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Atenção à saúde e câncer do colo do útero: o que os serviços de Atenção Primária à Saúde têm a ver com isso? - um estudo avaliativo no município de Niterói - RJ
No full textEsta dissertação buscou avaliar como os serviços de Atenção Primária à Saúde (APS) de Niterói, município da região metropolitana do Rio de Janeiro, estão organizados dentro da rede de atenção oncológica. Para isso, o câncer do colo do útero foi utilizado como marcador para o estudo, por sua possibilidade de ser prevenido e diagnosticado no âmbito da APS. O trabalho teve por objetivo geral realizar um estudo avaliativo sobre a organização da rede de Atenção Primária à Saúde (APS) do município de Niterói no que tange às ações desenvolvidas em termos de câncer do colo do útero. E como objetivos específicos, pretendeu: a) mapear os serviços que compõem a Rede de Atenção Oncológica no município de Niterói; b) identificar as ações ofertadas pelos equipamentos de APS no município em termos de controle ao câncer do colo do útero; e c) conhecer os protocolos e mecanismos de referência e contrarreferência da APS com outros níveis de atenção. O percurso metodológico do estudo foi orientado por pesquisas bibliográfica, documental, de campo e aos sistemas de informação de acesso público. A pesquisa de campo, especificamente, ocorreu por meio de entrevistas às profissionais de saúde lotadas em um dos módulos de médico de família do município. O estudo considerou, para análise dos dados coletados, os atributos da integralidade e coordenação do cuidado, conforme definidos por Starfield (2002), bem como as dimensões de análise da coordenação do cuidado identificadas por Almeida et al. (2018), que estabelecem relação com outras categorias observadas na pesquisa de campo: longitudinalidade,
intersetorialidade e determinação social do processo saúde-doença. Os resultados apontaram que a Rede de Atenção Oncológica do município enfrenta desafios relacionados à ausência de contrarreferência dos serviços e de integração entre os sistemas de informação e regulação. Enquanto que, no âmbito da APS, a coordenação do cuidado e o cumprimento da busca ativa de mulheres-alvo da política de rastreamento de câncer do colo do útero e com exames em atraso, como preconizado pela carteira de serviços de Niterói e PNPCC, foram alguns dos pontos críticos identificados na pesquisa no que se refere ao papel desempenhado pela APS na prevenção e controle do câncer do
colo do útero.This study sought to assess how Primary Health Care services in Niterói, a municipality in the metropolitan region of Rio de Janeiro, are organized within the cancer care network. To this purpose, cervical cancer was used as a marker for the study, because it can be prevented and diagnosed within the Primary Health Care. The general objective of this study was to evaluate the organization of the Primary Health Care network in Niterói in terms of the actions carried out in relation to cervical cancer. The specific objectives were: a) to map the services that make up the Oncology Care Network in the municipality of Niterói; b) to identify the actions offered by Primary Health Care
facilities in the municipality in terms of cervical cancer control; and c) to find out about the protocols and mechanisms for referral and counter-referral between Primary Health Care and other levels of care. The study's methodological approach was guided by bibliographical, documentary and field research, as well as publicly accessible information systems. The field research specifically
involved interviews with health professionals working in one of the municipality's family doctor modules. To analyze the data collected, the study considered the attributes of comprehensiveness and coordination of care, as defined by Starfield (2002), as well as the dimensions of analysis of coordination of care identified by Almeida et al. (2018), which establish a connection with other
categories observed in the field research: longitudinality, intersectorality and social determination of the health-disease process. The results showed that the municipality's Oncology Care Network suffers from challenges related to the lack of counter-referral of services and integration between information and regulation systems. Meanwhile, within the scope of Primary Health Care, the
coordination and compliance with the active search for women targeted by the cervical cancer screening policy and with overdue exams, as recommended by Niterói's portfolio of services and the PNPCC, were some of the critical points identified in the research regarding the role played by Primary Health Care in the prevention and control of cervical cancer.149 f
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
O acesso ao Benefício de Prestação Continuada pelo paciente oncológico
No full textO presente artigo aborda o acesso de pacientes oncológicos ao Benefício de Prestação Continuada. Toma como lócus de análise uma unidade pública de alta complexidade em oncologia. O trabalho foi construído a partir de estudo qualitativo, descritivo e exploratório, contemplando pesquisas bibliográfica, documental e de campo. Os resultados apontaram dificuldades relacionadas aos critérios e morosidade na análise do benefício para os pacientes oncológicos entrevistados, com repercussões sociais como: ansiedade, gasto com medicamentos, dependência de terceiros e ausência de recurso para uso do transporte público.
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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