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Masson L.P.,ENSP FIOCRUZ | Brito J.,Escola Nacional de Saude Publica Sergio Arouca ENSP Fiocruz | Athayde M.,State University of Rio de Janeiro
Physis | Year: 2011

This paper focuses on the working conditions of nursing technicians of Neonatal Units, considering the relational dimension of the care activity. Having as main epistemological references Canguilhem's concept of health of and the Ergological perspective, the research was based on the clinical approaches of work, including the following methods: Direct (observations) and indirect (talks and meetings about work with the technicians); analysis of documents on the previous norms concerning this work. The analysis dealt basically with the groups' language production. Some results can be highlighted: the development of this care activity implies intense mobilization of workers; the possibility of not assisting the mothers who arrive to have their babies seems to be more noxious to these technicians than to work with an overload of patients; the precarious conditions of work are producers of pathogenic suffering, once the pleasant and well-succeeded realization of this activity is hindered.

In 1999, the report by the Institute of Medicine (IOM), pointed that there are significant adverse events and that more than half of these occurrences were caused by medical errors, provoking numerous actions and research on Patient Safety. Infections related to health care (IRAS), one of the problems faced in the area, are the subject of research that attempt to create procedures and strategies to prevent such events. Hand hygiene, because it is the simplest measure of control in IRAs and, paradoxically, the one with the lowest compliance rate among physicians, is the target of numerous programs and campaigns. The need to reverse this state has generated extensive literature that, among other things, indicates and identifies barriers and risk factors for poor adherence to standards and procedures for hands hygiene, but also seeks to understand the behavioral aspects concerned. This paper presents some theoretical models aimed at understanding the behavioral dynamics which involves the achievement of error and violation and carries out an analysis with the possibilities of apprehension of the process. Finally, it is considered that the explanatory models jointly presented bring contributions that can be applied in practice and that identifying and understanding the mechanisms of collective defense would lead to factors that are at stake in the low adherence to procedures, sanitation of hands among physicians, despite the existing evidence.

Travassos C.,Institute Comunicacao e Informacao Cientifica e Tecnolagica em Saude | Laguardia J.,Institute Comunicacao e Informacao Cientifica e Tecnolagica em Saude | Marques P.M.,Institute Comunicacao e Informacao Cientifica e Tecnolagica em Saude | Mota J.C.,Escola Nacional de Saude Publica Sergio Arouca ENSP Fiocruz | Szwarcwald C.L.,Institute Comunicacao e Informacao Cientifica e Tecnolagica em Saude
International Journal for Equity in Health | Year: 2011

Background: This paper aims to compare the classification of race/skin color based on the discrete categories used by the Demographic Census of the Brazilian Institute of Geography and Statistics (IBGE) and a skin color scale with values ranging from 1 (lighter skin) to 10 (darker skin), examining whether choosing one alternative or the other can influence measures of self-evaluation of health status, health care service utilization and discrimination in the health services. Methods. This is a cross-sectional study based on data from the World Health Survey carried out in Brazil in 2003 with a sample of 5000 individuals older than 18 years. Similarities between the two classifications were evaluated by means of correspondence analysis. The effect of the two classifications on health outcomes was tested through logistic regression models for each sex, using age, educational level and ownership of consumer goods as covariables. Results: Both measures of race/skin color represent the same race/skin color construct. The results show a tendency among Brazilians to classify their skin color in shades closer to the center of the color gradient. Women tend to classify their race/skin color as a little lighter than men in the skin color scale, an effect not observed when IBGE categories are used. With regard to health and health care utilization, race/skin color was not relevant in explaining any of them, regardless of the race/skin color classification. Lack of money and social class were the most prevalent reasons for discrimination in healthcare reported in the survey, suggesting that in Brazil the discussion about discrimination in the health care must not be restricted to racial discrimination and should also consider class-based discrimination. The study shows that the differences of the two classifications of race/skin color are small. However, the interval scale measure appeared to increase the freedom of choice of the respondent. © 2011Travassos et al; licensee BioMed Central Ltd.

Campos C.E.A.,Federal University of Rio de Janeiro | Cohn A.,Conselho Nacional de Pesquisa | Brandao A.L.,Escola Nacional de Saude Publica Sergio Arouca ENSP Fiocruz
Ciencia e Saude Coletiva | Year: 2016

By rebuilding the history of the facilities that constituted the city of Rio de Janeiro’s health system between 1916 and 2015, this article also pieces together one hundred years of the country’s public health system. Due to its important role, first as the country’s capital, then as a state, and later as the capital city of the State of Rio de Janeiro, this city had a major influence on the multiple events that led to the creation of Brazil’s Unified Health System. Periodization was used as a methodological resource to explore how factors that influenced the aims of the technical powers and government were turned into health services stemming from the ideology that underpinned the history of the health system. It is also evident that, despite its constant growth up to the creation of the Unified Health System, the network has always operated in parallel to, and independently from, the hospital and ambulatory network of the social security system and private and philanthropic services. The public health system in Brazil has always been focused at addressing problems related to inequality and social exclusion. The city of Rio de Janeiro’s primary care network has always played, and continues to play, an important role in disseminating a new organizational culture in Brazil’s national health system. © 2016, Associacao Brasileira de Pos - Graduacao em Saude Coletiva. All rights reserved.

Guimaraes R.R.,Escola Nacional de Saude Publica Sergio Arouca ENSP Fiocruz | Guimaraes-Junior R.R.,Associacao Brasileira Of Ensino Universitario | Vieira R.,National Institute of Amazonian Research | Rodrigues-Guimaraes R.,University Of Barra Mansa | And 3 more authors.
Check List | Year: 2016

During studies on tabanids (horse-fly) populations on Marambaia Island, Rio de Janeiro, Brazil, the authors collected specimens of robber flies, which are predatory flies belonging to the dipteran family Asilidae. Robber fly species were identified as Lecania leucopyga (Wiedemann, 1828), Mallophora calida (Fabricius, 1787), Triorla striola (Fabricius, 1805) and an undetermined specimen of Taurhynchus genus. Lecania leucopyga (Wiedemann, 1828) and Triorla striola (Fabricius, 1805) are recorded for the first time in Rio de Janeiro state, Brazil. © 2016 Check List and Authors.

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