Study about the decentralization process of the health system in the '80s and '90s in the city of Itabuna-BA. It is aimed at describing the city's health decentralization process, identifying the nurse's insertion/participation in this process. Descriptive/qualitative study of exploratory nature that utilized both the semistructured interview and documental analysis for data collection. The results show that the nurse's insertion in the decentralization process took place according to the changes that occurred at every municipal management, where the nurse acted more effectively as the set of circumstances was established and was influenced by the several conjunctures formed by the implemented policies or implemented in each context of the management of the municipal health system.
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http://dx.doi.org/10.1590/s0034-71672004000600006 | DOI Listing |
J Environ Manage
January 2025
Department of Environmental Economics & Management, The Hebrew University of Jerusalem, Israel.
The Jordan Valley (JV) is a critical region where the interplay of water, energy, food, and ecosystem (WEFE) dynamics presents both challenges and opportunities for sustainable development and climate change mitigation and adaptation. In such a transboundary river basin with acute nexus problems and a long history of conflicts, it is essential that conscious efforts are made to pluralize the debate and actively encourage stakeholders' empowerment, participation and fair collaboration in strategic planning. An integrated framework for participatory strategic planning in the WEFE nexus is proposed, which has been developed in the context of the JV case study.
View Article and Find Full Text PDFSensors (Basel)
January 2025
State Grid Zaozhuang Power Supply Company, Zaozhuang 277899, China.
Within the framework of 6G networks, the rapid proliferation of Internet of Things (IoT) devices, coupled with their decentralized and heterogeneous characteristics, presents substantial security challenges. Conventional centralized systems face significant challenges in effectively managing the diverse range of IoT devices, and they are inadequate in addressing the requirements for reduced latency and the efficient processing and analysis of large-scale data. To tackle these challenges, this paper introduces a zero-trust access control framework that integrates blockchain technology with inner-product encryption.
View Article and Find Full Text PDFBMJ Open
January 2025
Ministry of Public Administration, People's Republic of Bangladesh, Dhaka, Bangladesh.
Objectives: This study aimed to increase the understanding of healthcare stakeholders' viewpoints on the challenges and potential solutions regarding healthcare financing for the Rohingya refugees in Cox's Bazar.
Design: A mixed-method approach, containing semi-structured interviews with healthcare stakeholders and review of financial documents, was employed. Thematic analysis was performed to analyse the transcripts.
BMJ Open
January 2025
Institute for Sport, Physical Education and Health Sciences, Physical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK.
Objectives: Physical activity referral schemes (PARS) allow healthcare professionals to refer patients for physical activity support. Evidence of effectiveness is equivocal. Public Health Scotland has developed 'physical activity referral standards' that aim to enhance quality, reduce variability in design and delivery and build further evidence of what works.
View Article and Find Full Text PDFBioengineering (Basel)
December 2024
BK21 FOUR ERICA-ACE Center, Hanyang University, Ansan 15588, Gyeonggi-do, Republic of Korea.
Measurements of tooth size for estimating inter-arch tooth size discrepancies and inter-tooth distances, essential for orthodontic diagnosis and treatment, are primarily done using traditional methods involving plaster models and calipers. These methods are time-consuming and labor-intensive, requiring multiple steps. With advances in cone-beam computerized tomography (CBCT) and intraoral scanning technology, these processes can now be automated through computer analyses.
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