cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.14327391.v1
title: Typologies of precarious work in primary healthcare: a netnographic study

description: Abstract The objective of this study was to identify typologies of precarious work in Primary Care from the perspective of Druck and Franco. Qualitative netnographic study carried out on the YouTube virtual platform, with Brazilian videos. Nine videos were selected for analysis. Iconographic analysis and thematic content analysis were used. The research was carried out from July 2018 to January 2019. Based on the results, four categories of analysis were identified: vulnerability of forms of insertion, intensification of work and outsourcing, loss of individual and collective identity, condemnation and abandonment of employee rights. The types of precarious work found included insecure and temporary hiring, excessive workload among nurses, poor working conditions, contracting via social organizations, living with fear of unemployment, loss of labor rights and wage delays, which have repercussions at work, in the worker’s life and in assistance to patients. We infer that the typologies of the precarious work identified tend to contribute to the distortion of Primary Healthcare services, given that they are not in line with its principles and guidelines, hindering professionals’ understanding of health factors and conditions, necessary to ensure integral care.
DOI: 10.6084/m9.figshare.14327391
title: Typologies of precarious work in primary healthcare: a netnographic study

description: Abstract The objective of this study was to identify typologies of precarious work in Primary Care from the perspective of Druck and Franco. Qualitative netnographic study carried out on the YouTube virtual platform, with Brazilian videos. Nine videos were selected for analysis. Iconographic analysis and thematic content analysis were used. The research was carried out from July 2018 to January 2019. Based on the results, four categories of analysis were identified: vulnerability of forms of insertion, intensification of work and outsourcing, loss of individual and collective identity, condemnation and abandonment of employee rights. The types of precarious work found included insecure and temporary hiring, excessive workload among nurses, poor working conditions, contracting via social organizations, living with fear of unemployment, loss of labor rights and wage delays, which have repercussions at work, in the worker’s life and in assistance to patients. We infer that the typologies of the precarious work identified tend to contribute to the distortion of Primary Healthcare services, given that they are not in line with its principles and guidelines, hindering professionals’ understanding of health factors and conditions, necessary to ensure integral care.
DOI: 10.6084/m9.figshare.14327394.v1
title: Over-exploitation and early deterioration of the workforce: the health of clothing workers

description: Abstract The objective of this study was to analyze the relationship between the overexploitation of the workforce and the concept of wear and tear on workers in enterprises installed in two municipalities of the Confection Center of the interior of the State of Pernambuco, Brazil. The study, based on a qualitative approach, was developed in 2017 and 2018 in the municipalities of Toritama and Santa Cruz do Capibaribe. Fourteen semi-structured interviews were carried out, following a pre-established script organized in three priority axes: worker profile; social and work aspects; and aspects related to health. In analyzing the data, the totality and history of social relations and their interaction with particular social processes (dialectical method) were considered. The essential guiding categories for understanding the structure and dynamics of the workers’ health-disease process were: overexploitation of the workforce, working hours, work process and production. The concepts of precariousness, intensification, workloads, wear of the workforce were also important theoretical factors of the analysis. The overexploitation of the workforce was an essential element for understanding the process of premature wear and tear of the workforce, revealing a tendency towards premature exhaustion of these workers over the years.
DOI: 10.6084/m9.figshare.14327394
title: Over-exploitation and early deterioration of the workforce: the health of clothing workers

description: Abstract The objective of this study was to analyze the relationship between the overexploitation of the workforce and the concept of wear and tear on workers in enterprises installed in two municipalities of the Confection Center of the interior of the State of Pernambuco, Brazil. The study, based on a qualitative approach, was developed in 2017 and 2018 in the municipalities of Toritama and Santa Cruz do Capibaribe. Fourteen semi-structured interviews were carried out, following a pre-established script organized in three priority axes: worker profile; social and work aspects; and aspects related to health. In analyzing the data, the totality and history of social relations and their interaction with particular social processes (dialectical method) were considered. The essential guiding categories for understanding the structure and dynamics of the workers’ health-disease process were: overexploitation of the workforce, working hours, work process and production. The concepts of precariousness, intensification, workloads, wear of the workforce were also important theoretical factors of the analysis. The overexploitation of the workforce was an essential element for understanding the process of premature wear and tear of the workforce, revealing a tendency towards premature exhaustion of these workers over the years.
DOI: 10.6084/m9.figshare.14327395
title: Social representations of emergency professionals on prevention of hospital readmissions trough suicide attempt

description: Abstract The research that originated this article aimed to analyze social representations of emergency professionals about the prevention of recurrences due to suicide attempt. It was a research based on the theory of social representations in the procedural approach, with thirty emergency workers from a public hospital in Bahia, Brazil, carried out in 2017. The question was based on the understanding of these professionals about the prevention of recurrence of suicide attempt, and the analysis was performed using the cognitive network analysis model. The semantic network was composed of 260 vertices and 431 edges with an average degree equal to 2.61. The main terms that radiated meaning to the discourse of the social group were ‘monitoring’, ‘psychologist’ and ‘patient’, demonstrating a perception of prevention for recurrences by suicide attempts in a positively complex and multidisciplinary way. Participants understand that the phenomenon has particularities that require both in-hospital transformations – by encouraging demystification and combating prejudice of patients at risk of dying from suicide, restructuring of management, screening and monitoring during the stay of hospitalization – as well as extra-hospital, evoking the work between the different levels of care and support networks, in addition to dynamism and comprehensive care as a resource to prevent recurrences of these patients.
DOI: 10.6084/m9.figshare.14327395.v1
title: Social representations of emergency professionals on prevention of hospital readmissions trough suicide attempt

description: Abstract The research that originated this article aimed to analyze social representations of emergency professionals about the prevention of recurrences due to suicide attempt. It was a research based on the theory of social representations in the procedural approach, with thirty emergency workers from a public hospital in Bahia, Brazil, carried out in 2017. The question was based on the understanding of these professionals about the prevention of recurrence of suicide attempt, and the analysis was performed using the cognitive network analysis model. The semantic network was composed of 260 vertices and 431 edges with an average degree equal to 2.61. The main terms that radiated meaning to the discourse of the social group were ‘monitoring’, ‘psychologist’ and ‘patient’, demonstrating a perception of prevention for recurrences by suicide attempts in a positively complex and multidisciplinary way. Participants understand that the phenomenon has particularities that require both in-hospital transformations – by encouraging demystification and combating prejudice of patients at risk of dying from suicide, restructuring of management, screening and monitoring during the stay of hospitalization – as well as extra-hospital, evoking the work between the different levels of care and support networks, in addition to dynamism and comprehensive care as a resource to prevent recurrences of these patients.
DOI: 10.6084/m9.figshare.14327398
title: Educational process of the extended family health center in the care of hypertension and diabetes

description: Abstract The objective was to evaluate the educational process carried out by the Extended Family Health and Primary Care Center in the care of systemic arterial hypertension and diabetes mellitus in Recife, Brazil. An evaluative research was conducted, guided by Paulo Freire’s educational theory, with the elaboration of a theoretical model. Four professionals from the Extended Family Health and Primary Care Center, eleven professionals from the Family Health Strategy and ten patients with hypertension and / or diabetes participated in the study. Focus groups were conducted, and the data collected between November 2018 and February 2019 were submitted to content analysis. The coexistence of use by professionals of banking and problematizing concepts was evidenced. Vertical and little discussed by the professionals practices as well as a curative and medical-centered view in the patients’ statements were identified. There were also transformative actions in the work process of professionals and reports of improvements in the health conditions of patients participating in educational groups. In addition, the incentive to seek rights during educational activities led to the achievement of the implementation of the Academia da Cidade [City Gym] Program in the territory. These findings reveal the transformative power of educational actions when they become participatory and are built based on the experiences and needs of the population.
DOI: 10.6084/m9.figshare.14327398.v1
title: Educational process of the extended family health center in the care of hypertension and diabetes

description: Abstract The objective was to evaluate the educational process carried out by the Extended Family Health and Primary Care Center in the care of systemic arterial hypertension and diabetes mellitus in Recife, Brazil. An evaluative research was conducted, guided by Paulo Freire’s educational theory, with the elaboration of a theoretical model. Four professionals from the Extended Family Health and Primary Care Center, eleven professionals from the Family Health Strategy and ten patients with hypertension and / or diabetes participated in the study. Focus groups were conducted, and the data collected between November 2018 and February 2019 were submitted to content analysis. The coexistence of use by professionals of banking and problematizing concepts was evidenced. Vertical and little discussed by the professionals practices as well as a curative and medical-centered view in the patients’ statements were identified. There were also transformative actions in the work process of professionals and reports of improvements in the health conditions of patients participating in educational groups. In addition, the incentive to seek rights during educational activities led to the achievement of the implementation of the Academia da Cidade [City Gym] Program in the territory. These findings reveal the transformative power of educational actions when they become participatory and are built based on the experiences and needs of the population.
DOI: 10.6084/m9.figshare.14327400.v1
title: Regress of the psychiatric reform: the dismantling of the national Brazilian mental health policy from 2016 to 2019

