Base de dados : MEDLINE
Pesquisa : J01.086.339 [Categoria DeCS]
Referências encontradas : 8783 [refinar]
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[PMID]:25816189
[Au] Autor:Shepley MM; Song Y
[Ti] Título:Design research and the globalization of healthcare environments.
[So] Source:HERD;8(1):158-98, 2014.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Global healthcare practice has expanded in the past 20 years. At the same time the incorporation of research into the design process has gained prominence as a best practice among architects. The authors of this study investigated the status of design research in a variety of international settings. We intended to answer the question, "how pervasive is healthcare design research outside of the United States?" METHOD: The authors reviewed the international literature on the design of healthcare facilities. More than 500 international studies and conference proceedings were incorporated in this literature review. A team of five research assistants searched multiple databases comparing approximately 16 keywords to geographic location. Some of those keywords included: evidence-based design, salutogenic design, design research, and healthcare environment. Additional articles were gathered by contacting prominent researchers and asking for their personal assessment of local health design research studies. RESULTS: While there are design researchers in most parts of the world, the majority of studies focus on the needs of populations in developed countries and generate guidelines that have significant cost and cultural implications that prohibit their implementation in developing countries. Additionally, the body of literature discussing the role of culture in healthcare environments is extremely limited. CONCLUSION: Design researchers must address the cultural implications of their studies. Additionally, we need to expand our research objectives to address healthcare design in countries that have not been previous considered.
[Mh] Termos MeSH primário: Competência Cultural
Arquitetura de Instituições de Saúde/métodos
Ambiente de Instituições de Saúde/organização & administração
Internacionalidade
[Mh] Termos MeSH secundário: Projeto Arquitetônico Baseado em Evidências
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Medicina Tradicional
Determinação de Necessidades de Cuidados de Saúde
Pesquisa
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/193758671400800112


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[PMID]:25816188
[Au] Autor:Marquardt G; Bueter K; Motzek T
[Ti] Título:Impact of the design of the built environment on people with dementia: an evidence-based review.
[So] Source:HERD;8(1):127-57, 2014.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: In this review the impact of the design of the built environment on people with dementia in long-term care settings is systematically analyzed and summarized. Architects and designers will be provided with credible evidence on which they can confidently base their design decisions. Researchers will be able to determine which environmental aspects have been well investigated and where there are gaps in the current state of the research. BACKGROUND: A great number of studies have established a relationship between the design of the physical environment of long-term care settings and outcomes of people with dementia. However, the methods employed are heterogeneous and the results are often conflicting. Consequently, the process of integrating the best evidence available into architectural designs may be hindered. METHODS: A systematic literature search was conducted reviewing studies that meet certain inclusion criteria. Using an evidence-based approach, the methodical quality of the studies was rated. RESULTS: One hundred sixty-nine studies were found. They were thematically summarized into four main categories: basic design decisions, environmental attributes, ambience, and environmental information. The effectiveness of the interventions on the behavior, cognition, function, well being, social abilities, orientation, and care outcomes on people with dementia was illustrated by matrices. CONCLUSIONS: Results of this review indicate that, with the exception of cognition, specific design interventions are beneficial to the outcomes of people with dementia. Overall, the field of environmental design for people with dementia is well researched in many aspects and only few gaps in knowledge were identified.
[Mh] Termos MeSH primário: Demência/psicologia
Arquitetura de Instituições de Saúde
Ambiente de Instituições de Saúde/organização & administração
Instituição de Longa Permanência para Idosos/organização & administração
Casas de Saúde/organização & administração
[Mh] Termos MeSH secundário: Atividades Cotidianas
Seres Humanos
Relações Interpessoais
Segurança do Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/193758671400800111


