keyword
https://read.qxmd.com/read/38451637/therapeutic-itineraries-of-quilombola-women-in-northern-minas-gerais-brazil
#1
JOURNAL ARTICLE
Pâmela Scarlatt Durães Oliveira, Sérgio Vinícius Cardoso de Miranda, Patrícia de Sousa Fernandes Queiroz, Bruna Amorim Santos, João Felício Rodrigues Neto, Cristina Andrade Sampaio
Quilombolas are ethnic-racial groups, of black ancestry, and had their territories consolidated in Brazil in regions with difficult access and far from large centers. The objective of this study is to know the therapeutic itinerary (IT) adopted by quilombola women in traditional communities located in the North of the state of Minas Gerais. This is a qualitative study with the theoretical model using the Arthur Kleinman health care system. The study scenario was 23 quilombola communities in northern Minas Gerais...
March 2024: Ciência & Saúde Coletiva
https://read.qxmd.com/read/38422250/primary-health-care-organization-in-municipalities-of-s%C3%A3-o-paulo-brazil-a-model-of-care-aligned-with-the-brazilian-unified-national-health-system-s-guidelines
#2
JOURNAL ARTICLE
Elen Rose Lodeiro Castanheira, Lígia Schiavon Duarte, Mônica Martins de Oliveira Viana, Luceime Olívia Nunes, Thais Fernanda Tortorelli Zarili, Carolina Siqueira Mendonça, Patricia Rodrigues Sanine
This study analyzes the main organization patterns used by primary health care (PHC) services in municipal networks and evaluates them according to indicators of local management-administration interface. Evaluative research analyzed 461 municipalities in São Paulo, Brazil, that participated in the Primary Care Services Quality Assessment Survey (QualiAB) in 2017/2018, classified according to the organizational arrangements composition of 2,472 PHC services. Eight indicators of local management and administration were selected to evaluate the identified patterns...
2024: Cadernos de Saúde Pública
https://read.qxmd.com/read/38357642/corrigendum-assessment-of-risk-scores-to-predict-mortality-of-covid-19-patients-admitted-to-the-intensive-care-unit
#3
Matheus Carvalho Alves Nogueira, Vandack Nobre, Magda Carvalho Pires, Lucas Emanuel Ferreira Ramos, Yara Cristina Neves Marques Barbosa Ribeiro, Rubia Laura Oliveira Aguiar, Flavia Maria Borges Vigil, Virginia Mara Reis Gomes, Camila de Oliveira Santos, Davi Mesquita Miranda, Pamela Andrea Alves Durães, Josiane Moreira da Costa, Alexandre Vargas Schwarzbold, Angélica Gomides Dos Reis Gomes, Bruno Porto Pessoa, Carolina Cunha Matos, Christiane Corrêa Rodrigues Cimini, Cíntia Alcântara de Carvalho, Daniela Ponce, Euler Roberto Fernandes Manenti, Evelin Paola de Almeida Cenci, Fernando Anschau, Flávia Carvalho Cardoso Costa, Francine Janaina Magalhães Nascimento, Frederico Bartolazzi, Genna Maira Santos Grizende, Heloisa Reniers Vianna, Jomar Cristeli Nepomuceno, Karen Brasil Ruschel, Liege Barella Zandoná, Luís César de Castro, Maíra Dias Souza, Marcelo Carneiro, Maria Aparecida Camargos Bicalho, Mariana do Nascimento Vilaça, Naiara Patrícia Fagundes Bonardi, Neimy Ramos de Oliveira, Raquel Lutkmeier, Saionara Cristina Francisco, Silvia Ferreira Araújo, Polianna Delfino-Pereira, Milena Soriano Marcolino
[This corrects the article DOI: 10.3389/fmed.2023.1130218.].
