BackgroundManagement of hypertension in Mozambique is poor, and rates of control are amongst the lowest in the world. Health system related factors contribute at least partially to this situation, particularly in settings where there is scarcity of resources to address the double burden of infectious and non-communicable diseases. This study aimed to assess the management of hypertension in an emergency department (ED).MethodsDuring a pragmatic and prospective 30-day snapshot study (with 24 h surveillance) and random profiling of one-in-five presentations to the ED of Hospital Geral de Mavalane, Maputo, we assessed patient’s flow and care, as well as health facility’s infrastructure and resources through direct observation. Reports from pharmacy and laboratory stocks were used to assess availability of diagnostics and medicines needed for hypertension management.ResultsThe 1911 hypertensive patients included in the study had several stops during their journey inside the health facility and followed a non-standardized care flow. No clinical protocols or algorithms for risk stratification of hypertension were available. Stock-outs of basic diagnostic tools for risk stratification and medicines were registered. The availability of medicines was 28% on average.ConclusionsCritical gaps in health facility readiness to address arterial hypertension seen in ED were uncovered, including lack of clinical protocols, insufficient availability of diagnostics and essential medicines, as well as low affordability of the families to guaranty continuum of care. Innovative financing mechanisms are needed to support the health system to address hypertension.
Este artigo apresenta os resultados de levantamento realizado por meio digital no mês de julho de 2017, junto a pesquisadores e professores de cursos de Comunicação no Brasil, com o objetivo de conhecer que teorias da comunicação organizacional influenciam os estudos desenvolvidos no Brasil e como são apropriadas na pesquisa e no ensino nos cursos de Relações Públicas, Comunicação Organizacional, Jornalismo e outros ofertados por instituições de ensino brasileiras.Palavras-Chave: Teorias de Comunicação Organizacional, Ensino de Comunicação, Epistemologia da Comunicação. Abstract This article presents the results of a digital survey conducted in July 2017, together with researchers and professors of Communication courses in Brazil, to know which organizational communication theories influence the studies developed in Brazil and how they are appropriate in research and teaching in the courses of Public Relations, Organizational Communication, Journalism and others offered by Brazilian educational institutions. Keywords: Organizational Communication Theories, Communication Teaching, Communication Epistemology
Our school and classes do not have boundaries. In this project, students worked in the same projects in Civics, English Language, Information and Communication Technology, Mathematics, Physics and Chemistry and Portuguese Language classes. They worked on real daily life problems in Cacilhas, identified problems, did field work, talked with people, searched for solutions.
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