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[PMID]:25816183
[Au] Autor:Elf M; Wijk H
[Ti] Título:Space planners' perception of an assessment instrument for briefs in the pre-design phase of new healthcare environments.
[So] Source:HERD;8(1):67-80, 2014.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The main purpose of the study was to investigate the usability of a newly developed instrument designed to assess the content and quality briefs (CQB-I) in programs for new healthcare environments. We studied the perception of using the instrument on a group of space planners. BACKGROUND: The study is part of a larger project designed to ensure the quality of the planning of new healthcare environments with a focus on documents (programs or briefs) created in the early phases of the planning process. In this study, we used an instrument that measures the clarity of the mission statement for the project based on user needs and care activities that will take place in the new healthcare environment. The instrument further evaluates whether there are clear patient-related outcome measures specified and whether the information in the documents is person-oriented and evidence-based. METHODS: The study used a mixed-method design where the relevance and usability of the instrument was estimated and a focus group interview was conducted. RESULTS: The study showed that a CQB-I is perceived to be a relevant instrument primarily as a guide for programming, but also for monitoring the produced programs. CONCLUSIONS: Instruments like CQB-I can help to bring research results into planning and contribute to dialogue and collaboration in the early phases of a planning process by orienting planning participants to user needs and facilitating the discussion and articulation of clear performance indicators.
[Mh] Termos MeSH primário: Arquitetura de Instituições de Saúde/métodos
Ambiente de Instituições de Saúde/métodos
Determinação de Necessidades de Cuidados de Saúde/organização & administração
Inquéritos e Questionários
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Grupos Focais
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/193758671400800106


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[PMID]:29257640
[Au] Autor:Andersen P; Horton E; Clarke KA
[Ti] Título:IMPROVING HEALTH AND SAFETY IN AGED CARE USING GAME BASED SIMULATION.
[So] Source:Aust Nurs Midwifery J;24(7):35, 2017 02.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Australia faces the challenge of supporting a growing ageing population (AIHW, 2012). Health and safety is paramount in ensuring care is economically sustainable. Nurses involved in healthcare have a responsibility to protect themselves and those being cared for against health and safety risk. Training of the workforce is paramount to reducing the chance of injury (Robson et al. 2012).
[Mh] Termos MeSH primário: Enfermagem Geriátrica
Vida Independente
Medição de Risco
Software
Realidade Virtual
Ferimentos e Lesões/prevenção & controle
[Mh] Termos MeSH secundário: Idoso
Arquitetura de Instituições de Saúde
Seres Humanos
Segurança
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE


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[PMID]:29200432
[Au] Autor:Kaminsky JA
[Ad] Endereço:Department of Civil and Environmental Engineering, University of Washington, Seattle, Washington, United States of America.
[Ti] Título:Culturally appropriate organization of water and sewerage projects built through public private partnerships.
[So] Source:PLoS One;12(12):e0188905, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This paper contributes to the pursuit of socially sustainable water and sanitation infrastructure for all people by discovering statistically robust relationships between Hofstede's dimensions of cross-cultural comparison and the choice of contract award types, project type, and primary revenue sources. This analysis, which represents 973 projects distributed across 24 low- and middle-income nations, uses a World Bank dataset describing high capital cost water and sewerage projects funded through private investment. The results show that cultural dimensions explain variation in the choice of contract award types, project type, and primary revenue sources. These results provide empirical evidence that strategies for water and sewerage project organization are not culturally neutral. The data show, for example, that highly individualistic contexts are more likely to select competitive contract award types and to depend on user fees to provide the primary project revenue stream post-construction. By selecting more locally appropriate ways to organize projects, project stakeholders will be better able to pursue the construction of socially sustainable water and sewerage infrastructure.
[Mh] Termos MeSH primário: Comparação Transcultural
Arquitetura de Instituições de Saúde/economia
Financiamento de Construções/métodos
Parcerias Público-Privadas
Saneamento/métodos
[Mh] Termos MeSH secundário: Comportamento de Escolha
Proposta de Concorrência
Contratos/estatística & dados numéricos
Seres Humanos
Investimentos em Saúde
Saneamento/economia
Saneamento/estatística & dados numéricos
Esgotos
Água
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Sewage); 059QF0KO0R (Water)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188905


