Articles

Geoffrey Rose and the precautionary principle: to build the quaternary prevention in the prevention

Abstract

TESSER, Charles Dalcanale and NORMAN, Armando Henrique. Geoffrey Rose and the precautionary principle: to build the quaternary prevention in the prevention. Interface (Botucatu) [online]. 2019, vol.23, e180435. Epub Aug 01, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180435. Prevention has been medicalized leading to frequent iatrogenic harms. This calls for quaternary prevention (P4) in prevention: to avoid unnecessary medicalization/interventions and its associated iatrogenic harms. We present a conceptual articulation which guides P4 in prevention. Geoffrey Rose shows the difference between “reductive” preventive measures (reduce risks derived from modern life, such as reducing sedentary and ultraprocessed food) and “additive” (add protective artificial factors such as vaccinations, screenings, lipid-lowering drugs). The great potential harms of additive preventive measures require systematic application of

Adapting educational messages for partners of pregnant women for use in mobile health technologies (mHealth)

Abstract

BONIFACIO, Lívia Pimenta; SOUZA, João Paulo and VIEIRA, Elisabeth Meloni. Adapting educational messages for partners of pregnant women for use in mobile health technologies (mHealth). Interface (Botucatu) [online]. 2019, vol.23, e180250. Epub Aug 05, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180250. In this paper, we present aspects related to the development and evaluation of a Short Message Service (SMS) – PRENACEL (Prenatal in the Mobile) aimed at partners of pregnant women. This is a qualitative study with participatory methods developed in three stages. First, the messages of the MAMA (Mobile Alliance for Maternal Action) global program were translated. Then a group of experts evaluated those messages, assigning marks and suggesting changes to or exclusions of certain

Interprofessional and interdisciplinary dialogues in university extension: a pathway towards incorporating a broader concept of health into academic education

Abstract

RIOS, David Ramos da Silva; SOUSA, Daniel Andrade Barreto de and CAPUTO, Maria Constantina. Interprofessional and interdisciplinary dialogues in university extension: a pathway towards incorporating a broader concept of health into academic education. Interface (Botucatu) [online]. 2019, vol.23, e180080. Epub Aug 05, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180080. This article discusses the importance of interdisciplinary and interprofessional health education, based on the understanding that it is not possible to achieve a broad perspective of health through disciplinary and uniprofessional teaching. An exploratory qualitative study was conducted with students from two universities participating in an extension activity in an agricultural reform settlement in the State of Bahia, Brazil. Data was collected via semi-structured interviews and analyzed using

Floating Primary Health Center: a new approach to Primary Care in the Amazon, Brazil

Abstract

KADRI, Michele Rocha El et al. Floating Primary Health Center: a new approach to Primary Care in the Amazon, Brazil. Interface (Botucatu) [online]. 2019, vol.23, e180613. Epub Aug 01, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180613. Floating Primary Health Center is a new approach to ensuring universal access to primary healthcare for riverine communities in the Amazon and Pantanal. The aim of this study was to describe the planning and implementation of the activities of a floating primary health center and management of care under this new approach. An exploratory descriptive study was conducted using mapping techniques, participant observation, and interviewing in two trips to the Municipality of Borba in the State of Amazonas. The findings show the importance

Developing competencies among health professions students related to the care of people with disabilities: a pilot study

Abstract CASTRO, Shamyr Sulyvan; ROWE, Michael; ANDRADE, Luana Foroni e CYRINO, Eliana Goldfarb. Developing competencies among health professions students related to the care of people with disabilities: a pilot study. Interface (Botucatu) [online]. In press. . Epub 03-Jul-2017. ISSN 1807-5762. http://dx.doi.org/10.1590/1807-57622016.0684. This is a two-phase study, the first was a literature review that aimed to identify a set of competencies for professional practice that would be relevant for the health care of People with disabilities (PwD). These competencies were then used to plan a thirty-hour multidisciplinary course for undergraduate health care students. The educational intervention led to improvements in the students’ learning experiences, including the development of empathy and knowledge related to

Are we talking about food? Journalists’ speech and content analysis of popular news

 

Abstract

OLIVEIRA-COSTA, Mariella Silva de; COSTA, Deivson Rayner Teixeira da; MENDONCA, Ana Valéria Machado e RENAUD, Lise. Are we talking about food? Journalists’ speech and content analysis of popular news. Interface (Botucatu) [online]. 2019, vol.23, e180093. Epub 10-Jul-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180093. Healthy eating is one of the main themes of health promotion and source of journalistic information. The research analyzes the content of a popular Rio de Janeiro regional newspaper and the discourse of the collective subject of its journalists. With a quantitative, descriptive and exploratory methodology, it was observed that the paper focuses on the effects of specific foods and recommendations of the Dietary Guidelines for the Brazilian Population, and prioritizes information

