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1.
Brasília; Ministério da Saúde; 2021. 6 p.
Non-conventional in Portuguese | LILACS | ID: biblio-1348811

ABSTRACT

O presente regimento disciplina a organização, as competências e o funcionamento do Comitê Gestor de Saúde Digital (CGSD)


Subject(s)
Humans , Telemedicine/legislation & jurisprudence , Advisory Committees/organization & administration , Internal Rules
2.
Rev. chil. infectol ; 37(5): 490-508, nov. 2020. tab
Article in Spanish | LILACS | ID: biblio-1144243

ABSTRACT

Resumen Los antimicrobianos son los medicamentos más utilizados en los neonatos durante su primer mes de vida cuando se encuentran en unidades neonatales, principalmente por el alto riesgo que presentan de adquirir infecciones graves como la sepsis. La mayoría de estos antimicrobianos se utilizan con dosis extrapoladas en base a las recomendaciones en población adulta y niños mayores, a pesar de que la fisiopatología en los recién nacidos es absolutamente diferente. Lo anterior lleva a un mayor riesgo a que ocurran más efectos adversos los que pueden conducir a una mayor toxicidad y a fallas terapéuticas, entre otros. En la última década se han realizado mayores estudios farmacocinéticos de antimicrobianos en neonatos; esta reciente evidencia ha permitido nuevas recomendaciones de dosificación considerando el peso y la edad gestacional del recién nacido, entre otras variables, de acuerdo al antimicrobiano estudiado. En base a una mayor evidencia sobre el comportamiento farmacocinético de los antimicrobianos en neonatos, se ha elaborado este documento para así facilitar y promover su correcto uso en las unidades neonatales.


Abstract Antibiotics are the most widely used medications in neonates during their first month of life in neonatal units, mainly due to the high risk they present of acquiring serious infections such as sepsis. Most of these antibiotics are used with extrapolated doses based on the suggestions in the adult population and older children, despite the fact that the pathophysiology in newborns is absolutely different. This leads to a higher risk of more adverse effects occurring, which can lead to greater toxicity and therapeutic failures, among others. In the last decade more and more pharmacokinetic studies of antibiotics have been carried out in neonates, this recent evidence has led to new dosage recommendations taking into account the weight and gestational age of the newborn, among other variables, in agreement to the antibiotic studied. Therefore, based on the need to order and summarize the most up-to-date and most evidence-based information on antibiotics in neonates, this document was prepared to facilitate and promote its correct use in neonatal units.


Subject(s)
Humans , Infant, Newborn , Communicable Diseases , Anti-Bacterial Agents/therapeutic use , Neonatology , Chile , Advisory Committees
3.
Gac. méd. Méx ; 156(5): 467-468, sep.-oct. 2020.
Article in Spanish | LILACS | ID: biblio-1249947

ABSTRACT

Resumen Un capítulo novedoso es la atención y promoción por parte de médicos especialistas de aspectos relacionados con procedimientos estéticos, más que con la salud. La aspiración humana de la búsqueda de la belleza personal ha generado nuevos escenarios en la labor médica. El Comité de Ética y Transparencia en la Relación Médico Industria (CETREMI) de la Academia Nacional de México ha revisado esta circunstancia y emite recomendaciones tanto a los médicos como a los productores y potenciales consumidores de procedimientos estéticos.


Abstract A novel chapter in current medical settings is the promotion and attention of esthetic aspects rather than health issues by health professionals. The human aspiration related to the search for personal beauty has generated new scenarios in medical practice. The Committee on Ethics and Transparency in the Physician-Industry Relationship (CETREMI) of the National Academy of Medicine of Mexico has analyzed this phenomenon and has issued recommendations directed both to medical professionals and to producers and potential consumers of esthetic procedures.


