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"A atenção em Diabetes Mellitus no serviço de medicina preventiva - SEMPRE: um estudo de caso" ; "The attention of diabetes mellitus in the service of preventive medicine–Sempre: case-study"

Teixeira, Carla Regina de Souza
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 05/12/2003 PT
Relevância na Pesquisa
46.28%
Estudo de caso do Serviço de Medicina Preventiva-SEMPRE na atenção em diabetes mellitus no interior do estado de São Paulo, com o objetivo de avaliar o impacto do SEMPRE utilizando alguns indicadores de saúde na atenção em diabetes mellitus. Para tanto, os dados foram obtidos por meio de consulta manual nos Sistemas Informatizados Serious e Qualidade de Vida e registrados em planilhas construídas no Microsoft Excel-1997 dos usuários cadastrados no período de junho a novembro de 2001. A coleta de dados ocorreu de novembro 2002 a abril de 2003 Participaram do estudo, 42 pessoas diabéticas que completaram um ano de participação no SEMPRE, sendo 36 (85,7%) do tipo 2 e 6 (14,2%) do tipo 1. Para a análise dos dados utilizamos a avaliação em saúde “estrutura-processo-resultado” (Donabedian, 1980). A estrutura ou capacidade que são as características que favorecem o oferecimento de serviços, o processo ou desempenho envolve ações dos profissionais de saúde no sistema, as ações das populações e dos pacientes, e o resultado reflete vários aspectos do estado de saúde. No SEMPRE a estrutura que compõe a organização de serviços tem o trabalho grupal realizado pela equipe multiprofissional como uma estratégia de mudança no processo de “fazer saúde”. Os resultados predominantes foram: 69...

Revisão do pensamento sanitário como foco no Centro de Saúde; Review of sanitary thought with a focus on Health Centre

Mello, Guilherme Arantes
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 29/07/2010 PT
Relevância na Pesquisa
46.2%
Sob o referencial da história das idéias, este estudo revisa o pensamento sanitarista brasileiro, norteado pela figura do Centro de Saúde. A reforma do Serviço Sanitário paulista de 1925 e a instituição das Unidades de Saúde da Família em 1994 definem os limites gerais da revisão. Considera-se a possibilidade de que o discurso sobre o Centro de Saúde inaugurou uma nova era epistemológica na saúde pública, definida pela dimensão individual da educação sanitária, em detrimento da medicina das cidades ou era bacteriana. As novas concepções surgiram, sustentaram e foram sustentadas pelo deslocamento da influência política e intelectual francesa para os Estados Unidos, materializada nas ações da Fundação Rockefeller, tendo por base a Universidade Johns Hopkins. São Paulo foi uma das cidades escolhidas para investimento maciço, como efeito demonstração do novo ideário. Embora a atuação institucional da Fundação tenha tido escala planetária, a apropriação discursiva e adaptação local se mostrou mais precoce e coesa na América Latina, dando ensejo a criação e fortalecimento de um verdadeiro pan-americanismo na saúde pública, com a participação do Brasil. No país, o discurso da era sanitária e seus corolários medicina preventiva...

Preventive Medicine and Public Health: Advances in Prenatal Screening

Ganiats, Theodore G.; Baughan, David M.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /03/1990 EN
Relevância na Pesquisa
56.23%
The Scientific Board of the California Medical Association presents the following inventory of items of progress in preventive medicine and public health. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established both as to scientific fact and important clinical significance. The items are presented in simple epitome and an authoritative reference, both to the item itself and to the subject as a whole, is generally given for those who may be unfamiliar with a particular item. The purpose is to assist busy practitioners, students, research workers, or scholars to stay abreast of these items of progress in preventive medicine and public health that have recently achieved a substantial degree of authoritative acceptance, whether in their own field of special interest or another.

Preventive Medicine and Public Health: Using Health Risk Appraisal in Clinical Practice

Hill, Linda; Faine, Nora
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /05/1992 EN
Relevância na Pesquisa
56.23%
The Scientific Board of the California Medical Association presents the following inventory of items of progress in preventive medicine and public health. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established, both as to scientific fact and important clinical significance. The items are presented in simple epitome, and an authoritative reference, both to the item itself and to the subject as a whole, is generally given for those who may be unfamiliar with a particular item. The purpose is to assist busy practitioners, students, researchers, or scholars to stay abreast of these items of progress in preventive medicine and public health that have recently achieved a substantial degree of authoritative acceptance, whether in their own field of special interest or another.

Preventive Medicine and Public Health: Escherichia coli O 157:H7: Infections

Goldoft, Marcia
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /07/1994 EN
Relevância na Pesquisa
56.14%
The Council on Scientific Affairs of the California Medical Association presents the following epitomes of progress in preventive medicine and public health. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established, both as to scientific fact and clinical importance. The items are presented in simple epitome, and an authoritative reference, both to the item itself and to the subject as a whole, is generally given for those who may be unfamiliar with a particular item. The purpose is to assist busy practitioners, students, researchers, and scholars to stay abreast of progress in medicine, whether in their own field of special interest or another.

Preventive Medicine and Public Health—Important Advances in Clinical Medicine: Short-term Chemotherapy for Tuberculosis

Locks, Matthew O.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /09/1983 EN
Relevância na Pesquisa
46.23%
The Scientific Board of the California Medical Association presents the following inventory of items of progress in preventive medicine and public health. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established, both as to scientific fact and important clinical significance. The items are presented in simple epitome and an authoritative reference, both to the item itself and to the subject as a whole, is generally given for those who may be unfamiliar with a particular item. The purpose is to assist busy practitioners, students, research workers or scholars to stay abreast of these items of progress in preventive medicine and public health that have recently achieved a substantial degree of authoritative acceptance, whether in their own field of special interest or another.

Preventive Medicine and Public Health: Cholesterol Reduction—Pros and Cons

Moser, Royce
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /02/1988 EN
Relevância na Pesquisa
56.23%
The Scientific Board of the California Medical Association presents the following inventory of items of progress in preventive medicine and public health. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established, both as to scientific fact and important clinical significance. The items are presented in simple epitome, and an authoritative reference, both to the item itself and to the subject as a whole, is generally given for those who may be unfamiliar with a particular item. The purpose is to assist busy practitioners, students, research workers or scholars to stay abreast of these items of progress in preventive medicine and public health that have recently achieved a substantial degree of authoritative acceptance, whether in their own field of special interest or another.

Why is preventive medicine exempted from ethical constraints?

Skrabanek, P
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /12/1990 EN
Relevância na Pesquisa
46.19%
It is a paradox that medical experimentation on individuals, whether patients or healthy volunteers, is now controlled by strict ethical guidelines, while no such protection exists for whole populations which are subjected to medical interventions in the name of preventive medicine or health promotion. As many such interventions are either of dubious benefit or of uncertain harm-benefit balance, such as mass screening for cancers or for risk factors associated with coronary heart disease, there is no justification for maintaining the ethical vacuum in which preventive medicine finds itself at present.

The University of Maryland experience in integrating preventive medicine into the clinical medicine curriculum.

Havas, S; Rixey, S; Sherwin, R; Zimmerman, S I; Anderson, S
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //1993 EN
Relevância na Pesquisa
46.32%
Lifestyle risk factors play a major role in the etiology of premature mortality, morbidity, and disability in the United States. Numerous professional groups as well as the Surgeon General of the Public Health Service have recommended that increased attention be devoted to training medical students and physicians to improve their knowledge and skills in health promotion and disease prevention. Such training is critical for attaining many of the "Healthy People 2000" objectives. For a variety of reasons, however, most medical schools have had difficulty in successfully integrating preventive medicine into their clinical curriculums. This article describes the critical elements that allowed the faculty at the University of Maryland School of Medicine to accomplish this goal through its fourth year clinical preventive medicine course. The strategies employed in this course may serve as a model for other institutions to achieve the integration of preventive medicine into their clinical curriculums.

Values in Preventive Medicine: The hidden agenda

Hoffmaster, Barry
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /02/1992 EN
Relevância na Pesquisa
56.18%
We know how lifestyle affects health, yet concern for preventing illness by promoting healthy lifestyles remains marginal in medical practice. Effective preventive strategies can raise daunting moral and political problems about the extent to which individual freedoms may be infringed, particularly on paternalistic grounds. Evaluative questions also arise about more specific matters, such as identifying risk and causal factors, determining what level of risk is acceptable, and deciding how compelling the evidence must be to take preventive action.

Preventive Medicine in the Older Patient: A United Kingdom Perspective

Kakar, Puneet
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em /06/2012 EN
Relevância na Pesquisa
46.28%
Preventive Medicine in the elderly is often regarded as a redundant concept and pre-existing opinions are barriers in the provision of this service. This article explores the concepts of preventive medicine in the elderly from a United Kingdom perspective and examines current trends, opinions and sets out a path for the future. In particular it focusses on the theories of morbidity associated with ageing, economic viability of providing preventive medicine care for the older person and attempts to seek redress for the current situation.

