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Medicamentos Manipulados Pediátricos

Santos, Carla Sofia Fernandes dos
Fonte: [s.n.] Publicador: [s.n.]
Tipo: Dissertação de Mestrado
Publicado em //2011 POR
Relevância na Pesquisa
26.17%
Trabalho apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Ciências Farmacêuticas.; Em pediatria são administrados medicamentos inadequados às necessidades pediátricas, são prescritos fora do âmbito das utilizações aprovadas na respectiva autorização de introdução no mercado, alguns nem foram testados nem autorizados para serem usados em pediatria. A Indústria Farmacêutica não tem apostado nos medicamentos pediátricos devido à baixa incidência e prevalência de patologias específicas da população pediátrica; ao número reduzido, em termos relativos, de doentes pediátricos que utilizam certos medicamentos em que a existência de várias sub-populações dificulta a amortização dos custos inerentes aos estudos de investigação e desenvolvimento; as dificuldades técnicas que, em certos casos, impedem a obtenção de medicamentos líquidos para administração oral com prazos de validade suficientemente alargados, compatíveis com a sua preparação em escala industrial, distribuição e comercialização. O presente trabalho teve como objectivo primordial contribuir para o desenvolvimento de formulações adequadas à pediatria, viabilizando o acesso a uma variedade de formas farmacêuticas...

Radiographic Findings Among Children Hospitalized With Severe Community-Acquired Pneumonia

FERRERO, F.; NASCIMENTO-CARVALHO, C. M.; CARDOSO, M. -R.; CAMARGOS, P.; MARCH, M. -F. P.; BEREZIN, E.; RUVINSKY, R.; SANT`ANNA, C.; FERIS-IGLESIAS, J.; MAGGI, R.; BENGUIGUI, Y.; CARIBE Grp
Fonte: WILEY-LISS Publicador: WILEY-LISS
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
35.97%
Background: Community-acquired pneumonia (CAP) is a leading cause of childhood death. There are few published reports of radiographic findings among children with severe CAP. Objective: To describe chest X-ray (CXR) findings and assess association between these radiographic findings and pneumococcal isolation in children with severe CAP. Methods: A prospective, multicenter, observational study was conducted in 12 centers in Argentina, Brazil, and the Dominican Republic. Children aged 3-59 months, hospitalized with severe pneumonia, were included. On admission, blood and pleural effusion cultures were performed. Streptococcus pneumoniae was identified according to standard procedures in the respective national reference laboratory. Chest X-rays were taken on admission and read before the culture results were reported. Results: Out of 2,536 enrolled patients, 283 (11.2%) had S. pneumoniae isolated, in 181 cases (7.1%) from blood. The follow radiographic patterns were observed: alveolar infiltrate (75.2%), pleural effusion (15.6%), and interstitial infiltrate (9.2%). Overall, pleural effusion was associated with pneumococcal isolation and pneumococcal bacteremia (P < 0.001). Infiltrates were unilateral (78.7%) or bilateral (21.3%), right-sided (76%) or left-sided (24%)...

Controle de injúrias sob a ótica da pediatria contextual; Injury control from the perspective of contextual pediatrics

Blank, Danilo
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
POR
Relevância na Pesquisa
36.41%
Objetivo: Descrever relações entre controle de injúrias e pediatria contextual. Fontes dos dados: Revisão quase-sistemática dos bancos MEDLINE, SciELO e LILACS, usando combinações das seguintes palavras: contextual, comunidade, injúria, acidente e violência; revisão nãosistem ática de capítulos de livros e artigos clássicos. Síntese dos dados: A segurança depende de uma interação entre hábitos familiares, normas culturais e entorno. A pediatria contextual vê a criança, a família e a comunidade como um conjunto contínuo. Um de seus pontos-chave é o diagnóstico de saúde (observação seqüencial dos problemas e trunfos). Alterar fatores intrapessoais de injúrias requer a aplicação de estratégias passivas e ativas. Fatores familiares e culturais de risco de injúria: superpopulação do domicílio, mudanças de endereço, pobreza, pais jovens, analfabetos e desempregados. Principais fatores da vizinhança: privação material e trânsito. Fatores culturais: analfabetismo, produtos inseguros, transporte de massa insuficiente, armas de mão, ambientes de trabalho sem normas de segurança, organização comunitária precária, falta de comunicação entre setores sociais, legislação inadequada, baixa prioridade da segurança entre as ações do governo...

