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https://www.readbyqxmd.com/read/28335444/hiv-education-and-welfare-services-in-primary-care-an-empirical-model-of-integration-in-brazil-s-unified-health-system
#1
Rahbel Rahman, Rogério M Pinto, Melanie M Wall
Integration of health education and welfare services in primary care systems is a key strategy to solve the multiple determinants of chronic diseases, such as Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS). However, there is a scarcity of conceptual models from which to build integration strategies. We provide a model based on cross-sectional data from 168 Community Health Agents, 62 nurses, and 32 physicians in two municipalities in Brazil's Unified Health System (UHS)...
March 14, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28333975/is-the-number-of-siblings-associated-with-dietary-patterns-in-adolescents-the-1993-birth-cohort-of-pelotas-brazil
#2
F O Meller, M C F Assunção, A A Schäfer, C Loret de Mola, D L Dahly, J S Vaz, F C Barros
Our study aimed to estimate the association between number of siblings and dietary patterns in adolescents. Prospective longitudinal study was developed using data from the birth cohort of the city of Pelotas, Brazil, which included 5249 participants. At the 18-year-old follow-up, from 4563 individuals located, 4106 were interviewed (follow-up rate 81.3%). Of these, 3751 were included in our principal component analysis of dietary patterns. Regular dietary intake of 45 food groups over the previous year was measured with a food frequency questionnaire...
2017: PloS One
https://www.readbyqxmd.com/read/28330857/estimated-disability-adjusted-life-years-averted-by-free-of-charge-provision-of-the-levonorgestrel-releasing-intrauterine-system-over-a-9-year-period-in-brazil
#3
Jessica M Ferreira, Ilza Monteiro, Arlete Fernandes, Maria V Bahamondes, Ana Pitoli, Luis Bahamondes
BACKGROUND: The objective was to analyse the contribution of the provision at no cost to users of the 20 µg/day levonorgestrel-releasing intrauterine system (LNG-IUS) towards disability-adjusted life years (DALY) averted over a 9-year period. METHODS: We analysed data from 15 030 new users of the LNG-IUS who had the device inserted at 26 Brazilian teaching hospitals between January 2007 and December 2015. The devices came from the International Contraceptive Access Foundation (ICA), a not-for-profit foundation that donates the devices to developing countries for use by low-income women who desire long-term contraception and who freely choose to use this device...
March 22, 2017: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/28329257/lessons-learned-at-the-epicenter-of-brazil-s-congenital-zika-epidemic-evidence-from-87-confirmed-cases
#4
Jucille do Amaral Meneses, Ana Catarina Ishigami, Luisa Medeiros de Mello, Luciano Lira de Albuquerque, Carlos Alexandre Antunes de Brito, Marli Tenório Cordeiro, Lindomar José Pena
Congenital Zika virus infection has stimulated great international concern. A prospective case series of 87 infants with laboratory-confirmed congenital Zika syndrome (CZS) at the epicenter of the Brazilian Zika epidemic in Pernambuco state is presented. Mothers were interviewed for symptoms of possible Zika virus (ZIKV) infection during pregnancy and fetal ultrasounds were obtained. Infant cerebrospinal fluid (CSF) samples were tested for ZIKV specific antibodies and sera were screened for other congenital infections...
February 24, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28325678/early-neonatal-deaths-associated-with-perinatal-asphyxia-in-infants-%C3%A2-2500g-in-brazil
#5
Maria Fernanda Branco de Almeida, Mandira Daripa Kawakami, Lícia Maria Oliveira Moreira, Rosa Maria Vaz Dos Santos, Lêni Márcia Anchieta, Ruth Guinsburg
OBJECTIVE: To assess the annual burden of early neonatal deaths associated with perinatal asphyxia in infants weighing ≥2500g in Brazil from 2005 to 2010. METHODS: The population study enrolled all live births of infants with birth weight ≥2500g and without malformations who died up to six days after birth with perinatal asphyxia, defined as intrauterine hypoxia, asphyxia at birth, or meconium aspiration syndrome. The cause of death was written in any field of the death certificate, according to International Classification of Diseases, 10th Revision (P20...