Subject(s)
Humans , Surgery, Plastic/ethics , Beauty Culture/ethics , Guidelines as Topic , Commerce/ethics , Cosmetics , Dermatologists/ethics , Advisory Committees , Marketing/ethics , Mexico
7.
Lima; Perú. Ministerio de Salud; 20200400. 4 p.
Monography in Spanish | MINSAPERU, LILACS, MINSAPERU | ID: biblio-1095540

ABSTRACT

El documento contiene la conformación del Grupo de Trabajo con el objeto de asesorar en materia de innovación de tecnologías sanitarias para la atención y manejo del COVID-19.


Subject(s)
Coronavirus , Advisory Committees , Mentoring
8.
Rev. adm. pública (Online) ; 54(2): 301-320, mar.-abr. 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1136948

ABSTRACT

Resumo O objetivo desta pesquisa foi analisar os fatores socioeconômicos e políticos que influenciaram a ocorrência de corrupção e má gestão nos gastos com o ensino básico nos municípios brasileiros. As fontes de dados usadas foram os relatórios das fiscalizações realizadas pela Controladoria-Geral da União (CGU) de 2011 a 2015 e os websites da Federação das Indústrias do Estado do Rio de Janeiro (FIRJAN), do Instituto Brasileiro de Geografia e Estatística (IBGE), do Tribunal Superior Eleitoral (TSE) e da Secretaria do Tesouro Nacional (STN). Os dados foram analisados por meio de procedimentos descritivos e regressão Binomial Negativo. De modo geral, os resultados indicaram que a possibilidade de reeleição do prefeito e a atuação dos conselhos municipais afetaram significativamente a incidência de corrupção. Por sua vez, a ocorrência de má gestão apresentou relação significativa com o perfil do eleitor e atuação dos conselhos municipais. Esses achados destacam a relevância dos conselhos municipais como instrumentos de acompanhamento e fiscalização da aplicação dos recursos públicos destinados ao ensino básico nos municípios brasileiros.


Resumen El objetivo de esta investigación es analizar los factores socioeconómicos y políticos que influenciaron el surgimiento de corrupción y de mala gestión de los gastos en enseñanza básica en los municipios brasileños. Las fuentes de datos utilizadas fueron los informes de las fiscalizaciones realizadas por la Contraloría General de la Unión entre los años 2011 a 2015; y los sitios web de la Federación de las Industrias del Estado de Río de Janeiro, del Instituto Brasileño de Geografía y Estadística, del Tribunal Superior Electoral y de la Secretaría del Tesoro Nacional. Para el análisis de los datos se realizaron procedimientos descriptivos y la regresión binomial negativo. En general, los resultados indicaron que la posibilidad de reelección del alcalde y el desempeño de los consejos municipales afectaron significativamente la incidencia de la corrupción. A su vez, la mala gestión mostró una relación significativa con el perfil del votante y el desempeño de los consejos municipales. Estos hallazgos destacan la relevancia de los consejos municipales como instrumento de seguimiento y fiscalización de la aplicación de los recursos públicos destinados a la enseñanza básica de los municipios brasileños.


Abstract This research analyzes the socioeconomic and political factors that influence the occurrence of corruption and mismanagement in public spending on basic education in Brazilian municipalities. The sources of data were the inspection reports of the Comptroller General of the Union during 2011 to 2015; and the websites of the Federation of Industries of the State of Rio de Janeiro, the Brazilian Institute of Geography and Statistics, the Superior Electoral Court, and the National Treasury Secretariat. The data analysis adopted descriptive procedures and binomial negative regression. Overall, the results indicate that the possibility of reelection of the mayor and the performance of municipal councils affected the incidence of corruption. In turn, an occurrence of mismanagement shows a significant relationship with the voter's profile and the performance of municipal councils. These findings highlighted the relevance of municipal councils as an instrument for monitoring and supervising public spending on basic education of Brazilian municipalities.


