Rubens Bedrikow

Síndrome da resposta inflamatória sistêmica/sepse 3/4 revisão e estudo da terminologia e fisiopatologia

O progresso da ciencia medica, que avanca nosentido do entendimento das doencas e suas conse-quencias, nos tem levado a novas tecnicas diag-nosticas e terapeuticas e, assim nos obriga areavaliacoes de conceitos e terminologias. Variasdessas terminologias deixaram de existir, nao emdecorrencia de medidas terapeuticas ou preventi-vas, mas gracas aos avancos da compreensao dafisiopatologia, de tal modo que suas denominacoestornaram-se obsoletas

Hipotermia acidental em um país tropical

OBJECTIVE This paper has by objective to study the hypothermias presence, presentation form and consequences in our environment. METHODS A prospective study in hypothermic patients assisted in the Medical Clinic Emergency Service of Santa Casa of S o Paulo, with 212 patients with mild, moderate and serious hypothermia from 1987 to 2001, the most part of them constituted by chronic alcoholics and homeless. The results were analyzed in reference to sex, age group, central temperature, electrocardiogram, co-morbidity and mortality. RESULTS The hypothermia prevailed in the male sex with 75.9%. As age group prevailed the age between 30 and 59 years. In 70.3% of the patients the central temperature went lower than 32 C, and in 26.4% of these, the temperature was lower than 28 C. The association with infectious processes happened in 76.8% of the cases. The patients with mild hypothermia answered better at therapeutics (96.8%) when compared with the moderate hypothermic (72.1%) and serious (87.5%) patients. The Osborns wave was present in 42.6% of the patients. The general mortality was 38.2%. CONCLUSIONS The accidental hypothermia in Emergency Services from Tropical Country is an undeniable fact. The paramedic and medics should be alert and trained to recognize this disease of high morbidity and mortality. The mortality increases with the presence of associated diseases, particularly infectious processes, malnutrition and chronic alcoholism.

Controle da dengue sob a ótica bioética

This research analyzed actions, social control and bioethical dilemmas concerning the dengue control. Qualitative methodology – focal groups and interviews – has been employed. We concluded that Public Health actions aimed at dengue control must follow sanitary bioethical principles. Public managers, workers and users must act to prioritize public policies that benefit as many people as possible, as long as possible, resulting in best consequences for the entire community, and not allow any private, corporate or partypolitical interests to put the ethics commitment in risk. We believe it’s necessary to build new standards of relationship between users and public managers and between the Union, States and Municipalities, based on Bioethics and co-management.The dengue control from the bioethic’s perspective This research analyzed actions, social control and bioethical dilemmas concerning the dengue control. Qualitative methodology – focal groups and interviews – has been employed. We concluded that Public Health actions aimed at dengue control must follow sanitary bioethical principles. Public managers, workers and users must act to prioritize public policies that benefit as many people as possible, as long as possible, resulting in best consequences for the entire community, and not allow any private, corporate or partypolitical interests to put the ethics commitment in risk. We believe it’s necessary to build new standards of relationship between users and public managers and between the Union, States and Municipalities, based on Bioethics and co-management.This research analyzed actions, social control and bioethical dilemmas concerning the dengue control. Qualitative methodology – focal groups and interviews – has been employed. We concluded that Public Health actions aimed at dengue control must follow sanitary bioethical principles. Public managers, workers and users must act to prioritize public policies that benefit as many people as possible, as long as possible, resulting in best consequences for the entire community, and not allow any private, corporate or partypolitical interests to put the ethics commitment in risk. We believe it’s necessary to build new standards of relationship between users and public managers and between the Union, States and Municipalities, based on Bioethics and co-management.