March 19, 2017: Jornal de Pediatria
https://www.readbyqxmd.com/read/28321885/molecular-analysis-of-norovirus-in-specimens-from-children-enrolled-in-a-1982-1986-study-in-bel%C3%A3-m-brazil-a-community-based-longitudinal-study
#6
Jones Anderson Monteiro Siqueira, Edivaldo Costa Sousa Júnior, Alexandre da Costa Linhares, Yvone Benchimol Gabbay
Fecal specimens were collected during a longitudinal, community-based study in the city of Belém, North Brazil, that was conducted over 3 years (October 1982 to March 1986), in which 20 children were included from birth to 3 years of age. A total of 229 fecal samples were screened by real time RT-PCR targeting the junction region (ORF 1/2) of the norovirus (NoV) genome. NoV-positive samples were subjected to PCR and sequencing of the viral polymerase (ORF1) and viral protein 1 (VP1) genes (ORF2). The junction region was also sequenced to assess for recombination when ORF1 and ORF2 genotyping results were dissimilar...
March 20, 2017: Journal of Medical Virology
https://www.readbyqxmd.com/read/28316913/a-review-of-seasonality-of-cleft-births-the-brazil-experience
#7
Sibele Nascimento de Aquino, Renato Assis Machado, Lívia Máris R Paranaíba, Daniella Reis B Martelli, Daniela Araújo Veloso Popoff, Mário Sérgio O Swerts, Hercílio Martelli-Júnior
AIMS: Evaluate the seasonal influence in nonsyndromic cleft lip and/or palate (NSCL/P) in Brazilian patients. METHODS: A case-control study, with 361 unrelated patients with NSCL/P and 481 healthy individuals, was done on a reference service for craniofacial deformities in Minas Gerais State, Brazil. Information was collected from clinical records considering gender, month of birth, as well as with the seasons. RESULTS: Nonparametric tests did not show a seasonal variation in month of birth and in seasons of year of NSCL/P compared to a control group (p = 0...
January 2017: Journal of Oral Biology and Craniofacial Research
https://www.readbyqxmd.com/read/28301007/-gains-in-life-expectancy-at-birth-in-brazil-after-the-year-2000-the-impact-of-mortality-variations-by-age-and-cause-of-death
#8
Érika Ribeiro Pereira Corrêa, Adriana de Miranda-Ribeiro
Life expectancy at birth is a synthetic mortality indicator that reflects the general living conditions of the population. Changes in mortality by age and causes of death generate no explicit changes in the indicator. The application of a decomposition method can bring light to the analysis of the phenomenon. The aim of this study was to estimate the contribution of age groups and causes of death in the variation in life expectancy at birth, for men and women, from 2000 to 2010, by applying Pollard's decomposition method...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28301000/population-based-study-on-infant-mortality
#9
Jaqueline Costa Lima, Alexandre Marchezoni Mingarelli, Neuber José Segri, Arturo Alejandro Zavala Zavala, Olga Akiko Takano
Although Brazil has reduced social, economic and health indicators disparities in the last decade, intra- and inter-regional differences in child mortality rates (CMR) persist in regions such as the state capital of Mato Grosso. This population-based study aimed to investigate factors associated with child mortality in five cohorts of live births (LB) of mothers living in Cuiabá (MT), Brazil, 2006-2010, through probabilistic linkage in 47,018 LB. We used hierarchical logistic regression analysis. Of the 617 child deaths, 48% occurred in the early neonatal period...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28300970/falls-cuts-and-burns-in-children-0-4-years-of-age-2004-pelotas-brazil-birth-cohort
#10
Raquel Siqueira Barcelos, Iná S Santos, Alicia Matijasevich, Aluísio J D Barros, Fernando C Barros, Giovanny Vinicius Araújo França, Vera Lúcia Schmidt da Silva
Knowledge on the incidence of childhood accidents according to the child's stage of development is important for designing preventive programs targeting each age bracket. The aim of this study was to describe the incidence of falls, cuts, and burns in children up to four years of age according to family economic status and maternal age and schooling, in children from the 2004 Pelotas (Brazil) birth cohort. We calculated the incidence rates and incidence rates ratios for the 0-12, 12-24, and 24-48- months of age...
March 9, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28292278/caesarean-section-and-adiposity-at-6-18-and-30%C3%A2-years-of-age-results-from-three-pelotas-brazil-birth-cohorts
#11
Aluisio J D Barros, Leonardo Pozza Santos, Fernando Wehrmeister, Janaina Vieira Dos Santos Motta, Alicia Matijasevich, Ina S Santos, Ana M B Menezes, Helen Gonçalves, Maria Cecília Formoso Assunção, Bernardo L Horta, Fernando C Barros
BACKGROUND: Association between caesarian section (C-section) and obesity is controversial and mostly based on body mass index (BMI), which has inherent limitations. Using direct estimates of body fat mass, we aimed to assess the association between C-section and adiposity using fat mass index and BMI z-score in three birth cohort studies from Pelotas, Brazil. METHODS: We measured weight, height and fat mass (using dual X-ray absorptiometry (DXA)) at ages 6, 18 and 30 years among participants in the 2004, 1993 and 1982 population-based Pelotas Birth Cohort Studies, respectively...
March 14, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28279149/somatic-growth-in-the-first-six-months-of-life-of-infants-exposed-to-maternal-smoking-in-pregnancy
#12
Mariana Lopes de Brito, Marina Nunes, Juliana Rombaldi Bernardi, Vera Lúcia Bosa, Marcelo Zubaran Goldani, Clécio Homrich da Silva
BACKGROUND: Some studies suggest a relationship between maternal smoking during pregnancy and not only intrauterine fetal growth restriction or low birth weight, but also with changes in the postnatal growth and development. The objective of the present study was to investigate the effects of smoking during pregnancy on infants growth in the first 6 months of life compared with a control group and a group with idiopathic intrauterine growth restriction. METHODS: Longitudinal observational study using a convenience sample of newborns divided into three groups: infants of smoking mothers (tobacco), with idiopathic intrauterine growth restriction (IUGR) and a control group...
March 9, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28273228/determinants-of-infant-mortality-in-the-jequitinhonha-valley-and-in-the-north-and-northeast-regions-of-brazil
#13
Maria do Carmo Leal, Sonia Duarte de Azevedo Bittencourt, Raquel Maria Cardoso Torres, Roberta Pereira Niquini, Paulo Roberto Borges de Souza
OBJECTIVE: This study aims to identify the social and demographic determinants, in addition to the determinants of reproductive health and use of health services, associated with infant mortality in small and medium-sized cities of the North, Northeast and Southeast regions of Brazil. METHODS: This is a case-control study with 803 cases of death of children under one year and 1,969 live births (controls), whose mothers lived in the selected cities in 2008. The lists of the names of cases and controls were extracted from the Sistema de Informação sobre Mortalidade (SIM - Mortality Information System) and the Sistema de Informação sobre Nascidos Vivos (SINASC - Live Birth Information System) and supplemented by data obtained by the research of "active search of death and birth"...
March 2, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28261219/naturally-acquired-binding-inhibitory-antibodies-to-plasmodium-vivax-duffy-binding-protein-in-pregnant-women-are-associated-with-higher-birth-weight-in-a-multicenter-study
#14
Pilar Requena, Myriam Arévalo-Herrera, Michela Menegon, Flor E Martínez-Espinosa, Norma Padilla, Camila Bôtto-Menezes, Adriana Malheiro, Dhiraj Hans, Maria Eugenia Castellanos, Leanne Robinson, Paula Samol, Swati Kochar, Sanjay K Kochar, Dhanpat K Kochar, Meghna Desai, Sergi Sanz, Llorenç Quintó, Alfredo Mayor, Stephen Rogerson, Ivo Mueller, Carlo Severini, Hernando A Del Portillo, Azucena Bardají, Chetan C Chitnis, Clara Menéndez, Carlota Dobaño
A vaccine to eliminate malaria would need a multi-stage and multi-species composition to achieve robust protection, but the lack of knowledge about antigen targets and mechanisms of protection precludes the development of fully efficacious malaria vaccines, especially for Plasmodium vivax (Pv). Pregnant women constitute a risk population who would greatly benefit from a vaccine preventing the adverse events of Plasmodium infection during gestation. We hypothesized that functional immune responses against putative targets of naturally acquired immunity to malaria and vaccine candidates will be associated with protection against malaria infection and/or poor outcomes during pregnancy...
2017: Frontiers in Immunology
https://www.readbyqxmd.com/read/28250532/risk-of-microcephaly-after-zika-virus-infection-in-brazil-2015-to-2016
#15
Thomas Jaenisch, Kerstin Daniela Rosenberger, Carlos Brito, Oliver Brady, Patrícia Brasil, Ernesto Ta Marques
OBJECTIVE: To estimate the risk of microcephaly in babies born to women infected by the Zika virus during pregnancy in Brazil in an epidemic between 2015 and 2016. METHODS: We obtained data on the number of notified and confirmed microcephaly cases in each Brazilian state between November 2015 and October 2016 from the health ministry. For Pernambuco State, one of the hardest hit, weekly data were available from August 2015 to October 2016 for different definitions of microcephaly...
