Clinics Biopsychosocial

Building a shared Global agenda: Challenges and perspectives for a sustainable world

2024-12-17T01:03:44+00:00

The construction of a shared global agenda represents one of the main challenges for the promotion of a sustainable world, requiring coordinated efforts between governments, institutions, civil society and individuals. The prospects for achieving this goal involve the implementation of effective public policies, encouraging technological innovation and strengthening international cooperation, seeking integrated solutions to issues such as climate change, social inequality and global health. In this context, the Clinics Biopsychosocial Journal plays a fundamental role by fostering the production of scientific knowledge, popularizing science and disseminating relevant data that assist in the formulation of external strategies and policies for sustainable development. This issue discusses topics that span different fields of knowledge, ranging from environmental risk factors, agricultural transformations and health and health epidemiology, to articles that seek theoretical reflections on the role of social services in promoting social inclusion, the phenomenon of electronic gambling and its socioeconomic and health effects, mental health, gender and COVID-19, the analysis of housing sustainability and image representations of suicide prevention.

Epidemiology of Environmental, Behavioral, and Metabolic Risk Factors for Stroke: Temporal Analysis in the Brazilian Population

2024-10-25T20:29:28+00:00

Objective: To analyze the temporal trend of mortality and incidence attributed to environmental, behavioral, and metabolic risk factors for stroke in the Brazilian population between 1998 and 2017.

Method: Ecological study using secondary data on the evolution of incidence and mortality related to the risk factors identified in the ICD-10, both available on the GBD (Global Burden Disease) platform.

Results: In the period analyzed, there was a reduction of 1.46% in smoking-related stroke mortality per year (p=0.016), with a decrease of 2.18% in women (p=0.006). The metabolic risk increased by 1.41% (p=0.029), and by 3.33% among men (p=0.001). Pollution decreased by 1.53% for both sexes (p=0.013), with a decrease of 2.06% for women (p=0.017). Stroke mortality also fell by 6.8% for men (p<0.001) and 6.0% for women (p<0.001). Analyzing the Brazilian states, there was a reduction in smoking (5.55%; p=0.022) in the Pará region. Regarding pollution, reductions were noted for the state of Piauí (6.76%; p=0.042), Ceará (6.57%; p= 0.001) and Paraná (4.86%; p=0.027).

Conclusion: Between 1998 and 2017, Brazil showed a significant reduction in stroke incidence and mortality, with more pronounced falls in women. Smoking-associated mortality decreased, especially among women, while metabolic risk increased among men. Mortality from pollution was significantly reduced, especially the falls in Pará, Piauí, Ceará and Paraná.

Agricultural transformations and their effects on the health and social structures of rural communities

2024-12-06T18:21:41+00:00

Objective: To investigate the impact of changes in agricultural techniques on the social structures of rural communities, addressing how these changes have affected the health status of individuals in these areas.

Method: The study uses a qualitative approach, anchored in a literature review using the descriptors “Contemporary agricultural practices”, “Social dynamics in rural areas”, “Health conditions in rural populations” and “Impact of changes in agricultural techniques”. The bibliographic research involved a survey of both printed and electronic media, covering books, scientific articles, dissertations, theses and government documents.

Results: It was observed that modern agricultural transformations have resulted in intensive production and increased use of chemical inputs, as well as in the mechanization of agricultural practices. Although they have increased productivity and efficiency, these transformations have impacted the health of rural workers, with a higher prevalence of chronic diseases due to various agents and more urbanized lifestyles. Rural communities also face socioeconomic challenges, such as rural exodus and the marginalization of small farmers due to the increasing concentration of land by large-scale companies.

Conclusion: Modern agricultural transformations have implied significant risks for rural populations, such as occupational problems and chronic diseases. The deconstruction of the “agrarian myth” becomes necessary, as well as public policies that promote social equity, health and sustainability of rural communities.

Analysis of contributing factors to immunization errors in Brazil: an integrative review

2024-12-16T22:36:06+00:00

Introduction: Surveillance of adverse events following immunization (AEFI) has been recommended by the World Health Organization (WHO) since 1991 and, in Brazil, it was structured by the National Immunization Program (PNI) in 1992, consolidating with the Information System for Surveillance of Adverse Events Following Immunization (SIEAPV) in 2000. However, the reporting of immunization errors (IE) was only fully incorporated in 2014.

Objective: The aim of this study was to analyze contributing factors to the occurrence of immunization errors reported in Brazil.

Method: This is an integrative review, in which a search was carried out in the BVS and SCIELO databases using the descriptors “Medication errors”, “Vaccination” and “Immunization” (combined using the Boolean operators AND and OR). The articles were selected according to PRISMA, ensuring methodological rigor and transparency in the synthesis of the data obtained.

Results: Of the 69 studies initially identified, 10 met the final criteria and were included in the review. The results showed that most errors are related to the administration of vaccines at non-recommended ages and inadequate intervals between doses. Factors such as lack of training of professionals, complexity of vaccination schedules, and inadequate environmental conditions (such as noise and physical space) were frequently cited as causes of errors.

Conclusion: Thus, strengthening vaccine safety practices and promoting a culture of transparency are essential to reduce immunization errors, protect public health and maintain public confidence in the immunization system.

The role of social services in promoting social and economic inclusion in Brazil: challenges and strategies for implementing public policies

2024-12-06T21:54:56+00:00

Objective: to analyze the role of social services in promoting social and economic inclusion in Brazil, with an emphasis on the challenges and strategies that permeate it for the implementation of public policies. Method: This is a narrative review of the literature.

Development: Social services, both in Brazil and worldwide, are guided by ethical and theoretical principles that emphasize human dignity, social justice, and the promotion of human rights. Inequality is one of the greatest challenges for public inclusion policies, manifesting itself in many ways. Several challenges associated with this area can be overcome through effective strategies.

Conclusion: Social services have significant relevance, especially in actions aimed at social inclusion. Thus, it is essential to analyze the difficulties faced by this category, in addition to the measures adopted to address socioeconomic inequality and implement public policies.

The phenomenon of electronic betting games: socioeconomic and health impacts - an integrative literature review

2024-12-17T00:17:13+00:00

Introduction: The phenomenon of bets referred to as electronic gambling in Brazil, following precarious regulation of the activity through a federal normative act has impacted the economic, social, and health realities of the Brazilian population.

Objective: This study aims to identify the factors associated with gambling in the context of the scientific literature between 2014 and 2024, as well as its implications for the economy and public health.

Method: An integrative literature review was conducted, based on research using databases accessible through Scielo, PubMed, Scopus, and BVS search engines.

Results: Articles addressing the economic and public health impacts of gambling, particularly addiction and its social consequences, were analyzed. The study includes an examination of the effects of gambling on vulnerable communities and offers policy recommendations.

Conclusion: The findings indicate that while gambling generates revenue, it exacerbates inequalities and creates new challenges for public health systems.

Mental health, gender and COVID-19: challenges for Brazilian women in the pandemic

2024-12-17T00:30:32+00:00

Objective: To analyze Brazilian publications on gender, mental health, and the pandemic in the first two years of COVID-19.

Method: A scoping review was conducted in the PubMed, Lilacs, Scielo, and Pepsic databases. The descriptors “Pandemic” or “COVID-19” and “Gender” and “mental health” or “psychosocial care” were used. Of the 392 studies found, 34 met the defined inclusion and exclusion criteria.

Results: The pandemic has significantly impacted the dynamics of Brazilian families, exacerbating gender inequalities and increasing psychological distress, especially in women and vulnerable populations. The studies analyzed highlighted difficulties in accessing psychosocial care and reinforced the importance of public policies that consider gender specificities . The changes brought about by the health crisis have highlighted the need to rethink practices and policies to promote a fairer and more humane response to mental health.

Conclusion: The results reinforce the need for public policies aligned with breaking with patriarchal and asylum logic, promoting gender equity and inclusive psychosocial care. These measures are crucial to face the challenges imposed by the pandemic and reduce structural inequalities.

Analysis of housing sustainability in the municipality of Vitória, ES, Brazil

2024-12-17T00:37:48+00:00

This article seeks to evaluate the urban public policy tools present in the legislative tools of urban planning, notably the national, state, metropolitan and municipal plans that prioritize the sustainable occupation of a social nature in large cities, especially the capital Vitória, and how these mechanisms are being used.

Analysis of image representations of suicide prevention on the yellow september website

2024-12-10T21:26:14+00:00

Introduction: The present essay consists in an analysis of imagery representations of suicide prevention on the Yellow September Campaign website, with the main goal of demosrating how this Campaign is essential for the mental health and well-being improvement of Brazilian individuals. The inquiry had as a methodology the research classified as descriptive and qualitative, focused in Brazil. The enphasized problematic comprehends the usage of the Gestalt approach and its basic concepts. Five images of the website Campaign were analyzed with the purpose of noticing how Gestalt, specially through its concept of background figure, contributes so that the perception of the images are used by individuals and professionals, in the sense that, through awareness and phenomenology, allow the resignification of the individuals’ lives, being perceived and discussed in the data analysis, that the images come to break taboos of debate about the theme, bringing light to the issue, through the individual’s awarness, the caring about the previous diagnosis and with the effective participation of the therapist, as much as with ideas of life appreciation and mainly a care about the human beings, concluding at last, that it is possible an individual awareness of how to do and what to do in the present moment, that is, here and now, through choices that this individual can have a better well-being and mental health as a being in the world, this way bringing more positive results for the Yellow September Campaign, through a reading of Gestalt Therapy.

The role of the federal government in internalizing the 2030 Agenda - Brazil and the Czech Republic

2024-12-17T00:50:33+00:00

Introduction: The 2030 Agenda of the United Nations for Sustainable Development relies on the efforts of member countries to implement and execute its goals and guidelines. Brazil and the Czech Republic are two countries that have made efforts to internalize the Sustainable Development Goals (SDGs) into their domestic practices. Each country has adopted distinct methodologies and techniques in this endeavor.

Objectives: This article analyzes the implementation of the 2030 Agenda in Brazil and the Czech Republic, highlighting similarities and differences. It aims to demonstrate the fundamental importance of the federal sphere in internalizing the 2030 Agenda.

Method: This is a documentary, descriptive, and exploratory study of the policies adopted by the two countries under analysis.

Results: Both countries have established federal government bodies and developed national plans to align the Sustainable Development Goals (SDGs) with local priorities. In Brazil, the National Commission for the SDGs (CNODS) led the process, while in the Czech Republic, the Ministry of the Environment coordinated the actions.

Rhetoric of Dissent and Public Policies: a critical analysis of the controversy surrounding the “Future-se” Program (2019) on social media

2024-11-28T19:39:12+00:00

This article aims to critically analyze the repercussions on social media surrounding the “Future-se” Program, created by the Ministry of Education (MEC) in 2019, based on Ruth Amossy’s (2017) contributions to the rhetoric of dissent. From the publication of the launch of the Program on MEC’s social media, ten comments were extracted for subsequent critical realist analysis of the discourse (Riley et al, 2007), according to the defining categories of the controversy as an argumentative modality: the dichotomization of arguments, the polarization of groups, and the disqualification of arguments and actors involved. All authors were anonymized, under current ethical precepts, according to their social roles in the controversy – proponent and opponent –, in an attempt to illustrate the positions implied therein. Thus, we hope to contribute to discussions that may have repercussions on different levels of public policies on Brazilian Education, in the present and the future.