Kenneth Camargo

Kenneth Camargo
Rio de Janeiro State University | UERJ · Instituto de Medicina Social (IMS)

MD PhD

About

234
Publications
18,705
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2,312
Citations
Additional affiliations
October 1995 - present
Rio de Janeiro State University
Position
  • Senior Associate Professor
October 1995 - present
Rio de Janeiro State University
Position
  • Senior Associate Professor

Publications

Publications (234)
Article
Resumo Definir um conceito de necessidades em saúde é fundamental para estabelecer limites às intervenções médico-sanitárias, sejam individuais ou coletivas. Como muitas expressões de uso técnico corrente, há uma variação considerável dos sentidos atribuídos à expressão “necessidades de saúde”. A hipótese que guiou este trabalho é de que a literatu...
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A solid knowledge base is one of the necessary conditions to assure health as a human right. The contemporary source of such knowledge are the sciences at large, which however presents a problem, since the scientific enterprise can - and has been - a source of human rights violations as well. The field of social studies of science (STS) takes an ic...
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Relevância dos periódicos de saúde coletiva em informar a pesquisa, a educação, os serviços de saúde e a cidadania Aguardando a tradução do artigo ou a revisão do título e do resumo em inglês pelo nosso tradutor Resumo Esse texto apresenta de modo sintético, as discussões do grupo de trabalho de mesmo nome, realizadas durante a conferência internac...
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Este ensaio pretende pôr em evidência a noção de existencialidade da comida em uma relação de oposição à de racionalidade nutricional (VIANA et al., 2017) ao considerar a alimentação como expressão do projeto existencial subjetivo constituído no mundo dado, em meio a outras presenças. O esforço encontra justificativa no exacerbado modo de pensar e...
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In the 1950s, the psychosomatic medicine movement emerged in Brazil, led by psychiatrist and psychoanalyst Danilo Perestrello. This article analyzes the strategies developed to configure this proposal and establish this field of study. From the beginning, this movement was characterized by a plan to reformulate medicine based on psychoanalytic theo...
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Resumo O Apoio Matricial (AM) é considerado um dos pilares da integração entre os profissionais da Atenção Primária à Saúde (APS) e os profissionais de Saúde Mental (SM). À luz de um breve histórico dos processos de reorganização da APS que levaram à criação da proposta de AM e de considerações sobre seus conceitos fundantes, realizou-se uma revisã...
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This essay discusses the proliferation of discourses about the COVID-19 pandemic, presenting the challenges both to science and public policies that such an information overload present, having Collins’ sociology of expertise as a theoretical framework.
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Objective: to evaluate the application of a deterministic routine for identifying multiple pregnancies on the Brazilian Live Birth Information System (SINASC). Methods: SINASC data deduplication and linkage with the mortality database (fetal deaths) for Rio de Janeiro state for the period 2007-2008; we used a deterministic routine, using a key bas...
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This essay discusses the resurgence of anti-vaccine activism in recent years, based on relevant literature and the author’s own experiences. After presenting possible reasons for the reemergence of such movements and their consequences, the author analyses the role of Internet-mediated communication in amplifying this discourse and making it less a...
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Resumo A aprovação da Lei no 12.764/2012 representou uma vitória do ativismo político de familiares de autistas no Brasil, mas também deu visibilidade a um enorme antagonismo entre uma parcela significativa de pais de autistas e a rede de saúde mental. Este artigo analisa o posicionamento dos diferentes atores envolvidos na controvérsia que se suce...
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Resumo Este artigo visa lidar com um assunto fundamental e pouco discutido entre as pessoas que estudam, debatem e experimentam o trabalho em saúde: as relações entre médicos e enfermeiras. Para isso, nos baseamos na experiência etnográfica em uma enfermaria feminina de um hospital público para elaborar algumas reflexões sobre tais relações. Experi...
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This paper identified and analyzed some interactions on the internet in the daily of people living with HIV and AIDS (PLHA) in Brazil. As methods we made interviews with PLHA analyzed by content analysis and a virtual ethnography of a secret group of PLHA on Facebook. These are the following results: sociability produced in the internet helps to re...
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Resumo Os cuidados adequados em saúde mental são considerados um desafio para a saúde pública. A integração desses cuidados com a Atenção Primária à Saúde (APS) é a principal estratégia segundo a OMS. Nesta direção, no Brasil, a criação do Núcleo de Apoio à Saúde da Família (NASF) foi um avanço, composto por uma equipe multidisciplinar que tem como...
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El trabajo tiene puesto su foco de atención en el proceso de construcción de conocimientos sobre enfermedades. El objetivo general es analizar ese proceso a partir de dos enfermedades en clave comparada: el Síndrome Urémico Hemolítico y la fibromialgia. Se reflexiona sobre cómo la construcción de conocimientos biomédicos modela el diseño de las pol...
