 were women and 7 were men. Community Health Workers and Nursing Technicians were 24.53% each, while Nurses composed 16.98%. From the data analysis process, four thematic categories emerged: meanings of work; the work process in health; job insecurity; and intervention strategies, all subdivided into subcategories. It is clear that the challenges faced by the participants are linked to the micropolitics and macroprocess of health work. Proposed strategies focus on the microcosm of work, directed at the local level where professionals have influence. The surveillance of the workers health aims to analyze working conditions and requires specific strategies to deal with the challenges, considering physical and psychosocial aspects. Strategies include robust monitoring systems, worker education, and policies to improve working conditions. CONCLUSION: The study reveals the complexity of work in the health sector, emphasinzingg the social relevance of professionals, but also the challenges faced on a daily in workers’ health. The precariousness of work in health, with inadequate conditions and loss of rights, highlights the urgency of actions to strengthen and value these professionals
Eventos supostamente atribuíveis à vacinação ou imunização contra COVID-19, em uma capital do Brasil central: incidência e fatores associados
(Universidade Federal de Goiás, 2025-02-07) Matos, Adriana de Oliveira Sousa; Brunini, Sandra Maria; http://lattes.cnpq.br/6928658354895859; Matos, Marcos André de; http://lattes.cnpq.br/1492491906180226; Matos, Marcos André de; Oliveira, Max Moura de; Paula, Cácia Régia de; Brunini, Sandra Maria
Embargado
Violência baseada em gênero e transtornos mentais: experiência de mulheres atendidas em um centro de atenção psicossocial
(Universidade Federal de Goiás, 2025-07-07) Ribeiro, Rosilene da Silva; Camargo Júnior, Elton Brás; http://lattes.cnpq.br/2623137563032892; Carneiro, Larissa Arbués; http://lattes.cnpq.br/6576103363656577; Carneiro, Larissa Arbués; Barros, Patrícia de Sá; Costa, Carmem Lúcia; Camargo Júnior , Elton Brás
INTRODUCTION: Gender-based violence (GBV) is characterized by any and human rights violations motivated by gender or sexual orientation and can manifest as physical, sexual, psychological, or even financial aggression. It is considered a pandemic phenomenon, with a high potential to cause harm to the health of those who experience it, whether physical or mental. OBJECTIVE: To understand the relationship between gender-based violence and depressive disorders in women treated at a Psychosocial Care Center in the municipality of Rio Verde, Goiás. METHODOLOGY: This is a multi-method study. The first stage being epidemiological, observational, analytical and cross-sectional, and estimaded the prevalence of GBV using the WHO VAW STUDY instrument. The second stage consisted of a qualitative, descriptive, and exploratory study with data collected through a semi-structured focus group, addressing the perceptions of the women surveyed regarding their experciences of GVB and depressive disorders. RESULTS: Ninety-four women with depressive disorders participated in the study, 60,6% with unipolar depression, and 39,4% with bipolar affective disorder, undergoing treatment at a Psychosocial Care Center (CAPS). There was a predominance of young women, aged between 30 and 44 years (44,7%), black (60,6%), with complete or incomplete higher education (74,5%), without a partner (55,3%), most with one or two children (47,9%), and with low family income of up to two minimum wages (77%). Of the total sample, 100% had a history of emotional violence, both late (throughout life) and recent (in the last year); 68,1% reported a history of late physical violence, and 25,5% reported recent physical violence; 52,1% had a history of late sexual violence, and 13,8% recent sexual violence. In the qualitative stage, 6 women from the previous sample participated. Chi-square tests were peformed, which showed a statiscally significant associantion between the variable skin color (black or brown) and late physical violence (χ 2 (2) = 4,743; p < 0,001), (p = 0,029) and the variables education level (χ 2 (2) = 13,52; p < 0,001 and number of children (χ 2 (2) = 17,31; p < 0,001 with late sexual violence. Logistic regression indicated that women with low education and more than 3 children are more likely and more likely to suffer late sexual violence. In the qualitative stage, 6 women from the previous sample participated. The analysis of perceptions revealed profound impacts, such as fear, guilt, shame, aversion to one’s own body and intimate and affective relationships, in a addition to trauma, all caused by the experience of rights violation and which negatively impacted the feelings, emotions, and above all, the mental health of these women. CONCLUSION: It was found that the experience of GBV can be na important predisposing factor for the development of depressive disorders, especially in cases where there is chronic violence and the absence of an effective family support network for the woman who survived rights violations movivated by gender.
