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O GRANDE CONFLITO EPUB

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Gastroenterologia essencial. Rio de Janeiro: Guanabara Koogan; Genetics of gastroesophageal cancer: paradigms, paradoxes, and prognostic utility. Am J Gastroenterol. Epub Oct 9. Rev Assoc Med Bras. Esophageal cancer in patient with chagasic megaesophagus.

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National Immunization Program: Computerized System as a tool for new challenges

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Journal of Applied Psychology, v. The influence of salesperson selling behaviors on customer satisfaction with products. Working with emotional intelligence. New Jersey: Bantam Books, How many subjects does it take to do a regression analysis.

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The link between salespeople's job satisfaction and customer satisfaction in a business-to-business context: a dyadic analysis.

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Epub Oct 9. Rev Assoc Med Bras. Esophageal cancer in patient with chagasic megaesophagus. Arq Gastroenterol. Cytogenetic alterations in chagasic achalasia compared to esophageal carcinoma. Cancer Genet Cytogenet. Risk of mortality and cancer incidence in Barrett's esophagus. Cancer Epidemiol Biomarkers Prev. Epub Sep High exposure to polycyclic aromatic hydrocarbons may contribute to high risk of esophageal cancer in northeastern Iran. Anticancer Res. Occupational risk factors for esophageal and stomach cancers among female textile workers in Shanghai, China.

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Increased incidence of adenocarcinoma of the esophagus and cardia. Reflux and obesity are strong and independent risk factors according to the SECC study.

Rev Bras Cancerol ;52 2 Increasing dysphagia. Carcinoma: yes or no?

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Abstract The scope and coverage of the Brazilian Immunization Program can be compared with those in developed countries because it provides a large number of vaccines and has a considerable coverage.

The increasing complexity of the program brings challenges regarding its development, high coverage levels, access equality, and safety. The Immunization Information System, with nominal data, is an innovative tool that can more accurately monitor these indicators and allows the evaluation of the impact of new vaccination strategies.

The main difficulties for such a system are in its implementation process, training of professionals, mastering its use, its constant maintenance needs and ensuring the information contained remain confidential. Therefore, encouraging the development of this tool should be part of public health policies and should also be involved in the three spheres of government as well as the public and private vaccination services.

The system automatically gives notification when a vaccination is due and when it is late. At the populational level, an IIS is important to provide monitoring, evaluate responses to outbreaks, verify disparities in immunization coverage and offer decision-making support. With a better coverage, the rates of immunopreventable diseases are reduced, which makes the IIS an important tool for planning health services and evaluating the care that is provided.

Specifically in the area of immunization, Brazil has relied on important instruments since the s. In , a survey was published and included information stating that IIS existed in 62 Brazilian cities.

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Results are influenced by incorrect data caused by migration, populational mobility and errors in the estimation of the population and applied doses.

During the quest to improve the quality of information, the NPI-IS was developed and is the process of being implemented that will make it possible to evaluate coverage more accurately and identify vaccinated individuals. The NPI-IS will gather together, in a single database, subsystems that will provide data regarding vaccination coverage and dropout rate, in addition to AEFI and immunobiological calculations used in the network and at Reference Centers for Special Immunobiologicals.

Among the data in the system, it is possible to identify the vaccinated and their origins, allowing the unvaccinated to be found and given a dose. The IIS will improve this evaluation because it makes it possible to evaluate complete immunization schedules, validity of applied doses minimum time gap between doses and timely or late vaccine administration. However, it is worth highlighting the importance of monitoring vaccinal coverage, while considering different aspects and allowing micro-areas with lesser coverage to be identified.

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Moreover, the IIS increase vaccinal coverage by scheduling vaccination remind and identifying and searching for missing patients recall.

Reminding strategies range from phone calls, which are the most effective, to letters and home visits. During a randomized and controlled trial, performed in the USA and aimed at children and adolescents to have a vaccination against influenza, an increase in vaccinal coverage was observed, despite still remaining low.

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Results from a study that investigated the viability of this strategy were positive and promising, especially for detecting predefined signs of these events. One major challenge is defining which AEFI should be monitored and what magnitude of change, in its frequency, should be a trigger for alert.

Whenever the observed number was larger than what was expected, the manager was sent an alert. Only ten alerts were sent over a three-year period, one of these being genuine; however, it was this that was responsible for the change in immunization policy in the USA.