The document discusses the need for Brazil to adopt public policies focused on human functionality. It notes that the aging population and changes in disease patterns require a shift from policies centered around disease to those promoting health and functionality. The International Classification of Functioning, Disability and Health provides a framework for understanding functionality beyond disease. The document calls for Brazil to develop information on functionality and implement policies across the life cycle to promote health and prevent disabilities in order to improve quality of life and reduce costs to the social security system.
Data collection is important for:
1. Diagnosis of community health problems and assessment of community needs.
2. Helps in the comparison of health status and disease status in different countries and in one country over the years.
3. Evaluation of health services and health programs.
Data collection is important for:
1. Diagnosis of community health problems and assessment of community needs.
2. Helps in the comparison of health status and disease status in different countries and in one country over the years.
3. Evaluation of health services and health programs.
Government of every nation of the world seeks to improve the health condition of their country aggregately. This over time induces them to adopt various health terminologies such as community health and public health for their health sector. Government of the emerging economies of the world (developing countries), often concentrate their interest on either public health or community health,but adoption of public health and community health by these governments seems to yield little in aggregate health performance in their country. Inspite of this bedeviling fact, governments of emerging economies have no shifted their attention from either public health or community health. It is due to this undesirable situation that the paper sought to enlighten governments of these emerging economies on the need for them to shifts their attention to population health as a means to enhanced aggregate health performance in their respective countries. The paper focused on the concept of population health; benefits of adopting population health; importance of population health as compared to community health and public health; difference in design/content of population health practices from community health practices and public health practices; how current measurements using community and public health practices deter aggregate health performance in emerging economies; reasons for adoption of population health in emerging economies; evaluating population health; global variables for measuring population health; measuring population health; measuring community health, public health and population in emerging countries; reasons for measuring population health; tracking population health; potential limitations to population health conceptual framework; and strategies for effective and efficient population health in the emerging economies. It was recommended among others that training and retraining should be encouraged among person for population health, which will assist them to be
equipped with the needed skills and competencies for them to effectively/efficiently perform their duties, so as to actualize the mandate of population health.
Alma-Ata Conferance 2018, Global Conference on Primary Health Care. From Alma-Ata towards universal health coverage and the Sustainable Development Goals. Astana, Kazakhstan, 25 and 26 October 2018
it is a short and essential details regarding levels of prevention in Community health Nursing.and this ppt is most important for Nurses especially for post basic B.S.Sc.nursing students , because all criteria of power point presentation are followed in this ppt file.please like , share and improve your knowledge.thank you...
AVALIAÇÃO DE DESEMPENHO DE VERNIZ ACRÍLICO E VERNIZ POLIURETANO ANTIPICHAÇÃO ...Adriana de Araujo
Acrylic varnishes are widely used as protective coatings for Brazilian residential, commercial and industrial constructions. However, the market offers other types of varnishes as a result of the great technological development occurring in the chemical industry dedicated to the civil construction. Among the available varnishes, it can be pointed those based on polyurethanic resins, especially antigraffiti polyurethanic varnishes. The polyurethanic coatings remain intact even after several graphite removal cleaning processes. Thus, they present larger application being a good choice for replacing the acrylic varnishes used in civil construction. Acrylic varnishes, apparently, don’t protect the concrete surface from graphite and their protective properties against aggressive environmental compounds are inferior to the polyurethanic base varnishes. The objective of this work was to compare the performance of two protective varnishes available in the market for protecting concrete structures, one traditional and another based on polyurethane resin. The comparison was done through characterization tests and performance tests in order to verify their behavior against two environmental aggressive compounds: carbon dioxide and chlorides. The obtained results confirmed the superiority of the antigraffiti polyurethanic varnish, as much in characteristics as performance in protection barrier.