Sistema de vigilância dos surtos de doença mão pé boca no Estado de Goiás: uma abordagem epidemiológica e operacional
(Universidade Federal de Goiás, 2025-04-15) Jesus, Erika Dantas Dias de; Siqueira Junior, João Bosco; http://lattes.cnpq.br/3644529827602550; Oliveira, Max Moura de; http://lattes.cnpq.br/7699001066097321; Oliveira, Max Moura de; Ternes, Yves Mauro Fernandes; Siqueira, Claudio Morais
Embargado
Prevalência e fatores associados aos comportamentos sedentários e atividade física insuficiente em adultos em Goiás, 2022
(Universidade Federal de Goiás, 2025-04-25) Paula, Eduardo Belchior de; Oliveira, Max Moura de; http://lattes.cnpq.br/7699001066097321; Oliveira, Max Moura de; http://lattes.cnpq.br/7699001066097321; França, Mary Anne de Souza Alves; http://lattes.cnpq.br/6234143204423583; Stopa, Sheila Rizzato; http://lattes.cnpq.br/1211507383307593
Embargada.
Laserterapia em pacientes oncológicos portadores de mucosite oral: revisão integrativa
(Universidade Federal de Goiás, 2025-03-28) Lima, Sandra Cristhyna Rodrigues de; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Almeida, Maisa Camillo Jordão; http://lattes.cnpq.br/9302715890972884; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Souza, Thays Santos; http://lattes.cnpq.br/1175139134439407
Embargado
Cobertura vacinal de Covid-19 e os indicadores de morbidade e mortalidade no Estado de Goiás: um estudo por geoprocessamento
(Universidade Federal de Goiás, 2025-05-30) Carvalho, Andréa Cristina de; Provin, Mércia Pandolfo; http://lattes.cnpq.br/1809891256443044; Provin, Mércia Pandolfo; http://lattes.cnpq.br/1809891256443044; Assis, Thaís Rocha; http://lattes.cnpq.br/2272528203008924; Lima, Dione Marçal; http://lattes.cnpq.br/4310011929664114
Embargado
A comunicação interprofissional em saúde como estratégia de gestão para o alcance da integralidade no cuidado
(Universidade Federal de Goiás, 2025-04-01) Carvalho, Vanessa Paula de; Villela , Edlaine Faria de Moura; http://lattes.cnpq.br/8767578610764666; Villela, Edlaine Faria de Moura; Leite, Sabrina Toffoli; Carneiro, Larissa Arbués
Embargo
Percepção da satisfação da mulher no trabalho de parto e parto e fatores associados
(Universidade Federal de Goiás, 2025-01-22) Silva , Marinna Caetano da; Almeida, Nilza Alves Marques; http://lattes.cnpq.br/2486258562480055; Almeida, Nilza Alves Marques; Sousa , Marilia Cordeiro de; Souza , Marta Rovery de
Women's satisfaction with labor and childbirth is a quality indicator of obstetric care that can guide strategies to promote a positive birth experience. OBJECTIVE: To analyze women's satisfaction with labor and childbirth in a public hospital and maternity unit in the Central-West region of Brazil. METHODOLOGY: This is a cross-sectional and analytical study with postpartum women attended in the rooming-in unit. A structured sociodemographic and obstetric/neonatal questionnaire and the Mackey Childbirth Satisfaction Rating Scale were applied. Descriptive and inferential statistical analysis of the data was performed using the Kruskal-Wallis, Mann-Whitney U tests, and Spearman correlations. RESULTS: Among 303 postpartum women, the majority were mixed-race/Black, had eight or more years of education, lived with a partner, had an income of up to two minimum wages, resided in Goiânia or the metropolitan area, were in the low-risk reproductive phase, were multiparous, attended six or more prenatal visits, had a normal delivery of a term female newborn with a satisfactory APGAR score (1st and 5th minutes) in the Birth Center, assisted by an obstetric nurse, and were transferred to the rooming-in unit. The widely promoted good practices included the presence of a companion, skin-toskin contact, and breastfeeding within the first hour of life. Most postpartum women reported high satisfaction in all six domains of the scale and described their experience as expected and positive. Factors associated with childbirth satisfaction included previous childbirth experience, normal delivery at the Birth Center assisted by an obstetric nurse, higher family income, full-term pregnancy, the development of a birth plan, and breastfeeding within the first hour of life. There was a strong correlation between the total score and the domains of self-assessment (r=0.730) and general (r=0.621) satisfaction. CONCLUSION: Broad access to good practices during labor, childbirth, and birth contributed to a high perception of satisfaction and a positive childbirth experience for most postpartum women.
