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Id: biblio-1009599
Autor: Mendonþa, Juliana GuimarÒes de.
Título: CaracterÝsticas das internaþ los es em unidades de terapia intensiva pedißtrica do sistema tionnico de sationde no estado de Pernambuco / Characteristics of hospitalizations in pediatric intensive care units of the single health system in the state of Pernambuco.
Fonte: Recife; s.n; 2012. 100 p p.
Idioma: pt.
Tese: Apresentada a Instituto de Medicina Integral Prof. Fernando Figueira para obtenção do grau de Mestre.
Resumo: IntroduþÒo: No Brasil, a terapia intensiva pedißtrica teve inÝcio na dÚcada de 1970. Mas, pouco se conhece sobre a distribuiþÒo e estrutura das unidades de terapia intensiva pedißtrica (UTIP) existentes no PaÝs, as principais causas de internaþÒo, os custos despendidos e a forma como se presta a assistÛncia intensiva. Objetivo: Descrever o perfil das internaþ los es em UTIP da rede do Sistema a nico de Sationde (SUS), ocorridas em 2010, no Estado de Pernambuco, quanto a caracterÝsticas sociodemogrßficas, do acesso geogrßfico, da admissÒo e das causas de internaþÒo e ¾bito, verificando diferenþas entre faixas etßrias. MÚtodos: Realizou-se um estudo transversal, com a inclusÒo de todas as internaþ los es (n=1915) ocorridas nas seis UTIP existentes no SUS- PE, em 2010. Utilizou-se como fonte, a base de dados do Sistema de InformaþÒo Hospitalar, disponibilizada pelo Departamento de Informßtica do SUS. Para quatro faixas etßrias, descreveu-se a distribuiþÒo das varißveis (sexo, local de residÛncia, natureza e tipo da unidade, procedimentos assistenciais realizados, custos para o SUS, tempo de permanÛncia e causas de internaþÒo e ¾bito), verificando-se as diferenþas entre as faixas etßrias pelo teste qui-quadrado, com nÝvel de significÔncia de 5%. Obteve-se a taxa de letalidade e elaborou-se mapa coroplÚtico das internaþ los es por municÝpio e mesorregiÒo de residÛncia dos pacientes. Como indicativo do acesso geogrßfico Ó assistÛncia intensiva, calculou-se a distÔncia mÚdia entre as sedes dos municÝpios de residÛncia e da UTIP. Resultados: Em 2010, houve uma mÚdia mensal de 160 internaþ los es e 17 ¾bitos em UTIP da rede do SUS-PE. Do total de internaþ los es, 58,1% ocorreram no sexo masculino; 32,5% na faixa etßria de 1-4 anos; 64,1% em unidades da rede filantr¾pica; 59,2% em UTIP do tipo III e 57,2% realizaram procedimentos clÝnicos. Somente em menores de um ano predominaram internaþ los es em UTIP da rede pr¾pria do SUS e do tipo II. Ocorreram 207 ¾bitos (taxa de letalidade de 10,8/100 internaþ los es), 40,1% deles em menores de um ano. Nesse grupo, a letalidade (16,7 por 100 internaþ los es) foi 2,4 vezes superior a da faixa de 5-9 anos. Todas as UTIP localizavam-se na capital do Estado e pacientes residentes no SertÒo (14,0%) e no Agreste (24,6%) percorreram uma distÔncia mÚdia do municÝpio de residÛncia ao da UTIP de 486,5 km e 152,4 km, respectivamente. O tempo mÚdio de permanÛncia foi de 14,4 dias e o custo mÚdio por internaþÒo de R$ 6.674,80, com maior valor nas internaþ los es de menores de um ano. As neoplasias (28,9%) representaram a principal causa de admissÒo e as doenþas infectoparasitßrias (30%), a de ¾bito. As caracterÝsticas das internaþ los es de menores de um ano apresentaram diferenþas em relaþÒo Ós demais faixas etßrias (p<0,05), exceto quanto ao sexo. Conclus los es: No Estado de Pernambuco, predominam internaþ los es em UTIP filantr¾picas e do tipo III, no grupo de 1-4 anos e por neoplasias. As caracterÝsticas das internaþ los es de menores de um ano apresentam diferenþas em relaþÒo Ós demais faixas etßrias. Existe desigualdade no acesso geogrßfico Ó internaþÒo, procedimentos clÝnicos sÒo mais realizados, as doenþas infectoparasitßrias sÒo a principal causa de ¾bito e a letalidade Ú maior em menores de um ano
Responsável: BR440.1 - Biblioteca Geraldo Matos de Sá . Hospital do Câncer I
Biblioteca Ana Bove BR313.1


