Fabiano Tonaco Borges

Epidemiologia do câncer de boca em laboratório público do Estado de Mato Grosso, Brasil

This study analyzed oral cancer epidemiology based on histopathology reports from a public laboratory in Mato Grosso, Brazil, after a specific policy was implemented for treating oral and facial diseases in the State. This was a cross-sectional epidemiological study, based on 1,324 histopathology reports issued from January 2005 to December 2006. The study identified 44 cases of oral cancer, or 3% of all oral lesions, and analyzed them in relation to the following variables: histological type, gender, age, and patients place of residence (capital versus rest of State). The most common histological type was squamous cell carcinoma. Most of the diagnoses occurred in men in their 50s and 60s living in the interior of the State. During two years in operation, this public oral pathology service had recorded a considerable number of oral cancer cases.

Paracoccidioidomycosis prevalence in a public laboratory of the Brazilian unified health system

Paracoccidioidomycosis (PCM) is a systemic fungal disease with oral manifestations that is the most prevalent in Latin America. The purpose of this cross-sectional epidemiological study was to examine the prevalence of PCM in the Public Laboratory (MT Laboratory) of the Brazilian Unified Health System in Mato Grosso. The following data from 3670 cytological and histopathological reports of oral lesions issued by the MT Laboratory over a 4-year (2004–2008) period were analyzed: diagnostic method (oral exfoliative cytology or biopsy), diagnosis by year, origin of cases (urban or rural), and patient gender and age. In the assessment period, 96 cases (2.6%) of PCM were diagnosed. Most cases originated from rural areas (94%), and PCM was the most prevalent in men (97.9%) and in the fifth decade of life (35.4%). These results show that Mato Grosso had a considerable number of PCM cases over a small period, suggesting that this state is an endemic region for PCM in Brazil.

Escolas Técnicas do SUS (ETSUS) no Brasil: regulação da integração ensino serviço e sustentabilidade administrativa

The scope of this study was to discuss the administrative sustainability of Brazils Vocational Health Schools (ETSUS) based on the principle of teaching and service integration, which brings a new dimension to healthcare work as yet unregulated by Brazilian public administration. It was a qualitative study using case study methodology. The research involved a semi-structured questionnaire given to ETSUS managers addressing institutional, administrative, and work management aspects. The sample was composed of 6 ETSUS that belong to the Network of Vocational Health Schools (RET-SUS). The ETSUS showed centralized planning and management, and decentralized implementation of their core activities. The majority did not have administrative autonomy and relied heavily on funding from the federal government. According to ETSUS managers, the lack of regulation of teaching activities by civil servants weakens the management of ETSUS. The ETSUS have managerial problems related to teaching-service integration, which has to be regulated in order to guarantee the sustainability of these schools and avoid conflicts with Brazilian legislation.

Análise da experiência de médicos cubanos numa metrópole brasileira segundo o Método Paideia

We had hoped that the Mais Médicos Program (More Doctors Program) would have generated several changes and reflections in each municipality in which it was deployed. In order to observe those changes, we sought to analyze the experience of Cuban physicians in the Mais Médicos program from an actor-centered perspective, based on the Paideia Method - an approach that seeks to enhance the ability of the subjects to analyze and intervene in their practice. We performed semi-structured interviews to analyze our research object that consisted in the experience of those actors included professionally in the Mais Médicos program in a metropolis with unique characteristics. In order to assess the interviews, we applied Content Analysis followed by Thematic Analysis. From the discourse of the actors, of which illustrative excerpts are transcribed in this article, we can affirm that the programs potential surpassed any initial barriers, presenting itself as fine-tuning instrument for replacing the biomedical model in line with the Paideia Method.

Negotiating horizontality in medical South–South cooperation : The Cuban mission in Rio de Janeiro’s urban peripheries

ABSTRACT For more than 50 years, Cuba has been one of the most important players in the field of international medical cooperation in the Global South. Between 2013 and 2016, Cuba maintained one of its largest cooperations with Brazil: nearly 11,400 Cuban physicians were sent to work within the framework of the Brazilian health programme ‘More-Doctors-for-Brazil’, which was implemented to improve Brazil’s precarious public health sector. This paper inquires into the manifold challenges of horizontal connectivity in this medical South–South cooperation. We will trace these back to deep-rooted contentions about the epistemological approaches to medical practice and professional recognition within and between Cuban and Brazilian arenas of public health, which do not, however, conform to a simplistic socialism–capitalism dichotomy. Rather, this particular South–South cooperation reveals significant differences in how powerful the postcolonial legacies of medical assistance remain in Global Health settings. This paper explores how these legacies may impact on the moral and professional legitimacy of the individuals involved in South–South partnership. Using ethnographic findings in newly established family clinics situated in urban poverty regions in Rio de Janeiro’s North, we will also show how prolonged local interactions may create new spaces of horizontal encounters and connectivity in international medical cooperation.