Estudo dos marcadores de consumo alimentar em estudantes do Instituto Federal de Educação, Ciência e Tecnologia Goiano – Campus Posse
(Universidade Federal de Goiás, 2025-03-14) Sousa, Auridete Josefa de; Patrício, Marema de Deus; http://lattes.cnpq.br/5097614411954916; Pereira, Edsaura Maria; http://lattes.cnpq.br/8820722314388248; Rassi Neto, Elias; http://lattes.cnpq.br/5546754296937329; Pereira, Edsaura Maria; Azevedo, Monarko Nunes de; Fernandes, Letícia Aparecida Barufi; Patrício, Marema de Deus
Introduction: Food consumption markers are tools that make it possible to analyze a person's health and their body's ability to absorb nutrients properly. Objective: To characterize the nutritional status and food consumption markers of students enrolled at the Goiano Federal Institute in Posse – GO, seeking to understand the factors that impact their health and eating habits. Methodology: This is an observational, crosssectional, qualitative and quantitative study involving 98 students from the Instituto Federal de Educação, Ciência e Tecnologia Goiano – Campus Posse (IF Goiano), approved by the Research Ethics Committee of the Universidade Federal de Goiás. Data were collected in June 2024 through the application of a form on the Google Forms platform. The questionnaire consisted of anthropometric data of weight and height self-reported by the students at the time of the interview to calculate the Body Mass Index (BMI), sociodemographic data and a questionnaire of food markers from the Food and Nutrition Information and Surveillance System (SISVAN). Descriptive variables were expressed as mean and standard deviation (SD). For comparison between groups, the T-test for independent samples or Mann–Whitney, when appropriate, was used. Statistical significance of p ≤ 0.05 was adopted. Results: The study population consisted of 98 individuals, most of whom were female (59.18%), single (95.92%) and had completed high school (73.47%). The predominant income was between 1 and 2 minimum wages (50.00%). The results indicate that most students were eutrophic, but with a significant presence of overweight and obesity. The dietary pattern revealed high consumption of ultra-processed foods, such as stuffed cookies (61.40% of adolescents versus 36.59% of adults; p=0.026) and instant noodles (49.12% of adolescents versus 29.27% of adults; p=0.077), while the consumption of fruits (68.37%) and vegetables (51.02%) was relatively moderate. The habit of eating meals using screens or electronic devices was frequent (71.43%). The analysis showed a coexistence of healthy and unhealthy behaviors, with a predominance of inadequate eating patterns among of adolescents. It was observed that the greater consumption of ultra-processed foods among participants showed a tendency to higher BMI, although without a statistically significant difference (p=0.796). The lack of cafeterias on campus compromises adherence to a balanced eating plan. Conclusion: Even though a large part of the study population has healthy habits, excessive consumption of ultra-processed foods and the lack of adequate infrastructure can negatively impact students' food security. The findings reinforce the need for public policies aimed at expanding the supply of adequate food within federal institutions and educational interventions that promote healthier food choices.
Cuidados paliativos numa instituição de urgência/emergência: satisfação dos cuidadores familiares
(Universidade Federal de Goiás, 2024-10-18) Lopes, Gabriela Vieira; Batista, Sandro Rogerio Rodrigues; http://lattes.cnpq.br/0635277135921573; Batista, Sandro Rogério Rodrigues; Barros, Fernando Passos Cupertino de; Izidoro, Lívia Cristina de Resende
..