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Id: biblio-1009582
Autor: Gonþalves, BetÔnia Ferreira Lima de Oliveira.
Título: Laser de baixa potÛncia previne mucosite oral grave em pacientes submetidos Ó transplante de medula ¾ssea: ensaio clÝnico randomizado / Low-Power Laser Prevents Severe Oral Mucositis in Bone Marrow Transplant Patients: Randomized Trial.
Fonte: Recife; s.n; 2015. 54 p p.
Idioma: pt.
Tese: Apresentada a Instituto de Medicina Integral Prof. Fernando Figueira para obtenção do grau de Mestre.
Resumo: IntroduþÒo: estima-se, em 2020, cerca de 15 milh los es de novos casos de cÔncer no mundo. Dentre eles, hß o cÔncer hematol¾gico, que acomete o sangue e tecidos produtores de cÚlulas sanguÝneas. O transplante de medula ¾sssea significou um avanþo terapÛutico para este tipo de neoplasia. No entanto, as quimioterapias utilizadas, geralmente, resultam em efeitos colaterais graves, como a mucosite oral. O laser de baixa potÛncia demonstrou ser tiontil para o tratamento da mucosite oral porÚm, no que se refere ao seu uso para prevenþÒo, os resultados sÒo contradit¾rios. Objetivo: avaliar a efetividade do laser de baixa potÛncia na prevenþÒo da mucosite oral em pacientes submetidos ao transplante de medula ¾ssea. MÚtodo: foi realizado um ensaio clÝnico de superioridade, randomizado, paralelo, encoberto com 36 pacientes divididos em dois grupos: laser (17 pacientes) e sham (18 pacientes), termo utilizado para tratamento simulado nÒo medicamentoso. A varißvel primßria foi mucosite oral (grau II pela classificaþÒo da OrganizaþÒo Mundial de Sationde); jß as secundßrias foram mucosite oral grave (Grau III e IV) e presenþa de dor, avaliada pela Escala Visual Anal¾gica (EVA). Foi utilizado laser de InGaAlP com comprimento de onda central de 650nm, potÛncia de 100 mW e densidade de energia de 70 J/cm2, aplicadas, preventivamente, do primeiro dia do condicionamento atÚ o D+5, e o grupo sham recebeu tratamento simulado com laser durante o mesmo perÝodo. Os dados foram analisados usando o STATA versÒo 13.1 e SPSS versÒo 20. O viii teste exato de Fisher foi utilizado para comparar os grupos em relaþÒo a varißveis categ¾ricas e a anßlise de sobrevida foi realizada pelo mÚtodo de Kaplan-Meier. Para avaliar a dor utilizando a EVA, foi adotada a anßlise de variÔncia para medidas repetidas (ANOVA). Foram tambÚm calculados o risco no grupo exposto (Rt), risco no grupo nÒo exposto (Rc), risco relativo (RR), eficßcia / reduþÒo relativa de risco (RRR), reduþÒo do risco absoluto (RRA) e o ntionmero necessßrio para tratar para beneficiar uma pessoa (NNTB). A anßlise foi realizada com a intenþÒo de tratar, e foi aceito um nÝvel de significÔncia de 5%. Resultados: nÒo foi encontrada evidÛncia de diferenþa significativa em relaþÒo Ó incidÛncia de mucosite oral (p = 0,146). Mucosite grave foi observada em 40% dos pacientes (14/35 pacientes), sendo apenas 3 (17,65%) no grupo laser contra 11 (61,11%) no grupo sham (p=0,015). A probabilidade de sobrevivÛncia acumulada para mucosite grave foi superior a 0,6 para o grupo laser, enquanto que para o grupo sham chegou a zero (p=0,0397). Em relaþÒo Ó intensidade da dor, no dia considerado de pior dor, os pacientes do grupo sham classificaram mais frequentemente sua dor como grave quando comparado com o grupo laser (p=0,041). ConclusÒo: o laser de baixa potÛncia mostrou-se efetivo na prevenþÒo de mucosite oral grave e da dor oral intensa em pacientes submetidos ao transplante de medula ¾ssea
Responsável: BR440.1 - Biblioteca Geraldo Matos de Sá . Hospital do Câncer I
Biblioteca Ana Bove BR313.1


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Id: biblio-981484
Autor: Belize. Ministry of Health.
Título: Belize human resources for universal health strategic plan 2019-2024: a more efficient and robust health workforce by 2024.
Fonte: s.l; s.n; s.f. 62 p. ilus, tab, graf, mapas.
Idioma: en.
Resumo: Human Resources for Health (HRH) are a priority on the regional and global health development agenda, as a critical component of functional health systems that can ensure universal access to quality health care. The World Health Organization estimates that there will be a shortage of 12.9 million health care workers worldwide by 2035. The finding, if not addressed now, will have serious implications for the health of billions of people across all regions of the world. The Toronto Call to Action spurred a decade of commitment, work and investment at the regional and country levels to improve the availability, distribution, working conditions, and training of health teams. After the expiration of Belize's Health Workforce Strategic Plan in 2014, a situational analysis to determine the key areas of failure and human resource gaps was considered the first stage to establish an informed road map so as to plan for the next decade. This five- year strategic plan is the first of its kind in the country in terms of going beyond numbers to address the human resources for health component. It aims to ensure the equitable distribution of appropriately skilled and motivated human resources for health to support the achievement of health outcomes in Belize and in particular the implementation of Belize's Health Sector Strategic Plan 2014-2024. This plan comes at a time when there is great momentum and increasing concern for the further development of HRH. The Policy Analysis and Planning Unit in the Ministry of Health has led a highly consultative exercise to develop this national human resources for health strategic plan to address challenges affecting health care workers in Belize. The time is conducive for the development and full implementation of this plan. It is evident that a timely, reliable and relevant human resources for health strategic plan is essential to support the formulation, monitoring and evaluation, strategies and policies at the national level. It is through this human resources for health strategic plan that the work begins for a more efficient and robust health workforce in Belize. (AU)
Responsável: BR1.1 - BIREME


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Id: biblio-981421
Autor: Belize. Ministry of Health.
Título: Instrument Nas 1: Inventory of National Programs. HRH Program evaluation questionnaire: core questions. Belize.
Fonte: s.l; s.n; s.f. 5 p. tab.
Idioma: en.
Resumo: The objective of this instrument is to register the programs that countries have implemented to address human resources for health (HRH) problems and to establish an inventory of HRH programs that can be analyzed and studied in¡depth and provide new knowledge on how to respond to the challenges facing HRH policies and management in our region. This document should be completed by the Director of HRH or the equivalent person in the Health Authority, who has access to national information and is in consultation with the national institutions. (AU)
Responsável: BR1.1 - BIREME


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Id: biblio-913627
Autor: Belize. Ministry of Health.
Título: Instrument Nas 2. HRH Program Evaluation Questionnaire: Expanded version.
Fonte: s.l; s.n; may. 10, 2013. 5 p. tab.
Idioma: es.
Resumo: This instrument serves as the core document for evaluation and description of the HRH program selected. In order to complete the information requested, use the documents, reports, evaluations, budgets and HRH data available for program evaluation. Attached is a sample (fictional) of a rural health physician program from Canada. This document should be completed by the Director of HRH or the equivalent person in the Health Authority who has access to national information and is in consultation with the national institutions. (AU)
Responsável: BR1.1 - BIREME


