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https://www.readbyqxmd.com/read/28767921/hospitalization-costs-of-severe-bacterial-pneumonia-in-children-comparative-analysis-considering-different-costing-methods
#1
Sheila Elke Araujo Nunes, Ruth Minamisava, Maria Aparecida da Silva Vieira, Alexander Itria, Vicente Porfirio Pessoa, Ana Lúcia Sampaio Sgambatti de Andrade, Cristiana Maria Toscano
Objective: To determine and compare hospitalization costs of bacterial community-acquired pneumonia cases via different costing methods under the Brazilian Public Unified Health System perspective. Methods: Cost-of-illness study based on primary data collected from a sample of 59 children aged between 28 days and 35 months and hospitalized due to bacterial pneumonia. Direct medical and non-medical costs were considered and three costing methods employed: micro-costing based on medical record review, micro-costing based on therapeutic guidelines and gross-costing based on the Brazilian Public Unified Health System reimbursement rates...
April 2017: Einstein
https://www.readbyqxmd.com/read/28746531/effective-tobacco-control-measures-agreement-among-medical-students
#2
Stella Regina Martins, Renato Batista Paceli, Marco Antônio Bussacos, Frederico Leon Arrabal Fernandes, Gustavo Faibischew Prado, Elisa Maria Siqueira Lombardi, Mário Terra-Filho, Ubiratan Paula Santos
Objective: To determine the level of agreement with effective tobacco control measures recommended by the World Health Organization and to assess the attitudes toward, knowledge of, and beliefs regarding smoking among third-year medical students at University of São Paulo School of Medicine, located in the city of São Paulo, Brazil. Methods: Between 2008 and 2012, all third-year medical students were invited to complete a self-administered questionnaire based on the Global Health Professionals Student Survey and its additional modules...
May 2017: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/28746530/hearing-thresholds-in-patients-with-drug-resistant-tuberculosis-baseline-audiogram-configurations-and-associations
#3
Olusola Ayodele Sogebi, Muse Olatunbosun Fadeyi, Bolanle Olufunlola Adefuye, Festus Olukayode Soyinka
Objective: To use baseline audiogram parameters in order to ascertain whether drug-resistant tuberculosis (DR-TB) has effects on hearing, as well as to describe the configurations of the audiograms and to determine whether there are parameters that can be associated with those configurations. Methods: This was a prospective study involving patients diagnosed with DR-TB at a tuberculosis treatment center in the state of Ogun, in Nigeria. The patients included in the study were submitted to pure tone audiometry at baseline (within two weeks after treatment initiation)...
May 2017: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/28658341/incidence-of-colorectal-cancer-in-young-patients
#4
Fábio Guilherme C M DE Campos, Marleny Novaes Figueiredo, Mariane Monteiro, Sérgio Carlos Nahas, Ivan Cecconello
Sporadic colorectal cancer (CRC) is traditionally diagnosed after de sixth decade of life, although a small percentage of cases are diagnosed in patients under 40 years of age, and incidence is increasing. There exists a great volume of controversy regarding clinical outcome of young patients diagnosed with colorectal cancer (CRC) when compared to elder counterparts. Our aims were to evaluate the rate of CRC in young patients, to review the pertaining literature and to discuss outcomes and clinical prognosis...
March 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28591358/factor-associated-with-self-reported-work-related-musculoskeletal-disorders-in-brazilian-adults
#5
Ada Ávila Assunção, Mery Natali Silva Abreu
OBJECTIVE: To describe the prevalence of work-related musculoskeletal disorder (WMSD) and analyze the factors associated with this outcome in the Brazilian population. METHODS: In this cross-sectional, population-based study, we use data from the National Survey on Health (PNS) of 2013. The sample was composed of 60,202 Brazilians aged 18 years or older. The outcome variable was the occurrence of self-reported WMSD. Sociodemographic and occupational characteristics, personal resources, and health conditions were investigated as explanatory variables...