Práticas integrativas e complementares na atenção primária à saúde: percepções dos profissionais sobre a oferta dos serviços na Região Metropolitana de Goiânia
(Universidade Federal de Goiás, 2019-04-29) Silva, Pedro Henrique Brito da; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Oliveira, Ellen Synthia Fernandes de; Teixeira, Ricardo Antônio Gonçalves; Barros, Nelson Filici de
Researches involving Complementary and Alternative Medicine (CAM) have been increasingly encouraged in order to understand how these unconventional care practices are provided in Primary Health Care (PHC). They acquire even more relevance from the perception of professionals who use them. They are important so that professionals can know the reality of these services in order to support planning and management strategies. CAM are in accordance with what is recommended at work in the field of Collective Health and in the Unified Health System, since they aim at the integrality, conection and protagonism of users regarding their care, being health promotion the structuring axis in a dialogical, creative and innovative perspective. The objective of this study was to understand the perception of health professionals who provide CAM on their use in PHC services in the Metropolitan Region of Goiânia. This is a descriptive, exploratory study with a qualitative approach. Twenty professionals who used to provide CAM took part of our study in 14 PHC services in three cities in the Metropolitan Region of Goiânia between January and August, 2018. Data were collected through semi-structured interviews, which were transcribed and analyzed through Content Analysis with the aid of NVivo© software to identify thematic categories. Most of them were nurses, aged between 31 and 40 years, and auriculotherapy was the most common complementary and alternative practice provided. The results were grouped into three categories: a) Training and qualification of professionals in CAM; b) Working with CAM; c) Conceptions of health and care. We could demonstrate that provision of ICP depended on the prior competence of the professionals or on their training in service. CAM were being organized and inserted into PHC by professionals from the Family Health Strategy (FHS), the Family Health Support Center (NASF) and the Health Academy, in a complementary way to the biomedical model. Such professionals have suffered from the disregard and ignorance of their work as well as from the lack of discussion about CAM in team meetings and lack of notes in the patients' medical records, which lends public invisibility and social humiliation to those professionals, who work within the limits imposed by the current biomedical model. On the other hand, CAM showed some change in health practices since they have contributed with a holistic perspective, individual empowerment, and a possibility of social de-medicalization, which have been enhancing the work between the Family Health teams and the Family Health Support Centers. However, there is still a concept of health and care that is rooted in disease prevention and in stimulating users’ behavioral changes. In this perspective, CAM are present in PHC, but we confirm that they have found barriers for their legitimacy, even in the presence of a national policy that establishes them.
As estratégias de gestão da atenção à saúde dos radioacidentados pelo Césio 137 do Estado de Goiás
(Universidade Federal de Goiás, 2023-06-05) Sousa, Hildêth Pereira de Oliveira; Barros, Fernando Passos Cupertino de; http://lattes.cnpq.br/4821446904229513; Barros, Fernando Passos Cupertino de; Pereira, Edsaura Maria; Raggio, Armando Martinho Bardou
With the rupture of a Cesium-137 capsule, in September 1987, Goiânia-Goiás experienced the biggest reported radiological accident in the world. In this study, we wanted to consolidate strategic and legal information on the institutional evolution aimed at monitoring radioactive victims of Cesium-137 in Goiás, over a period of 35 years. OBJECTIVES: To know the strategies for managing the health care of those who have radioactive accidents caused by Cesium-137. METHODOLOGY: Descriptive and bibliographic methods were used to deal with the normative characteristics, being a descriptive-analytical study, with a qualitative and quantitative approach referring to management strategies aimed at monitoring radioactive victims by Cesium-137. To collect data on legislation, public databases were used. Patient data were obtained from SISRAD, generating a database. Data from the SES-GO Health Information Platform (Conecta SUS) were consolidated from the database, as well as information from the SUS Department of Informatics (DATASUS) for georeferencing and demonstration of the location of patients in the state, demonstrating the macro-regions and sanitary health regions in the state of Goiás. RESULTS: It was evident that over the 35 years there was a total edition of 15 basic legal orders, such as laws and decrees. As for patient follow-up of the patients, there was a division into three groups, according to the level of exposure. Thhe State Center for Assistance to Radio-Accidents (CARA) followed the initial standard of care, monitoring Groups I and II, as well as their descendants. The seven cases of cancer that occurred in 6 patients from these groups in the period of 30 years (1987-2017), did not present a statistically different number from the population of Goiânia not exposed until that moment. Group III presents dynamic insertion due to evaluation processes or judicial decision and already follow the same monitoring parameters as the groups that had a higher degree of health impairment directly due to the accident. Monitoring during the COVID-19 pandemic, starting in 2020, followed the standards established by SES-GO. However, until December 2022, 06 deaths were recorded as a result of COVID-19, of which: 01 adult man in group II, and 4 men and 1 woman in group III. FINAL CONSIDERATIONS: CARA is guided by the fulfillment of its role and continues to provide all services through the Unified Health System (SUS), in a direct and regulated manner, following the protocols and schedules established for the proper assistance to victims of radioactive accidents.