Preventive Pediatrics in Medical Education: II. A Method of Teaching Preventive Pediatrics in the Medical School Curriculum

Read, John H.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 06/04/1963 EN
Relevância na Pesquisa
26.29%
Knowledge of the intricacies of child growth and development and the complexities of family and community dynamics are invaluable for an adequate appraisal of the health needs of the child and for a responsible discharge of professional service. An attempt to incorporate these principles into a medical curriculum is illustrated by a specific method of teaching preventive pediatrics successfully employed over the past five years at the University of British Columbia. First-year students are assigned families and instructed and supervised in observation, examination and interviewing techniques relevant to the normal child. The second-year program is focused on specific individual and family problems of interpersonal relations and elaborates on counselling and other preventive techniques. Research projects are undertaken by the students. By the third year the program is integrated into the tradetional hospital setting, with additive exposure to the functioning of community health and welfare services.

Executive Summary: The Management of Community-Acquired Pneumonia in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America

Bradley, John S.; Byington, Carrie L.; Shah, Samir S.; Alverson, Brian; Carter, Edward R.; Harrison, Christopher; Kaplan, Sheldon L.; Mace, Sharon E.; McCracken, George H.; Moore, Matthew R.; St Peter, Shawn D.; Stockwell, Jana A.; Swanson, Jack T.
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
Publicado em 01/10/2011 EN
Relevância na Pesquisa
36.04%
Evidenced-based guidelines for management of infants and children with community-acquired pneumonia (CAP) were prepared by an expert panel comprising clinicians and investigators representing community pediatrics, public health, and the pediatric specialties of critical care, emergency medicine, hospital medicine, infectious diseases, pulmonology, and surgery. These guidelines are intended for use by primary care and subspecialty providers responsible for the management of otherwise healthy infants and children with CAP in both outpatient and inpatient settings. Site-of-care management, diagnosis, antimicrobial and adjunctive surgical therapy, and prevention are discussed. Areas that warrant future investigations are also highlighted.

Expanding the Role of Primary Care in the Prevention and Treatment of Childhood Obesity: A Review of Clinic- and Community-Based Recommendations and Interventions

Vine, Michaela; Hargreaves, Margaret B.; Briefel, Ronette R.; Orfield, Cara
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
26.14%
Although pediatric providers have traditionally assessed and treated childhood obesity and associated health-related conditions in the clinic setting, there is a recognized need to expand the provider role. We reviewed the literature published from 2005 to 2012 to (1) provide examples of the spectrum of roles that primary care providers can play in the successful treatment and prevention of childhood obesity in both clinic and community settings and (2) synthesize the evidence of important characteristics, factors, or strategies in successful community-based models. The review identified 96 articles that provide evidence of how primary care providers can successfully prevent and treat childhood obesity by coordinating efforts within the primary care setting and through linkages to obesity prevention and treatment resources within the community. By aligning the most promising interventions with recommendations published over the past decade by the Institute of Medicine, the American Academy of Pediatrics, and other health organizations, we present nine areas in which providers can promote the prevention and treatment of childhood obesity through efforts in clinical and community settings: weight status assessment and monitoring, healthy lifestyle promotion...

The Ambulatory Pediatric Association Fellowship in Pediatric Environmental Health: A 5-Year Assessment

Gitterman, Ben; Lanphear, Bruce; Forman, Joel; Karr, Catherine; Moshier, Erin L.; Godbold, James; Crain, Ellen; Landrigan, Philip J.; Woolf, Alan David
Fonte: National Institute of Environmental Health Sciences Publicador: National Institute of Environmental Health Sciences
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
36.17%
Background: Evidence is mounting that environmental exposures contribute to causation of disease in children. Yet few pediatricians are trained to diagnose, treat, or prevent disease of environmental origin. Objectives: To develop a cadre of future leaders in pediatric environmental health (PEH), the Ambulatory Pediatric Association (APA) launched a new 3-year fellowship in 2001—the world’s first formal training program in PEH. Sites were established at Boston Children’s Hospital, Mount Sinai School of Medicine, George Washington University, University of Cincinnati, and University of Washington. Fellows are trained in epidemiology, biostatistics, toxicology, risk assessment, and preventive medicine. They gain clinical experience in environmental pediatrics and mentored training in clinical research, policy development, and evidence-based advocacy. Thirteen fellows have graduated. Two sites have secured follow-on federal funding to enable them to continue PEH training. Discussion: To assess objectively the program’s success in preparing fellows for leadership careers in PEH, we conducted a mailed survey in 2006 with follow-up in 2007. Conclusions: Fifteen (88%) of 17 fellows and graduates participated; program directors provided information on the remaining two. Nine graduates are pursuing full-time academic careers...