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RESUMEN Se provee una revisión de la literatura sociológica a partir de 79 obras referentes a cribados de cáncer y se excluyeron los cribados genéticos prenatal y neonatal. El tamizaje implica el monitoreo de poblaciones aparentemente sanas para rastrear una determinada condición. El rastreo invirtió la concepción tradicional de comprensión sobre l...
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IntroductionPregnancy at age extremes and low maternal schooling are associated with under-five mortality. However, we found no study in the literature that evaluated the interaction between mother’s age and schooling on under-five mortality measured in both multiplicative and additive scales. Objectives and ApproachTo analyze the interaction betwe...
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Introduction Repeat pregnancy among adolescents is associated with preexisting disadvantages related to the adolescent’s social and cultural background. In Brazil, there is a lack of studies that evaluate repeat pregnancy during the entire adolescence period. Record linkage is a useful tool for following adolescents after the birth of their first c...
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IntroductionRecord linkage has been increasingly used in Brazil. However, only a few studies report the quality of the linkage process. Synthetic test data can be used to evaluate the quality of data linkage. Objectives and ApproachTo develop a synthetic data generator that creates test datasets with similar attributes and error characteristics fou...
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This study aims to reflect on the intertwining of certain key ideas about what we call “health” within the hegemonic biomedical paradigm: health, disease, health needs, medicalization and medical-industrial complex. This reflection is based on the philosophical contributions of Heller and Wiggins on needs; on the discussion of some authors, especia...
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Scientific production, risk communication, repercussions on the health system and social assistance, social and environmental determinants of health, living conditions, sexual and reproductive rights are important issues highlighted by Zika outbreak when it comes to what has circulated online. To social sciences, investigating this phenomenon has d...
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O cuidado e seus desafios para a formação profissional, na melhoria da qualidade nos serviços de saúde e na experiência relacional. Esses aspectos estão presentes nos 16 artigos da coletânea Organização do Cuidado e Práticas em Saúde: abordagens, pesquisas e experiências de ensino, da Editora Fiocruz, organizado por Marilene de Castilho Sá, Maria d...
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OBJECTIVE Evaluate the interaction between maternal age and education level in neonatal mortality, as well as investigate the temporal evolution of neonatal mortality in each stratum formed by the combination of these two risk factors. METHODS A nonconcurrent cohort study, resulting from a probabilistic relationship between the Mortality Informati...
Conference Paper
Brazil was the center of world’s attention during Zika epidemic due to the expressive number of microcephaly occurrences in new-borns. Science was not able to explain how a virus with no medical importance till then, became the cause of a public health emergency of international concern, a global health threat. Scientific explanations and control m...
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We analyzed uncertainties and complexities of the Zika virus outbreak in Brazil, and we discuss risk reduction for future emergencies. We present the public health situation in Brazil and concurrent determinants of the epidemic and the knowledge gaps that persist despite building evidence from research, making public health decisions difficult. Bra...
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Objective This research aimed to study regulatory and operational aspects related to information security, especially confidentiality, in organizations that systematically carry out record linkage. ApproachWe searched international experiences of data linkage units from the literature and from the catalog of International Population Data Linkage Ne...
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Objective To estimate the effect of short interdelivery interval between the first and second pregnancies in adolescence on low birth weight. ApproachA non-concurrent cohort study was carried out employing a probabilistic duplicate detection technique of the Brazilian Live Birth Information System (N=2,774,373 records). We evaluated 3,146 linked re...
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Objectives To assess the match quality of a linkage strategy based on the combined use of a statistical linkage key and the Levenshtein distance to link birth to death records in Brazil. ApproachFirst we evaluated the discrimination power of a statistical linkage key adapted from the Australian SLK-581. The modified statistical linkage key (MSLK-78...
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A universidade pública tem encontrado progressivas limitações financeiras no Brasil, manifestadas de forma aguda na Universidade do Estado do Rio de Janeiro. Análises ingênuas tomam como fenômeno inevitável o que é, na verdade, o resultado de políticas inadequadas e de uma ideologia que defende a mutilação do Estado e o consequente descompromisso d...
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This is an article based on a theoretical and conceptual reflection on the concept of nutritional rationale and its relation to the medicalization of food. The objective is to highlight the influence that eating habits suffer from the alleged condition of supremacy that science holds, which proclaims the need for health in its discourse. Based on t...