Internações por condições sensíveis à atenção primária, no município de Goiânia, no período de 2008 a 2013
(Universidade Federal de Goiás, 2015-03-12) Magalhães, Alessandro Leonardo Alvares; Morais Neto, Otaliba Libânio de; http://lattes.cnpq.br/4030124246791320; Morais Neto, Otaliba Libânio de; Siqueira Júnior, João Bosco; Oliveira, Ellen Synthia Fernandes de; Turchi, Marília Dalva; Minamisava, Ruth
The Hospital Admissions by Primary Care Sensitive Conditions (ICSAP), are health problems, which the hospitalization is liable to be avoided by qualified primary care, which is understood as accessibility and effectiveness in outpatient care. To evaluate the magnitude, profile, evolution and spatial pattern of occurrence of the risks of hospitalizations associated with Primary Care Sensitive Conditions of Goiânia´s dwellers in the period of 2008 to 2013 a transversal study was developed using secondary hospitalizations data available in the Hospital Information System of the Department of Regulation, Evaluation and Control of Municipal Health of Goiânia. All admissions were georeferenced linking the neighborhood of Hospitalization Authorization (AIH) to one of the 07 health sanitary districts of Goiânia and then the analyzes of proportion ICSAP were made considering the group of causes, ageand Sanitary District and its evolution during the studied series. The analysis of ICSAP rates was made and also the respective 95% confidence intervals, using the average of hospitalizations in the period clustered by age and group of causes and region of the Sanitary District of Goiânia The results showed a reduction in the proportion of ICSAP in Goiânia and its Sanitary Districts along the studied series, but heterogeneously. A higher reduction was registered in the Northwest District. The Southern District had the highest ICSAP rate and the Southwest District the lowest rate of ICSAP, however when the rates were detailed by cause group, it was observed that the Northwest District had the highest rates for 09 causes groups and the Southern District in 08 of them. The highest proportion of ICSAP and the highest rates in ICSAP were observed extremity age groups (0-9 years and 60 years or more). The occurrence of spatial pattern showed inequality of ICSAP rates in Goiania´s Sanitary Districts in relation to groups of cause and age groups. The study showed some progress and identified insufficient coverage and effectiveness of primary care services in Goiânia, which has the potential to support the city health manager and the sanitary districts in the reorientation of work processes, the family health strategy, in the implementation of intersectoral policies, in the definition of areas for location of new units of primary care in the municipality.
Acompanhamento de egressos do Mestrado Profissional em Saúde Coletiva: avaliação de uma plataforma on-line
(Universidade Federal de Goiás, 2020-12-18) Silva, Kelly de Oliveira Galvão da; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Oliveira, Ellen Synthia Fernandes de; Cardoso, Alessandra Marques; Teixeira, Ricardo Antônio Gonçalves
Although collective health, in offering the professional master's degree, seeks to train critical scientists capable of evidencing specific facts by understanding localized situations, seeking solutions and proposing improvements to their work environment, it is evident that the combination of research effectiveness and applicability in public health services, still faces invisibilities on the part of Brazilian evaluation bodies. One of the ways to identify this double objective of the Professional Master in Public Health (MPSC) is to bring the Higher Education Institutions (HEIs) closer to their graduates. In this sense obtaining information on the training received will serve as a subsidy for the improvement of graduate programs in the HEIs. Therefore, the objective of our study was to evaluate the use of an online platform called PortalEgressos by graduates of an MPSC. The research was carried out in Goiânia-GO, from October 2019 to December 2020, and 92 students from the classes of 2013, 2014, 2016 and 2017 were invited to participate. It was a retrospective, descriptive cross-sectional study, exploratory, of the type mixed research with qualitative approach and description of quantitative data. For data collection, the program's registration forms and the information entered by the graduates in the PortalEgressos platform were used from February to June 2020, obeying ethical aspects. The data analysis was carried out through statistical tests and content analysis, according to Bardin, 2011. Through the registration form, the profile of the 92 graduates was drawn, a heterogeneous population, with a varied age range, (22–59 years old), with a majority female representation, most of them are linked to the public health service and the research line with the greatest quantitative of interest was “Management processes in Health services”. In PortalEgressos, in the “about me” tab, it was observed, from the analysis of the perception of the 26 respondents, that the MPSC contributed to their work activities in the health service, improved their critical perceptions and based on theoretical concepts that help in decision making. In the “Interview” tab, 18 participants evaluated performance and expectations regarding the course that said, Wilcoxon test showed the existence of a significant difference between the pairs in questions 3, 4, 7 and 21, in order to elucidate, thus, that there are still gaps to be investigated and improved in the course. Thus, through a virtual tool, aspects could be extracted, with proof of its usefulness in following the graduate, being the instrument of data collection and its analysis as a technical product, that contains the proposal for improvements to the process of evaluation and monitoring of the course.
