Apoio social e saúde: pontos de vista das ciências sociais e humanas Social support and health: standpoints from the social and human sciences

Analisam-se os temas e as abordagens teórico-conceituais do apoio social nos artigos de importantes periódicos internacionais de ciências sociais e de medicina e nacionais de Saúde Coletiva/Saúde Pública no período 1983-2005. Procedeu-se a leitura dos resumos dos 259 textos internacionais e 57 nacionais encontrados classificando e computando as relações do apoio social com a saúde/doença/cuidado. A seguir analisaram-se os conceitos e as abordagens do apoio social do ponto de vista das teorias e dos autores das ciências sociais e humanas, em uma amostra intencional de 56 textos internacionais e 18 nacionais. A literatura internacional respalda-se na psicologia social, nas várias correntes da sociologia e da ciência política e menos na antropologia. A literatura nacional dialoga menos com as teorias psicossociais e mais com as sociológicas e as antropológicas, realçando-se pela abordagem do apoio com a rede social, a solidariedade, as trocas e os valores culturais, deslocando-se da esfera individual e privada para a capacidade de organização da sociedade civil e de ações coletivas. Diferentes correntes norteiam as análises teórico-conceituais do apoio social, sendo a literatura internacional mais antiga, diversificada, empírica e escassa de produção antropológica.<br>This article analyses the themes and conceptual-theoretical approaches of the social support in the literature from important international journals about social sciences and medicine, and in from 1983 to 2005 are analyzed. 259 international and 57 national abstracts was reading for the identification and computing the relations of the social support with health/disease/care. A deeper conceptual analysis about social support and the theories of social science were reported in an intentional sample of 56 international and 18 national texts. The international literature is based on the social psychology, in the several trends of the sociology and of the political science and less in the anthropology. The national literature dialogues less with the psychosocial theories and more with the sociological and anthropological theories. In this latter literature the social support approaches are concerned with social network theories; reciprocity, exchanges and cultural values. It is concluded that different trends guide the conceptual-theoretical analyses of the social support, being the international literature older, wider, more diversified and empirical, but with scarce anthropological production. The national literature is more reflexive them empirical

Cohort profile: the ESC EURObservational Research Programme Non-ST-segment elevation myocardial infraction (NSTEMI) Registry

Aims The European Society of Cardiology (ESC) EURObservational Research Programme (EORP) Non-ST-segment elevation myocardial infarction (NSTEMI) Registry aims to identify international patterns in NSTEMI management in clinical practice and outcomes against the 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without ST-segment-elevation. Methods and results Consecutively hospitalised adult NSTEMI patients (n = 3620) were enrolled between 11 March 2019 and 6 March 2021, and individual patient data prospectively collected at 287 centres in 59 participating countries during a two-week enrolment period per centre. The registry collected data relating to baseline characteristics, major outcomes (inhospital death, acute heart failure, cardiogenic shock, bleeding, stroke/transient ischaemic attack, and 30-day mortality) and guideline-recommended NSTEMI care interventions: electrocardiogram pre- or in-hospital, prehospitalization receipt of aspirin, echocardiography, coronary angiography, referral to cardiac rehabilitation, smoking cessation advice, dietary advice, and prescription on discharge of aspirin, P2Y12 inhibition, angiotensin converting enzyme inhibitor (ACEi)/angiotensin receptor blocker (ARB), beta-blocker, and statin. Conclusion The EORP NSTEMI Registry is an international, prospective registry of care and outcomes of patients treated for NSTEMI, which will provide unique insights into the contemporary management of hospitalised NSTEMI patients, compliance with ESC 2015 NSTEMI Guidelines, and identify potential barriers to optimal management of this common clinical presentation associated with significant morbidity and mortality