Base de dados : MEDLINE
Pesquisa : N04.452.794 [Categoria DeCS]
Referências encontradas : 13786 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 1379 ir para página                         

  1 / 13786 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29389094
[Au] Autor:Myers N
[Ti] Título:Policy Making to Build Relationships: A Grounded Theory Analysis of Interviews and Documents Relating to H1N1, Ebola, and the U.S. Public Health Preparedness Network.
[So] Source:J Health Hum Serv Adm;39(3):313-56, 2016.
[Is] ISSN:1079-3739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the last five years, the American public health emergency preparedness and response system has been tested by two significant threats, H1N1 and Ebola. While neither proved as dangerous as initially feared, these viruses highlighted on-going issues with collaborations in the field of public health and health care. Strengths were identified within the network, but also challenges that must be resolved before the U.S. faces a major pandemic. Employing interview data from public health emergency response practitioners and documentary evidence from the H1N1 and Ebola responses, this qualitative analysis uses the grounded theory approach to identify key areas for collaborative improvement. The grounded theory developed calls for a stronger policy framework at the federal level to facilitate more collaboration between U.S. agencies and facilitate more collaboration at the state and local level.
[Mh] Termos MeSH primário: Defesa Civil
Teoria Fundamentada
Doença pelo Vírus Ebola/prevenção & controle
Influenza Humana/prevenção & controle
Formulação de Políticas
Administração em Saúde Pública
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Documentação
Planejamento em Saúde
Doença pelo Vírus Ebola/epidemiologia
Seres Humanos
Vírus da Influenza A Subtipo H1N1
Influenza Humana/epidemiologia
Comunicação Interdisciplinar
Entrevistas como Assunto
Pandemias/prevenção & controle
Pesquisa Qualitativa
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE


  2 / 13786 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29216496
[Au] Autor:Russell K; Addiman S; Grynszpan D; Freedman J; Lopez Bernal J; Yin Z; Rawlings C; Balasegaram S
[Ad] Endereço:Emerging Infections and Zoonoses, National Infection Service, Public Health England, 61 Colindale Avenue, London, NW9 5EQ, UK. Electronic address: Katherine.russell@phe.gov.uk.
[Ti] Título:The impact of new national guidance for the public health management of enteric fever in England.
[So] Source:Public Health;154:79-86, 2018 Jan.
[Is] ISSN:1476-5616
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: New guidance was published in England in February 2012 to support the public health management of enteric fever and reduce the risks of secondary transmission. The new guidance was evaluated to assess: STUDY DESIGN: Quantitative and qualitative evaluation of the implementation of new public health guidance. METHODS: A qualitative review of all non-travel-related cases from February 2010 to January 2014 to compare the risk of secondary transmission before and after the guidance introduction; an audit of clearance sampling for each case and their contacts reported in London from February 2012-January 2015 to compare with a previous London audit; and an online user survey in November 2014. RESULTS: The proportions of non-travel cases reported before and after the introduction of the new guidance were similar, 6% in 2010-2012 compared to 7% in 2012-2014 (P = 0.33). There was a 32% reduction in the number of clearance samples required for cases and the estimated period of exclusion from work or school was reduced from 54 days to 16 days. Compliance in case clearance improved from 53% to 90% and contact screening compliance improved from 42% to 80%. The targeted screening of contacts led to a significantly higher positive yield (3.6% from 1.5%, P = 0.003). All symptomatic co-travellers presented to a healthcare professional, suggesting that screening could be restricted to those in risk groups for transmission. Feedback from users highlighted additional areas, such as management of large organised groups of co-travellers and those diagnosed abroad, which has informed the update of the national guidance. CONCLUSIONS: The new guidance has not led to an increase in secondary transmission of enteric fever in England and findings have been used to inform an update of the guidance. The new guidance also represents a reduced burden of investigation and thus a likely reduced cost to patients, healthcare professionals, laboratories and environmental health officers.
[Mh] Termos MeSH primário: Guias como Assunto
Administração em Saúde Pública
Febre Tifoide/prevenção & controle
[Mh] Termos MeSH secundário: Inglaterra/epidemiologia
Seres Humanos
Pesquisa Qualitativa
Doença Relacionada a Viagens
Febre Tifoide/epidemiologia
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE


  3 / 13786 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28745595
[Au] Autor:Rubin R
[Ti] Título:Public health commissioner appointed to lead US CDC.
[So] Source:Lancet;390(10092):350, 2017 07 22.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Centers for Disease Control and Prevention (U.S.)/organização & administração
Administração em Saúde Pública
[Mh] Termos MeSH secundário: Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE


  4 / 13786 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29257830
[Au] Autor:Lanphear BP
[Ad] Endereço:Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
[Ti] Título:Low-level toxicity of chemicals: No acceptable levels?
[So] Source:PLoS Biol;15(12):e2003066, 2017 Dec.
[Is] ISSN:1545-7885
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Over the past 3 decades, in a series of studies on some of the most extensively studied toxic chemicals and pollutants, scientists have found that the amount of toxic chemical linked with the development of a disease or death-which is central to determining "safe" or "hazardous" levels-is proportionately greater at the lowest dose or levels of exposure. These results, which are contrary to the way the United States Environmental Protection Agency (EPA) and other regulatory agencies assess the risk of chemicals, indicate that we have underestimated the impact of toxic chemicals on death and disease. If widely disseminated chemicals and pollutants-like radon, lead, airborne particles, asbestos, tobacco, and benzene-do not exhibit a threshold and are proportionately more toxic at the lowest levels of exposure, we will need to achieve near-zero exposures to protect public health.
[Mh] Termos MeSH primário: Exposição Ambiental/efeitos adversos
Poluentes Ambientais/toxicidade
[Mh] Termos MeSH secundário: Exposição Ambiental/análise
Seres Humanos
Saúde Pública/métodos
Administração em Saúde Pública/métodos
Estados Unidos
United States Environmental Protection Agency
[Pt] Tipo de publicação:EDITORIAL
[Nm] Nome de substância:
0 (Environmental Pollutants)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pbio.2003066


  5 / 13786 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:29236881
[Au] Autor:Padoveze MC; Melo S; Bishop S; Poveda VB; Fortaleza CMCB
[Ad] Endereço:Universidade de São Paulo. Escola de Enfermagem. Departamento de Enfermagem em Saúde Coletiva. São Paulo, SP, Brasil.
[Ti] Título:Public policies on healthcare-associated infections: a Brazil and UK case study.
[So] Source:Rev Saude Publica;51:119, 2017 Dec 11.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:To summarize the historical events and drivers underlying public policy for the prevention and control of healthcare-associated infections in Brazil and in the United Kingdom. In doing so, the article aims to identify lessons and recommendations for future development of public policy. The analysis is based on a historical overview of national healthcare-associated infections programs taken from previously published sources. Findings highlight how the development of healthcare-associated infections prevention and control policies followed similar trajectories in Brazil and the United Kingdom. This can be conceptualized around four sequential phases: Formation, Consolidation, Standardization, and Monitoring and Evaluation. However, while we identified similar phases of development in Brazil and the United Kingdom, it can be seen that the former entered each stage around 20 years after the latter.
[Mh] Termos MeSH primário: Infecção Hospitalar/prevenção & controle
Programas Nacionais de Saúde
Administração em Saúde Pública
Política Pública
[Mh] Termos MeSH secundário: Brasil/epidemiologia
Infecção Hospitalar/epidemiologia
Política de Saúde
Seres Humanos
Vigilância da População
Reino Unido/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  6 / 13786 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29112743
[Au] Autor:Dowdy DW; Grant AD; Dheda K; Nardell E; Fielding K; Moore DAJ
[Ad] Endereço:Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
[Ti] Título:Designing and Evaluating Interventions to Halt the Transmission of Tuberculosis.
[So] Source:J Infect Dis;216(suppl_6):S654-S661, 2017 Nov 03.
[Is] ISSN:1537-6613
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To reduce the incidence of tuberculosis, it is insufficient to simply understand the dynamics of tuberculosis transmission. Rather, we must design and rigorously evaluate interventions to halt transmission, prioritizing those interventions most likely to achieve population-level impact. Synergy in reducing tuberculosis transmission may be attainable by combining interventions that shrink the reservoir of latent Mycobacterium tuberculosis infection (preventive therapy), shorten the time between disease onset and treatment initiation (case finding and diagnosis), and prevent transmission in key settings, such as the built environment (infection control). In evaluating efficacy and estimating population-level impact, cluster-randomized trials and mechanistic models play particularly prominent roles. Historical and contemporary evidence suggests that effective public health interventions can halt tuberculosis transmission, but an evidence-based approach based on knowledge of local epidemiology is necessary for success. We provide a roadmap for designing, evaluating, and modeling interventions to interrupt the process of transmission that fuels a diverse array of tuberculosis epidemics worldwide.
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/métodos
Transmissão de Doença Infecciosa/prevenção & controle
Tuberculose/prevenção & controle
Tuberculose/transmissão
[Mh] Termos MeSH secundário: Controle de Doenças Transmissíveis/organização & administração
Diagnóstico Precoce
Seres Humanos
Administração em Saúde Pública/métodos
Prevenção Secundária
Tuberculose/tratamento farmacológico
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171108
[St] Status:MEDLINE
[do] DOI:10.1093/infdis/jix320