2024: Frontiers in Medicine
https://read.qxmd.com/read/38324843/factors-associated-with-the-hospitalization-of-users-referred-from-primary-health-care-to-follow-up-in-psychosocial-care-centers-in-the-city-of-s%C3%A3-o-paulo-brazil
#4
JOURNAL ARTICLE
Patricia Rodrigues Sanine, Lídia Pereira da Silva Godoi, Tereza Etsuko da Costa Rosa, Érica Marvila Garcia, Lorrayne Belotti, Rosana Teresa Onocko Campos, Oswaldo Yoshimi Tanaka
This study evaluated factors associated with hospitalization related to the mental health of people undergoing follow-up in Psychosocial Care Centers (CAPS, in Portuguese) in the city of São Paulo, Brazil, referred from Primary Health Care (PHC). This was an evaluative study conducted with 297 individuals in 24 adult CAPS. This study analyzed the prevalence ratios (PR) and their respective 95% confidence intervals (95% CI), obtained through Poisson Regression with robust variance. A statistically significant association was found with hospitalization during follow-ups in CAPS: having health insurance and/or medical plan; waiting time between the diagnosis and the first consultation with a non-medical professional of more than seven days; not having received medical advice regarding how long to use medication; not having received a psychopharmaceutical prescription at PHC; and having a medical history of the hospitalization due to mental health...
February 2024: Ciência & Saúde Coletiva
https://read.qxmd.com/read/38291389/development-of-a-mobile-application-to-represent-food-intake-in-inpatients-dietary-data-systematization
#5
JOURNAL ARTICLE
Alan Renier Jamal Occhioni Molter, Naise Oliveira da Rocha Carvalho, Paloma Ribeiro Torres, Marlete Pereira da Silva, Patrícia Dias de Brito, Pedro Emmanuel Alvarenga Americano do Brasil, Claudio Fico Fonseca, Adriana Costa Bacelo
BACKGROUND: Nutritional risk situations related to decreased food intake in the hospital environment hinder nutritional care and increase malnutrition in hospitalized patients and are often associated with increased morbidity and mortality. The objective of this study is to develop and test the reliability and data similarity of a mobile application as a virtual instrument to assess the acceptability and quality of hospital diets for inpatients. METHODS: This intra- and interobserver development and reliability study investigated an in-hospital food intake monitoring application based on a validated instrument for patients with infectious diseases who were treated at the Evandro Chagas National Institute of Infectious Diseases (INI/FIOCRUZ)...
January 30, 2024: BMC Medical Informatics and Decision Making
https://read.qxmd.com/read/38255246/are-pvcrt-o-and-pvmdr1-gene-mutations-associated-with-plasmodium-vivax-chloroquine-resistant-parasites
#6
JOURNAL ARTICLE
Rebecca de Abreu-Fernandes, Natália Ketrin Almeida-de-Oliveira, Aline Rosa de Lavigne Mello, Lucas Tavares de Queiroz, Jacqueline de Aguiar Barros, Bárbara de Oliveira Baptista, Joseli Oliveira-Ferreira, Rodrigo Medeiros de Souza, Lilian Rose Pratt-Riccio, Patrícia Brasil, Cláudio Tadeu Daniel-Ribeiro, Maria de Fátima Ferreira-da-Cruz
(1) Background: Malaria remains a significant global public health issue. Since parasites quickly became resistant to most of the available antimalarial drugs, treatment effectiveness must be constantly monitored. In Brazil, up to 10% of cases of vivax malaria resistant to chloroquine (CQ) have been registered. Unlike P. falciparum , there are no definitive molecular markers for the chemoresistance of P. vivax to CQ. This work aimed to investigate whether polymorphisms in the pvcrt-o and pvmdr1 genes could be used as markers for assessing its resistance to CQ...
January 9, 2024: Biomedicines
https://read.qxmd.com/read/38232242/knowledge-about-sudden-infant-death-syndrome-prevention-among-postpartum-women-in-southern-brazil-2019-a-cross-sectional-survey
#7
JOURNAL ARTICLE
Anelise Medeiros Souto, Luana Patrícia Marmitt, Christian Loret de Mola, Juraci Almeida Cesar
OBJECTIVE: To assess knowledge on sudden infant death syndrome (SIDS) prevention among postpartum women who received prenatal care in public and private services in Rio Grande, Rio Grande do Sul, Brazil, in 2019. METHODS: A cross-sectional study was conducted with postpartum women who gave birth in that municipality in 2019; the outcome was the indication of incorrect sleeping position (side/supine position) to prevent SIDS; the chi-square test was used to compare proportions between those who underwent prenatal care in public and private services...