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[PMID]:28980639
[Au] Autor:McPhearson T
[Ad] Endereço:Cary Institute of Ecosystem Studies, Millbrook, New York.
[Ti] Título:Hurricanes: enlist nature's protection.
[So] Source:Nature;550(7674):43, 2017 10 04.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Tempestades Ciclônicas
Planejamento em Desastres/métodos
Desastres/prevenção & controle
Ecossistema
Arquitetura de Instituições de Saúde/métodos
[Mh] Termos MeSH secundário: Cidades
Recifes de Corais
Tempestades Ciclônicas/economia
Tempestades Ciclônicas/mortalidade
Tempestades Ciclônicas/estatística & dados numéricos
Planejamento em Desastres/economia
Planejamento em Desastres/tendências
Desastres/economia
Arquitetura de Instituições de Saúde/tendências
Inundações/mortalidade
Seres Humanos
Lagos
Estados Unidos
Zonas Úmidas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171006
[St] Status:MEDLINE
[do] DOI:10.1038/550043c


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[PMID]:28759614
[Au] Autor:Zhou Z; Chen T; Wang M; Jin L; Zhao Y; Chen S; Wang C; Zhang G; Wang Q; Deng Q; Liu Y; Morgan IG; He M; Liu Y; Congdon N
[Ad] Endereço:Henan Eye Institute, Henan Eye Hospital, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, China.
[Ti] Título:Pilot study of a novel classroom designed to prevent myopia by increasing children's exposure to outdoor light.
[So] Source:PLoS One;12(7):e0181772, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We sought to assess light characteristics and user acceptability of a prototype Bright Classroom (BC), designed to prevent children's myopia by exposing them to light conditions resembling the outdoors. Conditions were measured throughout the school year in the glass-constructed BC, a traditional classroom (TC) and outdoors. Teachers and children completed user questionnaires, and children rated reading comfort at different light intensities. A total of 230 children (mean age 10.2 years, 57.4% boys) and 13 teachers (36.8 years, 15.4% men) completed questionnaires. The median (Inter Quartile Range) light intensity in the BC (2,540 [1,330-4,060] lux) was greater than the TC (477 [245-738] lux, P < 0.001), though less than outdoors (19,500 [8,960-36,000] lux, P < 0.001). A prominent spectral peak at 490-560 nm was present in the BC and outdoors, but less so in the TC. Teachers and children gave higher overall ratings to the BC than TC, and light intensity in the BC in summer and on sunny days (>5,000 lux) was at the upper limit of children's comfort for reading. In summary, light intensity in the BC exceeds TC, and is at the practical upper limit for routine use. Children and teachers prefer the BC.
[Mh] Termos MeSH primário: Arquitetura de Instituições de Saúde
Miopia/terapia
Luz Solar
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
China
Feminino
Seres Humanos
Luz
Masculino
Projetos Piloto
Erros de Refração
Inquéritos e Questionários
Temperatura Ambiente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181772


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[PMID]:28716853
[Au] Autor:Glauser W
[Ad] Endereço:Toronto, Ont.
[Ti] Título:No immediate plans to build new CMA HQ.
[So] Source:CMAJ;189(28):E948-E949, 2017 07 17.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Arquitetura de Instituições de Saúde
Sociedades Médicas
[Mh] Termos MeSH secundário: Canadá
Seres Humanos
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.1095449


