Building Community Health Literacy to Achieve Health Equity: Insights from Ethiopian Tewahedo Social Services Community Leader in a County-Level Health Literacy Initiative.

This perspectives article shares insights from a county-level project in Franklin County, Ohio, to build collective organizational health literacy (HL) capacity across new sustainable networks to advance community-level HL. We provide an overview of the initiative followed by specific insights from a cultural liaison, the article's first author, who works in a community-based organization. He shares his collectivist perspective in building HL capacity at the grassroots level toward community-level goals.

[The covid-19 pandemic and international mobility in Brazil: challenges for the health and social protection of international migrants in times of uncertainty].

The relationship between health and migration was severely affected during the covid-19 pandemic. This article discusses the literature on health and migration, including the deteriorating levels of social and economic vulnerability of international migrants to Brazil in 2020 and 2021. The analysis was based on a review of articles published in the national and international press addressing the impacts of covid-19 on contemporary processes of human mobility and its consequences for stigmatized populations.

Migration and refuge: necessary topics for Nursing teaching in COVID-19 times.

Objectives: to present an overview of migratory processes and access to health care for immigrants in Brazil and reflect on the importance of training in Nursing from an interdisciplinary perspective, focused on the care of this population in the context of a pandemic.

Methods: this is a theoretical-reflective study based on the authors' experiences and anchored in the literature.

Results: some particularities in the access to health services by migrants and refugees show how the pandemic's advancement and continuity impacted them in different ways.

Therapeutic itineraries of Congolese refugees in the city of São Paulo.

São Paulo, the most populous Brazilian city, has been the main destination for refugees and it is home to the majority of Congolese, who are the second largest nationality to request refuge in Brazil. In the context of these migrations, previous experiences in displacement and in places of welcome can trigger illness and suffering. The purpose of this article was to analyse the therapeutic itineraries of refugees from the Democratic Republic of Congo who reside in the city of São Paulo.

p38γ MAPK contributes to left ventricular remodeling after pathologic stress and disinhibits calpain through phosphorylation of calpastatin.

Despite the high and preferential expression of p38γ MAPK in the myocardium, little is known about its function in the heart. The aim of the current study was to elucidate the physiologic and biochemical roles of p38γ in the heart. Expression and subcellular localization of p38 isoforms was determined in mouse hearts.

Need for information in a representative sample of outpatients with schizophrenia disorders.

Background: Providing adequate information and involving patients in treatment have become an essential component of mental health care. Despite this, research regarding the extent to which this need has been met in clinical services is still scarce.

Aims: To investigate the need for information about psychiatric condition and treatment among outpatients with schizophrenia disorders and how this need is associated with service use, adjusting for sociodemographic and clinical characteristics.

Influence of Team Rating on Running Performance in Elite Gaelic Football.

Mangan, S, Malone, S, Ryan, M, Mc Gahan, J, Warne, J, Martin, D, O'Neill, C, Burns, C, and Collins, K. Influence of team rating on running performance in elite Gaelic football. J Strength Cond Res 32(9): 2584-2591, 2017-It is currently unknown how team rating influences running performance in Gaelic football.

[Health workers' place in studies on international migratory processes and health].

Studies on the health-disease-healthcare process in immigrants settled in the city of São Paulo, Brazil, have revealed a complex web of relations in the demands by immigrants and the actions conceived and planned by health services. In this context, intermediation by health workers in the relationship between immigrants and researchers has constituted an important form of access by the latter to South American immigrants, especially Bolivians. During research, access to immigrants occurs within the context of health actions, facilitating the researchers' access to immigrants' homes, workplaces, and even associations.

[Evaluation of scientific production in different subareas of Public Health: limits of the current model and contributions to the debate].

The aim of this study was to discuss the limits of the quantitative evaluation model for scientific production in Public Health. An analysis of the scientific production of professors from the various subareas of Public Health was performed for 2010-2012. Distributions of the mean annual score for professors were compared according to subareas.

Subjective distress in a representative sample of outpatients with psychotic disorders.

Background: The affective burden of psychotic disorder has been increasingly recognised. However, subjective reports of distress and its covariates, especially those related to service use, remain under-investigated in patients with psychosis.

Methods: This study investigated subjective distress and its covariates in a representative sample of 401 outpatients with a confirmed diagnosis of psychotic disorders in Brazil.

Post-traumatic stress disorder and urban violence: an anthropological study.

The study aimed to understand how "distress" is experienced by patients with Post-Traumatic Stress Disorder (PTSD) in the social-cultural context of São Paulo, Brazil, an urban environment marked by social inequality and high levels of violence. A qualitative study was conducted between 2008 and 2010 with PTSD patients (F43.1, ICD-10, 1997) who had been victims of robberies and kidnappings in São Paulo.

Living conditions of people with psychotic disorders living in slums in Santos, Southeastern Brazil.

