RESUMOEste estudo objetivou conhecer as dificuldades apontadas pelo agente comunitário de saúde na realização do seu trabalho. Foi realizado em novembro de 2015 no município de Tangará da SerraMato Grosso, com agentes comunitários de saúde atuantes em 22 estratégias de saúde da família. Utilizou-se questionário semiestruturado e para análise dos dados, aplicou-se parte da análise lexical com análise de conteúdo. Foram relatadas dificuldades subsistentes, como o acesso às residências dos moradores, recusa da visita pelo morador, ausência de reconhecimento profissional, fragilidade no trabalho em equipe e falta de materiais. Como estratégias para a minimização/solução desses entraves estão a articulação entre a equipe multiprofissional, sensibilização da comunidade e dos gestores, alocação de recursos e capacitação contínua, possibilitando maior controle social e práticas laborais mais satisfatórias e qualificadas. Descritores ABSTRACTThis study aimed to identify the difficulties pointed out by community health workers in home visit. It was held in November 2015 in the city of Tangará da Serra -Mato Grosso, with community health workers active in 22 family health strategies. We used semi-structured questionnaire and data analysis, applied part of the lexical analysis with content analysis. Remaining difficulties have been reported, such as access to the homes of residents, refusal of the visit by the resident, lack of professional recognition, weakness in teamwork and lack of materials. As strategies for minimizing / solution of these obstacles are the link between the multidisciplinary team, community outreach and managers, resource allocation and continuous training, allowing greater social control and more satisfactory and qualified labor practices.
Objetivou-se apresentar o perfil de mulheres privadas de liberdade em uma cadeia pública da região médio de Mato Grosso. Trata-se de uma pesquisa do tipo transversal, com abordagem quantitativa realizada em 2017. Foi realizada aplicação de formulário semiestruturado contendo perguntas abertas e fechadas com as 57 mulheres, sendo as mesmas entrevistadas individualmente; posteriormente os dados foram sistematizados em planilhas eletrônicas e analisados pelo SPSS versão 20.0. O perfil predominante foi de participantes autodeclaradas pardas (73,7%), com faixa etária entre 18 e 31 anos (56,2%), ensino fundamental incompleto (56,2%), donas de casa (38,6%), solteiras (47,4%), com até 4 filhos (82,5%), detidas pelo crime de tráfico de drogas (54,4%) e com período de reclusão de até dois anos (82,5%). O perfil aqui descrito reflete a relação entre a população com maior fragilidade socioeconômica, a inserção no crime através do parceiro e o tráfico de drogas como busca de renda. Neste sentido faz-se necessário a elaboração de políticas públicas intersetoriais que possibilitem a redução das desigualdades sociais, de gênero e a inserção das mulheres desde a infância em ambientes que potencializem sua qualidade de vida. ARTIGOS / ARTICLES CIÊNCIAS BIOLÓGICAS E DA SAÚDEPalavras chave: Epidemiologia. Mulheres. Prisões.The objective of this study was to present the profile of women deprived of their liberty in a public chain in the middle region of Mato Grosso. This was a cross-sectional survey with a quantitative approach carried out in 2017. A semi-structured questionnaire containing open and closed questions was applied to 57 women with individual interviews, later the data systematized in electronic spreadsheets and analyzed by the SPSS version 20.0. The predominant profile self-reported by the participants was brown (73.7%), aged between 18 and 31 (56.2%), incomplete elementary school (56.2%), housewives (38.6%), (47.4%), with up to 4 children (82.5%), arrested for the crime of drug trafficking (54.4%) and with imprisonment for up to two years (82.5%). The profile described reflects the relationship between the population with greater socioeconomic fragility, insertion in crime through the partner and drug trafficking as a search for income. In this sense is necessary the elaboration of intersectional public policies that allow the reduction of social and gender inequalities and the insertion of women since their childhood in environments that enhance the quality of life. Resumo
O humano papiloma vírus impacta diretamente na mortalidade das mulheres quando associado ao câncer de colo uterino. Objetivou-se analisar o impacto de ação educativa realizada com reeducandas de Cadeia Pública Feminina de Mato Grosso. Trata-se de um estudo quantitativo, experimental e comparativo inferencial do tipo “antes e depois” conduzido com totalidade das mulheres. A análise estatística utilizou o teste McNemar, sendo significativos aqueles resultados com p valor
Two cases of inflammatory myofibroblastic tumor (IMT) of the bladder are reported here. Both patients were male and presented with macroscopic hematuria; in the first case terminal hematuria was associated with irritative voiding symptoms. The second case was a smoker with hematuria unresponsive to medical treatment and anemia. Clinical presentation, pathological features, treatment, and prognosis are discussed. Due to rarity of this pathological condition, there are no guidelines concerning treatment and follow-up. We present our follow-up scheme and highlight the use of laparoscopic partial cystectomy as a successful treatment approach.
