EFETUAÇÃO SOBRE O ACOLHIMENTO AVANÇADO EM UNIDADE BÁSICA DE SAÚDE LIDANDO COM ARCO DE MAGUEREZ

ABSTRACT: Introduction: Access to healthcare is essential for good quality of service, with clinical management being one of the pillars to guarantee this objective. In this context, reception appears as a tool to screen, listen, manage situations and facilitate the user's introduction to the service in an organized way. Among the various methods in structuring the agenda, the Advanced Access program, based in the United States of America, stands out as a strategy based on principles. "Work today!"Objective: To report the impact of access to counseling following the implementation of the New Agenda strategy in primary health care. methods: This is an experience report from a doctor who works in the area of ​​family and community medicine using the Maguerez arch for reception and improving access in the basic health unit in the city of PB Conceição. Results: After implementing a welcoming and agreed access strategy, the number of scheduled appointments increased, ensuring better access and quality of services provided. This helped to build bonds between the team and users and strengthen continuity of care. Conclusion: It can be said that the recruitment and dissemination strategy aligns the agency's agenda and the team's work processes. It is expected to contribute and stimulate controversies about the use of these strategies to improve access to primary care.RESUMO: Introdução: O acesso aos cuidados de saúde é essencial para uma boa qualidade de serviço, sendo a gestão clínica um dos pilares para garantir esse objetivo. Neste contexto, o acolhimento surge como uma ferramenta para triar, ouvir, gerir situações e facilitar a introdução do utilizador ao serviço de forma organizada. Entre os vários métodos Na estruturação da agenda o programa Advanced Access, com sede nos estadosunidosdaamérica destaca-se como uma estratégia baseada em princípios. "Trabalhar hoje!"!Objectivo: Relatar o impacto do acesso ao aconselhamento após a implementação da estratégia da Nova Agenda nos cuidados de saúde primários. métodos: Trata-se de um relato de experiência de um médico que atua na área de medicina de família e comunidade utilizando o arco de Maguerez para acolhimento e melhoria de acesso na unidade básica de saúde do município de PB Conceição. Resultados: Após a implementação de uma estratégia de acesso acolhedor e pactuado, o número de consultas agendadas aumentou, garantindo melhor acesso e qualidade dos serviços prestados. Isso ajudou a construir vínculos entre a equipe e os usuários e a fortalecer a continuidade do cuidado. Conclusão: Pode-se afirmar que a estratégia de recrutamento e divulgação alinha a agenda da agência e os processos de trabalho da equipe. Espera-se contribuir e estimular controvérsias sobre o uso dessas estratégias para melhorar o acesso à atenção primária

ASSISTÊNCIA A MULHER NEGRA DENTRO DA ATENÇÃO BÁSICA: REVISÃO DE LITERATURA

To analyze the paradigms faced by the black female population in the Primary Care health system, identifying the main factors that prevent better access and assistance. Method: This is an integrative literature review, searching the Medline, BDENF, LILACS databases, using as descriptors: “Women's Health”, “Primary Health Care”, “Public Health” and “Health Policy”. Health” combined between Boolean operators AND and OR, with a time frame of the last 5 years. Results: Of the 4,541 articles found, 8 were selected to compose the study. Factors related to the unpreparedness of professionals through vulnerabilities and lack of continuing education were identified as challenges to comprehensive health care for black women within the scope of Primary Care, which become borderline and challenging issues faced by women on a daily basis. The existence of racial prejudice, although it is fiercely fought, still exists in society and there must be intervention by health institutions to serve the individual as a whole. The study also highlighted socioeconomic factors related to girls' housing. This signals a slow process of surveying and monitoring by experts. conclusions: As primary care is the gateway to the health system, it is still necessary to expand the framework of scientific research to understand the topic in a specific and adequate way, as there is no doubt that stunted girls face several gaps in the provision of care without inequalities.Objetivo: Analisar os paradigmas enfrentados pela população negra feminina no sistema de saúde na Atenção Primária, identificando os principais fatores que impedem uma melhor acesso e assistência. Método: Trata-se de uma revisão integrativa de literatura, com busca nas bases de dados da Medline, BDENF, LILACS, utilizando como descritores: “Saúde da Mulher”, “Atenção Primária a Saúde”, “Saúde Pública” e “Política de Saúde” combinados entre operadores boleanos AND e OR, com recorte temporal dos últimos 5 anos. Resultados: Dos 4.541 artigos encontrados, 8 foram selecionados para compor o estudo. Identificaram-se, como desafios à assistência à saúde integral da mulher negra no âmbito da Atenção Básica fatores relacionados ao despreparo dos profissionais mediante as vulnerabilidades e a falta de educação continuada, que se tornam questões limítrofes e desafiadoras enfrentadas pelas mulheres diariamente. A existência de preconceito racial, embora seja ferozmente combatido Mas ainda existe na sociedade E deve haver intervenção das instituições de saúde para atender o indivíduo como um todo. O estudo também destacou os factores socioeconómicos relacionados com a habitação das meninas Isto sinaliza um processo lento de enquête e monitoramento por parte de especialistas. conclusões: Sendo a atenção básica a porta de entrada do sistema de saúde, ainda é necessário ampliar o arcabouço da investigação científica para compreender o tema de forma específica e adequada, pois não há dúvidas de que as meninas atros enfrentam diversas lacunas na prestação de cuidados sem desigualdades

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost