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O controle do cancer do colo do útero: desafios para implementa??o de a??es programáticas no Amazonas, Brasil
Corrêa, Dina Albuquerque Duarte;Villela, Wilza Vieira;
Revista Brasileira de Saúde Materno Infantil , 2008, DOI: 10.1590/S1519-38292008000400015
Abstract: the purpose of this study is to present a number of challenges facing the implementation of program actions regarding the control of cervical cancer in the state of amazonas, brazil. reports of the viva mulher program in amazonas on papanicolaou screening tests and the quality of cervical samples and mortality rates from this disease taken from datasus were analyzed for the 2001 to 2005 period. the results show no increase in the population covered by the papanicolaou screening test in this period, although there was a small improvement in the quality of cervical samples. however, mortality rates for cervical cancer are increasing in this reason, and are higher than the rates for brazil as a whole and for the north region of the country. analysis of these results suggests the need for local program managers, to make efforts to build the capacity of health-care professionals and service managers, with a view to increasing papanicolaou screening test coverage for high-risk women.
Desafios à organiza??o de programa de rastreamento do cancer do colo do útero em Manaus-AM
Corrêa, Dina Albuquerque Duarte;Villela, Wilza Vieira;Almeida, Ana Maria de;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000200018
Abstract: the purpose was to investigate sociodemographic characteristics of women who underwent a pap smear test in manaus, amazonas, brazil, and identify the reasons why the women had the test. this exploratory study was performed with 281 women who had taken the pap smear test within the last five years in manaus. most participants were between 18 to34 years old (54%), had 5 to 11 years of education (54.4%), had a monthly income of less than three minimum wage salaries (84.3%) and were in a stable relationship (72.2%), with an onset of sexual activity between the ages of 15 to19 years (69.4%). the reasons for their taking the pap test were personal choice (66.2%), recommendation by a physician (23.5%) and gynecological symptoms (10.3%). women who received information about the pap test from health professionals had a greater chance of being tested within the last three years (p=0.008). women choosing to have the exam (personal choice) are prevalent, and the opportunistic service is provided to younger women, thus not reaching the group at greater risk for cancer. it is necessary to implement active recruitment strategies to reach women in situations of socioeconomic disadvantage.
Desafios à organiza o de programa de rastreamento do cancer do colo do útero em Manaus-AM
Dina Albuquerque Duarte Corrêa,Wilza Vieira Villela,Ana Maria de Almeida
Texto & Contexto - Enfermagem , 2012,
Abstract: El objetivo fue identificar las características sociodemográficas de las mujeres que se realizan la prueba de Papanicolau en Manaus, Amazonas, Brasil y su asociación con las razones de realizar el examen. La investigación exploratoria contó con la participación de 281 mujeres y evidenció que la mayoría de las encuestadas tenían entre 18-34 a os (54%), de 5-11 a os de escolaridad (54.4%), los ingresos mensuales de hasta tres salarios mínimos (84.3%), relación estable (72.2%) y la iniciación sexual entre los 15-19 a os (69.4%). Las razones para realizar la prueba de Papanicolau fueron demanda espontánea (66.2%), indicación médica (23.5%) y síntomas ginecológicos (10.3%). Mujeres que habían recibido información de los profesionales de la salud tenían una mayor proporción de realización de la prueba en los últimos tres a os (p=0.008). La demanda espontánea es prevalente y la atención oportuna es realizada en mujeres mas jóvenes. Es necesario implementar estrategias de reclutamiento activo para alcanzar a las mujeres en desventaja socioeconómica.
A institucionaliza??o da epidemiologia como disciplina na Faculdade de Medicina da Universidade Federal do Rio de Janeiro
Torres, Carlos Henrique Duarte Alves;Czeresnia, Dina;
História, Ciências, Saúde-Manguinhos , 2003, DOI: 10.1590/S0104-59702003000200003
Abstract: this article aimed at studying the teaching of epidemiology in medical school undergraduate courses. medical books have been analyzed in order to understand the constitution of epidemiology as a scientific subject, as well as its relations with medical science and secondary school teaching. the introduction and development of the subject in ufrj medical school were studied through the analysis of internal regulations, courses brochures and programs. professors were interviewed. the analysis revealed that epidemiology concepts spread to health services and practice, as well as to medical research. at ufrj medical school, starting at the end of the 1980's, epidemiology teaching began to be emphasized and valued. that was the time when collective health began to develop. among collective health subjects, both epidemiology and statistics developed the most.
A institucionaliza o da epidemiologia como disciplina na Faculdade de Medicina da Universidade Federal do Rio de Janeiro
Torres Carlos Henrique Duarte Alves,Czeresnia Dina
História, Ciências, Saúde-Manguinhos , 2003,
Abstract: Este trabalho teve o objetivo de estudar o ensino de epidemiologia nos cursos de gradua o em medicina. Foi feita uma revis o da literatura para analisar a constitui o da epidemiologia como disciplina científica e suas rela es com a medicina e com o ensino médico na Faculdade de Medicina da Universidade Federal do Rio de Janeiro (UFRJ). Examinamos regimentos internos, catálogos do curso, programas das disciplinas. e entrevistamos professores. Concluimos que a aplica o da epidemiologia cresceu a partir do final da década de 1980, quando seu ensino come ou a ser mais valorizado. Entre as disciplinas da área de saúde coletiva, a epidemiologia e a estatística apresentaram o maior crescimento.
Modelos de inferência causal: análise crítica da utiliza??o da estatística na epidemiologia
Czeresnia,Dina; Albuquerque,Maria de Fátima Milit?o de;
Revista de Saúde Pública , 1995, DOI: 10.1590/S0034-89101995000500012
Abstract: the foundations on which the concept of risk has been constructed are discussed. a description of rubin's model of causal inference, which was first developed in the domain of applied statistics, and later incorporated into a branch of epidemiology, is taken as the starting point. analysis of the premisses of causal inference brings to light the logical stages in the construction of the concept of risk, allowing it to be understood "from the inside". the abovementioned branch of statistics and epidemiology seeks to demonstrate that statistics can infer causality instead of simply revealing statistical associations; the model gives the basis for estimating that which way be defined as the effect of a cause. using this procedural distinction between causal inference and association, the model also seeks to differentiate between the epidemiologial dimension of concepts and the merely statiscal dimension. this leads to greater complexity when handing the concepts of interation and coofounding. the redective aspects inherent in this methodological construction of risk are here high lighted. thus, whether applied to individual or populational inferences, this methodological construction imposes limits that need to be taken into account in its theoretical and pratical application to epidemiology.
Modelos de inferência causal: análise crítica da utiliza o da estatística na epidemiologia
Czeresnia Dina,Albuquerque Maria de Fátima Milit?o de
Revista de Saúde Pública , 1995,
Abstract: Discute-se a base de constru o do conceito de risco, a partir da descri o do modelo de inferência causal de Rubin, desenvolvido no ambito da estatística aplicada, e incorporado por uma vertente da epidemiologia. A apresenta o das premissas da inferência causal torna visível as passagens lógicas assumidas na constru o do conceito de risco, permitindo entendê-lo "por dentro". Esta vertente tenta demonstrar que a estatística é capaz de inferir causalidade ao invés de simplesmente evidenciar associa es estatísticas, estimando em um modelo o que é definido como o efeito de uma causa. A partir desta distin o entre procedimentos de inferência causal e de associa o, busca-se distinguir também o que seria a dimens o epidemiológica dos conceitos, em contrapartida a uma dimens o simplesmente estatística. Nesse contexto, a abordagem dos conceitos de intera o e confus o toma-se mais complexa. Busca-se apontar as redu es que se operam nas passagens da constru o metodológica do risco. Tanto no contexto de inferências individuais, quanto populacionais, esta constru o metodológica imp e limites que precisam ser considerados nas aplica es teóricas e práticas da epidemiologia.
Profile and contributions of nurses team in prenatal care in Cuiabá, Brazi
Sebasti?o Junior Henrique Duarte,Marli Villela Mamede
Revista Gest?o & Saúde , 2011,
Abstract: For prenatal care is a need for qualified professionals prenatal develop the skills required by both the proposed Brazilian Ministry of Health as the International Confederation of Midwives. This study aimed to characterize the profile of nurses who provide prenatal care in Cuiabá, MT, in search of some of the essential skills to skilled attendance at prenatal care. A descriptive study was applied in 182 professional nursing staff, of which 74 were nurses. We used individual interviews and structured data collection. The data obtained were statistically analyzed with SPSS software program. The results show a predominance of females, mean age 36.5 years, married, with children, more than 10 years of experience with pregnant women, low frequency for specialists in obstetrics, 68.9% of nurses reported difficulty in caring for pre-home, 49% of these alleged unpreparedness in the conduct of clinical complaints, low frequency in the professionals who have undergone refresher courses and participation in events related to prenatal care. The study recommended the establishment of the protocol of prenatal care and qualifications of all members of the nursing team, from the perspective of skilled attendance at prenatal and contributions in reducing morbidity and maternal and infant mortality.
Workplace Identities of Women in the US Labor Market  [PDF]
Dina Banerjee
Sociology Mind (SM) , 2013, DOI: 10.4236/sm.2013.31004
Abstract:

In this paper, I examine the effects of gender and race/ethnicity on American workers’ workplace identities. Literature on gender, work, and occupation suggests that gender and race are significant predictors of workers’ workplace identities. Literature also posits that self-perceived competency and reflected appraisals from others in workplaces also contribute considerably to workers’ workplace identities. However, there exists hardly any empirical study that explores the impacts of gender, race, workers’ self-perceived competency, and their reflected appraisals altogether on their workplace identities. That is what I accomplished in this study. Deriving the data from the National Study of Changing Workforce (NSCW: 2008) I ask: 1) Do women and men workers in America differ in their perceptions of workplace identities; 2) Do non-white and white workers in America differ in their perceptions of workplace identities; and 3) Do gender and race of the workers impact their workplace identities when self-perceived competency and reflected appraisals enter the equation? Analyses are based on quantitative methods. Results show that workers’ self-perceived competency and their reflected appraisals are more significant predictors of their workplace identities than gender or race.

 

Qualidade fisiológica de sementes de urucum armazenadas em diferentes ambientes e embalagens
Corlett, Francisco Marinaldo Fernandes;Barros, Antonio Carlos Souza Albuquerque;Villela, Francisco Amaral;
Revista Brasileira de Sementes , 2007, DOI: 10.1590/S0101-31222007000200021
Abstract: urucum (bixa orellana l.) is a species of great commercial interest, from whose main product, the seed, is extracted the bixina and norbixina coloring, of great interest in national and international markets. the objective of this study was to evaluate urucum seed physiological quality of the cultivar bico de pato, stored for period of 12 months in four environments (environmental condition, cold chamber, refrigerator and freezer) and packed in bags (trifoliated envelopes of aluminum-polyethylene-paper, plastic packing in vacuum, black polyethylene). after moisture determination, the seeds were scarified mechanically. they were evaluated at 90, 180, 270, 360th days of storage and submitted to the germination, first counting of germination and germination speed index tests. it was possible to conclude that urucum seeds with 7,0% moisture, packed in vacuum maintained physiological quality for 270 days and that the storage in freezer and refrigerator, in aluminum and plastic bags in vacuum, provided better physiological seed quality.
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