Utilization of a Mobile Medical Van for Delivering Pediatric Care in the Bateys of the Dominican Republic

Crouse, Heather L.; Macias, Charles G.; Cruz, Andrea T.; Torrey, Susan B.; Wilson, Kim Alyson
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
26.13%
Background Bateys are impoverished areas of housing for migrant Haitian sugar cane workers in the Dominican Republic (DR). In these regions, preventative health care is almost non-existent, public service accessibility is limited, and geographic isolation prevents utilization of care even by those families with resources. Consequently, the development of a viable mobile system is vital to the delivery of acute and preventative health care in this region. Aims This study evaluated an existing mobile medical system. The primary goal was to describe the population served, diseases treated, and resources utilized. A secondary goal was to determine qualitatively an optimal infrastructure for sustainable health care delivery within the bateys. Methods Information on basic demographic data, diagnosis, chronicity of disease, and medications dispensed was collected on all pediatric patients seen in conjunction with an existing mobile medical system over a 3-month period in the DR. Health statistics for the region were collected and interviews were conducted with health care workers (HCWs) and community members on existing and optimal health care infrastructure. Results Five hundred eighty-four pediatric patients were evaluated and treated. Median age was 5 years (range 2 weeks to 20 years)...

Social Inclusion and Financial Protection through Community Financing : Initial Results from Five Household Surveys

Jakab, Melitta; Preker, Alexander S.; Krishnan, Chitra; Schneider, Pia; Diop, François; Jütting, Johannes; Gumber, Anil; Ranson, Kent; Supakankunt, Siripeni
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
36.18%
This paper provides empirical evidence regarding the performance of community-based health care financing in terms of (a) social inclusion and (b) financial protection. Five non-standardized household surveys were analyzed from India (two samples), Senegal, Rwanda, and Thailand. Common methodology was applied to the five data sets. Logistic regression was used to estimate the determinants of enrolling in a community financing scheme. A two-part model was used to assess the determinants of financial protection: part one used logistic regression to estimate the determinants of the likelihood of visiting a health care provider; part two used ordinary least-squares regression to estimate the determinants of out-of-pocket payments. The research finds: (a) Social inclusion. The findings suggest that community financing can be inclusive of the poorest even in the most economically deprived context. Nevertheless, this targeting outcome is not automatically attributable to the involvement of the community; rather it depends on key design and implementation characteristics of the schemes. (b) Financial protection. Community financing reduces financial barriers to health care as demonstrated by higher utilization and simultaneously lower out-of-pocket expenditure of scheme members controlling for a range of socioeconomic variables. The paper concludes: (a) Social inclusion. Design and implementation characteristics of community financing schemes matter to achieve good targeting outcome-community involvement alone does not guarantee social inclusion. Further research is needed to delineate which design and implementation characteristics allow better inclusion of the poor. (b) Financial protection. Prepayment and risk sharing...

Synopsis of Results on the Impact of Community-Based Health Insurance on Financial Accessibility to Health Care in Rwanda

Schneider, Pia; Diop, François
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
36.07%
This paper evaluates the impact of prepayment schemes on access to health care for poor households, based on household survey data. Rwanda is one of the poorest countries in the world. After the genocide in 1994, public health care services were provided for free to patients, financed by donors and the government. In 1996, the Ministry of Health reintroduced prewar level user charges. By 1999, utilization of primary health care services had dropped from 0.3 in 1997 to a national average of 0.2 annual consultations per capita. This sharp drop in health service use combined with growing concerns about rising poverty, poor health outcome indicators, and a worrisome HIV prevalence among all population groups motivated the Rwandan government to develop community-based health insurance to assure access to the modern health system for the poor. The findings presented in this paper reveal that insurance enrollment is determined by household characteristics such as the health district of household residence, education level of household head...