Right to health: is the Brazilian National Health System (SUS) at risk?

El Colectivo de Estudios y Apoyo Paideia ha propuesto el seminario: “Derecho a la Salud: ?el SUS esta en riesgo?” para ampliar el debate con los actores sociales sobre los impases actuales del Sistema Brasileno de Salud (SUS) y los posibles caminos para lograr el derecho a la salud. Los participantes presentaran propuestas en concreto que nos llevan a la mayor participacion politica y la ampliacion de la democracia en el SUS.O coletivo de Estudos e Apoio Paideia propos o seminario “Direito a Saude: o SUS esta em risco?” para ampliar o debate com os atores sociais sobre os impasses atuais do Sistema Unico de Saude (SUS) e os caminhos possiveis para a concretizacao do direito a saude. Os participantes apresentaram propostas concretas que nos guiam para uma maior participacao politica e aprofundamento da democracia no SUS.The Paideia Collective of Research Support proposed the seminar “Right to Health Care: Is the SUS at risk?” to broaden the debate with social actors over the current challenges faced by the Brazilian National Health System (SUS in Portuguese), and to discuss possible ways to concretize the right to health care. The audience presented specific proposals that guide us to increase political participation and deepen democracy in the SUS.

El derecho a la salud: ¿el Sistema Brasileño de Salud (SUS) está en riesgo?

El Colectivo de Estudios y Apoyo Paideia ha propuesto el seminario: “Derecho a la Salud: ?el SUS esta en riesgo?” para ampliar el debate con los actores sociales sobre los impases actuales del Sistema Brasileno de Salud (SUS) y los posibles caminos para lograr el derecho a la salud. Los participantes presentaran propuestas en concreto que nos llevan a la mayor participacion politica y la ampliacion de la democracia en el SUS.O coletivo de Estudos e Apoio Paideia propos o seminario “Direito a Saude: o SUS esta em risco?” para ampliar o debate com os atores sociais sobre os impasses atuais do Sistema Unico de Saude (SUS) e os caminhos possiveis para a concretizacao do direito a saude. Os participantes apresentaram propostas concretas que nos guiam para uma maior participacao politica e aprofundamento da democracia no SUS.The Paideia Collective of Research Support proposed the seminar “Right to Health Care: Is the SUS at risk?” to broaden the debate with social actors over the current challenges faced by the Brazilian National Health System (SUS in Portuguese), and to discuss possible ways to concretize the right to health care. The audience presented specific proposals that guide us to increase political participation and deepen democracy in the SUS.

Direito à saúde: o Sistema Único de Saúde (SUS) está em risco?

El Colectivo de Estudios y Apoyo Paideia ha propuesto el seminario: “Derecho a la Salud: ?el SUS esta en riesgo?” para ampliar el debate con los actores sociales sobre los impases actuales del Sistema Brasileno de Salud (SUS) y los posibles caminos para lograr el derecho a la salud. Los participantes presentaran propuestas en concreto que nos llevan a la mayor participacion politica y la ampliacion de la democracia en el SUS.O coletivo de Estudos e Apoio Paideia propos o seminario “Direito a Saude: o SUS esta em risco?” para ampliar o debate com os atores sociais sobre os impasses atuais do Sistema Unico de Saude (SUS) e os caminhos possiveis para a concretizacao do direito a saude. Os participantes apresentaram propostas concretas que nos guiam para uma maior participacao politica e aprofundamento da democracia no SUS.The Paideia Collective of Research Support proposed the seminar “Right to Health Care: Is the SUS at risk?” to broaden the debate with social actors over the current challenges faced by the Brazilian National Health System (SUS in Portuguese), and to discuss possible ways to concretize the right to health care. The audience presented specific proposals that guide us to increase political participation and deepen democracy in the SUS.