Escola Nacional de Saude Publica Sergio Arouca ENSP Fiocruz


Escola Nacional de Saude Publica Sergio Arouca ENSP Fiocruz

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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.

Machado J.M.H.,Diretoria Regional de Brasilia DIREB Fiocruz | Gallo E.,Escola Nacional de Saude Publica Sergio Arouca ENSP Fiocruz | Netto F.A.F.,Atencao e Promocao da Saude VPAAPS Fiocruz | Buss D.F.,Laboratorio Of Avaliacao E Promocao Da Saude Ambiental
Ciencia e Saude Coletiva | Year: 2012

The United Nations Conference on Sustainable Development, Rio+20, will address the challenges for sustainable development (SD), 'green economy and poverty eradication' and the 'institutional structure of sustainable development'. Therefore it will address the governance needed to achieve such goals. This paper discusses the structure of global, regional and national governance of and for health and environment in the context of SD. Among other global actions, the Millenium Development Goals were a significant recent political effort, but despite its advances, it fails when ignores the structural causes of production and consumption patterns and the unequal distribution of power, which are responsible for inequities and impede true development. To achieve SD, proposals must avoid reductionism, advancing conceptually and methodologically to face the challenges of the socio-environmental determinants of health through intersectoral action, including social participation and all levels of government. It is paramount to continue the implementation of Agenda 21, to meet the MDGs and to create 'Sustainable Development Goals'. Regarding the health field, Rio+20 Summit must reassure the connection between health and sustainability - as a part of the Social pillar of sustainable development - inspiring politics and actions in multiple levels.

Pavao A.L.B.,State University of Rio de Janeiro | Andrade D.,Institute Comunicacao Cientifica e Tecnologica em Saude ICICT Fiocruz | Mendes W.,Escola Nacional de Saude Publica Sergio Arouca ENSP Fiocruz | Martins M.,Escola Nacional de Saude Publica Sergio Arouca ENSP Fiocruz | Travassos C.,Institute Comunicacao Cientifica e Tecnologica em Saude ICICT Fiocruz
Revista Brasileira de Epidemiologia | Year: 2011

Objective: To evaluate the quality of information obtained from medical records of three teaching hospitals in the State of Rio de Janeiro, Brazil, which participated in a previous study on the incidence of adverse events (AE). Methods: Descriptive study based on the information collected from medical record review during the incidence study. An evaluation score of completeness, measuring the proportion of absent information was applied, based on the following items: excellent (less than 5%), good (5% - 10%), moderate (11% - 20%), bad (21% - 50%), and very bad (more than 50%). Proportions and 95%confidence intervals were calculated for each variable obtained from medical records. Analysis was developed for the whole group of patients, by hospital groups, and by patients with and without AE. For analyzing the group of variables, means were estimated and the t-student's test was applied for comparisons. The Chi-squared test and Fisher's statistics were applied for comparing patients with and without AE. Results: The quality of information obtained from patient medical records was considered bad in the group of patients as a whole. Variables with the highest proportion of absent information were: "Nurse's first evaluation of the patient" (63.9%) and "Social worker's evaluation" (80%). Hospital 3 had the best results in terms of quality of medical records and hospital 1 had the worst results. The quality of medical records of patients with AE was better than the quality of medical records of patients that had no AE. Conclusions: Variables considered essential for patient's healthcare were not well documented. Measures to develop quality of medical records are necessary to improve patient's healthcare.

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.

De Sousa A.C.A.,Escola Nacional de Saude Publica Sergio Arouca Ensp Fiocruz | De Sousa A.C.A.,Federal University of Rio de Janeiro | Costa N.R.,Ensp Fiocruz
Historia, Ciencias, Saude - Manguinhos | Year: 2016

This article demonstrates that the position of dominance enjoyed by state sanitation companies dictates the public policy decision-making process for sanitation in Brazil. These companies’ hegemony is explained here through the analysis of a path that generated political and economic incentives that have permitted its consolidation over time. Through the content analysis of the legislation proposed for the sector and the material produced by the stakeholders involved in the approval of new regulations for the sector in 2007, the study identifies the main sources of incentive introduced by the adoption of the National Sanitation Plan, which explain certain structural features of the current sanitation policy and its strong capacity to withstand the innovations proposed under democratic rule. © 2016, Fundacao Oswaldo Cruz. All rights reserved.

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.

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.

da Silva Junior S.H.A.,Escola Nacional de Saude Publica Sergio Arouca ENSP FIOCRUZ | Vasconcelos A.G.G.,Escola Nacional de Saude Publica Sergio Arouca ENSP FIOCRUZ | Griep R.H.,Instituto Oswaldo Cruz IOC FIOCRUZ | Rotenberg L.,Instituto Oswaldo Cruz IOC FIOCRUZ
Revista Brasileira de Epidemiologia | Year: 2013

This paper assesses the test retest reliability of the Work Ability Index (WAI) in nursing workers. A self-administered questionnaire was applied twice to a group of 80 workers (nurses and nursing aides/assistants) at a public hospital in Rio de Janeiro, Brazil within an interval from seven to fifteen days. The reliability was estimated using quadratic weighted kappa statistics, interclass correlation coefficient (ICC) and the Bland and Altman plot. Eighty-one percent of participants were women aged betweenfrom 22 to 67 years (mean =39.1; SD=10.8 years); 36.3% had completed higher education. The global score of the WAI presented ICC= 0.79 (IC95% 0.67 to 0.86) and weighted kappa=0.69 (CI95% 0.50 to 0.80) for categorical WAI (classified as low, moderate, good and excellent). The quadratic weighted kappa of the WAI items ranged from 0.39 to 0.82 and the Bland and Altman plot did not show a systematic pattern. The agreement between the test and retest measures shows an acceptable degree of reliability, suggesting the adequacy of the assessment process among nursing workers.

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