Improving Coverage and Utilization of Maternal and Child Health Services in Lao PDR; Impact Evaluation of the Community Nutrition Project

Tanner, Jeffery; Hayashi, Ryotaro; Li, Yunsun
Fonte: Washington, DC: Independent Evaluation Group Publicador: Washington, DC: Independent Evaluation Group
Tipo: Working Paper; Publications & Research; Publications & Research :: Working Paper
ENGLISH; EN_US
Relevância na Pesquisa
36.04%
The World Bank supported the community nutrition project (CNP) in the Lao People’s Democratic Republic (PDR) from 2009 to 2013, ostensibly to respond to the global food crisis of 2007-08. The evaluation finds an attributable effect on only one of the six formal project indicators: children in intervention areas were more likely to receive full diphtheria, pertussis, and tetanus (DPT) vaccines. This impact evaluation seeks to address whether the CNP can make causal claims to improving indicators related to its six stated project development objective measurements for mothers and children under two years old: antenatal care visits, institutional delivery, well-child checkups, breastfeeding, immunization, and diarrhea oral rehydration solutions. The results of quasi-experimental impact evaluation methods indicate that although general effects for these outcomes are mixed, the project shows improvements for the poorest 40 percent of the population.

Continuing effectiveness of a community child health programme for medical students

O'Keefe, M.; White, D.
Fonte: Carfax Publishing Publicador: Carfax Publishing
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
36.04%
In 1998 an innovative, inter-university child health learning programme involving a wide range of community child healthcare agencies was developed and evaluated. There is little information available on the progress over time of similar curriculum innovations. The programme was re-evaluated in 2003 regarding continued effectiveness. Programme records between 1998 and 2003 were reviewed together with programme coordinator recollections. Agency staff and student feedback questionnaire responses were compared for 1998 and 2003. Agency flexibility in programming and capacity for student visits decreased between 1998 and 2003. Fourteen of the 36 agencies offering placements in 2003 had been with the programme in 1998. In only five of these agencies was the contact person for the programme unchanged. Despite high agency turnover, programme evaluations and student reports and presentations consistently supported achievement of programme aims. Although the programme continued to meet its specific aims, a number of agency factors outside the control of the programme coordinators posed real threats to long-term programme success.; Maree O'Keefe & Deirdre White

An inter-university community child health clinical placement programme for medical students

O'Keefe, M.; White, D.; Spurrier, N.; Fox, N.
Fonte: Blackwell Publishing Ltd Publicador: Blackwell Publishing Ltd
Tipo: Artigo de Revista Científica
Publicado em //2001 EN
Relevância na Pesquisa
36.14%
Background Inpatient teaching no longer reflects the full spectrum of paediatric practice and community-based programmes with clearly defined aims and evaluation of learning are becoming increasingly important. Competition for community resources poses threats to the delivery of effective community child health learning programmes by individual medical schools. Objectives To develop and evaluate a combined inter-university, child-focused, active learning programme in community child health. Methods A total of 55 postgraduate-entry medical students from the Flinders University of South Australia and 97 undergraduate-entry University of Adelaide students were placed with 25 community child health agencies and instructed to assess services from a client perspective by tracking one child and family through multiple agency contacts. Following each placement, achievement of specific programme aims was evaluated by students and agency staff using a 7-point Likert scale. Results Students and agency staff indicated substantial achievement of programme aims. Mean agency ratings were significantly higher than student ratings for three aims: students’ experiencing a wider spectrum of health care problems than in teaching hospitals (5·7 ± 1·5 versus 4·9 ± 1·6...

"United We Stand Divided We Fall" : Maternal Social Participation and Children's Nutritional Status in Peru

Favara, Marta
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
26.15%
In previous literature, social capital has been hypothesized as a substitute for other forms of capital, such as physical and human capital. This paper contributes to this literature, studying the association between mothers' access to social capital via participation in community organizations and their children's nutritional status at 1 and 5 years. Using the Peruvian sample of the Young Lives project, this study suggests that, where human capital is scarce, social capital might have important implications for child development. Maternal social capital is positively associated with height at 1 year old for those children whose mothers have no formal education. No significant association is found at 5 years of age.

