Objective: To identify the barriers to evidence-based decision-making regarding chronic noncommunicable diseases perceived by health administrators from the state of Paraná, Brazil.
Methods: Telephone interviews were performed with 20 health region directors using a semi-structured script. The interviews were performed in 2015 and had a mean duration of 23 minutes. After transcription of the interview, the contents were analyzed for identification of subject categories.
Results: Two categories were identified: organizational and personal barriers. The most frequent organizational barriers were "poor planning or management" and "regional and cultural characteristics of the population." The most frequent personal barriers were "lack of incentive and difficulty to work with scientific evidence" and "lack of training and professional qualification."
Conclusion: Support to health professionals should be enhanced through technical training courses linked to political and scientific efforts that address the health needs of the community.
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http://dx.doi.org/10.26633/RPSP.2017.147 | DOI Listing |
Arch Sex Behav
January 2025
Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
Perceived risk for HIV acquisition among gay, bisexual, and other men who have sex with men (GBMSM) may not align with their actual sexual HIV exposure. Factors associated with low/moderate perceived risk among GBMSM eligible for pre-exposure prophylaxis (PrEP) (based on their high estimated HIV exposure) have been poorly described in Latin America. This is a secondary analysis of a 2018 web-based cross-sectional survey in Brazil, Mexico, and Peru.
View Article and Find Full Text PDFArch Sex Behav
January 2025
Department of Psychology and Neuroscience, Life Sciences Centre, Dalhousie University, 1355 Oxford Street, P.O. Box 15,000, Halifax, NS, B3H 4R2, Canada.
Prior cross-sectional research established that four distinct responses to sexual rejection are associated with sexual and relationship well-being among couples affected by Sexual Interest/Arousal Disorder (SIAD). Examining these associations daily and prospectively will provide insight into within-person variations, temporality, and directionality. Women and gender-diverse individuals diagnosed with SIAD and their partners (N = 232 couples) completed a baseline survey, 56-day diary, and 6-month follow-up survey, assessing responses to sexual rejection, sexual satisfaction, dyadic sexual desire, sexual distress, and relationship satisfaction.
View Article and Find Full Text PDFSci Rep
January 2025
Department of Health Administration, Yonsei University Graduate School, Wonju, Republic of Korea.
This study is the first to examine the determinants of future anxiety in South Korea using the Social Ecological Model (SEM). It aimed to show that, beyond individual factors, mezzo- and macro-level aspects, particularly those related to housing, may influence anxiety. Utilizing 2018 data from the Korean Health Panel Survey, we employed a three-level multilevel analysis to investigate how these factors contribute to the perception of future anxiety among Koreans.
View Article and Find Full Text PDFTransplant Cell Ther
January 2025
Department of Psychiatry, Massachusetts General Hospital, Boston, MA; USA; Harvard Medical School, Boston MA; USA.
Background: CAR T-cell therapy (CAR-T) is leading to durable responses in patients with cancer but there is concern that cytokine release syndrome (CRS) and neurotoxicity may impact survivors' cognitive function. We assessed long-term cognitive function in CAR-T recipients and examine factors associated with change in cognition over time.
Methods: We assessed perceived cognition (Functional Assessment of Cancer Therapy - Cognition) and neurocognitive performance (standardized neuropsychological battery) in adult patients prior to receiving CAR-T and at 6 month follow-up.
Respir Physiol Neurobiol
January 2025
Respiratory Medicine, Allergology and Palliative Medicine, Department of Clinical Sciences in Lund, Lund University, Lund, Sweden.
Background/aim: Exertional breathlessness is a dominating symptom in cardiorespiratory disease, limiting exercise capacity. Multidimensional measurement has been proposed to capture breathlessness, but it is unknown whether it is useful to differentiate people with abnormal vs normal exertional breathlessness intensity.
Methods: This was a secondary analysis of a randomized controlled trial of outpatients aged ≥18 years performing a symptom-limited cycle incremental exercise test (IET).
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