description: Abstract The article analyzes the setbacks in the National Mental Health Policy in the period between 2016 and 2019, based on a study of the norms issued by the federal government and documents of a public nature, and on the study of data from the Brazilian Ministry of Health regarding the mental health network of the Unified Health System. All normative documents that make up a set of ‘reorientations’ of the Policy were evaluated, in addition to those that directly affect it, including opposing positions issued by the executive, legislative and judicial branches. The analysis indicates the first effects of these changes in the Psychosocial Care Network, such as encouraging psychiatric hospitalization and financing for therapeutic communities, actions based on a prohibitionist approach to issues related to the use of alcohol and other drugs. The analysis of the management data allows to affirm that there is a tendency of stagnation in the pace of implantation of community-based services. This study aims to contribute to a better understanding of the fundamentals and the strategic direction of the changes, which imply a setback in the Psychiatric Reform guidelines, aiming to broaden the debate on the forms of resistance to the dismantling of the National Mental Health Policy.
DOI: 10.6084/m9.figshare.14327400
title: Regress of the psychiatric reform: the dismantling of the national Brazilian mental health policy from 2016 to 2019

description: Abstract The article analyzes the setbacks in the National Mental Health Policy in the period between 2016 and 2019, based on a study of the norms issued by the federal government and documents of a public nature, and on the study of data from the Brazilian Ministry of Health regarding the mental health network of the Unified Health System. All normative documents that make up a set of ‘reorientations’ of the Policy were evaluated, in addition to those that directly affect it, including opposing positions issued by the executive, legislative and judicial branches. The analysis indicates the first effects of these changes in the Psychosocial Care Network, such as encouraging psychiatric hospitalization and financing for therapeutic communities, actions based on a prohibitionist approach to issues related to the use of alcohol and other drugs. The analysis of the management data allows to affirm that there is a tendency of stagnation in the pace of implantation of community-based services. This study aims to contribute to a better understanding of the fundamentals and the strategic direction of the changes, which imply a setback in the Psychiatric Reform guidelines, aiming to broaden the debate on the forms of resistance to the dismantling of the National Mental Health Policy.
DOI: 10.6084/m9.figshare.14327404.v1
title: Primary care in Amazonas: provision, fixation and professional profile in contexts of difficult access

description: Abstract The research aimed to analyze the profile of professionals working in primary care in municipalities in Amazonas and the relationship with provision and fixation in these places. It was an analytical, descriptive study, of a quantitative nature, carried out from 2014 to 2016. Data from doctors, nurses and dentists working in primary care in twenty municipalities in Amazonas (Brazil) were analyzed, totaling 397 professionals. Medical professionals are less fixated, have less relatives, local residency and belong to other locations. Nursing professionals have more specializations and management functions. The health regions of Juruá, Triângulo, Madeira and the surroundings of Manaus have fewer professionals in primary care. The municipalities of Parintins, Itacoatiara and Tabatinga have a larger population outside the capital and have a greater number of professionals. There is a tendency for professionals to seek work in capitals and cities with a greater offer of services to carry out their health activities. In turn, municipalities with difficult access face a greater challenge to promote the establishment and provision of health professionals.
DOI: 10.6084/m9.figshare.14327404
title: Primary care in Amazonas: provision, fixation and professional profile in contexts of difficult access

description: Abstract The research aimed to analyze the profile of professionals working in primary care in municipalities in Amazonas and the relationship with provision and fixation in these places. It was an analytical, descriptive study, of a quantitative nature, carried out from 2014 to 2016. Data from doctors, nurses and dentists working in primary care in twenty municipalities in Amazonas (Brazil) were analyzed, totaling 397 professionals. Medical professionals are less fixated, have less relatives, local residency and belong to other locations. Nursing professionals have more specializations and management functions. The health regions of Juruá, Triângulo, Madeira and the surroundings of Manaus have fewer professionals in primary care. The municipalities of Parintins, Itacoatiara and Tabatinga have a larger population outside the capital and have a greater number of professionals. There is a tendency for professionals to seek work in capitals and cities with a greater offer of services to carry out their health activities. In turn, municipalities with difficult access face a greater challenge to promote the establishment and provision of health professionals.
DOI: 10.6084/m9.figshare.14327406.v1
title: Living conditions and emancipatory health promotion in access to land in Pará, Brazil