Pediatria e saúde mental da criança: uma experiência de ensino na Residência Médica; Pediatrics and children\' s mental health: an experiment on teaching at the medical internship

Degenszajn, Raquel Diaz
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 20/09/2005 PT
Relevância na Pesquisa
36.24%
O objetivo deste trabalho consiste na descrição e análise das avaliações realizadas por residentes da atividade de ensino Saúde Mental da criança, ocorridas durante o estágio de Pediatria Comunitária no Centro de Saúde-Escola do Butantã, no primeiro ano de Residência Médica em Pediatria da Faculdade de Medicina da Universidade de São Paulo. Para contextualizar a experiência em questão, foi construído um percurso histórico a fim de delimitar a conformação das áreas da saúde da criança Puericultura, Pediatria e Saúde Mental da criança no campo da Saúde Pública. Problematizou-se a noção de subjetividade da criança como ponto central do trabalho desenvolvido com os residentes ao questionar sua importância para a formação do pediatra. A investigação foi realizada a partir de 58 textos produzidos pelos residentes no final do estágio, como avaliação. Os conteúdos foram trabalhados com base na análise de discurso. O trabalho de análise permitiu demonstrar a relevância da reflexão sobre o papel e a prática profissional e o despertar do interesse por um campo pouco explorado durante a graduação e a residência, que contribui significativamente para o atendimento integral da criança, preconizada pela instituição em foco; This paper describes and analyzes the internists´ evaluation of the teaching programme on Children´s Mental Health as part of the discipline of Community Pediatrics given at the Butantã Public Health Center during the first year of internship on Pediatrics at the Medical School of the São Paulo University. To give a proper context to the experiment...

Promoção da parentalidade positiva

Patrício, Sónia Alexandra Ferreira
Fonte: Universidade Católica Portuguesa Publicador: Universidade Católica Portuguesa
Tipo: Dissertação de Mestrado
Publicado em /02/2011 POR
Relevância na Pesquisa
26.31%
O caminho percorrido rumo à aquisição de competências especializadas em Enfermagem de Saúde Infantil e Pediatria, reconhecidas como um aprofundamento e mobilização da experiência profissional e de saberes teóricos, em diferentes contextos da prática, encontra-se reflectido no presente relatório. A temática da Promoção da Parentalidade Positiva, como domínio recente e devidamente enquadrado nas funções do Enfermeiro Especialista em Saúde Infantil e Pediatria, aliada ao modelo de Parceria de Cuidados de Anne Casey (1988), nortearam a tomada de decisão pelos objectivos específicos estabelecidos e actividades desenvolvidas na Associação Acreditar, como recurso comunitário de suporte à criança com doença oncológica e família; na Unidade de Saúde Familiar Gama, na qual foi possível implementar um Curso para Pais, como estratégia de capacitação parental, no cuidado à criança; na Unidade de Cuidados Intensivos Neonatais do Hospital Dona Estefânia, que, como contexto complexo e tecnicista, abraçou um Projecto de estimulação dos Cinco Sentidos do Recém-Nascido por meio da interacção precoce pais/filho e, por último, na Unidade de Urgência Pediátrica do Centro Hospitalar de Torres Vedras...

Colorado pediatricians' involvement in community activities.

Brown, J; Westrick, M C; Rushton, F E; Siegel, C; LaMont, R
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /11/1995 EN
Relevância na Pesquisa
26.12%
To determine Colorado American Academy of Pediatrics (AAP) pediatricians' involvement in community-based activities and awareness of and interest in the AAP Community Access to Child Health (CATCH) program, a 22-item survey was mailed to all general pediatrician AAP fellows and candidate fellows practicing in Colorado (n = 434). The return rate was 65%. Of the respondents, 73% provide direct patient care as their primary professional activity, 58% reported either current or past involvement in community-based programs outside of their practices, 91% of this community-based work was voluntary, and 80% of the respondents described this work as moderate to very rewarding. Half of the respondents (51%) were aware of the AAP CATCH program, and 68% were interested in attending a statewide CATCH meeting. We conclude that Colorado AAP pediatrician survey respondents participate heavily in community programs outside of their clinical practices and that among this group there is substantial interest in the AAP CATCH program.