2024: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://read.qxmd.com/read/38182982/clinical-characteristics-and-outcomes-of-covid-19-patients-with-preexisting-dementia-a-large-multicenter-propensity-matched-brazilian-cohort-study
#8
JOURNAL ARTICLE
Maria Aparecida Camargos Bicalho, Márlon Juliano Romero Aliberti, Polianna Delfino-Pereira, Victor Schulthais Chagas, Patryk Marques da Silva Rosa, Magda Carvalho Pires, Lucas Emanuel Ferreira Ramos, Adriana Falangola Benjamin Bezerra, Ana Beatriz de Castro Feres, Angélica Gomides Dos Reis Gomes, Angelinda Rezende Bhering, Bruno Porto Pessoa, Carla Thais Cândida Alves da Silva, Christiane Corrêa Rodrigues Cimini, Claudia Kimie Suemoto, Cristiana Andrade Coelho Dias, Daniela Dos Reis Carazai, Daniela Ponce, Danyelle Romana Alves Rios, Euler Manenti, Fernando Anschau, Joanna d'Arc Lyra Batista, Joice Coutinho de Alvarenga, Julia Avancini Viguini, Julia Mariot Zanellato, Juliana Machado Rugolo, Karen Brasil Ruschel, Leticia do Nascimento, Luanna Silva Monteiro Menezes, Lucas Moyses Carvalho de Oliveira, Luís César de Castro, Luiz Antônio Nasi, Marcelo Carneiro, Maria Angélica Pires Ferreira, Mariana Frizzo de Godoy, Milton Henriques Guimarães-Júnior, Neimy Ramos de Oliveira, Patricia Klarmann Ziegelmann, Paula Fonseca Porto, Paulo Mascarenhas Mendes, Pedro Gibson Paraíso, Priscilla Pereira Dos Reis, Saionara Cristina Francisco, Silvia Ferreira Araújo, Thiago Junqueira Avelino-Silva, Milena Soriano Marcolino
BACKGROUND: Although dementia has emerged as an important risk factor for severe SARS-CoV-2 infection, results on COVID-19-related complications and mortality are not consistent. We examined the clinical presentations and outcomes of COVID-19 in a multicentre cohort of in-hospital patients, comparing those with and without dementia. METHODS: This retrospective observational study comprises COVID-19 laboratory-confirmed patients aged ≥ 60 years admitted to 38 hospitals from 19 cities in Brazil...
January 5, 2024: BMC Geriatrics
https://read.qxmd.com/read/38057382/detection-and-persistence-of-zika-virus-in-body-fluids-and-associated-factors-a-prospective-cohort-study
#9
JOURNAL ARTICLE
Guilherme Amaral Calvet, Edna Oliveira Kara, Camila Helena Aguiar Bôtto-Menezes, Marcia da Costa Castilho, Rafael Freitas de Oliveira Franca, Ndema Habib, Armando Menezes Neto, Gerson Fernando Mendes Pereira, Silvana Pereira Giozza, Ximena Pamela Díaz Bermúdez, Tatiana Jorge Fernandes, Kayvon Modjarrad, Patrícia Brasil, Nathalie Jeanne Nicole Broutet, Ana Maria Bispo de Filippis
This study aimed to analyze the detection and duration of the Zika virus (ZIKV) in plasma, urine, saliva, sweat, rectal swabs, vaginal secretions, breast milk, and semen and to explore risk factors associated with prolonged viral persistence. A prospective cohort study of symptomatic patients and their household contacts was conducted in Brazil from July 2017 to June 2019. A total of 260 individuals (184 women and 76 men) with confirmed ZIKV infection were enrolled and followed up for 12 months. ZIKV RNA was present in all body fluid specimens and detectable for extended periods in urine, sweat, rectal swabs, and semen...
December 6, 2023: Scientific Reports
https://read.qxmd.com/read/37987590/naturally-acquired-rabies-in-white-eared-opossum-brazil
#10
JOURNAL ARTICLE
Eduardo Ferreira-Machado, Juliana Amorim Conselheiro, Bruno Emerson Bernardes da Silva, Patricia Sayuri Silvestre Matsumoto, Claúdio Luiz Castagna, Aline Nitsche, Celino Simão de Lima, Douglas Presotto, Madelline Christie Rodrigues Nunes da Silva, Ticiana Brasil Ervedosa, Pedro Enrique Navas-Suárez, Ísis Paixão de Jesus, Julia de Carvalho, Rodrigo Albergaria Ressio, Cinthya Dos Santos Cirqueira, Gisely Toledo Barone, Leila Del Castillo Saad, Paulo Eduardo Brandão, José Luiz Catão-Dias, Juliana Mariotti Guerra, Natália Coelho Couto de Azevedo Fernandes
Opossums are considered resistant to rabies. Nonhematophagous bats are reservoirs of rabies in urban areas of South America. We analyzed bats and opossums tested for rabies during 2021 in a highly urbanized city in Brazil to understand spillover in an urban setting. Wildlife surveillance is necessary to prevent rabies in humans and domestic animals.
