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permanent education for health professionals

Lenir Aparecida Chaves, Alzira de Oliveira Jorge, Mariangela Leal Cherchiglia, Ilka Afonso Reis, Marcos Antônio da Cunha Santos, Alaneir de Fátima Santos, Antônio Thomaz Gonzaga da Matta Machado, Eli Iola Gurgel Andrade
This cross-sectional study examined the integration of primary care in the healthcare network of the Brazilian Unified National Health System (SUS), using the Gradual Response Model of Item Response Theory. Based on data from 17,202 teams that participated in the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB, 2012), we measured gradients of integration to identify the teams' profile by level of integration. The results show that the items pertaining to matrix support measures (medical consultations, case discussions, shared clinical action, joint elaboration of therapeutic projects, permanent educational activities, work process discussions, interventions in the territory, and visits with primary care professionals) improved the performance of primary care teams...
February 19, 2018: Cadernos de Saúde Pública
Janine Marie Traulsen, Louise C Druedahl
The future of the pharmacy profession and concerns about professional identity have been popular and recurring themes in professional journals and at international pharmacy conferences for more than 30 years. The aim of this paper is to contribute to realistic and viable visions for the future of the pharmacy profession via insights through labor market and work organization theories. These insights provide an understanding of contemporary work patterns and what they mean for the future role of community pharmacists...
February 17, 2018: Research in Social & Administrative Pharmacy: RSAP
Ana Lucia M Leao, Anadergh Barbosa-Branco, Marília D Turchi, Ivan A Steenstra, Donald C Cole
BACKGROUND: Sickness absence, work disability associated with illness or injury, is a major public health problem worldwide. Some studies have investigated determinants of sickness absence among workers with shorter job tenure, but have only focused on certain diagnostic groups. Although it is well established that job tenure has an inverse relationship with work injury rate, less is known about its association with sickness absence for other disorders. Therefore, this study aimed to investigate the risk factors for incidence and duration of sickness absence according to diagnosis over a 7-year period...
December 28, 2017: BMC Research Notes
Abdelrahman Ahmed, Mohamed Shokr, Randy Lieberman
We report a case of right ventricular wall perforation by a pacemaker lead in a 78-year-old female 18 days after a permanent pacemaker insertion. This injury necessitated explant of the perforating lead and implantation of a new one with surgical backup. We review the literature and discuss the possible risk and protective factors including lead models that were associated with higher incidence of perforation. We review the traditional pacing parameters and their lack of reliability to diagnose perforation and the need for low threshold to utilize imaging in appropriate clinical scenarios...
2017: Case Reports in Cardiology
J R McMichael, B K Stoff
Surma is a traditional eye cosmetic used as an eyeliner for infants in Afghanistan, as well as in many other countries in Asia, the Middle East, and Africa. Surma has been reported to contain lead and to be a potential source of lead toxicity in children, which can lead to permanent damage to multiple organ systems. To our knowledge, assessment for lead in surma found in Afghanistan has not been performed. We determined the quantitative lead content of a convenience sample of 10 surma products acquired in Afghanistan...
February 2018: European Journal of Pediatrics
Valeria Traverso, Roberta Da Rin Della Mora
INTRODUCTION:  Being not perceived as risky for health, alcohol consumption is socially accepted worldwide. Nevertheless, related risks for the fetus are relevant, even for occasional use. In Italy there is a high consumption of alcohol among young people and pregnant women, and an increasing number of children born with alcohol-related disorders. AIM: To investigate the knowledge on fetal alcohol-related disorders among students over 18 years of age in a regional capital in the North of Italy...
July 2017: Professioni Infermieristiche
Marselle Nobre Carvalho, Juliana Álvares, Karen Sarmento Costa, Augusto Afonso Guerra, Francisco de Assis Acurcio, Ediná Alves Costa, Ione Aquemi Guibu, Orlando Mario Soeiro, Margô Gomes de Oliveira Karnikowski, Silvana Nair Leite
OBJECTIVE: To characterize the workforce in the pharmaceutical services in the primary care of the Brazilian Unified Health System (SUS). METHODS This is a cross-sectional and quantitative study, with data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines - Services, 2015). For the analysis, we considered the data stratification into geographical regions...