Mental health discourses: the construction of subjectivities and identities of children in the city of Buenos Aires

Abstract

BARCALA, Alejandra. Mental health discourses: the construction of subjectivities and identities of children in the city of Buenos Aires. Interface (Botucatu) [online]. 2019, vol.23, e180464. Epub June 27, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180464. This article explores the field of children’s mental health from a human rights perspective. Focusing on the interface between legislation and public policy and institutional practices, we examine the discourses adopted by healthcare professionals in relation to children in the city of Buenos Aires. Using in-depth interviewing, we conceptualize how these discourses affect processes of subjective constitution and the construction of identities of children with severe psychological suffering. The findings reveal a significant gap between normative frameworks and the meanings constructed by social actors

The hospital routine of children with prolonged hospitalizations: between body-care and possible mediations

Abstract

SIMONATO, Mariana Pereira; MITRE, Rosa Maria de Araujo and GALHEIGO, Sandra Maria. The hospital routine of children with prolonged hospitalizations: between body-care and possible mediations. Interface (Botucatu) [online]. 2019, vol.23, e180383. Epub Aug 01, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180383. This ethnographic study reflected upon the experiences of prolonged hospitalization among children with chronic and complex conditions (CCC). Data was collected from the patients’ medical records, participant observation, and interviews conducted with the parents of children hospitalized in two pediatric units. The findings reveal that the patients’ daily lives were engendered by an intimate relationship between the body and environment and the importance of the mediation of parents and health professionals in this setting. A number

Health subjects, territory agents: the community health agent in immigrant Primary Care

Abstract

LOSCO, Luiza Nogueira and GEMMA, Sandra Francisca Bezerra. Health subjects, territory agents: the community health agent in immigrant Primary Care. Interface (Botucatu) [online]. 2019, vol.23, e180589. Epub July 29, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180589. With the intensification and diversification of international migratory flows to Brazil and the need to integrate the immigrant population into essential services, new dynamics are presented in the Primary Health Care. Considering the Bolivian population that uses the services of one Basic Health Unit in São Paulo , this work seeks to understand what the role of the community health agents is, in order to guarantee the principle of universality of the public health services offering access and including the immigrant populations.

Health Education and pedagogy of death: perceptions and demands of academic staff in Spain

Abstract

PEDRERO-GARCIA, Encarnación. Health Education and pedagogy of death: perceptions and demands of academic staff in Spain. Interface (Botucatu) [online]. 2019, vol.23, e180404. Epub June 27, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180404. This article analyzes how death is approached in Spanish universities. An exploratory study was conducted with academic staff responsible for teaching Health Education. Interviews and content analysis were used to ascertain needs, demands, perceptions, and considerations in relation to death and death education and the approach towards finitude adopted by university teaching staff. The article concludes that the factor that has the greatest influence on whether professors include issues surrounding death in their teaching programs is whether or not they have experienced significant loss in their own lives,

Medical training and abortion care from the perspective of residents from two public universities in São Paulo, Brazil

 

Resumo

MACHIN, Rosana; COUTO, Márcia Thereza; ROCHA, Ana Luísa Smith e COSTA, Maria Renata Mencacci. Medical training and abortion care from the perspective of residents from two public universities in São Paulo, Brazil. Interface (Botucatu) [online]. 2019, vol.23, e180370. Epub 27-Jun-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180370. Abortion is a major public health issue that cuts across various specialities. This study focused on abortion care and its relatioship with the training received in Gynecology and Obstetrics and Family and Community Medicine by residents of two public Colleges in Sao Paulo. A qualitative research design was adopted consisting of the administration of in-depth interviews with 13 residents. The obstetrics and gynaecology residents reported that they relied on practical

Doctor-patient relationships in the era of the expert patient: an epistemological analysis

Abstract

KNORST, Gabriel Rocha Santos; JESUS, Victor Machado e MENEZES JUNIOR, Antônio da Silva. Doctor-patient relationships in the era of the expert patient: an epistemological analysis. Interface (Botucatu) [online]. 2019, vol.23, e180308. Epub 27-Jun-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180308. Taking the epistemological point of departure, a bibliographic research was conducted to evidence possibilities in doctor-expert patient relationships. Using specific works of Foucault and Buber, twenty articles were selected and analyzed dialectically based four analytical categories: “discontinuity of paradigms “; “the relationship”; “information”; and “it is necessary to navigate”. Focus was given to the role of the Internet in the management of health and the expert patient equipped with information found on the Internet. The clinical encounter can