A Bibliometric Analysis in the Fields of Preventive Medicine, Occupational and Environmental Medicine, Epidemiology, and Public Health

Falagas, Matthew E; Soteriades, Elpidoforos S.
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
46.34%
Background: Research in the fields of Preventive Medicine, Occupational/Environmental Medicine, Epidemiology and Public Health play an important role in the advancement of knowledge. In order to map the research production around the world we performed a bibliometric analysis in the above fields. Methods: All articles published by different world regions in the above mentioned scientific fields and cited in the Journal Citation Reports (JCR) database of the Institute for Scientific Information (ISI) during the period 1995 and 2003, were evaluated. The research production of different world regions was adjusted for: a) the gross domestic product in 1995 US dollars, and b) the population size of each region. Results: A total of 48,861 articles were retrieved and categorized. The USA led the research production in all three subcategories. The percentage of articles published by USA researchers was 43%, 44% and 61% in the Preventive Medicine, Epidemiology, and Public Health subcategories, respectively. Canada and Western Europe shared the second position in the first two subcategories, while Oceania researchers ranked second in the field of Public Health. Conclusion: USA researchers maintain a leadership position in the production of scientific articles in the fields of Preventive Medicine...

Rural Urban Disparity in the Use of Preventive Care: What can we learn from Colorectal Cancer Screening?

Fan, Lin (1979 - ); Noyes, Katia
Fonte: University of Rochester Publicador: University of Rochester
Tipo: Tese de Doutorado
ENG
Relevância na Pesquisa
46.34%
Thesis (Ph.D.)--University of Rochester. School of Medicine & Dentistry. Dept. of Community and Preventive Medicine, 2012.; There is evidence of rural urban disparity in the use of preventive care including colorectal cancer (CRC) screening. In this study, we try to understand the reasons behind the rural urban disparity in CRC screenin, and the trend for the screening and rural-urban disparity in the screening before and after Medicare expansion of colonoscopy coverage in 2001. We use Medicare Current Beneficiary Survey (MCBS), Area Resource File (ARF), Rural –Urban Commuting Area Codes (RUCAs) and American Hospital Association Annual Survey Database. We use weighted logistic regression to explore the explanations of rural urban disparity in CRC screening. We use bivariate probit model and propensity score to control for sample selection. Logistic regression analysis is used to explore the screening and disparity trend over time. We found that people with higher education, greater income, better supplemental insurance coverage, shorter distance, and living in an area with greater provider supply are more likely to receive CRC screening. Education, income, supplemental insurance coverage explains disparities between urban and large...

Preventive medicine as a component of the office visit--is it time for a change?

James, W C
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /08/1994 EN
Relevância na Pesquisa
46.34%
A routine visit to a physician's office generally is composed of the reason for the visit; attention to ongoing medical problems; and preventive medicine considerations. A separate visit for preventive medicine activities can be helpful. A computer-generated annual birthday greeting to patients that suggests specific preventive medicine studies would result in a more problem-focused office visit and greater precision in the execution of preventive medicine activities.

Assessing the Effectiveness of Problem-Based Learning of Preventive Medicine Education in China

Ding, Xiaojie; Zhao, Liping; Chu, Haiyan; Tong, Na; Ni, Chunhui; Hu, Zhibin; Zhang, Zhengdong; Wang, Meilin
Fonte: Nature Publishing Group Publicador: Nature Publishing Group
Tipo: Artigo de Revista Científica
Publicado em 30/05/2014 EN
Relevância na Pesquisa
46.34%
Problem-based learning (PBL) is defined as a student-centered pedagogy which can provide learners more opportunities for application of knowledge acquired from basic science to the working situations than traditional lecture-based learning (LBL) method. In China, PBL is increasingly popular among preventive medicine educators, and multiple studies have investigated the effectiveness of PBL pedagogy in preventive medicine education. A pooled analysis based on 15 studies was performed to obtain an overall estimate of the effectiveness of PBL on learning outcomes of preventive medicine. Overall, PBL was associated with a significant increase in students' theoretical examination scores (SMD = 0.62, 95% CI = 0.41–0.83) than LBL. For the attitude- and skill-based outcomes, the pooled PBL effects were also significant among learning attitude (OR = 3.62, 95% CI = 2.40–5.16), problem solved skill (OR = 4.80, 95% CI = 2.01–11.46), self-directed learning skill (OR = 5.81, 95% CI = 3.11–10.85), and collaborative skill (OR = 4.21, 95% CI = 0.96–18.45). Sensitivity analysis showed that the exclusion of a single study did not influence the estimation. Our results suggest that PBL of preventive medicine education in China appears to be more effective than LBL in improving knowledge...