The dengue control from the Bioethic's perspective

This research analyzed actions, social control and bioethical dilemmas concerning the dengue control. Qualitative methodology – focal groups and interviews – has been employed. We concluded that Public Health actions aimed at dengue control must follow sanitary bioethical principles. Public managers, workers and users must act to prioritize public policies that benefit as many people as possible, as long as possible, resulting in best consequences for the entire community, and not allow any private, corporate or partypolitical interests to put the ethics commitment in risk. We believe it’s necessary to build new standards of relationship between users and public managers and between the Union, States and Municipalities, based on Bioethics and co-management.The dengue control from the bioethic’s perspective This research analyzed actions, social control and bioethical dilemmas concerning the dengue control. Qualitative methodology – focal groups and interviews – has been employed. We concluded that Public Health actions aimed at dengue control must follow sanitary bioethical principles. Public managers, workers and users must act to prioritize public policies that benefit as many people as possible, as long as possible, resulting in best consequences for the entire community, and not allow any private, corporate or partypolitical interests to put the ethics commitment in risk. We believe it’s necessary to build new standards of relationship between users and public managers and between the Union, States and Municipalities, based on Bioethics and co-management.This research analyzed actions, social control and bioethical dilemmas concerning the dengue control. Qualitative methodology – focal groups and interviews – has been employed. We concluded that Public Health actions aimed at dengue control must follow sanitary bioethical principles. Public managers, workers and users must act to prioritize public policies that benefit as many people as possible, as long as possible, resulting in best consequences for the entire community, and not allow any private, corporate or partypolitical interests to put the ethics commitment in risk. We believe it’s necessary to build new standards of relationship between users and public managers and between the Union, States and Municipalities, based on Bioethics and co-management.

El control del dengue desde la perspectiva de la Bioética

This research analyzed actions, social control and bioethical dilemmas concerning the dengue control. Qualitative methodology – focal groups and interviews – has been employed. We concluded that Public Health actions aimed at dengue control must follow sanitary bioethical principles. Public managers, workers and users must act to prioritize public policies that benefit as many people as possible, as long as possible, resulting in best consequences for the entire community, and not allow any private, corporate or partypolitical interests to put the ethics commitment in risk. We believe it’s necessary to build new standards of relationship between users and public managers and between the Union, States and Municipalities, based on Bioethics and co-management.The dengue control from the bioethic’s perspective This research analyzed actions, social control and bioethical dilemmas concerning the dengue control. Qualitative methodology – focal groups and interviews – has been employed. We concluded that Public Health actions aimed at dengue control must follow sanitary bioethical principles. Public managers, workers and users must act to prioritize public policies that benefit as many people as possible, as long as possible, resulting in best consequences for the entire community, and not allow any private, corporate or partypolitical interests to put the ethics commitment in risk. We believe it’s necessary to build new standards of relationship between users and public managers and between the Union, States and Municipalities, based on Bioethics and co-management.This research analyzed actions, social control and bioethical dilemmas concerning the dengue control. Qualitative methodology – focal groups and interviews – has been employed. We concluded that Public Health actions aimed at dengue control must follow sanitary bioethical principles. Public managers, workers and users must act to prioritize public policies that benefit as many people as possible, as long as possible, resulting in best consequences for the entire community, and not allow any private, corporate or partypolitical interests to put the ethics commitment in risk. We believe it’s necessary to build new standards of relationship between users and public managers and between the Union, States and Municipalities, based on Bioethics and co-management.

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.

Clarifying the case of two people with the same name of Manoel de Abreu

A curious episode in the history of Brazilian medicine is retold here, involving two physicians with the same name, between 1936 and 1937. The most important legacy left by Manoel Dias de Abreu was a method of radiography to diagnose tuberculosis - mass miniature radiography (abreugraphy). Manoel de Abreu Campanario wrote A medicina no interior (Medicine from the interior). The similarities between the two names created such confusion that some people believed that Campanario was a pseudonym. This case of mistaken identity led Manoel Dias de Abreu to send a consultation-statement to the Brazilian Society for Medicine and Surgery, which immediately created a commission to examine the case. The letter of clarification sent by Campanario resolved the issue.