Subject(s)
Politics , Socioeconomic Factors , Cities , Education, Primary and Secondary , Advisory Committees , Education , Corruption , Public Administration , Brazil
9.
Rev. adm. pública (Online) ; 54(2): 321-339, mar.-abr. 2020. graf
Article in English | LILACS | ID: biblio-1136953

ABSTRACT

Abstract This article analyzed the São Paulo Municipal Advisory Board, an innovative channel of communication between civil society and the local government's executive branch. This exploratory research is based on an intrinsic case study, aiming to understand the operation of this advisory board and how it relates to other participatory instances in Brazil. The study adopted semi-structured interviews with members of the advisory board and representatives of the local government, participant observation of meetings of the management's board, and analysis of official documents. Data were analyzed based on the theory of deliberative democracy and studies on participatory bodies. The results indicate that the São Paulo Municipal Advisory Board is partially aligned with the deliberative democracy, and strongly connected to the federal and state-level Economic and Social Development Advisory Boards. Due to the specificities of these instances, we suggest the creation of a new category in the literature on institutional participation - "Governmental Advisory Board."


Resumen Este artículo tiene como objeto analítico el Consejo de la Ciudad de São Paulo, un innovador canal de comunicación entre la sociedad civil y el Ejecutivo municipal. Esta investigación exploratoria se basa en un estudio de caso intrínseco cuyos objetivos son comprender el funcionamiento de ese consejo y relacionarlo a otras instituciones participativas en Brasil. Para ello, se realizaron entrevistas semiestructuradas con consejeros y representantes de la gestión municipal, observación participante y análisis de documentos oficiales. Los datos se analizaron a partir de la teoría sobre democracia deliberativa y de estudios sobre consejos participativos. Los resultados apuntan que el Consejo de la Ciudad de São Paulo está parcialmente alineado con el modelo deliberativo de democracia, y fuertemente con los ejemplos federal y de los estados de consejos de desarrollo social y económico. Por las especificidades de estas instancias, sugerimos la creación de una nueva categoría en la literatura sobre participación institucional: "Consejo Asesor".


Resumo Este artigo tem como objeto analítico o Conselho da Cidade de São Paulo, um canal inovador de comunicação entre a sociedade civil e o executivo municipal. Esta pesquisa exploratória é baseada em um estudo de caso intrínseco, tendo como objetivos compreender o funcionamento desse conselho e relacioná-lo a outras instituições participativas no Brasil. Para isso, foram realizadas entrevistas semiestruturadas com conselheiros(as) e representantes da gestão municipal, observação participante em reuniões do comitê gestor e análise de documentos oficiais. Os dados foram analisados a partir da teoria sobre democracia deliberativa e de estudos sobre conselhos participativos. Os resultados apontam que o Conselho da Cidade de São Paulo está parcialmente alinhado ao modelo deliberativo de democracia, e fortemente aos exemplos federal e estadual de Conselhos de Desenvolvimento Social e Econômico. Pelas especificidades dessas instâncias, sugerimos a criação de uma nova categoria na literatura sobre participação institucional - "Conselho Consultivo".


Subject(s)
Organization and Administration , Public Administration , Advisory Committees , Democracy , Social Participation
11.
Rev. ADM ; 77(2): 96-99, mar.-abr. 2020.
Article in Spanish | LILACS | ID: biblio-1102186

ABSTRACT

La seguridad de los pacientes ha sido declarada por la Organización Mundial de la Salud (OMS) como un «principio fundamental para la atención sanitaria¼. Se menciona y define con la finalidad de caracterizar el problema de los incidentes relacionados con la atención de la salud, y especialmente sobre los eventos adversos. Existen definiciones básicas y operativas que sirven para elaborar reportes y proporcionar un marco referencial inicial, tal y como lo ha venido realizado en México la Comisión Nacional de Arbitraje Médico (CONAMED). La calidad en la atención es uno de los puntos más importantes, y se ha convertido poco a poco en un punto relevante en las agendas de los servicios de salud. Por esta razón debe afrontarse con un modelo de seguridad de los pacientes, con una visión que nos permita conocer los elementos básicos y conceptuales, así como la importancia de las medidas que el profesional en odontología da por hecho conocer por su entrenamiento dentro de las aulas universitarias (AU)