December 2023: Emerging Infectious Diseases
https://read.qxmd.com/read/37878893/real-life-data-on-hydroxychloroquine-or-chloroquine-with-or-without-azithromycin-in-covid-19-patients-a-retrospective-analysis-in-brazil
#11
JOURNAL ARTICLE
Maíra Viana Rego Souza-Silva, Daniella Nunes Pereira, Magda Carvalho Pires, Isabela Muzzi Vasconcelos, Alexandre Vargas Schwarzbold, Diego Henrique de Vasconcelos, Elayne Crestani Pereira, Euler Roberto Fernandes Manenti, Felício Roberto Costa, Filipe Carrilho de Aguiar, Fernando Anschau, Frederico Bartolazzi, Guilherme Fagundes Nascimento, Heloisa Reniers Vianna, Joanna d'Arc Lyra Batista, Juliana Machado-Rugolo, Karen Brasil Ruschel, Maria Angélica Pires Ferreira, Leonardo Seixas de Oliveira, Luanna Silva Monteiro Menezes, Patricia Klarmann Ziegelmann, Marcela Gonçalves Trindade Tofani, Maria Aparecida Camargos Bicalho, Matheus Carvalho Alves Nogueira, Milton Henriques Guimarães-Júnior, Rúbia Laura Oliveira Aguiar, Danyelle Romana Alves Rios, Carisi Anne Polanczyk, Milena Soriano Marcolino
BACKGROUND: Despite no evidence showing benefits of hydroxychloroquine and chloroquine with or without azithromycin for COVID-19 treatment, these medications have been largely prescribed in Brazil. OBJECTIVES: To assess outcomes, including in-hospital mortality, electrocardiographic abnormalities, hospital length-of-stay, admission to the intensive care unit, and need for dialysis and mechanical ventilation, in hospitalized COVID-19 patients who received chloroquine or hydroxychloroquine, and to compare outcomes between those patients and their matched controls...
September 2023: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/37851721/long-covid-19-syndrome-associated-with-omicron-xbb-1-5-infection-a-case-report
#12
JOURNAL ARTICLE
Otávio Espíndola, Paola C Resende, Lusiele Guaraldo, Guilherme Amaral Calvet, Trevon L Fuller, Stephanie Lema Suarez Penetra, Heloisa Ferreira Pinto Santos, Anielle Pina-Costa, Michele Fernanda Borges da Silva, Isabella Campos Vargas Moraes, Fernando Medeiros, Jimmy Whitworth, Christopher Smith, Karin Nielsen-Saines, Marilda M Siqueira, Patrícia Brasil
BACKGROUND: There is interest in lingering non-specific symptoms after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, referred to as Long coronavirus disease 2019 (Long COVID-19). It remains unknown whether the risk of Long COVID-19 is associated with pre-existing comorbidities or initial COVID-19 severity, including infections due to new Omicron lineages which predominated in 2023. OBJECTIVES: The aim of this case report was to characterize the clinical features of acute XBB...
2023: Memórias do Instituto Oswaldo Cruz
https://read.qxmd.com/read/37837869/predictors-of-chronic-joint-pain-after-chikungunya-virus-infection-in-the-inovachik-prospective-cohort-study
#13
JOURNAL ARTICLE
Ezequias B Martins, Marcel S B Quintana, Michele F B Silva, Fernanda de Bruycker-Nogueira, Isabella C V Moraes, Cintia D S Rodrigues, Carolina C Santos, Simone A Sampaio, Anielle Pina-Costa, Allison A Fabri, Vinícius Guerra-Campos, Nieli R C Faria, Ana Maria B Filippis, Patrícia Brasil, Guilherme A Calvet
BACKGROUND: Chikungunya can cause persistent chronic joint pain. Knowledge of the risk factors for disease progression is important for preventing and controlling complications. This study aimed to identify factors associated with chronic joint pain. METHODS: This prospective cohort study was conducted at a reference center in Rio de Janeiro. Men and women (aged ≥ 18 years) in the acute phase of Chikungunya were included. Clinical data and samples were collected over three months...