Objective: To describe the living conditions and sociability among people with severe mental disorders living in slums.

Methodological Procedures: A qualitative study was carried out among adults living in slums in the central region of Santos, Southeastern Brazil, conducted in 2004-2006. Ethnographic observations were made in four slum properties, and in-depth semi-structured interviews were conducted with eight women who were living with individuals with psychotic disorders.

Palliation of dyspnea in patients with heart failure.

Dyspnea is a subjective sensation, measurable by patient self-report on validated scales, and common in patients with heart failure--especially in later stages of the disease. When usual care is not sufficient to relieve refractory dyspnea, a palliative care referral can minimize this distressing symptom. Unfortunately, many clinicians are reluctant to consult palliative care teams because of the conflation of hospice, which requires the acceptance of death and refusal of curative treatment, with palliative care, which is a service focused on the provision of symptom control to any patient, regardless of prognosis.

[Caregivers of alcohol addicted patients in the city of Santos, SP, Brazil].

The objective of this qualitative study is to assess the meaning of alcoholism to alcoholic's patient's caregivers. Fieldwork involved comprehensive ethnographic observation and in depth interviews with ten female caregivers of alcoholic patients undergoing treatment in health mental care in Santos. The study showed that family relationships were unstable and conflicting.

Primary care and children's mental health in Brazil.

Objective: Primary care offers opportunities to expand children's access to mental health (MH) services, but a given practice's community context and staff attitudes may influence which integration models are feasible. The aim of this study was to explore the possibility of using community-based primary care to increase access to MH services in low-income communities in Brazil.

Methods: A qualitative study was undertaken using focus groups with adolescents aged 11 to 16 (n = 46), parents (n = 40), and primary care clinicians and staff (n = 52) from public-sector health centers in 6 low-income Brazilian communities chosen for their geographic diversity.

Views on depression among patients diagnosed as depressed in a poor town on the outskirts of São Paulo, Brazil.

Depression has important cultural and social components. Interviews with 16 women living in the poor and violent outskirts of São Paulo were analyzed to identify local concepts of depression. The interviews were conducted with women who were diagnosed with depression and patients in treatment at a primary care unit.

Maintenance of surrogate light chain expression induces developmental delay in early B cell compartment.

The production of a mature B cell requires passage through a number of developmental checkpoints. The pre-BCR plays a critical role in passage through the pro-B cell/pre-B cell checkpoint, and thus plays a central role in regulating the differentiation of a B cell. Due to the significance of this receptor, it is imperative that pre-BCR expression and function are precisely regulated.

Validation of a microsphere-based immunoassay for detection of anti-West Nile virus and anti-St. Louis encephalitis virus immunoglobulin m antibodies.

A microsphere-based immunoassay (MIA) was previously developed that is capable of determining the presence of anti-West Nile (WN) virus or anti-St. Louis encephalitis (SLE) virus immunoglobulin M (IgM) antibodies in human serum or cerebrospinal fluid. The original data set on which the classification rules were based comprised 491 serum specimens obtained from the serum bank at the Division of Vector-Borne Infectious Diseases of the Centers for Disease Control and Prevention (DVBID).

[Depression among women living in the outskirts of São Paulo, Southeastern Brasil].

Objective: To assess the meaning of depression in women diagnosed with the disorder, and the context of care given by the psychiatrists who follow them up.

Methods: Qualitative study performed in Embu, outskirt of São Paulo, between August 2002 and January 2003. Etnographic observation and in-depth interview were carried out with 16 women diagnosed with depression in primary care, and four psychiatrists.

[AIDS in rural Minas Gerais state (Southeastern Brazil): a cultural approach].

Objective: To describe behaviors facilitating HIV/AIDS exposure in rural population.

Methods: A qualitative study was conducted comprising 52 patients who attended a STD/AIDS outpatient clinic in 2002 and 2003. In-depth open and semi-structured interviews were carried out with subjects (30 males, 22 females) at the clinic or at home in rural municipalities in the northern area of Minas Gerais state, Southeastern Brazil.

Is psychiatric reform a strategy for reducing the mental health budget? The case of Brazil.

Objective: To investigate trends in the provision of mental health services and financing in Brazil.

Method: Data from DATASUS (the Brazilian Unified Health Computerized System) with free access in the web were collected regarding the number of beds, the development of new community centers, the number of mental health professionals, and costs involved from 1995 to 2005.

Results: In ten years, the number of psychiatric beds decreased 41% (5.

Patients' relatives delayed help seeking after a first psychotic episode.

Objective: Recent studies show that proper treatment after the first psychotic episode may be delayed for a long time. Some patients remain without care even while exhibiting serious symptoms. The objective of the study was to understand the reasons why patients' relatives waited at least 6 months to look for psychiatric counseling and treatment.