Browsing by Author "Valentim, Ricardo Alexsandro de Medeiros"
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- Analyzing a national health surveillance strategy to reduce mother-to-child transmission of syphilis: the case of Brazilian investigation committeesPublication . Mareco, Thereza Cristina de Souza; Lima, Thaísa Santos; Ramos, Natália; Santos, Marquiony Marques; Silva, José Adailton da; Priamo, Vania; Brito, Cintia Michele Gondim de; Pereira, Esdras Daniel dos Santos; Oliveira, Carlos Alberto Pereira de; Cortez, Lyane Ramalho; Andrade, Ion Garcia Mascarenhas de; Almeida, Milena Cristina Duarte de; Valentim, Ricardo Alexsandro de MedeirosObjectives: This study aimed to analyze the relevance of investigation committees in eliminating mother-to-child transmission of syphilis in Brazil. Methods: Questionnaires and interviews were conducted with health managers of 25 Brazilian Federative Units and Brazil’s Federal District. Data were analyzed using Bardin’s content analysis technique and subsequently compared with the global prescriptions for syphilis response of the Pan American Health Organization, World Health Organization, and recent research publications examining the course of syphilis in Brazil, in Brazilian regions, and globally. Results: While the investigation committees drew on the successful experience of those in reducing maternal mortality, which helped the country achieve the Millennium Development Goals, they are not demonstrated to be sufficient for preventing mother-to-child transmission of syphilis. The committees’ systematic and bureaucratic agenda has not been efficient in managing avoidable factors for syphilis, nor do they operate in the scope of the integration of surveillance and care actions, as recommended by the health policy. Conclusion: The committees’ model needs to be reviewed in the context of Brazil’s National Health System. The research process should be rescaled in order to remain a cornerstone for the induction of health policy that integrates surveillance and healthcare across Brazilian Federative Units. The advancement toward an automated case management model becomes relevant for the country to meet global commitments to eliminate congenital syphilis transmission and achieve the goals outlined in the 2030 Agenda.
- Effectiveness of a learning pathway on food and nutrition in amyotrophic lateral sclerosisPublication . Coutinho, Karla Mônica Dantas; Rabelo, Humberto; Fernandes, Felipe; Coutinho, Karilany Dantas; Valentim, Ricardo Alexsandro de Medeiros; Dias, Aline de Pinho; Valentim, Janaína Luana Rodrigues da Silva; Batista, Natalia Araújo do Nascimento; Romão, Manoel Honorio; Cunha, Priscila Sanara da; Oliveira, Aliete Cunha; Henriques, Susana; Melo, Luciana Protásio de; Vale, Sancha Helena de Lima; Lais, Lucia Leite; Lima, Kenio Costa deBackground/Objectives: Health education plays a vital role in training health professionals and caregivers, supporting both prevention and the promotion of self-care. In this context, technology serves as a valuable ally by enabling continuous and flexible learning. Among the various domains of health education, nutrition stands out as a key element in the management of Amyotrophic Lateral Sclerosis (ALS), helping to prevent malnutrition and enhance patient well-being. Accordingly, this study aimed to evaluate the effectiveness of the teaching and learning processes within a learning pathway focused on food and nutrition in the context of ALS. Methods: This study adopted a longitudinal, quantitative design. The learning pathway, titled “Food and Nutrition in ALS,” consisted of four self-paced and self-instructional Massive Open Online Courses (MOOCs), offered through the Virtual Learning Environment of the Brazilian Health System (AVASUS). Participants included health professionals, caregivers, and patients from all five regions of Brazil. Participants had the autonomy to complete the courses in any order, with no prerequisites for enrollment. Results: Out of 14,263 participants enrolled nationwide, 182 were included in this study after signing the Informed Consent Form. Of these, 142 (78%) completed at least one course and participated in the educational intervention. A significant increase in knowledge was observed, with mean pre-test scores rising from 7.3 (SD = 1.8) to 9.6 (SD = 0.9) on the post-test across all courses (p < 0.001). Conclusions: The self-instructional, technology-mediated continuing education model proved effective in improving participants’ knowledge about nutrition in ALS. Future studies should explore knowledge retention, behavior change, and the impact of such interventions on clinical outcomes, especially in multidisciplinary care settings.