Patient safety has been declared by the World Health Organization (WHO) as a «fundamental principle for health care¼. It is mentioned and defined in order to characterize the problem of incidents related to health care, and especially about adverse events. There are basic and operational definitions that are used to prepare reports and provide an initial reference framework¸ as has been done in Mexico by the National Commission of Medical Arbitration (CONAMED). Quality of care is one of the most important points, gradually becoming a relevant point in the agendas of health services. It is the reason why it must be faced with a patient safety model, with a vision that allows us to know the basic and conceptual elements, as well as the importance of the measures that the professional in dentistry take for a fact to know for their Training within university classrooms (AU)


Subject(s)
Humans , Patient Advocacy/legislation & jurisprudence , Security Measures , Dental Care/standards , Patient Harm/legislation & jurisprudence , Quality of Health Care , World Health Organization , Infection Control, Dental , Advisory Committees , Iatrogenic Disease/prevention & control , Mexico
12.
Lima; Perú. Ministerio de Salud; 20200300. 3 p.
Monography in Spanish | MINSAPERU, LILACS, MINSAPERU | ID: biblio-1087783

ABSTRACT

El documento contiene la conformación del Grupo de Trabajo con el objeto de asesoraren los temas y materia de atención y manejo del COVID-19


Subject(s)
Specialization , Coronavirus , Advisory Committees
13.
Epidemiol. serv. saúde ; 29(4): e2020499, 2020. graf
Article in English, Portuguese | LILACS | ID: biblio-1124773

ABSTRACT

Apresenta-se o relato de experiência da integração entre serviços de saúde públicos e privados, gestores e universidade, para a vigilância e controle da epidemia de COVID-19 em Tubarão, SC, Brasil. A cidade, universitária, cenário de grande fluxo de pessoas de diferentes locais do país, foi um dos primeiros municípios do estado catarinense com transmissão comunitária do SARS-CoV-2. São detalhadas as medidas adotadas com a criação do Comitê de Monitoramento da COVID-19, do Centro de Operações de Emergências Municipais em Saúde, e do Plano de Contingência da Doença. Passados 100 dias de pandemia, foram 5.979 casos notificados e 431 (7,2%) confirmados, dos quais 5 (1,2%) foram a óbito. Decisões precoces - suspensão imediata das atividades de comércio e eventos com aglomeração - podem ter limitado a propagação do vírus. As parcerias estabelecidas trazem inovação e subsidiam a gestão pública nas tomadas de decisão pautadas em evidências científicas.


Se presenta la experiencia de la integración entre los servicios de Salud Pública y privados, los administradores y la universidad para la vigilancia y el control de la epidemia de COVID-19 en Tubarão, Santa Catarina, Brasil. La ciudad universitaria, con un gran flujo de personas de diferentes partes del país, fue uno de los primeros municipios del estado con transmisión comunitaria de SARS-CoV-2. Las medidas adoptadas se detallan con la creación del Comité de Monitoreo COVID-19, el Centro de Operaciones Municipales de Emergencia en Salud y un Plan de Contingencia de la Enfermedad. Después de 100 días de pandemia, se reportaron 5,979 casos, 431 (7,2%) confirmados, de los cuales cinco (1,2%) murieron. Las decisiones precoces, la suspensión inmediata de las actividades comerciales y de los eventos con aglomeración han reducido la propagación del virus. Las asociaciones establecidas aportan innovación y subsidian la gestión pública en la toma de decisiones basadas en evidencia científica.


This article presents an experience report about integration between public and private health services, health service managers and the academy, for surveillance and control of the COVID-19 epidemic, in the municipality of Tubarão, Santa Catarina, Brazil. The city is home to a university and has a large flow of people from different parts of the country, as well as being one of the first municipalities in the state of Santa Catarina to report cases of community transmission of SARS-CoV-2. The measures adopted included the implementation of the COVID-19 Monitoring Committee, the Municipal Health Emergency Operations Center, and the COVID-19 Contingency Plan. After 100 days of pandemic, 5,979 cases had been reported, 431 (7.2%) had been confirmed, of which five (1.2%) died. Early decisions, such as the immediate suspension of business activities and crowded events, may have reduced the spread of the virus. The partnerships put into place have provided innovation and supported public service management in decision-making based upon scientific evidence.


Subject(s)
Humans , Coronavirus Infections/prevention & control , Coronavirus Infections/transmission , Coronavirus Infections/epidemiology , Public-Private Sector Partnerships/organization & administration , Health Plan Implementation , Interinstitutional Relations , Brazil/epidemiology , Advisory Committees , Pandemics , Public Health Surveillance , Epidemiological Monitoring
14.
Rev. bras. ginecol. obstet ; 41(6): 394-399, June 2019. graf
Article in English | LILACS | ID: biblio-1013628

ABSTRACT

Abstract Objective The present study aims to obtain basic demographic information, the level of interest and of training in gynecology oncology among Brazilian obstetricians and gynecologists (OB-GYNs) to create a professional profile. Methods An online questionnaire was sent to 16,008 gynecologists affiliated to the Brazilian Federation of Associations of Gynecology and Obstetrics (FEBRASGO, in the Portuguese acronym). We considered gynecologists dedicated to gynecologic oncology (OB-GYNs ONCO) those who self-reported that > 50% of their daily practice consists in working with women's cancer care. Results A total of 1,608 (10%) of 16,008 FEBRASGO members responded. The OBGYNs are concentrated in the southern and southeastern states of Brazil. Gynecologic oncology was considered the 8th greatest area of interest in gynecology among the OBGYNs. A total of 95 (5.9%) of the OB-GYNs were considered OB-GYNs ONCO. Obstetricians and gynecologists are actively engaged in cancer care: > 60% of them dedicate up to 25% of their daily practice to oncology. The role of the physicians in screening and prevention, diagnosis, in the treatment of precancerous lesions, and in low complexity surgical procedures is notably high. Gynecologists dedicated to gynecologic oncology in Brazil have a heterogeneous, nonstandardized and short training period in gynecologic oncology. These professionals had a more significantly role in performing medium- and high-complexity operations compared with OB-GYNs (65.2% versus 34%, and 47.3% versus 8.4%, respectively). Conclusion The role of OB-GYNs and of OB-GYNs ONCO appears to be complementary. Obstetricians and gynecologists actmore often in screening and prevention and in low-complexity surgical procedures, whereas OB-GYNs ONCO are more involved in highly complex cases. Strategies to raise standards in cancer training and to encourage the recognition of gynecologic oncology as a subspecialty should be adopted in Brazil.


Resumo Objetivo Opresente estudotemcomo objetivo obter informações demográficas básicas, o nível de interesse e de treinamento em ginecologia oncológica entre obstetras e ginecologistas (OB-GYNs) brasileiros para criar um perfil destes profissionais. Métodos Umquestionário online foi enviado a 16.008 ginecologistas filiados à Federação Brasileira de Associações de Ginecologia e Obstetrícia (FEBRASGO). Nós consideramos ginecologistas dedicados à oncologia ginecológica (OB-GYNsONCO) aqueles que referiram atuar em > 50% de sua prática diária com o tratamento do câncer feminino. Resultados Um total de 1.608 (10%) dos 16.008 membros da FEBRASGO responderam ao questionário. Os OB-GYNs estão concentrados nos estados do sul e sudeste do Brasil. A oncologia ginecológica foi considerada a 8ª área de maior interesse em ginecologia entre os OB-GYNs. Um total de 95 (5,9%) dos OB-GYNs foram considerados ginecologistas dedicados à oncologia ginecológica (OB-GYNs ONCO). Obstetras e ginecologistas estão ativamente envolvidos no tratamento do câncer: > 60% deles dedicam até 25% de sua prática diária à oncologia. O papel dosmédicos na triageme na prevenção, no diagnóstico, no tratamento de lesões pré-cancerosas e em procedimentos cirúrgicos de baixa complexidade é notavelmente alto. Ginecologistas dedicados à oncologia ginecológica no Brasil têm umperíodo de treinamento emoncologia ginecológica heterogêneo, não padronizado e curto. Estes profissionais tiveram um papel mais significativo na realização de operações de média e alta complexidade em comparação com OB-GYNs (65,2% versus 34%, e 47,3% versus 8,4%, respectivamente). Conclusão Os papéis dos OB-GYN e dos OB-GYNs ONCO parecem ser complementares. Os OB-GYNs frequentemente atuam emtriageme prevenção e em procedimentos cirúrgicos de baixa complexidade, enquanto os OB-GYNs ONCO estão mais envolvidos em casos demais alta complexidade. Estratégias para elevar os padrões de treinamento em oncoginecologia e incentivar o reconhecimento da oncologia ginecológica como uma subespecialidade devem ser adotadas no Brasil.