June 1, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28591357/use-of-health-services-by-brazilian-older-adults-with-and-without-functional-limitation
#6
Alexandre Moreira de Melo Silva, Juliana Vaz de Melo Mambrini, Sérgio Viana Peixoto, Deborah Carvalho Malta, Maria Fernanda Lima-Costa
OBJECTIVE: To analyze the use of health services and the quality of medical care received by Brazilian older adults with and without functional limitation. METHODS: The main analyses were based on a national sample representing 23,815 participants of the National Survey on Health (PNS) aged 60 years or older. Functional limitation was defined by the difficulty to perform at least one out of ten basic or instrumental activities of daily living. Potential confounding variables included predisposing and enabling factors of the use of health services...
June 1, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28591356/early-detection-of-breast-cancer-in-brazil-data-from-the-national-health-survey-2013
#7
Gulnar Azevedo E Silva, Paulo Roberto Borges de Souza-Júnior, Giseli Nogueira Damacena, Célia Landmann Szwarcwald
OBJECTIVE: To analyze whether the actions of early detection of breast cancer, initiated with the medical request for mammography, differ between users of the Brazilian Unified Health System (SUS) and those who have private health insurance. METHODS: From the data collected in the National Health Survey, we estimated the proportions of women who had medical request for mammography according to presence or absence of private health insurance. For assessing the factors related to having mammography medical request, we estimated crude and adjusted odds ratios and respective 95%CI by logistic regression...
June 1, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28591347/factors-associated-with-self-reported-diabetes-according-to-the-2013-national-health-survey
#8
Deborah Carvalho Malta, Regina Tomie Ivata Bernal, Betine Pinto Moehlecke Iser, Célia Landmann Szwarcwald, Bruce Bartholow Duncan, Maria Inês Schmidt
OBJECTIVES: To analyze the factors associated with self-reported diabetes among adult participants of the National Health Survey (PNS). METHODS: Cross-sectional study using data of the PNS carried out in 2013, from interviews with adults (≥ 18 years) of 64,348 Brazilian households. The prevalence of self-reported diabetes, assessed by the question "Has a doctor ever told you that you have diabetes?," was related to sociodemographic characteristics, lifestyle, self-reported chronic disease, and self-evaluation of the health condition...
June 1, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28489134/dialectics-of-a-medical-provision-policy-in-priority-areas-in-brazil
#9
César Augusto Trinta Weber
Introduction: The people living in vulnerable areas that are difficult to access in Brazil represent a portion of the population that has proven very sensitive to lack of medical and health services. The government, seeking to solve the situation urgently, implemented the More Doctors Program [Programa Mais Médicos, in the Portuguese original] in 2013. Objective: To discuss the More Doctors Program, with the purpose of contributing to the debate on the provision of medical policies in Brazil...
March 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28327875/compliance-with-the-prescription-of-antihypertensive-medications-and-blood-pressure-control-in-primary-care
#10
Mayra Faria Novello, Maria Luiza Garcia Rosa, Ranier Tagarro Ferreira, Icaro Gusmão Nunes, Antonio José Lagoeiro Jorge, Dayse Mary da Silva Correia, Wolney de Andrade Martins, Evandro Tinoco Mesquita
Background: Hypertension is the most prevalent risk factor for cardiovascular disease, and its proper control can prevent the high morbidity and mortality associated with this disease. Objective: To assess the degree of compliance of antihypertensive prescriptions with the VI Brazilian Guidelines on Hypertension and the blood pressure control rate in primary care. Methods: Cross-sectional study conducted between August 2011 and November 2012, including 332 adults ≥ 45 years registered in the Family Doctor Program in Niteroi and selected randomly...
February 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28250510/implementation-research-towards-universal-health-coverage-with-more-doctors-in-brazil
#11
Leonor Maria Pacheco Santos, Aimê Oliveira, Josélia Souza Trindade, Ivana Chc Barreto, Poliana Araújo Palmeira, Yamila Comes, Felipe Os Santos, Wallace Santos, João Paulo Alves Oliveira, Vanira Matos Pessoa, Helena Eri Shimizu
OBJECTIVE: To evaluate the implementation of a programme to provide primary care physicians for remote and deprived populations in Brazil. METHODS: The Mais Médicos (More Doctors) programme was launched in July 2013 with public calls to recruit physicians for priority areas. Other strategies were to increase primary care infrastructure investments and to provide more places at medical schools. We conducted a quasi-experimental, before-and-after evaluation of the implementation of the programme in 1708 municipalities with populations living in extreme poverty and in remote border areas...
