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  1. Article ; Online: It is time for rural training in family medicine in Brazil!

    Magda Moura Almeida / Mayara Floss / Leonardo Vieira Targa / John Wynn-Jones / Alan Bruce Chater

    Revista Brasileira de Medicina de Família e Comunidade, Vol 13, Iss

    2018  Volume 40

    Abstract: The gap between health needs and the training of human resources for health is much more evident in rural areas. In Brazil, a country of continental dimensions, these differences become more challenging. The diversity of geographical and administrative ... ...

    Abstract The gap between health needs and the training of human resources for health is much more evident in rural areas. In Brazil, a country of continental dimensions, these differences become more challenging. The diversity of geographical and administrative barriers to access makes the health indicators of rural and remote populations worse than those of the urban population. Family Medicine could address the social determinants of health through the provision of human services and play an important role in low-income rural residents’ health status. This essay is an urgent call for the debate on models for projecting heath workforce supply and requirements for rural areas in Brazil.
    Keywords Rural Health ; Education ; Medical ; Family Practice ; Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
    Language Portuguese
    Publishing date 2018-04-01T00:00:00Z
    Publisher Sociedade Brasileira de Medicina de Família e Comunidade
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Health system collapse 45 days after the detection of COVID-19 in Ceará, Northeast Brazil

    Daniele Rocha Queiros Lemos / Sarah Mendes D’Angelo / Luis Arthur Brasil Gadelha Farias / Magda Moura Almeida / Ricristhi Gonçalves Gomes / Geovana Praça Pinto / Josafa Nascimento Cavalcante Filho / Levi Ximenes Feijão / Ana Rita Paulo Cardoso / Thaisy Brasil Ricarte Lima / Pâmela Maria Costa Linhares / Liana Perdigão Mello / Tania Mara Coelho / Luciano Pamplona de Góes Cavalcanti

    Revista da Sociedade Brasileira de Medicina Tropical, Vol

    a preliminary analysis

    2020  Volume 53

    Abstract: Abstract INTRODUCTION: COVID-19 emerged in late 2019 and quickly became a serious public health problem worldwide. This study aim to describe the epidemiological course of cases and deaths due to COVID-19 and their impact on hospital bed occupancy rates ... ...

    Abstract Abstract INTRODUCTION: COVID-19 emerged in late 2019 and quickly became a serious public health problem worldwide. This study aim to describe the epidemiological course of cases and deaths due to COVID-19 and their impact on hospital bed occupancy rates in the first 45 days of the epidemic in the state of Ceará, Northeastern Brazil. METHODS: The study used an ecological design with data gathered from multiple government and health care sources. Data were analyzed using Epi Info software. RESULTS: The first cases were confirmed on March 15, 2020. After 45 days, 37,268 cases reported in 85.9% of Ceará’s municipalities, with 1,019 deaths. Laboratory test positivity reached 84.8% at the end of April, a period in which more than 700 daily tests were processed. The average age of cases was 67 (<1 - 101) years, most occurred in a hospital environment (91.9%), and 58% required hospitalization in an ICU bed. The average time between the onset of symptoms and death was 18 (1 - 56) days. Patients who died in the hospital had spent an average of six (0 - 40) days hospitalized. Across Ceará, the bed occupancy rate reached 71.3% in the wards and 80.5% in the ICU. CONCLUSIONS: The first 45 days of the COVID-19 epidemic in Ceará revealed a large number of cases and deaths, spreading initially among the population with a high socioeconomic status. Despite the efforts by the health services and social isolation measures the health system still collapsed.
    Keywords COVID-19 ; Ecological study ; Epidemiology ; Infectious diseases ; Brazil ; Arctic medicine. Tropical medicine ; RC955-962
    Subject code 360
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher Sociedade Brasileira de Medicina Tropical (SBMT)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Como garantir o direito à saúde para as populações do campo, da floresta e das águas no Brasil?

    Vanira Matos Pessoa / Magda Moura Almeida / Fernando Ferreira Carneiro

    Saúde em Debate, Vol 42, Iss spe1, Pp 302-314

    Abstract: RESUMO A reestruturação produtiva, nas últimas décadas, gerou grandes mudanças na zona rural brasileira, destacando-se a reprimarização da economia, que provocaram conflitos pela terra e água entre o Estado, o capital e as populações rurais, acarretando ... ...

    Abstract RESUMO A reestruturação produtiva, nas últimas décadas, gerou grandes mudanças na zona rural brasileira, destacando-se a reprimarização da economia, que provocaram conflitos pela terra e água entre o Estado, o capital e as populações rurais, acarretando doenças, mortes, violência, contaminação ambiental e riscos à saúde humana. Este ensaio objetivou problematizar a situação de saúde das populações do campo, da floresta e das águas, os desafios e as estratégias adotadas para garantir o direito à saúde. A Estratégia Saúde da Família, como porta de entrada das pessoas no SUS, ainda apresenta diversos problemas relativos à sua implantação, como: pior desempenho em áreas rurais; a territorialização que ainda não se faz na perspectiva dos espaços sociossanitários de maior risco; e apresenta fragilidade na participação social. O acesso dessas populações ao SUS requer articulação de saberes e experiências de planejamento e avaliação permanentes das ações intersetoriais, bem como das responsabilidades e informações compartilhadas, a fim de alcançar a atenção à saúde com qualidade e integralidade. Exige também um processo ágil de educação permanente dos trabalhadores de saúde e de educação popular, com uma proposta nova e diferenciada, rompendo com a lógica curativista e que considere as especificidades da influência da determinação social da saúde.
    Keywords Needs assessment ; Rural health ; Family Health Strategy ; Primary Health Care ; Public aspects of medicine ; RA1-1270
    Language English
    Publisher Centro Brasileiro de Estudos de Saúde
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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