  7 / 13786 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28892447
[Au] Autor:Horney JA; Carbone EG; Lynch M; Wang ZJ; Jones T; Rose DA
[Ad] Endereço:Jennifer A. Horney is with the School of Public Health, Texas A&M University, College Station. Eric G. Carbone is with the Office of Applied Research, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Molly Lynch is with the Center
[Ti] Título:How Health Department Contextual Factors Affect Public Health Preparedness (PHP) and Perceptions of the 15 PHP Capabilities.
[So] Source:Am J Public Health;107(S2):S153-S160, 2017 Sep.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess how health department contextual factors influence perceptions of the 15 Public Health Preparedness Capabilities, developed by the Centers for Disease Control and Prevention (CDC) to provide guidance on organizing preparedness activities. METHODS: We conducted an online survey and focus group between September 2015 and May 2016 with directors of preparedness programs in state, metropolitan, and territorial jurisdictions funded by CDC's Public Health Emergency Preparedness (PHEP) cooperative agreement. The survey collected demographic information and data on contextual factors including leadership, partnerships, organizational structure, resources and structural capacity, and data and evaluation. RESULTS: Seventy-seven percent (48 of 62) of PHEP directors completed the survey and 8 participated in the focus group. Respondents were experienced directors (mean = 10.6 years), and 58% led 7 or more emergency responses. Leadership, partnerships, and access to fiscal and human resources were associated with perception and use of the capabilities. CONCLUSIONS: Despite some deficiencies, PHEP awardees believe the capabilities provide useful guidance and a flexible framework for organizing their work. Contextual factors affect perceptions of the capabilities and possibly the effectiveness of their use. Public Health Implications. The capabilities can be used to address challenges in preparedness, including identifying evidence-based practices, developing performance measures, and improving responses.
[Mh] Termos MeSH primário: Pessoal Administrativo/psicologia
Atitude do Pessoal de Saúde
Centers for Disease Control and Prevention (U.S.)/organização & administração
Defesa Civil/organização & administração
Planejamento em Desastres/organização & administração
Administração em Saúde Pública/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Objetivos Organizacionais
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171121
[Lr] Data última revisão:
171121
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303955


  8 / 13786 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28892445
[Au] Autor:Levy AJ; Toren KG; Elsenboss C; Narita M
[Ad] Endereço:Alison Jaffe Levy, Katelynne Gardner Toren, Carina Elsenboss, and Masahiro Narita are with Public Health-Seattle & King County, Seattle, WA.
[Ti] Título:Applying the 15 Public Health Emergency Preparedness Capabilities to Support Large-Scale Tuberculosis Investigations in Complex Congregate Settings.
[So] Source:Am J Public Health;107(S2):S142-S147, 2017 Sep.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Public Health-Seattle and King County, a metropolitan health department in western Washington, experiences rates of tuberculosis (TB) that are 1.6 times higher than are state and national averages. The department's TB Control Program uses public health emergency management tools and capabilities sustained with Centers for Disease Control and Prevention grant funding to manage large-scale complex case investigations. We have described 3 contact investigations in large congregate settings that the TB Control Program conducted in 2015 and 2016. The program managed the investigations using public health emergency management tools, with support from the Preparedness Program. The 3 investigations encompassed medical evaluation of more than 1600 people, used more than 100 workers, identified nearly 30 individuals with latent TB infection, and prevented an estimated 3 cases of active disease. These incidents exemplify how investments in public health emergency preparedness can enhance health outcomes in traditional areas of public health.
[Mh] Termos MeSH primário: Defesa Civil/organização & administração
Planejamento em Desastres/organização & administração
Surtos de Doenças/prevenção & controle
Tuberculose Latente/diagnóstico
Tuberculose Latente/prevenção & controle
Administração em Saúde Pública/métodos
[Mh] Termos MeSH secundário: Diagnóstico Precoce
Seres Humanos
Washington
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171121
[Lr] Data última revisão:
171121
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303946


