Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 6 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 6 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2001. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2001. / Härtill 5 uppsatser.

Thesis (Ph.D.)--University of Melbourne, Dept. of Geomatics, 2003. / Typescript (photocopy). Includes bibliographical references (leaves 276-286).

A research report submitted to the School of Public Health, Faculty of Health Sciences, University of Witwatersrand in partial fulfillment of the requirements for the degree of Master of Public Health. 20 October 2014 / Background: Health experts are calling sugar the new tobacco (Action on Sugar, 2014). The WHO recently revised its recommendations for a maximum daily limit on sugar intake of 25 grams. Yet a 2012 study showed that South African children and adolescents are consuming up to 50 grams and 100 grams per day respectively (Steyn et al., 2003). Sugar is now recognized for its role, not only in promoting caries, obesity and diabetes, but also in the development of cancers. The World Cancer Report 2014, warns of a ‘cancer tidal wave’ over the next 20 years (IARC, 2014) Health promotion alone is insufficient; drawing on the example of tobacco control, such as advertising restrictions, legislation is the key to prevention. The sugar-sweetened beverage (SSB) industry is the leader among all sectors in marketing to young people (Arredondo et al., 2009), thus a similar approach is recommended for restricting SSB advertising to reduce chronic disease risk. There is no data regarding SSB advertising and obesogenic environments in South Africa. This pilot study is the first to describe the location, content and characteristics of outdoor print advertisements for SSBs and fast foods in South Africa. Methodology: This is a secondary analysis of data collected as part of a larger 2013 study investigating the obesogenic environment in Soweto, South Africa. All visible outdoor advertising and branding of SSBs and fast food in a five-square kilometer demarcated area were included. Data on content, quantity, location, size and type of advertisements was collected in the field and a photograph was taken for further analysis. Comparisons were drawn to photographs of alcohol advertising in the same area. Data was captured using a coding sheet and was analysed descriptively and using inferential statistics. The advertisements included billboards, banners, posters, pole advertisements, painted signs, branded school signs, branded shop signs, directional signs and branded umbrellas and fridges. A total of 237 photographs were included in the study. Results: The main findings of this study indicate a significant presence of advertising and branding for sugar-sweetened beverages in Soweto. SSB and fast food advertising and branding accounted for 62.86% of all advertising in the area under study. Of all SSB and fast food brands available in South Africa, Coca-Cola accounted for 86.58% of this advertising and branding. Unlike alcohol advertising, which is restricted to the locations in which alcohol is sold, advertising for SSBs is pervasive throughout the community, seen everywhere from shops and schools to transit stops and on street sides. Most SSB advertising and branding signage is medium or large in size. Images of people were only present in a small number of the adverts. However when people were present, they were consistently young people under the age of 35. The race of people in the adverts consistently represented the black African demographic of Soweto. While the main goal of the adverts appears to be product and brand recognition, there is a trend across the SSB adverts to convey messages of happiness, positivity, friendship, fun and well-being, suggesting that consumption of these products would lend to such outcomes for the consumer. A small percentage also promoted special deals to encourage product purchase. Conclusion: SSB advertising in Soweto is extensive, far surpassing advertising for junk food or alcohol. The government should consider implementing legislation, to restrict SSB advertising. The country should also urgently move to adopt WHO’s new guidelines on the daily upper limit for sugar intake (Mann, 2012), and to limit SSB intake specifically, which should be reflected in revisions to South Africa’s food-based dietary guidelines. Further research should focus on the association between the high rate of exposure to SSB advertising in Soweto and the level of consumption of SSBs and on the understanding of the advertising environment and how this affects the health literacy of South African children and adolescents.

Yes

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / Study of adverse events in an accredited secondary hospital of CearÃ: an approach to risk management. Author: Milena Pontes Portela Beserra. Supervisor: ProfÂ. Dr Marta Maria de FranÃa Fonteles. [Master degreeâs dissertation. Post Graduation in Pharmaceutical Science. Department of Pharmacy â Federal University of CearÃ]. BACKGROUND: Hospital Risk Management acts in the prevention, detection, control or eliminate risks that could cause harm to patients, in Brazil this concept was implemented in 2001 by the National Agency for Sanitary Surveillance (Anvisa), Ministry of Health with the project Sentinel Hospitals, and currently brings together nearly two hundred institutions. It consists basically of three pillars: pharmacovigilance, haemovigilance and technical surveillance. Indicators of results and adverse events are fundamental tools of quality by pointing out aspects of care that can be improved by making patient care without risks and failures, and therefore safer. In order to improve the quality of healthcare services in recent decades had the strength of the Hospital Accreditation Program consisting of external evaluation system that verifies the compliance of the structure and care processes with the adopted set of standards previously established. OBJECTIVES: To study adverse events suffered by hospitalized patients or that were related to drugs and related in a public secondary hospital accredited by National Accreditation Organization (ONA), in 2010, contextualizing the risk management approach in the hospital. METHODS: We conducted a retrospective documentary base at the Hospital General Dr. Waldemar Alcantara (HGWA) a survey of all reports of adverse drug reactions (ADRs), reactions to blood products and technical defects of materials, equipment and drugs, studying, and the risk management with a focus on pharmacovigilance, haemovigilance and technical surveillance, respectively. RESULTS AND DISCUSSION: There have been 271 events, with 166 (61.3%) RAM, 64 (23.6%) technical defects, 41 (15.1%) transfusion reactions. We found a higher number of RAM in patients with extreme age and use of antimicrobials, as well as previously reported. The main reported ADRs were dermatological and medical groups were more involved antimicrobials for systemic use. The main blood component was transfused red blood cells, is also a major cause of anemia, transfusion reactions and the main indication. The most transfusion reactions reported were fever (55.6%), dyspnea (8.9%) and urticaria (8.9%), these reactions were immediate in 92.7% of cases, they occurred in up to 24 hours after transfusion. Techniques have been reported 64 complaints of 40 different products, the main products cited were: saline 100 mL closed system (14.1%) and micropore tape (7.8%). Had the potential to cause direct harm to patients 81.3% the complaints and the nursing staff was the main notifier. CONCLUSION: The HGWA presents a program of effective risk management, maintaining and working on positive indicators for the safety of the patient. Even more important is to note that you can perform a quality service in terms of risk management, even when it comes to a public hospital in northeastern Brazil with financial constraints. / Estudo dos eventos adversos em um hospital secundÃrio acreditado do CearÃ: uma abordagem no gerenciamento de riscos. Autora: Milena Pontes Portela Beserra. Orientadora: ProfÂ. DrÂ. Marta Maria de FranÃa Fonteles. [DissertaÃÃo de Mestrado â PÃs-graduaÃÃo em CiÃncias FarmacÃuticasâ Departamento de FarmÃcia da Universidade Federal do CearÃ]. INTRODUÃÃO: O Gerenciamento de Riscos Hospitalares atua na prevenÃÃo, detecÃÃo, controle ou eliminaÃÃo de riscos capazes de causar danos aos pacientes. No Brasil este conceito foi implantado em 2001 pela AgÃncia Nacional de VigilÃncia SanitÃria (Anvisa), do MinistÃrio da SaÃde, com o projeto Hospitais Sentinela, e, atualmente, congrega quase duas centenas de instituiÃÃes. à constituÃdo basicamente por trÃs pilares: farmacovigilÃncia, hemovigilÃncia e tecnovigilÃncia. Indicadores de resultados como os eventos adversos sÃo ferramentas fundamentais da qualidade por apontarem aspectos do cuidado que podem ser melhorados tornando a assistÃncia aos pacientes livre de riscos e falhas e, portanto, mais segura. Com o objetivo de melhorar a qualidade assistencial dos serviÃos, nas Ãltimas dÃcadas, tiveram forÃa os Programas de AcreditaÃÃo Hospitalar que consistem em sistema de avaliaÃÃo externa que verifica a concordÃncia da estrutura e dos processos assistenciais adotados com o conjunto de padrÃes previamente estabelecidos. OBJETIVOS: Estudar eventos adversos que acometeram os pacientes internados ou que se relacionaram a medicamentos e correlatos, em um hospital pÃblico secundÃrio acreditado pela OrganizaÃÃo Nacional de AcreditaÃÃo (ONA), no ano de 2010, contextualizando a abordagem no gerenciamento de risco hospitalar. MÃTODOS: Foi realizado um estudo retrospectivo de base documental no Hospital Geral Dr Waldemar AlcÃntara (HGWA) com levantamento de todas as notificaÃÃes de reaÃÃes adversas a medicamentos (RAM), reaÃÃes aos hemocomponentes e queixas tÃcnicas de materiais, equipamentos e medicamentos, estudando, assim, o gerenciamento de riscos com foco na farmacovigilÃncia, hemovigilÃncia e tecnovigilÃncia, respectivamente. RESULTADOS E DISCUSSÃO: Foram notificados 271 eventos, sendo 166 (61,3%) RAM, 64 (23,6%) queixas tÃcnicas e 41 (15,1%) reaÃÃes transfusionais. Foi encontrado maior nÃmero de RAM nos pacientes pertencentes aos extremos etÃrios e em uso de antimicrobianos, conforme jà bem descrito na literatura. As principais RAM notificadas foram as dermatolÃgicas e o grupo medicamentoso mais envolvido foram os antimicrobianos de uso sistÃmico. O principal hemocomponente transfundido foi o concentrado de hemÃcias, sendo tambÃm o maior causador de reaÃÃes transfusionais e a anemia a principal indicaÃÃo. As reaÃÃes transfusionais mais notificadas foram: febre (55,6%), dispnÃia (8,9%) e urticÃria (8,9%), essas reaÃÃes foram imediatas em 92,7% dos casos, pois ocorreram em atà 24h apÃs a transfusÃo. Foram notificadas 64 queixas tÃcnicas de 40 produtos diferentes, os principais produtos citados foram: o soro fisiolÃgico 100mL sistema fechado (14,1%) e fita microporosa (7,8%). PossuÃam potencial para causar dano direto aos pacientes 81,3% das queixas e a equipe de enfermagem foi a principal notificadora. CONCLUSÃO: O HGWA apresenta um programa de gerenciamento de riscos eficiente, com manutenÃÃo de indicadores positivos e trabalhando em prol da seguranÃa do paciente. Ainda mais importante à ressaltar que à possÃvel realizar um serviÃo de qualidade, em termos de gerenciamento de riscos, mesmo quando se trata de um hospital pÃblico do nordeste brasileiro com limitaÃÃes financeiras.

Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.

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