Erros de imunização em Goiás: análise das notificações
(Universidade Federal de Goiás, 2018-11-26) Barboza, Tânia Cristina; Gimenes, Fernanda Raphael Escobar; http://lattes.cnpq.br/2815443534074464; Camargo, Ana Elisa Bauer de Oliveira; http://lattes.cnpq.br/8388407861788466; Camargo, Ana Elisa Bauer de Oliveira; Junqueira, Ana Luiza Neto; Pessoni, Grécia Carolina
INTRODUCTION: The use of immunobiological has provided progress in the control and prevention of various diseases. However, the increase in the supply of this product, both in quantity and in its diversity, promoted a greater complexity in the vaccination process, revealing the increase of adverse events following immunization (AEFI), including immunization errors (IE), incidents that are avoidable. OBJECTIVE: To analyse the immunization errors occurred and notified in Goiás. METHODOLOGY: This is a retrospective, analytical cohort study of the notifications on IE sent to the Information System on Post-Vaccination Adverse Events Surveillance (SI-EAPV) from the National Immunization Program SI-PNI between August 2014 and December 2017. Data were analysed in the SPSS program, version 24.0. Descriptive analysis was performed using absolute and relative frequencies. The number of errors associated with a vaccine and the number of doses applied and recorded in the SI-PNI of the vaccine associated to the error were used to calculate the incidence rate of IE. The association between the type of immunobiological used and the incidence rate was verified by means of the ratio of incidence rate (RIR) and the respective p-value, using Fisher's exact test. RESULTS: 501 IE occurred, 426 (90.6%) IE without AEFI and 47 (9.4%) IE with AEFI. The overall incidence rate was 4.05 IE/100.000 doses applied, the most frequent were those related to the prescription and/or indication of the immunobiological (26.9%), the inadequate interval between doses (18.2 %) and the error in the administration technique (14.2%). Most cases occurred during administration of routine doses (92.6%) and a higher proportion of IE were related to vaccines (15.4%), yellow fever (12%), HPV (10%), pentavalent (7.4%) and VORH (7.0%). The majority of IE (416; 80.0%) occurred in municipalities in the interior of the State and in female individuals (313; 62.5%). Regarding the age group, IE in children under five involved more than half of the cases analysed (55.7%). Approximately half (49.7%) of IE occurred on administration of the first dose of immunobiological and 58.1% involved immunobiological administered intramuscularly. Of the total IE with AEFI, 139 events occurred, including local manifestations (66.2%) and systemic manifestations (33.8%). The five most reported AEFI were local pain (14.4%), edema or flushing (12.2%), erythema (12.2%), heat (9.4%) and nodule (5.0%). There was a higher frequency of IE with AEFI related to BCG (23.4%), pentavalent (10.6%), yellow fever (8.5%), and HPV (8.5%) vaccines. CONCLUSION: The study evidenced that errors are occurring in the immunization process, and it is necessary to adopt prevention strategies, focusing on systemic measures and human resources development, improving the quality of service and promoting safe vaccination in vaccine rooms.