Os vernizes acrílicos são largamente utilizados como revestimento de acabamento nas edificações brasileiras. Além destes vernizes, o mercado oferece outras opções decorrentes do grande avanço tecnológico da indústria química voltada para construção civil. Dentre os vernizes recentemente incorporados no mercado, citam-se os à base de poliuretano, em destaque aqueles que são denominados como antipichação. O filme deste tipo de verniz mantém-se íntegro mesmo após constantes limpezas para a remoção de pichações na sua superfície. Desta forma, o verniz antipichação tem um maior campo de aplicação, podendo ser, também, um substituto no emprego, generalizado, do verniz acrílico nas construções, já que o mesmo, além de não proteger as fachadas contra pichações, aparentemente, tem um desempenho inferior como barreira de proteção contra os agentes mais potencialmente nocivos ao concreto armado. O objetivo do presente trabalho foi comparar dois vernizes de proteção para concreto aparente, ambos disponíveis no mercado, sendo um acrílico tradicional e outro poliuretano. Esta comparação foi realizada por meio de ensaios de caracterização e de ensaios de desempenho destinados a verificar o comportamento dos vernizes em relação a dois agentes agressivos: o dióxido de carbono e os íons cloreto. Os resultados obtidos confirmaram a superioridade do verniz poliuretano antipichação em relação ao verniz acrílico, tanto em características como em desempenho como barreira de proteção.
ARAUJO, A.; PANOSSIAN, Z. Avaliação
Government of every nation of the world seeks to improve the health condition of their country aggregately. This over time induces them to adopt various health terminologies such as community health and public health for their health sector. Government of the emerging economies of the world (developing countries), often concentrate their interest on either public health or community health,but adoption of public health and community health by these governments seems to yield little in aggregate health performance in their country. Inspite of this bedeviling fact, governments of emerging economies have no shifted their attention from either public health or community health. It is due to this undesirable situation that the paper sought to enlighten governments of these emerging economies on the need for them to shifts their attention to population health as a means to enhanced aggregate health performance in their respective countries. The paper focused on the concept of population health; benefits of adopting population health; importance of population health as compared to community health and public health; difference in design/content of population health practices from community health practices and public health practices; how current measurements using community and public health practices deter aggregate health performance in emerging economies; reasons for adoption of population health in emerging economies; evaluating population health; global variables for measuring population health; measuring population health; measuring community health, public health and population in emerging countries; reasons for measuring population health; tracking population health; potential limitations to population health conceptual framework; and strategies for effective and efficient population health in the emerging economies. It was recommended among others that training and retraining should be encouraged among person for population health, which will assist them to be
equipped with the needed skills and competencies for them to effectively/efficiently perform their duties, so as to actualize the mandate of population health.
Alma-Ata Conferance 2018, Global Conference on Primary Health Care. From Alma-Ata towards universal health coverage and the Sustainable Development Goals. Astana, Kazakhstan, 25 and 26 October 2018
it is a short and essential details regarding levels of prevention in Community health Nursing.and this ppt is most important for Nurses especially for post basic B.S.Sc.nursing students , because all criteria of power point presentation are followed in this ppt file.please like , share and improve your knowledge.thank you...
AVALIAÇÃO DE DESEMPENHO DE VERNIZ ACRÍLICO E VERNIZ POLIURETANO ANTIPICHAÇÃO ...Adriana de Araujo
Acrylic varnishes are widely used as protective coatings for Brazilian residential, commercial and industrial constructions. However, the market offers other types of varnishes as a result of the great technological development occurring in the chemical industry dedicated to the civil construction. Among the available varnishes, it can be pointed those based on polyurethanic resins, especially antigraffiti polyurethanic varnishes. The polyurethanic coatings remain intact even after several graphite removal cleaning processes. Thus, they present larger application being a good choice for replacing the acrylic varnishes used in civil construction. Acrylic varnishes, apparently, don’t protect the concrete surface from graphite and their protective properties against aggressive environmental compounds are inferior to the polyurethanic base varnishes. The objective of this work was to compare the performance of two protective varnishes available in the market for protecting concrete structures, one traditional and another based on polyurethane resin. The comparison was done through characterization tests and performance tests in order to verify their behavior against two environmental aggressive compounds: carbon dioxide and chlorides. The obtained results confirmed the superiority of the antigraffiti polyurethanic varnish, as much in characteristics as performance in protection barrier.
Os vernizes acrílicos são largamente utilizados como revestimento de acabamento nas edificações brasileiras. Além destes vernizes, o mercado oferece outras opções decorrentes do grande avanço tecnológico da indústria química voltada para construção civil. Dentre os vernizes recentemente incorporados no mercado, citam-se os à base de poliuretano, em destaque aqueles que são denominados como antipichação. O filme deste tipo de verniz mantém-se íntegro mesmo após constantes limpezas para a remoção de pichações na sua superfície. Desta forma, o verniz antipichação tem um maior campo de aplicação, podendo ser, também, um substituto no emprego, generalizado, do verniz acrílico nas construções, já que o mesmo, além de não proteger as fachadas contra pichações, aparentemente, tem um desempenho inferior como barreira de proteção contra os agentes mais potencialmente nocivos ao concreto armado. O objetivo do presente trabalho foi comparar dois vernizes de proteção para concreto aparente, ambos disponíveis no mercado, sendo um acrílico tradicional e outro poliuretano. Esta comparação foi realizada por meio de ensaios de caracterização e de ensaios de desempenho destinados a verificar o comportamento dos vernizes em relação a dois agentes agressivos: o dióxido de carbono e os íons cloreto. Os resultados obtidos confirmaram a superioridade do verniz poliuretano antipichação em relação ao verniz acrílico, tanto em características como em desempenho como barreira de proteção.
ARAUJO, A.; PANOSSIAN, Z. Avaliação
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Series294 www.thelancet.com Vol 380 July 21, 2012L.docxklinda1
Series
294 www.thelancet.com Vol 380 July 21, 2012
Lancet 2012; 380: 294–305
Published Online
July 18, 2012
http://dx.doi.org/10.1016/
S0140-6736(12)60898-8
This is the fi fth in a Series of
fi ve papers about physical activity
*Members listed at end of paper
University of Texas Health
Science Center, Houston School
of Public Health, and University
of Texas at Austin Department
of Kinesiology and Health
Education, Austin, TX, USA
(Prof H W Kohl 3rd PhD);
Canadian Fitness and Lifestyle
Research Institute, Ottawa, ON,
Canada, and School of Public
Health, University of Sydney,
Sydney, NSW, Australia
(C L Craig MSc); UCT/MRC
Research Unit for Exercise
Science and Sports Medicine,
Department of Human Biology,
Faculty of Health Sciences,
University of Cape Town, Cape
Town, South Africa
(Prof E V Lambert PhD); Tokyo
Medical University, Department
of Preventive Medicine and
Physical Activity 5
The pandemic of physical inactivity: global action for
public health
Harold W Kohl 3rd, Cora Lynn Craig, Estelle Victoria Lambert, Shigeru Inoue, Jasem Ramadan Alkandari, Grit Leetongin, Sonja Kahlmeier, for the
Lancet Physical Activity Series Working Group*
Physical inactivity is the fourth leading cause of death worldwide. We summarise present global eff orts to counteract
this problem and point the way forward to address the pandemic of physical inactivity. Although evidence for the
benefi ts of physical activity for health has been available since the 1950s, promotion to improve the health of populations
has lagged in relation to the available evidence and has only recently developed an identifi able infrastructure, including
eff orts in planning, policy, leadership and advocacy, workforce training and development, and monitoring and
surveillance. The reasons for this late start are myriad, multifactorial, and complex. This infrastructure should continue
to be formed, intersectoral approaches are essential to advance, and advocacy remains a key pillar. Although there is a
need to build global capacity based on the present foundations, a systems approach that focuses on populations and
the complex interactions among the correlates of physical inactivity, rather than solely a behavioural science approach
focusing on individuals, is the way forward to increase physical activity worldwide.
The pandemic of physical inactivity should be a
public health priority
Theoretically, prioritisation for public health action is
informed largely by three factors: the prevalence and
trends of a health disorder; the magnitude of the risk
associated with exposure to that disorder; and evidence
for eff ective prevention and control. A practice or
behaviour that is clearly related to a health disorder, is
prevalent, and is static or increasing in its prevalence
should be a primary target for public health policy for
disease prevention and health promotion. Too often,
however, the inertia of tradition, pressure .
Today, you are introduced to the Social Determinant of Health (SDOH) perspective. This assignment responds to two questions, firstly “What is a SDOH perspective?” which will be explored in detail providing two examples of a Social Worker role. The second question requiring a critical discussion surrounding SDOH including “What benefits does a social determinants of health perspective provide, and what are its limits?”.
Since the implementation of the “Unified Health System (SUS)” in Brazil in 1990 (public system that offers universal access to any citizen, whether employed or not), there have been
significant and diversified advances in the formulation of structural policies and programmatic actions of the health sector, directed to the three levels of complexity of the system, with a view to its operationalization/expansion in the country [1].
PUBLIC HEALTHPromoting Public health. Introducti.docxamrit47
PUBLIC HEALTH
Promoting Public health.
Introduction:
In order to understand what public health means we need to begin with what health means.
We will use the definition of health that was adopted by the World Health organization (WHO).
The definition of health originated in the Alma Ata Declaration which was signed by participants at a WHO international conference in 1978 on Primary Health Care.
By defining what health means, we will be able to get a firm foundation for then by identifying what differentiate public health from other arenas.
2
Health
Definition of health
According to Alma Ata Declaration, it states that health is a state of complete physical, social and mental wellbeing and not just the absence of disease or infirmity.
Apart from providing the definition of health, The Alma-Ata Declaration also said some important things about health that PHANZ also endorses.
Health is characterized as a fundamental human right as well as attaining the highest possible level of health that is an important social goal worldwide.
3
Continuation:
Alma-Ata Declaration also said some important things about health that PHANZ also endorses.
Apart from providing the definition of health, health is characterized as a fundamental human right as well as attaining the highest possible level of health that is an important social goal worldwide.
The Alma-Ata Declaration recognizes that by realizing the goal, it also required the actions of other social and economic sectors apart from the health sectors.
Continuation
Our own Public Health Advisory Committee further emphasized the importance of recognizing the breadth of the determinants of health. According to the research of the committee, they revealed that the strongest influences on the health of individuals normally comes from the factors that are outside the health system.
They includes the social, physical, cultural and economic environment in which we live
Public Health
It is a science and art of promoting health preventing disease as well as prolonging life through education, research as well as promotion of healthy lifestyle.
Public health focuses on health promotion as well as disease or injury prevention which contrast to the medical model of care.
Medical model of care focuses more on diagnosis and treating illnesses as well as conditions after they occur.
How to differentiate Public health from other health care?
Based on the definition of public health, there are a number of key things that differentiate it from personal health and public health interventions from person health services. These include;
Public health is all about keeping people well instead of treating their diseases, disorders as well as disabilities after they emerged hence this is why the definition of public health emphasizes more on promoting health, prolonging life as well as preventing disease.
Public health focuses more on populations and not individuals hence it is oft ...
The contribution of Sport and Physical activity towards the achievement of co...IOSR Journals
Abstract: In the last two decades Zimbabwe suffered severe socioeconomic and political crisis. The crisis was
characterised by unprecedented rates of inflation which were exacerbated by political instability and economic
sanctions. The economic challenges led to severe brain drain of Zimbabwe health professionals. The elements of
a previously well maintained health care system severely deteriorated. Community health was therefore
seriously compromised. Now that Zimbabwe seem to be on the recovery path this article critiques, reviews and
justifies the potential contribution which sport and physical activity can make towards the achievement of
community healthy objectives in Zimbabwe in line with millennium development goal number six. The content
analysis and review identified that sport and physical activity can play a significant role in improving the health
of members of the Zimbabwean community. It is apparent from the review that Sport and physical activity can
help reduce the incidence of obesity, cardiovascular diseases, HIV/AIDS, diabetes, hypertension and many other
health problems bedevilling the Zimbabwean society today and hence contribute towards the achievement of
Millennium Development Goal number six.
Keywords: Community health, Physical activity, Sport, MDGs, Zimbabwe
Programs for public health practitioners in the field, due to the profession is so dispersed in its work—from employment in private managed care organizations and clinics. The main purpose of this study is to analysis the relationship between law and ethics with public healthcare performance. The present study used a quantitative research design, specifically the descriptive survey design. This is because such design accurately and objectively describes the characteristics of a situation or phenomenon being investigated in a given study. It provides a description of the variables in a particular situation and, sometimes, the relationship among these variables rather than focusing on the cause-and effect relationships. Thus, this study used a questionnaire which was developed from previous research in order to measure the relationships among the investigated variables. This study was carried out in different healthcare centers located in Erbil, the total of 81 participants participated in this study. The researcher developed research hypothesis as follow; there is a positive and significant relationship between law and healthcare performance in Erbil. The finding of this study showed that the value of beta for law and ethics factor is .749 with the P-value .000 this means that the law and ethics will have positive and significant influence on healthcare performance; accordingly the main research hypothesis is supported.
Linking clinical workforce skill mix planning to health and health care dynamicsIme Asangansi, MD, PhD
Current health workforce planning methods are inadequate for the complexity of the task. Most approaches treat the workforce supply of individual health professions in isolation and avoid quantifying the impact of changes in skills mix, either planned or unplanned. The causes and consequences of task delegation and task substitution between or within health professions is particularly important in handling workforce shortages in developing countries and understanding and planning possible responses to both rapid catastrophic health demands and slower background trends in their social and political environment. As well as the contextual environment, interactions and delays in supplying and balancing health resources and configuring clinical services are required to address the geographic, profession-specific and quality imbalances. These supply side resources include knowledge and research, skills and attitudes of clinicians, buildings and equipment, medications and medical technologies, information and communications technologies and any other methods and models to improve the provision of clinical services. The interaction between demand
and supply could adjust for feedbacks of health services outcomes, policies and governance on population expectations, funding, political and social supports and explicitly link these to clinical workforce supply in a useful, rigorous and relevant tool. The challenge is capture the relevant essence of the dynamic complexity of health and healthcare for this purpose.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
1. 5Rev Bras Promoç Saúde, Fortaleza, 26(1): 5-8, jan./mar., 2013
EditorialPROMOTION OF HEALTH AND HUMAN FUNCTIONALITY
For the development of public health policies in Brazil, two aspects should be
takenintoconsideration,namely,thedemographictransitionandtheepidemiological
transition. More and more, it is perceivable an increase in the number of elderly
people living with numerous disabilities and also an epidemiological profile.
National Household Sample Survey (Pesquisa Nacional por Amostra de Domicílios
- PNAD) 1998-2003 indicates a distribution of chronic diseases that, consequently,
has generated an expressive number of disabilities. These people with disabilities
need health services, and use them when they manage to access them. However, the
current models of healthcare for the elderly or people with disabilities are expensive
and, in some aspects, are not efficient, requiring preventive strategies and health
equipment for the maintenance or recovery of health of an aged population. Thus,
the public policy agenda of Brazil should give priority to the maintenance of the
functionality of the aged, with monitoring of health status, specific preventive
actions on health and education, and care seeking an integral and multidimensional
attention, not necessarily focused on disease(1)
.
The need to develop policies and strategies, particularly on health promotion,
with a look detached from the disease is justified because health problems come
not only from the disease, but from any other circumstance or health condition,
such as, pregnancy , aging, stress, genetic predisposition – all classified by D-10,
nevertheless, not being able to measure the status alterations related to health, and
much less to sort and describe the context in which these problems occur, which
complicates and jeopardizes the planning and solvability of actions and services in
health, unlike the data by means of qualifiers that the International Classification of
Functioning, Disability and Health (ICF) has the potential to generate(2)
.
Brazil is a member country of the World Health Organization, signatory of
Resolution WHA54.21-OMS54.21, which recommends the use of the International
Classificationof Functioning, Disabilityand Health (ICF), translated into Portuguese
in 2003. The main paradigm that ICF brings is the shift from an approach based on
the disease to an approach focused on the human functionality(3)
. Only in May 2012
the National Health Council (Conselho nacioinal de Saúde – CNS) approved the
resolution 452 for the Ministry of Health to adopt the ICF, among other uses, as a
generator of indicators of human functionality (4)
. Human functionality, according
to the International Classification of Functioning, Disability and Health (ICF) of the
World Health Organization, is a comprehensive term that designates the elements
of the body, its functions and structures, the human activities and participation in
the social processes, indicating the positive aspects of the interaction of individuals
with certain health conditions and thee context in which he lives with regard to
personal and environmental factors (structural and attitudinal) (3)
. However, health
information appears incomplete, since data regarding the human functionality is
not yet meaningful enough to support the developed policies so that they could
accomplish the expected results in the face of the disabilities posed by the
deficiencies, limitations in activities and restrictions of participation(5)
.
Given the above, a change in direction is required in the paths of public health
policies in Brazil, disposing of the exclusively biological approach to the disease,
Ana Cristhina de Oliveira
Brasil(1)
1) University of Fortaleza (UNIFOR),
assistant coordinator of the Forum of the
Health Area Workers National Entities
(FENTAS) representing the Federal
Council of Physiotherapy and Occupational
Therapy (COFFITO), full member of
the Intersectional Commission on SUS
Complementary and Integrative Practices in
the National Health Council.
2. 6 Rev Bras Promoç Saúde, Fortaleza, 26(1): 5-8, jan./mar., 2013
and starting to see it as a problem produced by the society.
Therefore, it is necessary to develop information that
record not only the disease but the additional aspects of the
individuals´ health status.
The human functionality is directly influenced both
by the presence of diseases, mainly the chronic ones
(featuring the change induced by the epidemiologic
transition), as by the occurance of negative context, like the
diverse environmental barriers, whether they are physical,
geographic, technological, legal, among others(5)
.
Such health problems that generated those impairments
are harmful not only to the citizens but also to the State,
since they burden the social security system (health, welfare
and social security), leading to decreased quality of life,
especially of those affected by such problems.
Despite the finding of facts as the major expenses with
medium and high complexity services in health, sickness
benefit and early retirements that could have been avoided,
one can perceive the lack of specific and properly planned
actions, the implementation of which depends on political
and administrative will and on a paradigm shift regarding
the expanded focus on the etiology of all these health
problems.
And yet, no public policies are known in Brazil, to
follow up, in a transversal and integral way, all the stages
of the life cycle or to delineate the profile of functionality
and the monitoring of the incidence of disabilities, but also,
in particular, actions focused on future generations, based
on the expanded concept of health proposed by WHO and
defended in the principles and guidelines of SUS.
Far more required than simply creating reintegration
services is to avoid / prevent social restriction. Therefore,
policies must be drawned with a new perspective on the
human being, that respects the constitutional principles
and guidelines of the NHS and meet the consequences of
demographic and epidemiological transitions in order to
promote health so that people live without major disabilities
an increased life expectancy that has already been settled
in Brazil.
At the 13th
National Conference on Health, the
unprecedented proposal n.144 has been approved on Axis
II - Public Policies for Health and Quality of Life: SUS
in Social Security and the Pact for Health, along with the
motion n. 84, aiming to develop and implement a national
health functional policy crossing all health policies at their
different levels, particularly in areas involving the health of
workers, of the elderly, the disabled person, the schoolar,
the woman, the man and the other cycles of life, ensuring
the interdisciplinary and multidisciplinary performance(6)
.
As from a technical discussion, it is possible to
conceive as functional health the status of functionality of
individuals and communities welfare at all stages of the life
cycle, in activities performance and in social participation,
promoting quality of life and autonomy for the full exercise
of citizenship.
Early detection should be the first step for the actions of
functional health, beyond the lines of promotion and care to
give visibility to the professional actions of health recovery
and prevention of disabilities, seen here in a much broader
sense, seeking an outstanding performance of human
activities and the most possibly complete participation in
society.
It becomes evident, then, the need to ensure actions in
the promotion of functional health, prevention of structural
changes and dysfunctions / disabilities, with or without an
underlying disease, and effective recovery of dysfunction,
to overcome the limitations and / or restrictions imposed by
such condition that affects the functional health.
A policy like this brings, among all the advantages of
its results, a reduction of damages to social security, arising
from these disabilities, as well as an improvement in quality
of life, with a low aggregate cost, since the actions require
basically the performance of specific professionals, light
technology inputs and the utmost possibility of its emphasis
on primary care.
Based on what has been written in this editorial
is that in the Brazilian Journal in Health Promotion
(RBPs), supported by its articles focused on education
and health promotion, highlights the need for the adoption
of measures aiming the elaboration of public policies for
human functionality, through epidemiological identification
of risk groups, based on CIF, with the aim of optimizing
the actions and the offer of services to users of the Unified
Health System (Sistema Único de Saúde - SUS), the Unified
Welfare System (Sistema deAssistência Social - SUAS) and
Social Security that are have as their reference the paradigm
of functional health, generating an important factor of
promotion, prevention and recovery of functional health,
and promoting the development and social reintegration,
which constitutionally must be ensured to the Brazilian
population.
3. 7Rev Bras Promoç Saúde, Fortaleza, 26(1): 5-8, jan./mar., 2013
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