November 13, 2017: Revista de Saúde Pública
Caroline Ferraz Ignacio, Martha Macedo de Lima Barata, Antonio Henrique Almeida de Moraes Neto
Aim This study analyzed the management of intestinal parasitic infections in the Family Health Strategy covering Brazilian urban slums. BACKGROUND: The Family Health Strategy is the preferred strategy for providing public, community-based primary health care in the Brazilian Unified Health System (SUS). Through this strategy, Family Health teams are responsible for the health of residents of a defined territory, including health promotion, health education and control of neglected tropical diseases such as intestinal parasitic infections...
November 8, 2017: Primary Health Care Research & Development
Arik V Marcell, Gale R Burstein
Pediatricians are an important source of health care for adolescents and young adults and can play a significant role in addressing their patients' sexual and reproductive health needs, including preventing unintended pregnancies and sexually transmitted infections (STIs), including HIV, and promoting healthy relationships. STIs, HIV, and unintended pregnancy are all preventable health outcomes with potentially serious permanent sequelae; the highest rates of STIs, HIV, and unintended pregnancy are reported among adolescents and young adults...
November 2017: Pediatrics
Johanne Déry, Sean P Clarke, Danielle D'Amour, Régis Blais
PURPOSE: While professional nursing, like other health professions, has a recognized educational base and a legal scope of practice that is remarkably consistent across societies, there are important variations even within the same institution or organization in the extent to which professional nurses engage in the full range of activities for which they are qualified. There has been limited study of enacted (actual) scope of nursing practice (ESOP) or of its impacts on nurse job outcomes, such as job satisfaction...
September 29, 2017: Journal of Nursing Scholarship
A Paget, C Parker, J Heron, S Logan, W Henley, A Emond, T Ford
BACKGROUND: Exclusion from school is increasingly recognized as pertinent to child health. National educational data reveal that boys, children who are looked-after, living in poverty, have special educational needs, or from certain ethnic minorities, are disproportionately excluded from school. As population-based data on the wider characteristics of excluded children are scarce, we aimed to describe predictors of school exclusion in the Avon Longitudinal Study of Parents and Children...
September 14, 2017: Child: Care, Health and Development
Francielle Toniolo Nicodemos Furtado de Mendonça, Álvaro da Silva Santos, Ana Luisa Zanardo Buso, Bruna Stephanie Sousa Malaquias
Objective: To assess the development and implementation of permanent education action. Method: Quantitative-qualitative research based on action research in three phases (diagnosis of reality, implementation of activity and evaluation), performed with health professionals and managers of basic health units. The evaluation was on the perception of changes immediately following the activity and after 120 days. Results: In the first phase, 110 professionals took part, 36...
July 2017: Revista Brasileira de Enfermagem
Thiago Blanco-Vieira, Wagner Silva Ribeiro, Edith Lauridsen-Ribeiro, Daniel Graça Fatori de Sá, Sonia Maria Motta Palma, Marcos Vinícius Vieira Ribeiro, Sheila Cavalcante Caetano, Fernando Augusto da Cunha Ramos, Maria Conceição do Rosário
There is a considerable gap between the offer and the demand for mental health treatment of children and adolescents, especially in low- and middle-income countries (LMICs). Permanent education in these countries is a promising and needed strategy to reduce this gap. This study was designed to evaluate the perceived impact of an educational intervention for child and adolescent mental health professionals in Brazil, the Child and Adolescent Mental Health Specialization Course (CESMIA). The intervention consisted of a 360-hour interprofessional postgraduation course...
July 7, 2017: Journal of Interprofessional Care
Andrzej Zieliński, Magdalena Rosińska
The article concerns abbreviated presentation of the results obtained in the Project KIK / 35 “Prevention of HCV infection,” sponsored by the Government of the Swiss Federation and the Ministry of Health of the Republic of Poland. The Project concerned the analysis of the prevalence of HCV infection in the adult population in Poland, the risk factors and groups at risk of these infections. Two sub-projects were related to separate subpopulations: pregnant women and drug users. Research in one sub-project focused on the hazards of HCV infections in medical institutions and non-medical facilities, where the procedures are performed with the interruption of tissue...
