26 resultados para Brasil. Departamento de Polícia Federal
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Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB
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Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Educação - FFC
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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PURPOSE: To analyze the time between the first symptom and treatment in patients treated for breast cancer in public hospitals in the Federal District. METHODS: This was a cross-sectional analysis. We interviewed 250 women diagnosed with breast cancer treated in six hospitals of the State Department of Health of the Federal District from November 2009 to January 2011. The time intervals studied were the time between the detection of the symptoms and treatment subdivided into intervals until and after the first medical appointment. The variables were: age, menopausal status, color, educational level, average monthly household income, origin, reason for the initial consultation, staging, tumor size, laterality, metastasis to axillary lymph nodes, neoadjuvant chemotherapy, and type of surgery. The Mann-Whtney test was used to assess the association of these variables with the time intervals until treatment. RESULTS: The mean age was 52 years, with a predominance of white women (57.6%), from the Federal District (62.4%), with a family income of up to 2 minimum wages (78%), and up to four years of schooling (52.4%). The staging of the disease ranged from II to IV in 78.8% of the women. The time between the first symptom and treatment was 229 days (median). After detection of the first symptom, 52.9% of the women attended a consultation within 30 days and 88.8% took more than 90 days to start treatment. Women with elementary school education had a greater delay to the start of treatment (p=0.049). CONCLUSIONS: There was a significant delay to start treatment of women with breast cancer in public hospitals of the Federal District, suggesting that efforts should be made to reduce the time needed to schedule medical appointments and to diagnose and treat these patients.
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Brazil’s transition from a political and legal system to a democracy was accompanied by numerous legal and institutional reforms. In a context of struggle towards a broad political participation in public policies and risen criticism towards state actions, the extent and effects of these reforms have not been sufficiently deep to impact the problems and redefine the agenda. The main goal of this academic research is to understand the resistance to change and new paradigms that define the broad agenda of public safety.
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In the last two decades, the trend in security policies in Brazil shows the shift path on public policies, that allows us to see changes from state building policies to the growing presence of others public branches and civil society. From state and bureaucratic based functions, security tends to see more as problem of management and public agenda setting, mainly, with growing participation on state and local levels. Nevertheless the challenges remain in terms of changes in the whole picture of security in the country. The article explores some of them, without the desire of comprehensiveness.
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The frequent characterization about the Physical Education Degree is associated to technical-sport and training aspects and this is the reason of this study. The objective is to understand the motives to the basis of this situation. In this sense, a theoretical study was developed regarding the Physical Education Teaching Training in Brazil; at the same time, an empirical investigation was carried out with first-year students of the cited degree. The register tool to collect the students' understandings was an open question expressed as: "Why did you choose the course of Physical Education Degree?" which was answered in written form by the students. So as to make up an understanding of the data collected, the information was organized in two thematic categories; Category A: no identification with schooling; Category B: reasons in relation to the (lack) of professional vocation. Based on the students' answers, it was possible to comprehend that choosing the mentioned degree it is mostly set up by a lack of option, instead of a real professional identity and thoughtful processes of transformation in society.