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Concordia, Brazil

The study sought to understand the meanings and significances that physicians attribute to the Death Certificate (DO) and the implications of subjectivity in the production of information on mortality. Guided by qualitative research, semi-structured interviews and content analysis, techniques were chosen for understanding representations and experiences involved in the filling out of the DO. The results revealed that different meanings and significances are attributed to the DO depending on how death occurred, in accordance with the different attributes the document acquires from a practical standpoint, in terms of 'epidemiological' and 'legal' functions. The results suggest that the DO used as a technical and objective instrument for data collection and production of health statistics does not lack subjectivity, which turns it into an instrument that in the medical practice and social reality reflects cultural issues, the social position of the subjects who fill it out and their representations of death.

Ferreira J.O.,Secretaria Municipal de Saude
Revista de saúde pública | Year: 2013

Evaluate a program promoting exercise and healthy eating among adolescents. This was a cross-sectional study of 911 adolescents aged 13 to 18 years old in public schools in Goiania, Midwestern Brazil, 2010. The participants were divided into two groups: intervention (schools taking part in the Healthy Living, project) and control. The following were deemed to be exercise: displacement, physical education classes in school, physical activity outside school, and leisure-time physical activity. Pupils who totaled 300 or more minutes per week were defined as active. Consuming protective foods five or more days a week was classified as adequate intake. Statistical analyses made using the Chi-square test. Most adolescents were identified as inactive or insufficiently active, 65.7% in the Intervention Group and 65.2% Control Group, showing no significant differences between groups, and with higher prevalence among girls. Slightly more than half of adolescents consumed health protective foods 5 or more days a week, 56.6% in the Intervention Group and 50.4% in the Control Group (p = 0.373). There were no differences between schools in the Intervention Group and Control Group with regard to food choices and physical activity. This indicates that the Healthy Living project needs to be reevaluated to improve the effectiveness in achieving its objectives.

Fernandes M.T.O.,Secretaria Municipal de Saude | Silva L.B.,Federal University of Minas Gerais | Soares S.M.,Federal University of Minas Gerais
Ciencia e Saude Coletiva | Year: 2011

This study aimed to reveal the technologies of working with groups of diabetic and hypertensive peoples in the perspective of Family Health professionals. It is a qualitative research, carried through in the primary care units of a sanitary district of Belo Horizonte, Minas Gerais State, Brazil. The data had been analyzed according to the technique of content analysis proposed by Bardin. The study showed that the groups coordinators need a theoretical foundation and that exist the incorporation of technologies that embrace the context of a practice sometimes exists little criticized and differentiated and others wrapped up by diversified elements of the care. In this direction, sensitization for the necessity of the technologies that allows humanized attitudes, not only in the perspective of the coordinators, but also in the users ́, as the look at the diabetic and hypertensive peoples goes beyond the monitoring related to the use of medicines.

Richter V.B.,Prefeitura de Guaira | de Almeida T.C.A.,Secretaria Municipal de Saude | Prudencio S.H.,State University Londrina | de Toledo Benassi M.,State University Londrina
Food Quality and Preference | Year: 2010

The objective of this work was to propose an alternative use to ranking method, as descriptive test, here named Ranking Descriptive Analysis (RDA). RDA was compared with Free-Choice Profiling (FCP) and Quantitative Descriptive Analysis (QDA). Four chocolate puddings were used as samples. A group of assessors performed FCP. Another group of selected assessors developed a list of attributes and their corresponding definitions. These assessors were divided into two groups: a panel was trained to perform the QDA and other panel was familiarised with the RDA procedures. Sample discrimination was similar using the three techniques. The RDA panel showed better consensus than the other two ones. The QDA showed the best correlation with the instrumental analysis of color and texture. Despite the larger number of assessors, RDA has the advantage of minor costs associated with the requirement of fewer sessions and a smaller amount of product than required by other techniques. © 2010 Elsevier Ltd.

This study evaluated a concept-program developed in the area of a Family Health Unity, which monitored, for two years, the returns of infant children to regular attendance by the dentist, through their vaccines cards. A cross-sectional study was conducted, involving a convenience sample of 123 children aged 12 to 36 months, residents in the area. Data were collected during a campaign of immunization, in 2007, through a questionnaire answered by parents, vaccines cards checking, and clinical examination of children. The results showed that 81% of the examined children were registered in the FHU for dental care; from them, 95% had entered before reaching one year of life, having vaccines cards registration. It was also found that 50% of the children had visited the dentist more than once per year of life and 58% of them returned for dental appointments in the year before the survey. The prevalence of dental caries was lower in this group of children (17%), than in the group without frequent returns, or the one not registered in the FHU (26%). It was concluded that the accines card can be a useful tool for tracking the frequency of babies to dentist.

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