description: Abstract The study aims to discuss living conditions and emancipatory health promotion based on descriptive evidence from the reports of the Pastoral Land Commission, references on the struggle for access to land in southeastern Pará (Northern Brazil), led by landless migrants and articulated with the peasant movement. As a result, the question arose: to what extent did access to land promote improvements in the living conditions of landless migrants in southeastern Pará? It is a qualitative study, based on the findings expressed in documents and reports of the Pastoral Land Commission in the light of post-colonial theories and public health. It presents a critical discussion about the neo-extractive capitalist development model and the modern world-system, manufacturer of exclusion and subordination, proposing epistemological and ontological alternatives, in articulation with the emancipatory social struggles in the fields and in the cities. There is evidence in the reports of the Pastoral Land Commission and in the official data of the Colonization and Agrarian Reform Institute that access to land in the analyzed region has changed the living and health conditions of thousands of landless people in a context of high conflicts and violence in the countryside.
DOI: 10.6084/m9.figshare.14327406
title: Living conditions and emancipatory health promotion in access to land in Pará, Brazil

description: Abstract The study aims to discuss living conditions and emancipatory health promotion based on descriptive evidence from the reports of the Pastoral Land Commission, references on the struggle for access to land in southeastern Pará (Northern Brazil), led by landless migrants and articulated with the peasant movement. As a result, the question arose: to what extent did access to land promote improvements in the living conditions of landless migrants in southeastern Pará? It is a qualitative study, based on the findings expressed in documents and reports of the Pastoral Land Commission in the light of post-colonial theories and public health. It presents a critical discussion about the neo-extractive capitalist development model and the modern world-system, manufacturer of exclusion and subordination, proposing epistemological and ontological alternatives, in articulation with the emancipatory social struggles in the fields and in the cities. There is evidence in the reports of the Pastoral Land Commission and in the official data of the Colonization and Agrarian Reform Institute that access to land in the analyzed region has changed the living and health conditions of thousands of landless people in a context of high conflicts and violence in the countryside.
DOI: 10.6084/m9.figshare.14327409
title: Bibliometric analysis of Brazilian theses and dissertations on transvestite, transsexuality and health

description: Abstract The aim of this study was to analyze the profile of theses and dissertations on transvestite, transsexuality and health in the stricto sensu Post-Graduate Programs in Brazil, through a study based on the theoretical-methodological framework of bibliometric analysis. The 65 selected works were extracted from the Theses and Dissertations Catalog of the Coordination for the Improvement of Higher Education Personnel and the Brazilian Digital Library of Theses and Dissertations. It appears that most of the productions are dissertations (82%) coming from the Graduate Programs in Collective Health (27%) and from Federal Institutions of Higher Education (65%), located in the South and Southeast (70%). The qualitative approach was the most used (82%) and the transsexualizing process in the Unified Health System was the predominant theme (35%). The study revealed that Brazilian theses and dissertations on the transvestite-transsexuality-health triad have been on the rise in the last twenty years, with a decrease in the focus on the illness of transvestites and transsexuals and an increased focus on the social, organizational and political aspects that interfere in the access of these people to health services. Even so, it is necessary to expand research on the theme to other regions of the country, positively impacting scientific production and a more equitable and universal health system.
DOI: 10.6084/m9.figshare.14327409.v1
title: Bibliometric analysis of Brazilian theses and dissertations on transvestite, transsexuality and health

description: Abstract The aim of this study was to analyze the profile of theses and dissertations on transvestite, transsexuality and health in the stricto sensu Post-Graduate Programs in Brazil, through a study based on the theoretical-methodological framework of bibliometric analysis. The 65 selected works were extracted from the Theses and Dissertations Catalog of the Coordination for the Improvement of Higher Education Personnel and the Brazilian Digital Library of Theses and Dissertations. It appears that most of the productions are dissertations (82%) coming from the Graduate Programs in Collective Health (27%) and from Federal Institutions of Higher Education (65%), located in the South and Southeast (70%). The qualitative approach was the most used (82%) and the transsexualizing process in the Unified Health System was the predominant theme (35%). The study revealed that Brazilian theses and dissertations on the transvestite-transsexuality-health triad have been on the rise in the last twenty years, with a decrease in the focus on the illness of transvestites and transsexuals and an increased focus on the social, organizational and political aspects that interfere in the access of these people to health services. Even so, it is necessary to expand research on the theme to other regions of the country, positively impacting scientific production and a more equitable and universal health system.