  9 / 13786 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28892444
[Au] Autor:Rose DA; Murthy S; Brooks J; Bryant J
[Ad] Endereço:Dale A. Rose, Shivani Murthy, Jennifer Brooks, and Jeffrey Bryant are with the Office of Public Health Preparedness and Response, Division of Emergency Operations, Centers for Disease Control and Prevention, Atlanta, GA.
[Ti] Título:The Evolution of Public Health Emergency Management as a Field of Practice.
[So] Source:Am J Public Health;107(S2):S126-S133, 2017 Sep.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The health impacts of recent global infectious disease outbreaks and other disasters have demonstrated the importance of strengthening public health systems to better protect communities from naturally occurring and human-caused threats. Public health emergency management (PHEM) is an emergent field of practice that draws on specific sets of knowledge, techniques, and organizing principles necessary for the effective management of complex health events. We highlight how the nascent field of PHEM has evolved in recent years. We explore this development by first examining multiple sites of intersection between the fields of public health and emergency management. We then analyze 2 of the principal pillars on which PHEM was built: organizational and programmatic (i.e., industry) standards and the incident management system. This is followed by a sketch of the key domains, or functional areas, of PHEM and their application to the emergency management cycle. We conclude with some observations about PHEM in a global context and discuss how the field might continue to evolve.
[Mh] Termos MeSH primário: Planejamento em Desastres/organização & administração
Desastres/prevenção & controle
Surtos de Doenças/prevenção & controle
Serviços Médicos de Emergência/organização & administração
Administração em Saúde Pública/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Objetivos Organizacionais
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303947


  10 / 13786 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28892441
[Au] Autor:Renard PG; Vagi SJ; Reinold CM; Silverman BL; Avchen RN
[Ad] Endereço:Paul G. Renard Jr, Sara J. Vagi, Chris M. Reinold, Brenda L. Silverman, and Rachel N. Avchen are with the Division of State and Local Readiness, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, GA. Rachel N. Avchen is also a guest editor for thi
[Ti] Título:Improvements in State and Local Planning for Mass Dispensing of Medical Countermeasures: The Technical Assistance Review Program, United States, 2007-2014.
[So] Source:Am J Public Health;107(S2):S200-S207, 2017 Sep.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To evaluate and describe outcomes of state and local medical countermeasure preparedness planning, which is critical to ensure rapid distribution and dispensing of a broad spectrum of life-saving medical assets during a public health emergency. METHODS: We used 2007 to 2014 state and local data collected from the Centers for Disease Control and Prevention's Technical Assistance Review. We calculated descriptive statistics from 50 states and 72 local Cities Readiness Initiative jurisdictions that participated in the Technical Assistance Review annually. RESULTS: From 2007 to 2014, the average overall Technical Assistance Review score increased by 13% for states and 41% for Cities Readiness Initiative jurisdictions. In 2014, nearly half of states achieved the maximum possible overall score (100), and 94% of local Cities Readiness Initiative jurisdictions achieved a score of 90 or more. CONCLUSIONS: Despite challenges, effective and timely medical countermeasure distribution and dispensing is possible with appropriate planning, staff, and resources. However, vigilance in training, exercising, and improving plans from lessons learned in a sustained, coordinated way is critical to ensure continued public health preparedness success.
[Mh] Termos MeSH primário: Centers for Disease Control and Prevention (U.S.)/organização & administração
Cidades/estatística & dados numéricos
Defesa Civil/organização & administração
Redes Comunitárias/organização & administração
Planejamento em Desastres/organização & administração
Serviços Médicos de Emergência/organização & administração
Administração em Saúde Pública
[Mh] Termos MeSH secundário: Seres Humanos
Avaliação de Programas e Projetos de Saúde
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.304037



página 1 de 1379 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde