Departamento de Medicina Preventiva - FM/MPR

URI Permanente desta comunidade

https://observatorio.fm.usp.br/handle/OPI/31
O Departamento de Medicina Preventiva da Faculdade de Medicina da Universidade de São Paulo (FMUSP), criado em 1967, tem os objetivos de promover e desenvolver formas de conhecimento na área de saúde coletiva, com as especificidades que convêm a um departamento de uma escola de Medicina, por meio de ensino e pesquisa; ministrar o ensino superior, visando a formação de pessoas capacitadas ao exercício da investigação na área de saúde coletiva, bem como a qualificação para atividades profissionais; estender à sociedade serviços relacionados às atividades de ensino e pesquisa.

O Departamento desenvolve diferentes atividades em várias linhas de atuação que podem ser agrupadas nas seguintes áreas: Ciências Humanas e Sociais em Saúde, Epidemiologia, Política, Planejamento, Gestão e Avaliação em Saúde.

Site oficial: http://www2.fm.usp.br/preventiva/

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article
GOVERNANÇA E COORDENAÇÃO NO SUS: Aprendendo com a pandemia de Covid-19
(2023) COELHO, VERA SCHATTAN P.; BLOOM, GERRY; PAES-SOUSA, RÔMULO; FIORE, DANILO CESAR; VIANA, ANA LUIZA; IBAÑEZ, NELSON; ARBIX, GLAUCO; MELLO, GUILHERME; CERON, MARIANE
ABSTRACT For plural health systems, promoting coordination between multiple sectors and governments levels is a permanent challenge. This study explores how the SUS dealt with this challenge during the Covid-19 pandemic, identifying proactive subnational actors, cross-sector cooperation and digital health as innovations that enhanced this coordination. Their emergence, the possibilities they represent for improving the SUS and how they can be sustained are discussed.
article
Risk and protective factors for the development of stress in the Federal Highway Police
(2023) OLIVEIRA, Léa Pintor de Arruda; OLIVEIRA, Lucio Garcia de; CARVALHO, Heráclito Barbosa de
Abstract Objective The present study aimed to identify the risk and protective factors for the development of stress in a random and stratified sample of Brazilian federal highway police officers in the state of São Paulo (N = 202). Method The instruments used were a General Questionnaire (sociodemographic and occupational variables) and Lipp’s Stress Symptom Inventory for Adults. The prevalence ratio was used as a measure of association and the independent variables were organized into 8 models and inserted into a logistic regression model. Results A stress prevalence of 43.1% (95% CI = 36.2–50.0) was found, with most of the sample in the resistance phase (82.7%). The factors related to stress were leisure, educational level, degree of job satisfaction, low remuneration, suicidal ideations, insomnia, lack of training, and work-family conflict. Conclusion The results can influence actions aimed at controlling stress.
article
“A Ballroom é um arquivo de pessoas negras que viveram a epidemia de aids”: narrativas sobre o arquivo negro da prevenção
(2023) LORENA, Allan Gomes de; COUTO, Flip; ÁKIRA, Luna; PIMENTA, Félix; TEIXEIRA, Ricardo Rodrigues
Abstract This article aims to present the narratives of the Ballroom Community in São Paulo to situate how combined HIV prevention practices are carried out in these people, identifying how the strategies conform, with what elements and influences, absences and restrictions. This is a qualitative research in the field of Collective Health that uses semi-structured interviews with Ballroom leaders to reconstruct narratives about HIV, opening a black archive on prevention. Such a perspective, in line with Saidiya Hartman's work from the perspective of radical black thought, focuses on the stories that have not been and will still be told: a way of radically imagining the future of blackness. As an analytical force, the black archive has the function of reparation, expanding narratives from a racial perspective, occluding a unique history of the HIV/Aids epidemic.
article
Residência Médica e Reforma Psiquiátrica brasileira: convergências e conflitos na formação para o cuidado em saúde mental
(2023) CARNEIRO, Pedro Carlos; AYRES, José Ricardo de C. M.
Abstract The study aims to identify to what extent and how the principles, guidelines and methods proposed by the Brazilian Psychiatric Reform (BPR) are present in the training of psychiatrists in medical residency programs. This is a qualitative study that investigates contents and experiences promoted during training in psychiatric medical residency programs in Brazil. A total of 16 subjects were interviewed in four public training institutions, two programs centered on school hospitals and two in models integrated with psychosocial care network services. The results of the study allow us to argue that, although all programs refer to BPR principles in their theoretical contents, the services integrated programs seems to promote a closer dialogue with the BPR experience. Among other relevant results, the following stand out: concern with comprehensive care, not focused only on diagnoses and symptoms, but on the singularity and ways of life of the subjects; criticism of medicalization, either in the form of abuse of medication, or as interference in non-specifically medical demands; relevance of interdisciplinary experiences in multidisciplinary teams and the aim to overcome a manicomial culture that goes beyond the institutionality of services, but that operates in the daily processes of social normalization.
bookPart
Prefácio
(2016) MOTA, André; MARUTA, Celina W.; FESTA NETO, Cyro; RIVITTI, Evandro A.; SANCHES JR., José Antonio; AOKI, Valéria
bookPart
Air pollution trends in the Americas: impact and policies
(2016) ROMIEU, Isabelle; ÁLAMO-HERNáNDEZ, Urinda; TEXCALAC-SANGRADOR, José Luis; PéREZ, Laura; GOUVEIA, Nelson
bookPart
bookPart
Tracoma
(2021) MELLO, Paulo Augusto de Arruda; LUNA, Expedito José de Albuquerque; MEDINA, Norma Helen
bookPart
Prefácio
(2022) LUNA, Expedito José de Albuquerque
article 0 Citação(ões) na Scopus
Trajectory of maternal depression and parasomnias
(2024) GUTTIER, Marilia C.; HALAL, Camila S.; MATIJASEVICH, Alicia; DEL-PONTE, Bianca; TOVO-RODRIGUES, Luciana; BARROS, Fernando; BASSANI, Diego G.; SANTOS, Ina S.
Maternal depressive symptoms are associated with poorer sleep quality in their children. Although parasomnias can occur at any age, this group of sleep disorders is more common in children. The aim of this study was to assess whether maternal depression trajectories predict parasomnias at the age of 11 years. Data were from a Birth Cohort of 4231 individuals followed in the city of Pelotas, Brazil. Maternal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS) at 12, 24, and 48 months, and 6 and 11 years postpartum. Maternal depression trajectories were calculated using a group-based modelling approach. Information on any parasomnias (confused arousals, sleepwalking, night terrors, and nightmares) was provided by the mother. Five trajectories of maternal depressive symptoms were identified: chronic-low (34.9%), chronic-moderate (41.4%), increasing (10.3%), decreasing (8.9%), and chronic-high (4.4%). The prevalence of any parasomnia at the age of 11 years was 16.8% (95% confidence interval [CI] 15.6%-18.1%). Confusional arousal was the most prevalent type of parasomnia (14.5%) and varied from 8.7% to 14.7%, 22.9%, 20.3%, and 27.5% among children of mothers at chronic-low, moderate-low, increasing, decreasing, and chronic-high trajectories, respectively (p < 0.001). Compared to children from mothers in the chronic-low trajectory, the adjusted prevalence ratio for any parasomnia was 1.58 (95% CI 1.29-1.94), 2.34 (95% CI 1.83-2.98), 2.15 (95% CI 1.65-2.81), and 3.07 (95% CI 2.31-4.07) among those from mothers in the moderate-low, increasing, decreasing, and chronic-high trajectory groups, respectively (p < 0.001). In conclusion, parasomnias were more prevalent among children of mothers with chronic symptoms of depression.