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Id: biblio-913205
Autor: Anon.
Título: InstrumentáNas á3. ProgramáDescriptionáfromátheáImplementers'áPerspective. HRHáProgramáEvaluationáCoreáQuestionnaire. Belize.
Fonte: s.l; s.n; s.f. 5 p.
Idioma: es.
Resumo: This questionnaire includes at least 16 key questions that should serve as the basis for the evaluation of Human Resources for Health (HRH) programs, as a complimentary process to the measurement of regional goals for HRH. The questions are focused on providing a basic review and evaluation of the development, implementation and final outcomes of each of the HRH programs in relation to the objectives and HRH priorities identified by the countries. The results of this evaluation should improve the current and future efficiency and effectiveness of the programs and, at the same time, offer an opportunity to share important experiences. This questionnaire suggests a mix of possible responses to facilitate the evaluation exercise. In order to gain a diversity of perspectives in evaluating the selected program, the national teams should define a list of key informants to interview, considering the different stages of development, implementation, and management at the different levels (local, national and regional), beneficiaries of the program or other important considerations. (AU)
Responsável: BR1.1 - BIREME


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Id: biblio-905562
Autor: Anon.
Título: Resultados de la Primera Medici¾n de las Metas Regionales de Recursos Humanos para la Salud 2007-2015 Belice / Results of the First Measurement of the Regional Goals for Human Resources for Health 2007-2015 Belize.
Fonte: s.l; s.n; s.d. 5 p. ilus.
Idioma: es.
Responsável: BR1.1 - BIREME


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Id: biblio-905370
Autor: Castillo, Philip.
Título: Status report on indicators. 20 goals for a decade in HRH.
Fonte: s.l; Pan American Health Organization. The Ministry of Health Belize; 2013. 49 p. ilus, mapas.
Idioma: es.
Resumo: The Terms of Reference required, inter alia, updating the 20 Regional Goals for Human Resources for Health. These 20 Regional Goals are indicators developed by PAHO to measure a country's progress in meeting the development of its health related human resources, since the development of human resources is particularly critical for health care delivery. The methodology involved detailed discussions with a broad variety of stakeholders since the majority of the goals have a qualitative component. A comparative few of the goals do feature a quantitative component, such as goals 1, 2 and 3, which seek to ascertain the ratio of physicians and health personnel per population. These 20 goals were first measured in Belize in 2009. This updated 2012 measurement found some areas of improvement since 2009 but also noted that there were some areas where there was regression. More specifically, improvements were noted in the areas of human resources density ratio, public health & intercultural competencies of PHC workers, the HRH Unit and public health & management competencies of health services and program managers, while regression was noted in the areas of qualified nurses to physician ratio, urban rural disparity in the distribution of health personnel, and the proportion of precarious employment among health services providers. While indicators are often necessary to measure progress and to facilitate comparison across countries, some lessons learnt are that a wholesale adoption of indicators sans localized modification may often not provide a true picture of on the ground realities. With specific reference to Belize, given its population density as one of the lowest in the region, major health facilities such as regional hospitals are geographically distant and rural populations are generally served via a series of health centers, health posts and mobile clinics. Hence while it may be ideal that health professionals recruited from rural communities serve those communities, the reality is that by these professionals remaining in the rural health facilities, their professional growth and development remains stunted due to the limited opportunities at a rural facility. It is also worthy to mention that no study has been done in Belize to ascertain the impact of employment status on staff morale vis-Ó-vis service delivery. Belize relies on contractual employment to legally secure the services of certain highly qualified health specialists. Given the indicator as currently defined in the Handbook, this is regarded as "precarious employment." The reality however is substantially different, and seeking modifications in their contractual status may not be feasible and would not necessarily translate to enhanced productivity. Other developments external to Belize are likely to impact Belize's human resources in health. In the United States of America, the passage of the Patient Protection and Affordable Care Act ¡ more popularized as "Obamacare" in 2010 - and the requirement of universal coverage starting in 2014 will result in a huge demand for primary health care physicians in that country. Enhanced remuneration and what may be regarded as better employment prospects may orient Belize's health professionals towards migration, given that a certain percentage of Belize's workforce in health are nonnationals. This will likely aggravate the human resources deficits in health across the country. In preparing for this looming challenge, Belize may wish to consider upgrading the skills set of its Community Health Workers and the nurses who are first point of contact with the health system. This will be cost effective since training for these categories of health professionals is offered locally and it costs substantially less to train a CHW and a nurse, as opposed to a doctor. Via this approach, more effective and efficient use will also be made of the country's comparatively scarce primary health care physician and contribute towards the Ministry of Health's goal of Equal Health for All.
Responsável: BR1.1 - BIREME


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Id: biblio-875960
Autor: Belize. Ministry of Health. Pan American Health Organization.
Título: Status report on indicators: 20 goals for a decade in HRH, Belize 2012.
Fonte: s.l; Ministry of Health; August 2013. 49 p. mapas, tab, graf.
Idioma: en.
Responsável: BR1.1 - BIREME


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Id: biblio-916063
Autor: MENESES, Jorge-AndrÚs(edt); ORDOniEZ, Jhon-Jairo(edt); CHnaVEZ, presentscar(edt); GALVIS, Omar(edt); ARAGON, Natalia(edt); ORDOniEZ, Dora(edt).
Título: Characterization of the patients who attended the admission, diagnosis and emergency clinic (CIDU) of the dentistry service of a higher education institution in southwestern Colombia - 2015 / Caracterizaci¾n de los pacientes que acudieron a la clÝnica de ingreso, diagn¾stico y urgencias (CIDU) del servicio de odontologÝa de una instituci¾n de educaci¾n superior del suroccidente colombiano - 2015
Fonte: Rev. estomat. salud;26(1):10-14, 20180000.
Idioma: es.
Resumo: Aim: To characterize the patients who came to the Insitute, Diagnosis and Emergency Clinic (ICID) of the dentistry service of an institution of higher education in southwes-tern Colombia during the year 2015. Materials and methods: We reviewed 772 patient admission formats, consolidated the data in a database and selected socio-demographic variables of clinical interest.Results: It was found that 63% were female patients, the main reason for consultation is oral rehabilitation with 30%, the most frequent medical precedent was surgery with 57%, 33% of men at the clinical examination presented values of arterial hypertension, but only 13% reported it; while 25% of women presented HTA, but 15% reported it and the treatment of choice was oral rehabilitation with 42%. Conclusions: We found important aspects related to the reason for consultation, medical history and the relevant specialty for its treatment, as well as the importance of education and awareness of systemic compromised diseases such as arterial hypertension.

Objetivo: Caracterizar a los pacientes que acudieron a consulta a la ClÝnica de Ingreso, Diagn¾stico y Urgencias (CIDU) de las clÝnicas odontol¾gicas de una instituci¾n de educaci¾n superior del Suroccidente Colombiano durante el a±o 2015. Materiales y MÚtodos: Se revisaron 772 formatos de ingreso de pacientes, se hizo el consolidado en una base de datos y se seleccionaron variables sociodemogrßficas y de interÚs clÝnico.Resultados: Se encontr¾ que el 63% fueron pacientes femeninos, el motivo de consulta principal fue la rehabilitaci¾n oral con 30%, el antecedente mÚdico que mßs se repiti¾ fue el de cirugÝas con 57%, 33% de hombres al examen clÝnico presentaron valores de hipertensi¾n arterial (HTA), pero solo 13% de ellos lo reportaron; mientras que 25% mujeres presentaron valores de HTA, sin embargo, fueron 15% quienes lo reportaron y el tratamiento de elecci¾n fue rehabilitaci¾n oral con un 42%. Conclusiones: Se encontraron aspectos importantes relacionadas con el motivo de consulta, antecedentes mÚdicos y la especialidad pertinente para su tratamiento, asÝ como se evidenci¾ la importancia de la educaci¾n y concientizaci¾n de enferme-dades de compromiso sistÚmico como el caso de la HTA.
Responsável: CO624.9



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