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Background This study tested the hypothesis that the birthweight paradox would not be observed when assessing the effect of maternal education on neonatal mortality in the presence of socioeconomic inequality in access to health care. Methods Non-concurrent cohort study. Passive follow-up of live-born infants using probabilistic record linkage of...
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This paper aims to analyze the women's status during labor. We start with the understanding of the biomedical rationality that characterize the obstetric paradigm, by the technical and technological intervention on the female body, in the belief of its biological instability and the liminal character of the women in labor, with the expectation of n...
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OBJECTIVE To analyze the accuracy of deterministic and probabilistic record linkage to identify TB duplicate records, as well as the characteristics of discordant pairs. METHODS The study analyzed all TB records from 2009 to 2011 in the state of Rio de Janeiro. A deterministic record linkage algorithm was developed using a set of 70 rules, based o...
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The "received view" of Descartes has shaped the image of a dualist thinker who radically separated mind and body and thus laid the foundations for a "divided modernity". Numerous epithets have been applied to Cartesian thinking, all of which now sound depreciative: mechanicism, determinism, and reductionism, among others. This article contends that...
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This study focuses on the construction of male hormonal decline relating to aging as part of a more general process of medicalization of male sexuality and aging. In order to accomplish this objective, 14 websites of pharmaceutical laboratories that sell drugs for male sexual health and seven websites of medical-scientific associations focusing on...
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Background: An association between rapid repeat pregnancy (occurring within a birth interval of up to 24 months) and undesirable obstetric and perinatal outcomes has been shown, especially among adolescents and women without adequate schooling. Objective: To evaluate the effect of the interaction between maternal schooling and age on the inciden...
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The aim of this study was to discuss the limits of the quantitative evaluation model for scientific production in Public Health. An analysis of the scientific production of professors from the various subareas of Public Health was performed for 2010-2012. Distributions of the mean annual score for professors were compared according to subareas. The...
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Background This article presents the qualitative component linked to a larger study of implementation of the Xpert™ MTB/Rif technology in two Brazilian cities. Despite intrinsic advantages of new health technologies, its introduction can be disruptive to existing routines, and it is thus important to understand how these innovations are perceived b...
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OBJECTIVE:The availability of epidemiological, clinical and administrative databases in digital format, in addition to the development of record linkage techniques (RL) which enable researchers to link them together, have helped to consolidate the use of secondary data in health research and evaluation in recent decades. In this article we present...
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We describe the history and characteristics of the journal Physis by presenting an overview of what was published in the 24 years since its first issue. We present some data relating to quotations and a critical discussion of same. We end with a discussion of recently observed movements in policies of government agencies regarding scientific policy...
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Justice-fairness in how people are dealt with-is not merely about law but also an aspirational goal, resulting in different points of emphases if the focus is on justice and health or justice in health. Two important human aspirations: justice and health, form the central theme of this editorial, their coalescence resulting in fairness in how peopl...
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The technical consultation in Montreux, organised by World Health Organization and UNAIDS in 2007, recommended male circumcision as a method for preventing HIV transmission. This consultation came out of a long process of releasing reports and holding international and regional conferences, a process steered by an informal network. This network's r...
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Record linkage is the process of identifying and merging records across different databases belonging to the same entity. The health sector is one of the pioneering areas of record linkage techniques applications. In 1998 we began the development of a software package, called RecLink that implemented probabilistic record linkage techniques. In this...
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Public health is usually enacted through public policies, necessitating that the public engage in debates that, ideally, are grounded in solid scientific findings. Mistrust in science, however, has compromised the possibility of deriving sound policy from such debates, partially owing to justified concerns regarding undue interference and even outr...
