Research on the mining, sorting and transforming of traditional exercise prescription from the perspective of sports and health integration / 中华行为医学与脑科学杂志

Based on promoting the " sports and health integration" and with the aim of the positive role of traditional sports in promoting public health in an all-round and whole-cycle way, this paper uses the literature research method to explore the connotation of traditional sports in ancient Chinese books and literatures, such as " treating no diseases" , " treating mild diseases" , " treating desired diseases" and " treating existing diseases" . The traditional exercise prescription is interpreted from the modern language such as the amount of exercise and intensity, application time, role, standardization and matters needing attention, so as to provide the theoretical basis for the integration of traditional exercise prescription into grassroots health management by providing exercise promotion services for healthy, sub-healthy, sick and rehabilitated people.

Sports and health integration: logic, dilemma and alleviation / 中华行为医学与脑科学杂志

By combing out the historical development logic of sports and health integration and the current development achievement, the underlying logic of sports and health integration is described systematically in multiple dimensions, and the prominent dilemmas in development are analyzed as follows: lack of residents' health literacy, excessive dependence on medical treatment, low bridging of talent team construction, lack of the guidance of funds centralization, insufficient financial support, imperfect management system and mechanism, and unspecific departmental collaboration.The strategies for solving the problems are as follows: strengthening the integration of sports science and clinical medicine, consolidating the technical integration of sports prescription and clinical standardization process, further improving the business integration of exercise intervention and clinical treatment, and enhancing the industrial integration of sports products and medical treatment.

Desafios para a gestão compartilhada do cuidado na relação entre cuidadores e profissionais de uma equipe do Serviço de Atenção Domiciliar / Challenges to the shared care management concept between caregivers and professionals of the Brazilian Home Care Service

Resumo A Atenção Domiciliar (AD) promove desospitalização de usuários em condição clínica estável e humanização da atenção à saúde em contraposição à valorização exclusiva do saber médico; organizada pelo Serviço de Atenção Domiciliar (SAD), coaduna-se ao Sistema Único de Saúde (SUS) e dá especial importância à participação ativa de usuários e cuidadores. Este artigo deriva de estudo que analisou efeitos da interface equipe SAD-cuidadores na gestão do processo de cuidado em município do interior paulista. Investigou-se a experiência de cuidadores e profissionais na parceria assistencial dedicada a usuários do serviço: foram entrevistados dez cuidadores e sete profissionais participaram de grupo focal. Análise de Conteúdo Temática foi utilizada para compreensão dos dados, permitindo identificar quatro categorias: hierarquização da relação de cuidado; efeito terapêutico da relação equipe-usuário; infantilização do usuário; e influência do gênero no cuidado. Considerações da equipe no grupo focal corroboram percepção dos cuidadores entrevistados, legitimando necessidade de estratégia para aproximação entre equipes e cuidadores. A gestão compartilhada do cuidado, modalidade que pretende promover retomada da autonomia e apropriação do processo de trabalho pelos profissionais, tende a diminuir a fragmentação e favorecer interdisciplinaridade e integração, promovendo ativamente condições para integrar saber de usuários e cuidadores no cuidado.

Abstract Home Care (HC) promotes dehospitalization of users in a stable clinical condition and humanization of health care in opposition to the exclusive valorization of medical knowledge; organized by the Home Care Service (SAD), it is in line with the Unified Health System (SUS) and gives special importance to the active participation of users and caregivers. This article derives from a study that analyzed the effects of the SAD-caregivers interface on the management of the care process in a city in the interior of São Paulo. The experience of caregivers and professionals in the care partnership dedicated to service users was investigated: ten caregivers were interviewed, and seven professionals participated in a focus group. Thematic Content Analysis was used to understand the data, allowing to identify four categories: hierarchy of the care relationship; therapeutic effect of the team-user relationship; infantilization of the user; and gender influence on care. Considerations of the team in the focus group corroborate the perception of the interviewed caregivers, legitimizing the need for a strategy to bring teams and caregivers closer together. Shared care management, a modality that aims to promote the resumption of autonomy and appropriation of the work process by professionals, tends to reduce fragmentation and favor interdisciplinarity and integration, actively promoting conditions to integrate the knowledge of users and caregivers in care.

O PET-saúde da família e a formação de profissionais da saúde: a percepção de estudantes / The PET-family health and the education of health professionals: students’ perspectives / El PET-salud de la familia y la formación de profesionales de la salud: la percepción de los estudiantes

Trata-se de estudo com abordagem qualitativa, cujo objetivo foi analisar a contribuição do Programa de Educação pelo Trabalho para a Saúde (PET– Saúde da Família) para a formação dos futuros profissionais de saúde de uma universidade pública do Nordeste do Brasil. Foram utilizados dados secundários do instrumento de avaliação semestral do programa, respondido por 67 estudantes dos cursos de: Educação Física, Enfermagem, Fisioterapia, Medicina, Nutrição e Odontologia. Os resultados foram sistematizados em duas categorias de análise: o trabalho interprofissional e a integração ensino-serviço. O estudo evidenciou: a importância do trabalho interprofissional e colaborativo, a integração ensino-serviço-comunidade, e a reflexão das práticas impulsionadas pelo PET-Saúde da Família para a mudança no processo formativo em saúde. Estratégias como essa são essenciais para a formação e o aperfeiçoamento de profissionais para o Sistema Único de Saúde (SUS).