Subject(s)
Humans , Specialization/statistics & numerical data , Gynecologic Surgical Procedures/education , Gynecology/education , Medical Oncology/education , Obstetrics/education , Brazil , Career Choice , Attitude of Health Personnel , Advisory Committees , Early Detection of Cancer , Medical Oncology/trends
16.
Rev. cub. inf. cienc. salud ; 30(1): e1358, ene.-mar. 2019. tab, fig
Article in Portuguese | LILACS, CUMED | ID: biblio-1093057

ABSTRACT

Estudos teóricos sustentam a existência de culturas epistêmicas nas comunidades acadêmicas, bem como a influência que as políticas de avaliação exercem sobre elas. Este trabalho aprofunda a análise realizada pelos autores em estudos anteriores para melhorar a compreensão de mudanças nas práticas de publicação das Ciências da Saúde no Brasil entre 2000 e 2014. Pesquisa quantitativa-qualitativa, não experimental e longitudinal. Os dados de produção científica das Ciências da Saúde são coletados a partir do Diretório dos Grupos de Pesquisa do Conselho Nacional de Desenvolvimento Científico e Tecnológico e são representadas graficamente as séries históricas de artigos, monografias e trabalhos completos em anais, bem como as razões de artigos nacionais/internacionais e artigos/monografias, para identificar e comparar padrões. Os documentos das Comissões de Áreas (Capes) e dos Comitês de Assessoramento das Ciências da Saúde (CNPq) são analisados, identificando, examinando e classificando os critérios de avaliação utilizados. Os resultados indicam que os critérios de avaliação contribuem a promover mudanças nas práticas de publicação dos pesquisadores das Ciências da Saúde, especificamente, um aumento significativo na contribuição percentual de artigos internacionais e uma redução dos nacionais, das monografias e dos trabalhos completo em anais(AU)


Estudios teóricos fundamentan la existencia de culturas epistémicas en las comunidades académicas, así como la influencia que las políticas de evaluación ejercen sobre ellas. El presente trabajo profundiza los análisis realizados por los autores en estudios anteriores para mejorar la comprensión sobre los cambios ocurridos en las prácticas de publicación de las Ciencias de la Salud en Brasil entre los años 2000 y 2014. Se trata de una investigación cuantitativa-cualitativa, no experimental y longitudinal. Se colectan los datos de la producción científica de las Ciencias de la Salud a partir del Directorio de Grupos de Investigación del Consejo Nacional de Asesoramiento Científico y Tecnológico, y se representan gráficamente las series históricas de artículos, monografías y trabajos en anales, así como las razones de artículos nacionales/internacionales y artículos/monografías, para identificar y comparar patrones. Se analizan los documentos de las Comisiones de Áreas (Capes) y de los Comités de Asesoramiento de las Ciencias de la Salud (CNPq), y se identifican, examinan y clasifican los criterios de evaluación utilizados. Los resultados indican que los criterios de evaluación contribuyen a promover cambios en las prácticas de publicación de los investigadores de las Ciencias de la Salud, específicamente un aumento significativo de la contribución porcentual de los artículos internacionales y una reducción de los nacionales, de las monografías y de los trabajos completos en anales(AU)