- International scientific cooperation in public health: a performance measurement framework based on the “Syphilis No!” Project in BrazilPublication . Lima, Thaisa Gois Farias de Moura Santos; Coutinho, Karilany Dantas; Batista, Natalia Araújo do Nascimento; Galvão, Ruana Evangelista; Araújo, Bruna Fernandes de; Martins, Iasmin Moreira Alves; Alves, Luca Pareja Credidio Freire; Romão, Manoel H.; Lacerda, Juciano de Sousa; Oliveira, Carlos Alberto Pereira de; Dias, Aline de Pinho; Cunha, Priscila Sanara da; Oliveira, Aliete Cunha; Cordeiro, António Manuel Rochette; Muñoz Gallego, Almudena; Ramos, Natália; Oliveira, Carla Padrel de; Campos, Rodrigo Pires de; Valentim, Ricardo Alexsandro de Medeiros; MihajloIn this article, we aim to propose indicators to evaluate the performance of international scientific cooperation in public health, based on the operation experience in Brazil’s “Syphilis No!” Project. This is an action research project, based upon Kaplan and Norton’s Balanced Scorecard Method, developed in five stages: (i) Reorganization of the indicators, (ii) validation of the new indicators, (iii) construction of the dimensions of the indicators, (iv) data collection for the indicators, (v) development of the framework for the “Syphilis No!” Project. The metrics and 34 indicators are presented and grouped into four dimensions: technical-scientific, investment, products, and impact. The cooperation that emerged from the project has built an international research network that has the potential to transcend syphilis research. The framework demonstrated that international scientific cooperations, focused on research and product development, have contributed to the promotion of public health policies and have enabled the exchange of knowledge, techniques, experiences, and technologies, fundamental to the international scientific cooperation of Brazilian universities. This contribution will have implications for studies in the field of international relations in health and education.
- Selective imprisonment in Brasil: a story beyond the wallsPublication . Valentim, Janaína Luana Rodrigues da Silva; Azevedo, Bruna; Fernandes, Emily; Coutinho, Karoliny Dantas; Silva, Ronaldo; Henriques, Susana; Romão, Manoel Honório; Batista, Natalia Araújo do Nascimento; Coutinho, Karilany Dantas; Valentim, Ricardo Alexsandro de Medeiros; Oliveira, Carlos Alberto Pereira de; Dias, Aline de PinhoThis article discusses the Brazilian prison system and the challenges posed by social inequality that affect the prison population, presenting a concise historical context. The work is situated within the paradoxical context of a country with a Criminal Enforcement Law (LEP) considered modern, but which maintains a selective, segregating, and punitive model of incarceration. The central objective of this study is to analyze the contrast between the humanized ideal of the Criminal Enforcement Law (LEP) and the selective and exclusionary reality of the national prison system. It seeks to substantiate the social injustices perpetrated in prisons, often through the very mechanisms of justice. Furthermore, the article aims to discuss the need for transformation of the prison system, in alignment with the principles of human rights and the 2030 Agenda for Sustainable Development. The methodology of this study is qualitative and reflective in nature, delineated from a transdisciplinary approach. The narrative construction permeates a theoretical review of the legal, social, and ideological aspects of the prison system, with a dialogue between Law, Social Sciences, Public Health, and Education. The analysis included an examination of the Criminal Enforcement Law and a historical review from the Penal Code of 1830, in addition to a critical interpretation of official data and empirical studies. The results indicate institutional ineffectiveness in Brazilian prisons, operating as the last step in a systematic process of denial of rights that precedes imprisonment. It is demonstrated that overcrowding, low levels of education, and racial selectivity characterize the discrepancy between the norm and reality. However, the study highlights the potential of the Criminal Enforcement Law as an instrument for inducing humanitarian public policies. The analysis in light of the Sustainable Development Goals (SDGs) reveals that the effectiveness of the law requires integrated actions in health, education, and work, transforming the prison into a space for citizen reconstruction.