Therapeutic itinerary of homeless persons with tuberculosis in Rio de Janeiro
This study aims to describe the therapeutic itinerary of homeless persons with tuberculosis, from the initial perception of the symptoms to the moment of hospitalization. Methods: The study used a qualitative approach, containing information and perceptions collected through semi-structured interviews, medical records and the tuberculosis information system. Interviews were interpreted using the discourse content analysis, proposed by Bardin. The theoretical approach adopted to understand their therapeutic itinerary was the health care system model proposed by Arthur Kleinman, in which the popular, professional and folk ...
Source: Physis: Revista de Saude Coletiva - August 13, 2018 Category: International Medicine & Public Health Source Type: research
HIV Testing Among “MSM”: Prevention Technologies, Sexual Moralities and Serologic Self-surveillance
Abstract Global AIDS guidelines have prioritized the expansion of HIV testing among the groups most exposed to the virus, such as those referred to as men who have sex with men (MSM). This paper analyses the relationships between the production of prevention strategies and sexual moralities based on the results of a systematic review of academic literature about testing with gays and MSM (2005-2015, using the PubMed, Sociological Abstract and Lilacs databases). The analysis of 65 articles reveals the recruitment strategies for identifying target-subjects and how they are held responsible for their serological self-surveill...
Source: Physis: Revista de Saude Coletiva - August 13, 2018 Category: International Medicine & Public Health Source Type: research
Implications of labor reform on workers’ feeding
(Source: Physis: Revista de Saude Coletiva)
Source: Physis: Revista de Saude Coletiva - August 13, 2018 Category: International Medicine & Public Health Source Type: research
In order to defend science, it is necessary to make it accessible, intelligible and meaningful
(Source: Physis: Revista de Saude Coletiva)
Source: Physis: Revista de Saude Coletiva - August 13, 2018 Category: International Medicine & Public Health Source Type: research
Erratum: Aproximações entre percepção de usuários e itens do instrumento para avaliação dos serviços brasileiros em síndrome de imunodeficiência adquirida
Resumen El trastorno por d éficit de atención e hiperactividad (TDAH) se encuentra entre los trastornos psiquiátricos infantiles más prevalentes en la actualidad y, desde áreas biomédicas y neurobiológicas, se considera que presenta una base biológica. En el presente trabajo se analizarán, desde una aproximación fil osófica, los discursos que se despliegan desde dichas investigaciones con el objetivo de detectar y clarificar diversos aspectos fenoménicos, teóricos y ontológicos que le subyacen. En términos generales, hemos encontrado que la conceptualización del TDAH está atravesada por al menos cuatro n i...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
A coprodução do zika no sertão nordestino brasileiro
Resumen El trastorno por d éficit de atención e hiperactividad (TDAH) se encuentra entre los trastornos psiquiátricos infantiles más prevalentes en la actualidad y, desde áreas biomédicas y neurobiológicas, se considera que presenta una base biológica. En el presente trabajo se analizarán, desde una aproximación fil osófica, los discursos que se despliegan desde dichas investigaciones con el objetivo de detectar y clarificar diversos aspectos fenoménicos, teóricos y ontológicos que le subyacen. En términos generales, hemos encontrado que la conceptualización del TDAH está atravesada por al menos cuatro n i...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
Entrevista de Suely Rozenfeld à Physis
Resumen El trastorno por d éficit de atención e hiperactividad (TDAH) se encuentra entre los trastornos psiquiátricos infantiles más prevalentes en la actualidad y, desde áreas biomédicas y neurobiológicas, se considera que presenta una base biológica. En el presente trabajo se analizarán, desde una aproximación fil osófica, los discursos que se despliegan desde dichas investigaciones con el objetivo de detectar y clarificar diversos aspectos fenoménicos, teóricos y ontológicos que le subyacen. En términos generales, hemos encontrado que la conceptualización del TDAH está atravesada por al menos cuatro n i...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
Characterization, scope and difficulties of the "biological bases" of attention deficit hyperactivity disorder (ADHD). An approach from the Philosophy of Biology
Resumen El trastorno por d éficit de atención e hiperactividad (TDAH) se encuentra entre los trastornos psiquiátricos infantiles más prevalentes en la actualidad y, desde áreas biomédicas y neurobiológicas, se considera que presenta una base biológica. En el presente trabajo se analizarán, desde una aproximación fil osófica, los discursos que se despliegan desde dichas investigaciones con el objetivo de detectar y clarificar diversos aspectos fenoménicos, teóricos y ontológicos que le subyacen. En términos generales, hemos encontrado que la conceptualización del TDAH está atravesada por al menos cuatro n i...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
An analytical categorization for the study and comparison of clinical practices in distinct medical rationalities
This article presents an analytical categorization of clinical encounters for comparative equidistant investigations of clinical practice in different medical systems. This categorization was conceived as an ideal Weberian type, guided by Levi-Strauss ’ s dynamics of symbolic effectiveness. We conceptualized six constituent movements of clinical encounters: (1) user ’ s acceptance; (2) demand listening; (3) problem investigation; (4) diagnosis elaboration and interpretation; (5) socialization of interpretation; and (6) therapy elaboration, agreement and implementation. These constituent movements can be associated with...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
The introduction of nucleic acid tests (NAT) for blood screening in the Brazilian public healthcare system: technological arrangements for the nationalization of the “Brazilian NAT”
Resumo Os testes de ácidos nucleicos (NAT) são ferramentas complementares aos testes sorológicos para controle da transmissão de doenças infecciosas por meio de produtos obtidos a partir do sangue. Em 2002, um decreto do Ministério da Saúde tornou obrigatória a realização do NAT por todos os bancos de sangue, medida dificultada por razões como os custos necessários para a sua implantação. Como estratégia para a sua incorporação nos bancos de sangue ligados ao SUS, um consórcio público foi criado para desenvolver uma versão local do kit. A partir de métodos de pesquisa qualitativa, os autores analisam ...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
Activism, public policies and access to medicines: the use of patent oppositions by civil society organizations
This article brings the issue of access to ARV drugs and the construction of the struggles agenda of the Aids social movement regarding the tenofovir case as well as its prodrugs and the combination with emtricitabine. The article discusses which strategies the HIV movement used to avoid the patenting of such drugs, using the monographic method and the author ’ s inside position to conduct this analysis. (Source: Physis: Revista de Saude Coletiva)
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
Medicines provision through the “Saúde Não Tem Preço” initiative in target municipalities for the Brazil Without Poverty Plan in Mato Grosso do Sul state
Resumo O Programa Farm ácia Popular do Brasil (PFPB) tem como uma de suas características a interface que promove entre o setor público e o privado. A partir de 2011, passou a integrar o rol de ações do Plano Brasil Sem Miséria (BSM), com a iniciativa “ Sa úde Não Tem Preço ” (SNTP), caracterizada pela gratuidade da provis ão de medicamentos para hipertensão, diabetes e asma. O estudo teve como objetivo verificar o papel do SNTP nos municípios-alvo do BSM em Mato Grosso do Sul. Foi realizado inquérito baseado em método da OMS em 40 farmácias credenciadas de 15 municípios. Foram coletadas informações ...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
Expenditures with payments in the “Aqui Tem Farmacia Popular” Program: evolution between 2006-2014
This article examined the expenditures of the Ministry of Health with payments of medicines to accredited private sector pharmaci es to the ATFP Program in 2006 to 2014. We used data from secondary sources, such as the National Health Fund, SAGE database and direct contact with the e-SIC system. Were spent BRL 7.9 billion with the ATFP, with strong growth pattern after exemption of copayment, since 2011. Medicines for treatmen t of hypertension totaled 60% of expenditures, followed by the antidiabetic (19%) and dyslipidemia (14%). Losartan potassium and simvastatin were the major drugs in spending. The significant increase...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
The recent evolution of the Brazilian pharmaceutical industry in the limits of economic subordination
This study shows the results of the development of the Brazilian Pharmaceutical Industry and trade balance between 1996 and 2014, discussing possibilities of changes in Brazilian industrial policies. The research had two assumptions: industrial possibilities are strongly connected with the international scenario, which has worsened since the 1990s, leaving the country more vulnerable. The data sources were the Annual Industrial Survey of the Brazilian Institute of Geography and Statistics and the Foreign Trade Information System from the Ministry of Industry. The values were adjusted not to consider the inflation. The resu...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
Price reduction of monopoly medicine in the Unified Health System: the case of Tenofovir
This study aimed to analyze the evolution of the price of tenofovir (TDF) in Brazil considering the different initiatives for its reduction. The selection criteria for the case were: to have been subject to at least one strategy to overcome patent barrier, which in the case was the support to examination of the patent application (patent opposition); and have been subject of a local production Partnership for Productive Development (PDP). The main results suggest that patent opposition presented in 2005 and 2006 contributed to the decision to reject the patent application in 2009. Brazil is estimated to have paid around US...
Source: Physis: Revista de Saude Coletiva - May 24, 2018 Category: International Medicine & Public Health Source Type: research