Theoretical studies substantiate the existence of epistemic cultures in academic communities, as well as the influence that evaluation policies exert upon them. The present study reviews the analyses conducted by authors of previous research to improve understanding of the changes taking place in health sciences publication practices in Brazil between the years 2000 and 2014. A longitudinal non-experimental quantitative-qualitative study was conducted. Data about health sciences scientific production were collected from the Research Groups Directory of the National Council for Scientific and Technological Development, and a graphic representation is provided of the historical series of papers, monographies and studies contained in annals, as well as of the ratios of national/international papers and papers/monographies, with the purpose of identifying and comparing the patterns. An analysis was performed of documents from the Area Committees (Capes) and the Health Sciences Advisory Committees (CNPq), identifying, examining and classifying the evaluation criteria used. Results suggest that evaluation criteria contribute to foster changes in the publication practices of health sciences researchers, particularly a significant increase in the percentage of international papers and a decrease in national papers, monographies and full papers in proceedings(AU)


Subject(s)
Humans , Technological Development , Advisory Committees , Health Councils , Health Sciences , Models, Theoretical
17.
Demetra (Rio J.) ; 14: e37875, mar. 2019. tab
Article in English, Portuguese | LILACS | ID: biblio-1097628

ABSTRACT

A atuação adequada dos Conselhos de Alimentação Escolar gera perspectivas de redução de irregularidades na utilização dos recursos públicos e melhoria da qualidade da alimentação escolar. Buscou-se, neste estudo, conhecer as condições de trabalho e atuação dos conselheiros segundo as normativas do Programa Nacional de Alimentação Escolar. Foi realizado estudo transversal com 425 conselheiros oriundos de 84 municípios de Minas Gerais e Espírito Santo. Foram realizadas análises descritivas, univariadas e multivariadas, utilizando testes do qui-quadrado de Pearson e regressão de Poisson, obtendo-se a razão de prevalência. Os resultados do estudo indicaram funcionamento precário dos conselhos, assim como condições de trabalho inadequadas para os conselheiros, que têm sua atuação prejudicada pela inadequação de infraestrutura de trabalho. As razões de prevalência sugerem uma ação positiva no controle social quando o conselheiro é eleito democraticamente, quando possui adequada infraestrutura de trabalho e acesso a informações sobre o programa. Os achados denotam a necessidade de propiciar aos conselheiros educação continuada, melhorar suas condições de trabalho e favorecer sua atuação participativa e democrática, propiciando um efetivo controle social do programa. (AU)


The adequate performance of School Nutrition Councils can reduce irregularities in the use of public resources and improve the quality of school meals. This study sought to know the working conditions and performance of school nutrition counselors, according to the regulations of the National School Feeding Programme. A cross-sectional study was conducted with 425 counselors from 84 municipalities of Minas Gerais and Espírito Santo. Univariate and multivariate analyses were performed, using Pearson's chi-square test and Poisson regression analysis, and the prevalence ratio was obtained. The results indicated a malfunction of the studied School Nutrition Councils, as well as inadequate working conditions for counselors, combined with the lack of knowledge about program regulations. Prevalence ratios suggest a positive action on the social control when the counselor is elected in a democratic way, when they have adequate infrastructure and access to information on the program's regulations. The findings indicate the need to provide counselors with continuing education, improve their working conditions and favor their participative and democratic performance, providing effective social control of the program. (AU)


Subject(s)
Humans , Male , Female , Adult , Public Policy , School Feeding , Working Conditions , Advisory Committees
18.
Article in Korean | WPRIM | ID: wpr-786320