October 8, 2023: Journal of Clinical Virology
https://read.qxmd.com/read/37814260/a-fatal-respiratory-complication-of-malaria-caused-by-plasmodium-vivax
#14
JOURNAL ARTICLE
Angie R López, Ezequias B Martins, Anielle de Pina-Costa, Ana Beatriz Pacheco-Silva, Marcel T Ferreira, Roxana F Mamani, Paula J T Detepo, Otilia Lupi, Clarisse S Bressan, Guilherme A Calvet, Michele F B Silva, Maria de Fátima Ferreira-da-Cruz, Fernanda de Bruycker-Nogueira, Ana Maria B Filippis, Cláudio Tadeu Daniel-Ribeiro, André Siqueira, Patrícia Brasil
BACKGROUND: Malaria is endemic and represents an important public health issue in Brazil. Knowledge of risk factors for disease progression represents an important step in preventing and controlling malaria-related complications. Reports of severe forms of Plasmodium vivax malaria are now becoming a common place, but respiratory complications are described in less than 3% of global literature on severe vivax malaria. CASE PRESENTATION: A severe respiratory case of imported vivax malaria in a previously healthy 40-year-old woman has been reported...
October 9, 2023: Malaria Journal
https://read.qxmd.com/read/37769008/epidemiological-and-genomic-investigation-of-chikungunya-virus-in-rio-de-janeiro-state-brazil-between-2015-and-2018
#15
JOURNAL ARTICLE
Filipe Romero Rebello Moreira, Mariane Talon de Menezes, Clarisse Salgado-Benvindo, Charles Whittaker, Victoria Cox, Nilani Chandradeva, Hury Hellen Souza de Paula, André Frederico Martins, Raphael Rangel das Chagas, Rodrigo Decembrino Vargas Brasil, Darlan da Silva Cândido, Alice Laschuk Herlinger, Marisa de Oliveira Ribeiro, Monica Barcellos Arruda, Patricia Alvarez, Marcelo Calado de Paula Tôrres, Ilaria Dorigatti, Oliver Brady, Carolina Moreira Voloch, Amilcar Tanuri, Felipe Iani, William Marciel de Souza, Sergian Vianna Cardozo, Nuno Rodrigues Faria, Renato Santana Aguiar
Since 2014, Brazil has experienced an unprecedented epidemic caused by chikungunya virus (CHIKV), with several waves of East-Central-South-African (ECSA) lineage transmission reported across the country. In 2018, Rio de Janeiro state, the third most populous state in Brazil, reported 41% of all chikungunya cases in the country. Here we use evolutionary and epidemiological analysis to estimate the timescale of CHIKV-ECSA-American lineage and its epidemiological patterns in Rio de Janeiro. We show that the CHIKV-ECSA outbreak in Rio de Janeiro derived from two distinct clades introduced from the Northeast region in mid-2015 (clade RJ1, n = 63/67 genomes from Rio de Janeiro) and mid-2017 (clade RJ2, n = 4/67)...
September 2023: PLoS Neglected Tropical Diseases
https://read.qxmd.com/read/37759210/oral-manifestations-of-covid-19-in-unvaccinated-patients-a-cross-sectional-study
#16
JOURNAL ARTICLE
Tatiana Jorge Fernandes, Maria Ogrzewalska, Ezequias Batista Martins, Marilda Agudo Mendonça Teixeira de Siqueira, Patrícia Brasil, Guilherme Amaral Calvet
BACKGROUND: Early studies have highlighted the possible development of dysgeusia and anosmia in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, and these manifestations should be considered a potential indication of coronavirus disease 19 (COVID-19). As potential contributors to these symptoms, dentists should perform careful oral and oropharyngeal examinations and document suspicious oral lesions in patients with COVID-19, especially in those who complain of loss of taste and smell...