This is a narrative review from scientific literature that aimed to describe concepts and approaches for indications of the therapeutic use of Bach
BACKGROUND AND OBJECTIVES:Auriculotherapy is an integrative practice used to relieve physical and emotional symptoms, especially in relation to pain. It has a low cost and easy applicability, which makes it a viable and eligible therapeutic resource. The present study aimed to identify the contributions of auriculotherapy to improve the quality of life of professionals of the correctional system. METHODS: Experimental study, with data collection between July and December 2018 in the female public prison of a city of Mato Grosso, Brazil. Low back pain, anxiety, and stress were the symptoms selected for the intervention with auriculotherapy evaluated at each auriculotherapy session by psychometric instruments. Data analysis was performed using STATA software version 12.0. RESULTS: Women aged between 30 and 44 years old, brown, with complete higher education and living with spouse prevailed. There was a greater reduction in the intensity of symptoms in the intervention group, especially in relation to stress and low back pain, which indicates the effectiveness of auriculotherapy in this group. CONCLUSION: Auriculotherapy has shown promising in this occupational context and can bring direct benefits to professio- Use of auriculotherapy to control of low back pain, anxiety and stress of professionals of the correctional systemUso da auriculoterapia no controle da lombalgia, ansiedade e estresse de profissionais do sistema penitenciário
IntroductionRP (radical prostatectomy) technique continues the major treatment option for men with potential cure and life expectancy exceeding 10 years. The aim of the study is to assess the impact of PSM on BR (biochemical relapse), to identify PSM risk factors, to clarify the factors involved in BR in the absence of PSM.Material and methodsConsultation of 171 medical-records from patients submitted to RRP (radical retropubic prostatectomy) between January/2000-December/2005. Mean-age: 64 yr. Mean – PSA (positive surgical margin): 11.88 ng/ml. Clinical staging: 67.8% cT1, 32.2% cT2. GS: ≤6 (66.1%), =7 (21.1%), 8-10 (12.3%). PS: pT0 1.2%, pT2 50.3%, pT3a 36.3%, pT3b 12.9%, pT4 0.6%. pathological Gleason score: ≤6 39.2%, =7 40.9%, 8-10 19.3%. RB definition was PSA ≥0.2 ng/ml. Adjusted Odds-Ratios with 95% confidence intervals (CI) were estimated through univariate logistic regression.ResultsThere were PSM in 46 specimens, 28 had single PSM and 18 multiple PSM (≥2). BR occurred in 57 patients (33.3%), with an average time after surgery of 23.5 months – 26 patients had PSM and 31 had not. Statistical significant results for BR in variables PSA, PS and PSM. Quadruples if PSM (p <0.0001), triples in single PSM (p = 0.01) and is 6x higher in multiple PSM (p = 0.001). Regarding factors that influence the presence of PSM, only PS ≥pT3a reach statistical significance (p <0.0001). Patients with BR but without PSM (54.38%), variables statistically significant were: initial PSA >10, (p = 0.029) and pathological Gleason score ≥8 with a risk nearly 4x higher than pathological Gleason score ≤6 (p = 0.027).ConclusionsStatistical risk analysis concluded that the presence of PSM in RRP is strongly influenced by PS ≥pT3a. The presence of PSM and their number increase significantly the risk of BR compared to other factors. In the absence of PSM, the factors that seem to be crucial and with greater impact on BR are initial PSA>10 and pathological Gleason score ≥8.
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