Probabilidade de morte infantil e fatores associados no município de Aparecida de Goiânia, Goiás, Brasil
(Universidade Federal de Goiás, 2020-03-05) Silva, Karina Meireles; Morais Neto, Otaliba Libânio de; http://lattes.cnpq.br/4030124246791320; Morais Neto, Otaliba Libânio de; Siqueira, Cláudio Morais; Souza, Marta Rovery de
Childhood is a phase of life in which the human being is fragile, dependent and requires special care. Policies that prioritize childcare are often consensus policies. In recent years, infant mortality (up to 1 year of life) represents approximately 86% of under-five deaths (childhood mortality) in Brazil and still has a high percentile of preventable causes, indicating that there are still spaces for its reduction. The objective of this study was to investigate risk factors for neonatal and post-neonatal mortality in the city of Aparecida de Goiânia, Goiás. The study population consisted of a cohort of 8,145 live births of mothers residing in Aparecida de Goiânia in the year of 2012. The Birthdate Declaration of the Live Birth Information System (Sinasc) was used as data source; and the Death Certificate of the Mortality Information System (SIM), as well as the Child Death Investigation Cards. A linkage procedure was performed between the databases to identify the selected variables and the construction of the indicators for estimating the magnitude of the outcomes that were the probability of death in the neonatal and post-neonatal periods. The odds of death in both periods were equal to 9.94 and 3.68 per thousand live births, respectively. The main causes of infant death were diseases originating in the perinatal period (65.8%), followed by congenital malformations (23.4%) and respiratory diseases (4.5%). Hierarchical logistic regression analysis was performed to evaluate the association of infant death with study variables. Factors associated with neonatal death were: male gender (OR = 2.48; 95% CI: 1.24-4.96), low birth weight (<1500g: OR = 557.26; 95% CI: 239.59- 1296.11; 1500g to 2499g: OR = 16.75; 95% CI: 7.35-38.17), prematurity (20 to 32 weeks: OR = 99.19; 95% CI: 46.55-211.33) ; 33 to 36 weeks: OR = 6.68; 95% CI: 2.57-17.35), low maternal education (up to complete elementary school: OR = 0.32; 95% CI: 0.10-0.97; Complete high school: OR = 0.32; 95% CI: 0.11-0.89) and yellow and indigenous race / color (OR = 10.56; 95% CI: 1.02 - 109.08). For the post-neonatal period, low weight (<1500g: OR = 29.55; 95% CI: 8.22-106.26; 1500g to 2499g: OR = 7.39; 95% CI: 3.23- 16.93) and prematurity between 20 and 32 weeks (OR = 11.35; 95% CI: 3.50-36.84). The challenge of reducing infant deaths in the municipality encompasses the need for improvements in access, especially in the quality of maternal and child health services and the demand for public policies aimed at reducing socioeconomic inequalities. This work allowed the identification of factors associated with infant mortality in the municipality of Aparecida de Goiânia, Goiás, and may support interventions that reduce the impact of these factors during pregnancy, childbirth and after the birth of children.
Plano de gerenciamento de tecnologias: conhecendo a implantação em unidades de terapia intensiva de Goiânia, Goiás
(Universidade Federal de Goiás, 2019-09-27) Silva, Frederico Inácio e; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Oliveira, Ellen Synthia Fernandes de; Teixeira, Ricardo Antônio Gonçalves; Rodrigues, Paula Cicília Faquim
Although almost 10 years have passed since the publication of RDC Nº 2/2010 ANVISA that establishes the obligation of technology management in health facilities, its implementation in practice is still a challenge and a public health problem. Especially in highly specialized and technology-dependent healthcare facilities such as Intensive Care Units (ICU). This study then aimed to verify the implementation of the Technology Management Plan for Medical Equipment in the ICU of Goiânia, Goiás, an integral part of technology management. As a basis, we used secondary data collected in a Guide prepared by the Sanitary Surveillance of the municipality studied. This guide was applied twice during each visit to the municipality's ICU during tax audits. These data were analyzed comparatively in both visits and the results presented by absolute, relative frequency and statistical analysis. The PGT implementation levels found were 25.82% and 40.86% in the first and second audit, respectively. When analyzing the results individualized by type of management, it appears that the private sector, which corresponds to the vast majority of health services with ICU, had the lowest rates of implementation of PGT, while the group of health services managed by Social Organizations presented the highest rates, according to the study criteria. Regulatory and control mechanisms capable of restricting resources and disabling services such as the management contract established between the Social Organizations and the State are effective to provide improvements in the implementation of technology management. Investments in training and continuing education programs can be a direction for improving the implementation of PGT and consequently an advance in the quality of service offered to the user. Considering that Health Surveillance is an important catalyst for this change, this study provides important data for managers to prioritize actions and formulate public policies in Collective Health. Considering that Health Surveillance is an important catalyst for this change, this study provides important data for managers to prioritize actions and formulate public policies in Collective Health.

Navegar

Submissões Recentes