ABSTRACT

PURPOSE: This study aimed to examine the process from occurrence of a hospital nurse's suicide to workers' compensation approval, responses of the parties involved, issues debated during approval deliberations, and significant policy changes resulting from the incident.METHODS: We conducted in-depth interviews with involved parties and collected various documents, including newspaper articles, forum proceedings, and the agency report on determination of workers' compensation. Content analysis was performed on the collected data.RESULTS: A Joint Task Force continuously reported its progress and findings through mass media such as newspaper, radio, and TV. These activities exerted pressure on a government agency to conduct an occupational disease review and significantly impacted the workers' compensation approval. The agency recognized associations between the hospital's inadequate nurse training and the suicide but did not confirm the excessive overtime and workplace harassment experienced by the nurse as causes of the suicide. This case's media coverage and impact resulted in a law prohibiting workplace harassment and a hospital system dedicating at least one nurse to training activities.CONCLUSION: This incident had a significant social impact as the first case of workers' compensation approval for a hospital nurse's suicide. However, the case produced no structural changes in nurses' working conditions such as heavy workloads.


Subject(s)
Advisory Committees , Government Agencies , Joints , Jurisprudence , Mass Media , Occupational Diseases , Occupational Health , Social Change , Suicide , Teaching , Workers' Compensation
19.
Article in English | WPRIM | ID: wpr-763307

ABSTRACT

Korean Society of Thyroid-Head and Neck Surgery appointed a Task Force to provide guidance on the implementation of a surgical treatment of oral cancer. MEDLINE databases were searched for articles on subjects related to “surgical management of oral cancer” published in English. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. The quality of evidence was rated with use RoBANS (Risk of Bias Assessment Tool for Nonrandomized Studies) and AMSTAR (A Measurement Tool to Assess the Methodological Quality of Systematic Reviews). Evidence-based recommendations for practice were ranked according to the American College of Physicians grading system. Additional directives are provided as expert opinions and Delphi questionnaire when insufficient evidence existed. The Committee developed 68 evidence-based recommendations in 34 categories intended to assist clinicians and patients and counselors, and health policy-makers. Proper surgical treatment selection for oral cancer, which is directed by patient- and subsite-specific factors, remains the greatest predictor of successful treatment outcomes. These guidelines are intended for use in conjunction with the individual patient's treatment goals.


Subject(s)
Advisory Committees , Bias , Carcinoma, Squamous Cell , Counseling , Expert Testimony , Humans , Mouth Neoplasms , Neck , Republic of Korea
20.
Annals of Dermatology ; : 654-661, 2019.
Article in English | WPRIM | ID: wpr-762391

ABSTRACT

BACKGROUND: Systemic immunomodulatory treatment is actively recommended in the treatment for moderate to severe atopic dermatitis (AD) patients. However, consensus criteria for the classification of AD severity or treatment refractoriness have not been established yet. OBJECTIVE: To establish consensus criteria on the definition of severity classification and treatment refractoriness of AD to provide a basis for proper treatment strategy. METHODS: The Korean Atopic Dermatitis Association (KADA) comprised a task force team to establish a definition of moderate to severe AD. A draft of definition of moderate to severe AD was made on the basis of evidence. The recommendation was confirmed by KADA members through a web-based survey. RESULTS: KADA approved that AD with 16≤eczema area and severity index (EASI)<23 should be basically defined as moderate AD whereas AD with EASI score ≥23 should be considered as severe AD. They agreed that it would be reasonable to raise the severity level if patient's daytime or nighttime pruritus numerical rating scale is equal to or higher than 7 (≥7) or dermatology life quality index score exceeds 10. AD patients who do not reach EASI 50 after appropriate treatment for three months should be considered as a non-responder. Patients with recurrence (EASI ≥16) within three months after cessation of treatment should be considered as a recurrent AD. CONCLUSION: KADA built a consensus of definition of moderate and severe AD and treatment-refractoriness. These guidelines are expected to help physicians determine proper treatment options in need.


Subject(s)
Advisory Committees , Classification , Consensus , Dermatitis, Atopic , Dermatology , Diagnosis , Humans , Pruritus , Quality of Life , Recurrence , Treatment Failure , Withholding Treatment
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