September 27, 2023: BMC Oral Health
https://read.qxmd.com/read/37698138/potential-determinants-of-thyroid-peroxidase-antibodies-and-mortality-risk-results-from-the-elsa-brasil-study
#17
JOURNAL ARTICLE
Vandrize Meneghini, William Rodrigues Tebar, Itamar Souza Santos, Carolina Castro Porto Silva Janovsky, Bianca de Almeida-Pititto, Marina Gabriela Birck, Paulo Andrade Lotufo, Alessandra Carvalho Goulart, José Augusto Sgarbi, Patrícia de Fátima Dos Santos Teixeira, Gisela Tunes da Silva, Isabela Martins Benseñor
CONTEXT: The presence of thyroid peroxidase antibodies (TPOAb) may be considered as an indicator of adverse health outcomes. OBJECTIVE: We aimed to investigate the potential determinants of TPOAb levels and to analyze the association between TPOAb titers and the risk of all- and specific-cause mortality. METHODS: Baseline and longitudinal data of 13,187 participants from the ELSA-Brasil Study were analyzed. We investigated the association of TPOAb, detectability, positivity and persistent positivity with sociodemographic and lifestyle factors using logistic regressions...
September 12, 2023: Journal of Clinical Endocrinology and Metabolism
https://read.qxmd.com/read/37671290/individually-tailored-dosage-regimen-of-full-spectrum-cannabis-extracts-for-autistic-core-and-comorbid-symptoms-a-real-life-report-of-multi-symptomatic-benefits
#18
JOURNAL ARTICLE
Patrícia Soares Silva Montagner, Wesley Medeiros, Leandro Cruz Ramires da Silva, Clarissa Nogueira Borges, Joaquim Brasil-Neto, Vinícius de Deus Silva Barbosa, Fabio V Caixeta, Renato Malcher-Lopes
Autism Spectrum Disorders (ASD) may significantly impact the well-being of patients and their families. The therapeutic use of cannabis for ASD has gained interest due to its promising results and low side effects, but a consensus on treatment guidelines is lacking. In this study, we conducted a retrospective analysis of 20 patients with autistic symptoms who were treated with full-spectrum cannabis extracts (FCEs) in a response-based, individually-tailored dosage regimen. The daily dosage and relative proportions of cannabidiol (CBD) and tetrahydrocannabinol (THC) were adjusted based on treatment results following periodic clinical evaluation...
2023: Frontiers in Psychiatry
https://read.qxmd.com/read/37634827/is-the-adherence-to-the-food-practices-recommended-by-the-dietary-guidelines-for-the-brazilian-population-associated-with-diet-quality
#19
JOURNAL ARTICLE
Kamila Tiemann Gabe, Caroline Dos Santos Costa, Francine Silva Dos Santos, Thays Nascimento Souza, Patricia Constante Jaime
PURPOSE: The Brazilian Food Guide (BFG)'s messages are mostly qualitative and focused on food practices, such as meal planning, cooking, and eating modes. This study sough to investigate whether the adherence to these food practices is aligned with diet quality. METHODS: A quota-based subsample of the NutriNet-Brasil Cohort (n = 2052) completed the Food Practices Brazil Scale (FPBr), a 24-item scale assessing the adherence to healthy eating practices recommended by the BFG...
August 25, 2023: Appetite
https://read.qxmd.com/read/37609524/-strengthening-regional-governance-and-the-health-care-network-in-small-municipalities-in-brazilfortalecimiento-de-la-gobernanza-regional-y-de-la-red-de-atenci%C3%A3-n-de-salud-en-municipios-peque%C3%A3-os-de-brasil
#20
JOURNAL ARTICLE
João Felipe Marques da Silva, Cristiane Martins Pantaleão, Clodoaldo Fernandes Dos Santos, Fernando Antônio Gomes Leles, Karen Patrícia Wilke Pereira Rocha, Luana Carla Tironi de Freitas Giacometti, Sandro Haruyuki Terabe, Socorro Gross Galiano, Valdeni Alexandre Ciconello Neto
In Brazil, 67.7% of the municipalities are characterized as small, with a population of less than 20 thousand. The objective of this article is to systematize the experience and identify the challenges and lessons learned in the implementation of the model for strengthening regional governance and organizing the health care network (HCN) in a region of Brazil composed of these municipalities, which present low technical and budgetary capacity, in addition to various fragilities related to the organization of the HCN...
2023: Pan American Journal of Public Health
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