This qualitative study aimed to analyze the contribution of the Education Program by Work for Health (PET–Family’s Health) for educating future health professionals at a public university in northeastern Brazil. Secondary data were derived from the semiannual assessment tool that was answered by 67 physical education, nursing, physiotherapy, medicine, nutrition, and dentistry students. The results were organized under two categories: interprofessional work and teaching–service integration. The present study highlighted the importance of interprofessional and collaborative work; integration of learning, service, and the community; and reflection of practices promoted by PET–Family’s Health to bring about changes in the educational process. Strategies such as this are essential for the education and improvement of health professionals in the Brazilian Health System (SUS).

Este estudio cualitativo tuvo como objetivo analizar la contribución del Programa de Educación en el Trabajo para la Salud (PET - Salud de la Familia) para la formación de los futuros profesionales de la salud de una universidad pública en el noreste de Brasil. Fueron utilizados datos secundarios del instrumento de evaluación semestral del programa, contestado por 67 estudiantes de Educación Física, Enfermería, Fisioterapia, Medicina, Nutrición y Odontología. Los resultados fueron organizados en dos categorías de análisis: el trabajo interprofesional y la integración enseñanza-servicio. El estudio reveló la importancia del trabajo interprofesional y colaborativo, de la integración enseñanza-servicio-comunidad y de la reflexión de las prácticas impulsadas por el PET - Salud de la Familia para el cambio en el proceso formativo en salud. Estrategias como ésta son esenciales para la formación y perfeccionamiento profesional en el Sistema Brasileño de Salud (SUS).

Decolonization of psychiatric public policy in Jamaica / Descolonización de las políticas públicas en materia de psiquiatría en Jamaica

Involuntary commitment and custodialization were the principal tenets of British colonial public policy provisions for the management of the violent, disturbed mentally ill in Jamaica and the West Indies. Over the fifty years following Jamaica's political independence from Britain, a community engagement mental health programme has developed through a decolonization process that has negated involuntary certification, incarceration and custodialization, has promoted family therapy and short stay treatment in conventional primary and secondary care health facilities, and has promoted reliance on traditional and cultural therapies that have been extremely successful in the treatment of mental illness and the reduction of stigma in Jamaica. Collaborations involving The University of the West Indies, the Jamaican Ministry of Health and the Pan American Health Organization have been seminal in the development of the decolonizing of public policy initiatives, negating the effects of involuntary certification that had been imposed on the population by slavery and colonization. This collaboration also catalysed the psychiatric training of medical, nursing and mental health practitioners and the execution of community mental health policy in Jamaica.

El compromiso involuntario y la custodialización eran los principios principales de las disposiciones de las políticas públicas coloniales británicas, para el manejo de los enfermos perturbados de sus facultades mentales y violentos en Jamaica y West Indies. Durante los más de cincuenta años que siguieron a la independencia política de Jamaica de Gran Bretaña, se ha venido desarrollando un programa de salud mental basado en el compromiso a través de un proceso de descolonización que ha invalidado la certificación involuntaria, el encarcelamiento y la custodialización, promoviendo en su lugar la terapia familiar y el tratamiento de estancias cortas en centros de salud de atención primaria y secundaria convencional. Asimismo, ha promovido la confianza en las terapias tradicionales y culturales que han sido sumamente exitosas en el tratamiento de las enfermedades mentales, y la reducción del estigma en Jamaica. Colaboraciones que incluyen a la Universidad de West Indies, el Ministerio de Salud de Jamaica, y la Organización Panamericana de la Salud han desempeñado un papel seminal en el desarrollo de iniciativas en materia de políticas públicas descolonizadoras, que anulan los efectos de la certificación involuntaria impuestas históricamente a la población por la esclavitud y la colonización. Estas colaboraciones también catalizaron el entrenamiento psiquiátrico de médicos, enfermeras, y profesionales de la salud mental, así como la ejecución de políticas comunitarias para el cuidado de la salud mental en Jamaica.

Integrative construction of animal health systems and public health / 中国兽医学报

Animal health systems initially established in Australia,Canada and other countries,played a very important role in prevention and control of animal diseases.Based on comparing the animal health systems of Australia with the veterinary medical system in China,some strategies was obtained for establishing a more reasonable official veterinary system and animal health system in China,thus speeding up the integration process of veterinary and human medical public health system.