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Objectives: To describe the clinical profile, patterns of care and mortality rates of aged patients who have undergone hip fracture surgical repair. Design: Retrospective patient record study. Setting: A public university hospital in Rio de Janeiro, Brazil. Participants: 352 patients aged 60 and older who underwent surgery for hip fracture between...
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Fifteen years ago, a redesign of this journal that resulted from a value-driven strategic planning effort gave us pause to reconsider our title. As part of our mission statement, we assert that, “We aim to embrace all of public health, from global policies to the local needs of public health practitioners.” And yet, our title, American Journal of P...
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Este trabalho utiliza como ponto de partida o conceito de paradigma, definido por Thomas S. Kuhn como um conjunto de exemplos compartilhados que orientam, sem ser questionados, a atividade do cientista em seu trabalho habitual, comparando-a com outras visões epistemológicas, detendo-se em especial nas críticas levantadas contra este modelo de descr...
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Despite their increasing utilization, bibliometric indicators have been the subject of mounting criticism over the last decade, especially. Many compelling arguments about their inadequacy as proxies of quality or relevance of journals, articles, institutions, and individual researchers have been made, to the extent that one is led to ponder: why t...
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The goal of this article is to present a snapshot of an ongoing debate within epidemiology, pitching opposing sides in the struggle to define the path it should follow in the years to come. The debate among epidemiologists in the mid-90s pitted those who defended the idea that epidemiology should necessarily deal with a wide context against those w...
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Quality assessment of scientific output is based extensively (if not exclusively) on quantitative bibliometric indicators, despite mounting criticism. The reaction by the academic community has increased in recent years. After presenting a critical evaluation of this model, the article presents an alternative qualitative model oriented towards remo...
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A avaliação da qualidade da produção científica é baseada amplamente, quando não exclusivamente, em indicadores bibliométricos quantitativos, em que pesem as numerosas críticas aos mesmos. A reação da comunidade acadêmica vem se avolumando nos últimos anos. Após apresentar uma perspectiva crítica desse modelo de avaliação, expõe-se uma alternativa...
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We present a controversy study on the association between male circumcision (MC) and HIV. Our general goal is to shed light on the issue, unravelling and comparing different conceptions of scientific evidence and their respective world views. We seek to reconstruct, based on an analysis of the literature on the topic, key moments in the history of...
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The article examines medical care for pregnant women in pursuit of a healthy fetus. Specifically, it explores operationalization of the diagnosis and decision-making processes associated with the infection/disease object toxoplasmosis. According to empirical philosophy and to Annemarie Mol, this object is 'manipulated,' at least, by both physician...
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Open-access journal publishing has significantly grown in recent years. Restricted access publications have, in turn, increasing access costs as they benefit from a unique economic model in which relevant work and essential inputs are provided free of charge to vendors who have a captive market that has almost no competition. An additional issue ty...
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La publicación en revistas de acceso abierto creció expresivamente en los últimos años. Las publicaciones de acceso cerrado, por su parte, tienen costo de acceso cada vez más elevado, por beneficiarse de un modelo económico peculiar: el trabajo relevante y los insumos esenciales son entregados gratuitamente a los proveedores que cuentan con un...
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To analyze the increase in number of authors per article in Brazilian scientific journals on public health. Articles published between 1999 and 2010 in six journals on public health and one medical journal (for comparison) from SciELO with Qualis (Capes) classification equal or superior to B-1, were searched on the LILACS database. The evolution of...
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Social studies of science have produced a critical description of science that challenges traditional ideas about "objectivity" and "neutrality". Given evidence that scientific tools have been used to undermine solid science against the interests of the general public as opposed to protecting society from findings prematurely declared to be facts,...
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We evaluated the International Classification of Primary Care interobserver reliability for coding the complaints reported at a primary public health unit. The study sample consisted of 300 appointments. Reasons for appointment were registered by physicians on the medical record and coding was performed by two investigators. Reliability among the c...
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The paper investigates the epistemic objects of Toxoplasma gondii and the correlation of forces of research groups committed to redefine or reconfigure toxoplasmosis. The data research and this analysis were conducted in a scientific congress, according to the concepts of 'manipulation' and 'reenactment,' based on the idea of 'dramatization' propos...

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