2017: Przegla̧d Epidemiologiczny
Barbara Schildberger, Christoph Zenzmaier, Martina König-Bachmann
BACKGROUND: Approximately 8% of all women of childbearing age in Austria live with permanent impairments. In everyday life, women with disabilities face various challenges and discrimination, among which the issue of pregnancy and motherhood, in particular, is often considered taboo, and their parenting abilities are doubted. Knowledge in the medical field about the experiences of women with disabilities during pregnancy, childbirth and the puerperium is limited. METHODS: To investigate the personal meanings and experiences of women with disabilities in regard to pregnancy, childbirth and the puerperium, in-depth individual, semi-structured interviews were conducted with ten mothers with various mobility or sensory impairments who reside in Austria...
June 26, 2017: BMC Pregnancy and Childbirth
Kenya Schmidt Reibnitz, Daiana Kloh, Aline Bússolo Corrêa, Margarete Maria de Lima
Objective: To analyse the changes that occur in nursing education from the perspective of the Pro-Health programme and its impact on the professional practice of the graduate students of this programme. Methods: This is a collective study conducted in southern Brazil. The cases were nursing courses contemplated with the Pro-Health programme. Interviews were conducted with health workers, professors, students, and graduates of the cases, followed by observation of the theory and practice activities of the basic care units, and document analysis of the political-educational project of the courses, in 2015...
March 30, 2017: Revista Gaúcha de Enfermagem
Mellina Marques Vieira Izecksohn, Jorge Esteves Teixeira, Bruno Pereira Stelet, Adelson Guaraci Jantsch
Strengthening Primary Health Care (PHC) relies directly on training medical specialists in primary care. This text aims to report the Family Medicine training experiences in Rio de Janeiro between 2008 and 2016. It brings to reflection the development of preceptors in medical specialization through an experience report on three Family Medicine medical residency programs, namely, the Municipal Health Secretariat program, the Federal University of Rio de Janeiro program and the National School of Public Health program...
March 2017: Ciência & Saúde Coletiva
Mary Ellen Hill, Denise Raftis, Pamela Wakewich
INTRODUCTION: As with other allied health professions, recruitment and retention of dietitians to positions in rural and isolated positions is challenging. The aim of this study was to examine the early effects of the Northern Ontario Dietetic Internship Program (NODIP) on recruitment and retention of dietitians to rural and northern dietetics practice. The program is unique in being the only postgraduate dietetics internship program in Canada that actively selects candidates who have a desire to live and work in northern and rural areas...
January 2017: Rural and Remote Health
Sandra Peláez, Kristin N Hendricks, Lisa A Merry, Anita J Gagnon
BACKGROUND: People who leave their country of origin, or the country of habitual residence, to establish themselves permanently in another country are usually referred to as migrants. Over half of all births in Montreal, Canada are to migrant women. To understand healthcare professionals' attitudes towards migrants that could influence their delivery of care, our objective was to explore their perspectives of challenges newly-arrived migrant women from non-Western countries face when needing maternity care...
January 25, 2017: Globalization and Health
Sophie I Mavrogeni, George Poulos, Genovefa Kolovou, George Theodorakis
Although the risk of MRI scanning on patients with conventional devices is lower than initially thought, the patient's safety can only be guaranteed when using MRI-conditional devices. The most important modifications in MRI-conditional devices include a) Reduction in ferromagnetic components to reduce magnetic attraction and susceptibility artifacts; b) Replacement of the reed switch by a Hall sensor in order to avoid unpredictable reed switch behavior; c) Lead coil design to minimize lead heating and electrical current induction; d) Filter circuitry to prevent damage to the internal power supply; and e) Dedicated pacemaker programming to prevent inappropriate pacemaker inhibition and competing rhythms...
January 10, 2017: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
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