Antibiotic resistance patterns of pediatric community-acquired urinary infections

Guidoni,Eliana Biondi Medeiros; Berezin,Eitan N.; Nigro,Stanley; Santiago,Nataly A; Benini,Vanda; Toporovski,Julio
Fonte: Brazilian Society of Infectious Diseases Publicador: Brazilian Society of Infectious Diseases
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2008 EN
Relevância na Pesquisa
35.97%
Knowledge about antimicrobial resistance patterns of the etiological agents of urinary tract infections (UTIs) is essential for appropriate therapy. Urinary isolates from symptomatic UTI cases attended at Santa Casa University Hospital of São Paulo from August 1986 to December 1989 and August 2004 to December 2005 were identified by conventional methods. Antimicrobial resistance testing was performed by Kirby Bauer's disc diffusion method. Among the 257 children, E. coli was found in 77%. A high prevalence of resistance was observed against ampicillin and TMP/SMX (55% and 51%). The antibiotic resistance rates for E. coli were: nitrofurantoin (6%), nalidixic acid (14%), 1st generation cephalosporin (13%), 3rd generation cephalosporins (5%), aminoglycosides (2%), norfloxacin (9%) and ciprofloxacin (4%). We found that E. coli was the predominant bacterial pathogen of community-acquired UTIs. We also detected increasing resistance to TMP/SMX among UTI pathogens in this population.

Assistência hospitalar no âmbito da previdência social no Estado de São Paulo, Brasil; Hospital care on the social welfare in the S. Paulo State, Brazil

Gonçalves, Ernesto Lima; Dias, Manoel J. Moreira; Mattos, Horácio Belfort de
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 01/03/1972 POR
Relevância na Pesquisa
26.24%
O número de leitos hospitalares à disposição de uma comunidade representa importante fator de limitação do nível de assistência médica que lhe é possível oferecer. Uma dificuldade inicial, em termos de realidade "brasileira, é a carência de estudos capazes de indicar os quantitativos de leitos hospitalares, gerais e especializados, necessários ao atendimento da população no Brasil. Daí a necessidade de os autores se valerem de dados que representam a transposição de números estrangeiros, os quais são, por isso mesmo, passíveis de crítica. Mesmo com essa limitação, parece razoável definir como necessidade mínima o número de 4 leitos por 1000 habitantes, quando se trata de leitos gerais não especializados, de 1,5/1000 para obstetrícia e 1/1000 para pediatria. A análise realizada, da assistência hospitalar prestada aos segurados do Instituto Nacional de Previdência Social, no Estado de São Paulo, permite algumas observações: 1 - existência de considerável número de municípios onde não existe siquer um estabelecimento hospitalar; 2 - relação de 1,95 leitos por 1000 segurados do INPS, quando se faz uma avaliação global, número inferior à metade do índice mínimo estabelecido; 3 - carência ainda mais grave...

Community pediatric league - the future physician working in a team to promote health in destitute children; Liga de pediatria comunitária – o futuro médico trabalhando em equipe para promover a saúde de crianças carentes

Yamamoto, Renato Minoru; Cianciarullo, Andréa; Serra, Henrique André; Vicente, João Pedro; Primo, Ednéia
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; Artigo de convidado Formato: application/pdf
Publicado em 29/12/2003 POR
Relevância na Pesquisa
36.12%
A Seção de Assitência Comunitária do Instituto da Criança do Hospital das Clínicas da FMUSP, desde 1996, desenvolve projeto de saúde comunitária numa fração na área de abrangência do Centro de Saúde Escola “Prof. Samuel B. Pessoa”, Favela Vila Nova Alba. A Liga de Pediatria Comunitária iniciou suas atividades neste local em 1998 com o objetivo de iniciar o alunbo da Graduação na compreensão no processo saúde-escola valorizando o papel das famílias e das condições reais de vida da criança sobre sua saúde, desenvolvendo atividades voltadas para a extensão de serviços a esta comunidade. Apresentamos as atividades desenvolvidas e resultados obtidos no período de 1999 a 2004.; The Section of Community Assistance of “Instituto da Criança do Hospital das Clínicas da FMUSP” has been developed a community health project in a small area around the Health School Centre “Prof. Samuel B. Pessoa”, at the Vila Nova Alba slum, since 1976. There, the Community Paediatric League began its activities in 1998, with the objective of starting the graduating student into the comprehension of the health-disease process, valorising the paper of the families and the real life conditions of the children upon their health and developing activities aimed to the service extension to this community.We present the developed activities and the results obtained throughout the 1999-2004 period.