March 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/28231597/predictors-of-cesarean-delivery-in-pregnant-women-with-gestational-diabetes-mellitus
#16
Carmem Luiza Lucht Gascho, Danieli Mayumi Kimura Leandro, Thiago Ribeiro E Silva, Jean Carl Silva
Purpose The aim of this study was to evaluate which risk factors may lead patients with gestational diabetes mellitus to cesarean delivery. Methods This was a retrospective, descriptive study. The subjects of the study were pregnant women with gestational diabetes mellitus attending a public maternity hospital in the south of Brazil. The primary outcomes assessed were based on maternal and fetal characteristics. The data were correlated using an odds ratio (OR) with a 95% confidence interval (95%CI), calculated using multinomial logistic regression...
February 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28230705/determinant-variables-enteric-pathogen-burden-gut-function-and-immune-related-inflammatory-biomarkers-associated-with-childhood-malnutrition-a-prospective-case-control-study-in-northeastern-brazil
#17
Aldo Am Lima, Álvaro M Leite, Alessandra Di Moura, Noélia L Lima, Alberto M Soares, Cláudia B Abreu, José Quirino Filho, Rosa Ms Mota, Ila Fn Lima, Alexandre Havt, Pedro Hqs Medeiros, Mara Mg Prata, Marjorie M Guedes, Paloma A Cavalcante, Herlice N Veras, Ana Ks Santos, Sean R Moore, Relana C Pinkerton, Eric R Houpt, Richard L Guerrant
Malnutrition results in serious consequences for growth and cognitive development in children. We studied select child and maternal biological factors, socio-economic factors, enteric pathogenic burden, and gut function biomarkers in 402 children 6-24 months of age in North-eastern Brazil. In this prospective case-control study, not being fed colostrum (odds ratio [OR] = 3.29, 95% confidence interval [CI] 1.73-6.26), maternal age ≥18 years (OR = 1.88, 95% CI 1.10-3.22), and no electrical fan (OR = 2.46, 95% CI 1...
February 22, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28226011/prematurity-and-associated-factors-in-divin%C3%A3-polis-minas-gerais-state-brazil-2008-2011-analysis-of-the-information-system-on-live-births
#18
Eliete Albano de Azevedo Guimarães, Carolina Santiago Vieira, Fernanda Daniela Dornelas Nunes, Gabriela da Cunha Januário, Valéria Conceição de Oliveira, Jacqueline Domingues Tibúrcio
OBJECTIVE: to estimate prematurity prevalence and associated factors in Divinópolis, Minas Gerais state, Brazil, 2008-2011. METHODS: this is a cross-sectional study with data from 9,987 records held on the Information System on Live Births; a multiple logistic regression model was used. RESULTS: prevalence of preterm births was 8.0%; the higher likelihood of premature newborns were found to cesarean section (8.9%), mothers aged 15 or less (14...
January 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28226010/cesarean-sections-in-piau%C3%A3-state-trend-and-associated-factors-in-the-period-2000-2011-brazil
#19
Alberto Madeiro, Andréa Cronemberger Rufino, Aline Oliveira Dos Santos
OBJECTIVE: to analyze trends in cesarean sections proportion and associated factors in Piauí State, Brazil, from 2000 to 2011. METHODS: this is a time series and cross-sectional study, with data of all institutional childbirths in primiparous, recorded on the Information System on Live Births (Sinasc). RESULTS: cesarean sections proportion increased from 34.4% in 2000 to 52.1% in 2011 (annual percentage change +4.4; 95%CI 3.6;5.1); white-skinned women (PR=1...
January 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28198945/rehabilitation-of-children-and-adolescents-with-myelomeningocele-the-daily-life-of-mothers-caregiversrehabilitation-of-children-and-adolescents-with-myelomeningocele-the-daily-life-of-mothers-caregivers
#20
Giselle Lima de Freitas, Roseni Rosângela de Sena, Josana Cristina Faleiros E Silva, Fabiana Faleiros Santana Castro
Objective: To analyze the daily routine of mothers-caregivers of children and adolescents with myelomeningocele at home. Method: Descriptive, exploratory, qualitative research. Data were collected with 16 mothers of children and adolescents with myelomeningocele by means of interviews and observation from May to August 2015, in municipalities of Minas Gerais, Brazil. The data were submitted to qualitative analysis. Results: The daily care routine of the mothers at home revealed two empirical categories: a) the impact of the birth on naturalization of care, and (b) changes in the routine of the mothers and women...
February 9, 2017: Revista Gaúcha de Enfermagem
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