John R. Paul and the Definition of Preventive Medicine

Viseltear, Arthur J.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //1982 EN
Relevância na Pesquisa
46.39%
John R. Paul, Professor of Preventive Medicine at the Yale University School of Medicine, wrote numerous monographs and papers defining and delimiting the field of preventive medicine and its fundamental science, clinical epidemiology. For Dr. Paul, preventive medicine was part of the continuum of clinical medicine; others believed that it was a separate entity deserving of departmental status. This paper discusses Dr. Paul's definition and philosophy of preventive medicine in contrast to other disciplines, such as social medicine and public health.

Winged Defiance: The Air Force and Preventive Nuclear War in the Early Cold War

Redman, Edwin Henry
Fonte: Universidade Duke Publicador: Universidade Duke
Tipo: Dissertação
Publicado em //2012
Relevância na Pesquisa
46.22%

This dissertation examines a continuum of insubordination in the Air Force during the early Cold War. After World War II, a coterie of top generals in the Air Force embraced a view held by a minority in American government and the public, which believed that the United States should conduct a preventive war against the Soviet Union before it could develop its own nuclear arsenal. This strategy contradicted the stated national security policies of President Harry S. Truman and his successor, President Dwight D. Eisenhower. This influential circle of Air Force leaders undermined presidential policy by drafting preventive war plans, pushing preventive war strategies on civilian leaders in the executive branch, and indoctrinating senior field grade officers at the Air War College in preventive war thinking and strategies.

Previous accounts of preventive war activity in the Air Force centered about the Air War College and its first commandant, General Orvil Anderson. In 1950, General Anderson disparaged President Truman and urged for preventive war against the Soviet Union an interview to a local news reporter. Syndicated newspapers reprinted General Anderson's remarks, and the Air Force Chief of Staff, General Hoyt S. Vandenberg...

Medicina preventiva e assistência médica na previdência social; Preventive medicine and medical care in the social welfare

Lima-Gonçalves, Ernesto; Oliveira, Anibal Gil de; Martins, Heladio José; Picanço, Ida; Góes, Ilcy Malta de; Almada, Iracema D'avila; Von Sonnleithner, João Noel; Terzian, Lucia; Rossini, Maria José; Siegl, Walter H.; Silva, Yvone Khairalla de Olivei
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Artigo Avaliado pelos Pares Formato: application/pdf
Publicado em 01/06/1973 POR
Relevância na Pesquisa
66.19%
Foi apresentado um plano de aplicação de critérios de medicina preventiva à assistência ambulatorial oferecida pelo Instituto Nacional de Previdência Social a seus segurados em São Paulo. O plano, a ser implantado já no 2.° semestre de 1973, compreenderá 4 programas básicos: de imunização, de combate à tuberculose, de assistência pré-natal e de assistência à infância. Cada um desses programas é apresentado em pormenores, compreendendo objetivos principais, prioridades e metas operacionais.; A plan of application of preventive medicine criteria to the outpatient clinics oferred by the National Institut of Social Welfare to their members in São Paulo is exposed. The plan, to be implanted in the second semester of 1973, will include 4 basic programs: immunization; combat against tuberculosis; prenatal care; and infant care. Each of these programs is presented in detail, including main objectives, priorities and operational aims.

Da higiene à medicina preventiva: história do Departamento de Medicina Preventiva da FMUSP; From sanitation to Preventive Medicine: history of the Department of Preventive Medicine of FMUSP

Silva, Guilherme Rodrigues da
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 19/11/2002 POR
Relevância na Pesquisa
46.28%
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Índice de medicina preventiva: Una medida integradora de la cobertura de los programas preventivos

Baechler R,Roberto; Barra R,Marcela; Soto P,Alex
Fonte: Sociedad Médica de Santiago Publicador: Sociedad Médica de Santiago
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2007 ES
Relevância na Pesquisa
46.32%
Background: Preventive activities of the public health system in Chile are not integrated and there is no parameter assessing the whole population that is benefited with these activities. Aim: To develop and implement a mathematical measure of the coverage of preventive health activities, provided to different age groups. Material and methods: Data was gathered from the monthly statistical reports of the women, children, teenager, adult and elderly health programs in 30 communities of the Seventh Chilean Region. The preventive medicine index (PMI) was calculated as the ratio between the population that was ascribed to each program and the population that was a potential beneficiary of such program. Results: In the studied region, the global coverage of preventive medicine, calculated using the PMI, increased from 0.229 in 1999 to 0.370 in 2003. This represents a 61% increment. However, there are important inequalities in the access to preventive health in the different communities of the region. Conclusions: The PMI revealed a substantial increment in preventive health activities in the studied region