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[PMID]:28711011
[Au] Autor:Obenson K; Enow Orock G
[Ad] Endereço:Department of Laboratory Medicine Saint John Regional Hospital, 400 University Avenue, Saint John New Brunswick, E2L 4L2, Canada; Dalhousie University, Faculty of Medicine, Halifax B3H 4R2, Nova Scotia, Canada. Electronic address: kenneth.obenson@horizonnb.ca.
[Ti] Título:An overview of the challenges facing death investigation systems in certain resource limited countries.
[So] Source:J Forensic Leg Med;50:58-62, 2017 Aug.
[Is] ISSN:1878-7487
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A properly operated death investigation system (DIS) serves multiple stakeholders. Law enforcement, public health departments and members of the public, benefit in various ways from the information that it provides. This information must be collected systematically and efficiently. The system must also be flexible enough to respond to pressures on its resources such as occurs during mass disasters. These obligations on a DIS require an investment of public money. However even in affluent Western countries the recent world economic crisis has led to a cut in spending on public services that affect both the healthcare system and services associated with death investigation. Although pathologists and other stake holders (judiciary, police, families) would like to see death investigations conducted to international standards, the fact is that policy makers in resource limited countries face additional population health and sociopolitical pressures which generally result in very little funding for the service. The purpose of this paper is to review some of the challenges that impede the proper functioning of a death investigation system in resource limited countries in Sub-Saharan Africa and the Caribbean. Possible solutions are discussed.
[Mh] Termos MeSH primário: Países em Desenvolvimento
Ciências Forenses/organização & administração
[Mh] Termos MeSH secundário: África ao Sul do Saara
Educação Médica Continuada
Equipamentos e Provisões/provisão & distribuição
Arquitetura de Instituições de Saúde
Ciências Forenses/legislação & jurisprudência
Seres Humanos
Necrotério/organização & administração
Médicos/provisão & distribuição
Política
Competência Profissional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170716
[St] Status:MEDLINE


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[PMID]:28640687
[Au] Autor:Sondermeyer Cooksey GL; Wilken JA; McNary J; Gilliss D; Shusterman D; Materna BL; Vugia DJ
[Ad] Endereço:All of the authors are with California Department of Public Health, Richmond. Jason A. Wilken is also with the Office of Public Health Preparedness and Response, Career Epidemiology Field Officer Program, Centers for Disease Control and Prevention, Atlanta, GA.
[Ti] Título:Dust Exposure and Coccidioidomycosis Prevention Among Solar Power Farm Construction Workers in California.
[So] Source:Am J Public Health;107(8):1296-1303, 2017 Aug.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To investigate if work activities, dust exposure, and protection measures were associated with a 2011 to 2014 coccidioidomycosis outbreak among workers constructing 2 solar farms in California. METHODS: In 2013, we mailed self-administered questionnaires to employees who were onsite at the solar farms where the outbreak occurred to identify cases of clinical coccidioidomycosis and compare with asymptomatic workers by using multivariate logistic regression. RESULTS: When we compared 89 workers with clinical coccidioidomycosis to 325 asymptomatic workers, frequently being in a dust cloud or storm (odds ratio [OR] = 5.93; 95% confidence interval [CI] = 3.18, 11.06) significantly increased the odds of clinical coccidioidomycosis, whereas frequently wetting soil before soil-disturbing activity (OR = 0.42; 95% CI = 0.24, 0.75) was protective. When we controlled for being in a dust cloud or storm, frequent soil disturbance significantly increased the odds of clinical coccidioidomycosis only among those who reported wearing a respirator infrequently (OR = 2.31; 95% CI = 1.27, 4.21). CONCLUSIONS: Utilization of personal and employer-driven safety practices and increased coccidioidomycosis awareness among construction workers should be considered during the planning of any construction work in coccidioidomycosis-endemic regions to prevent occupational infections and outbreaks.
[Mh] Termos MeSH primário: Coccidioidomicose/epidemiologia
Coccidioidomicose/prevenção & controle
Poeira
Arquitetura de Instituições de Saúde
Fazendas
Exposição Ocupacional
Energia Solar
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
California/epidemiologia
Surtos de Doenças
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Exposição Ocupacional/efeitos adversos
Exposição Ocupacional/prevenção & controle
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dust)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303820



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