February 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/28198939/compliance-with-the-prescription-of-antihypertensive-medications-and-blood-pressure-control-in-primary-care
#12
Mayra Faria Novello, Maria Luiza Garcia Rosa, Ranier Tagarro Ferreira, Icaro Gusmão Nunes, Antonio José Lagoeiro Jorge, Dayse Mary da Silva Correia, Wolney de Andrade Martins, Evandro Tinoco Mesquita
Background: Hypertension is the most prevalent risk factor for cardiovascular disease, and its proper control can prevent the high morbidity and mortality associated with this disease. Objective: To assess the degree of compliance of antihypertensive prescriptions with the VI Brazilian Guidelines on Hypertension and the blood pressure control rate in primary care. Methods: Cross-sectional study conducted between August 2011 and November 2012, including 332 adults ≥ 45 years registered in the Family Doctor Program in Niteroi and selected randomly...
February 13, 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28146177/advanced-practice-nursing-a-strategy-for-achieving-universal-health-coverage-and-universal-access-to-health
#13
Denise Bryant-Lukosius, Ruta Valaitis, Ruth Martin-Misener, Faith Donald, Laura Morán Peña, Linda Brousseau
Objective: to examine advanced practice nursing (APN) roles internationally to inform role development in Latin America and the Caribbean to support universal health coverage and universal access to health. Method: we examined literature related to APN roles, their global deployment, and APN effectiveness in relation to universal health coverage and access to health. Results: given evidence of their effectiveness in many countries, APN roles are ideally suited as part of a primary health care workforce strategy in Latin America to enhance universal health coverage and access to health...
January 30, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28125150/phenotypes-of-asthma-in-low-income-children-and-adolescents-cluster-analysis
#14
Anna Lucia Barros Cabral, Andrey Wirgues Sousa, Felipe Augusto Rodrigues Mendes, Celso Ricardo Fernandes de Carvalho
Objective: Studies characterizing asthma phenotypes have predominantly included adults or have involved children and adolescents in developed countries. Therefore, their applicability in other populations, such as those of developing countries, remains indeterminate. Our objective was to determine how low-income children and adolescents with asthma in Brazil are distributed across a cluster analysis. Methods: We included 306 children and adolescents (6-18 years of age) with a clinical diagnosis of asthma and under medical treatment for at least one year of follow-up...
January 2017: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/28117477/hard-metal-lung-disease-a-case-series
#15
Rafael Futoshi Mizutani, Mário Terra-Filho, Evelise Lima, Carolina Salim Gonçalves Freitas, Rodrigo Caruso Chate, Ronaldo Adib Kairalla, Regiani Carvalho-Oliveira, Ubiratan Paula Santos
Objective: To describe diagnostic and treatment aspects of hard metal lung disease (HMLD) and to review the current literature on the topic. Methods: This was a retrospective study based on the medical records of patients treated at the Occupational Respiratory Diseases Clinic of the Instituto do Coração, in the city of São Paulo, Brazil, between 2010 and 2013. Results: Of 320 patients treated during the study period, 5 (1.56%) were diagnosed with HMLD...
November 2016: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/28099658/background-noise-analysis-in-urban-airport-surroundings-of-brazilian-cities-congonhas-airport-s%C3%A3-o-paulo
#16
Fabio Scatolini, Cláudio Jorge Pinto Alves
OBJECTIVE: To perform a quantitative analysis of the background noise at Congonhas Airport surroundings based on large sampling and measurements with no interruption. METHODS: Measuring sites were chosen from 62 and 72 DNL (day-night-level) noise contours, in urban sites compatible with residential use. Fifteen sites were monitored for at least 168 hours without interruption or seven consecutive days. Data compilation was based on cross-reference between noise measurements and air traffic control records, and results were validated by airport meteorological reports...
December 22, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28099585/impact-of-different-normality-thresholds-for-24-hour-abpm-at-the-primary-health-care-level
#17
Guilherme Brasil Grezzana, David William Moraes, Airton Tetelbon Stein, Lucia Campos Pellanda
Background: Hypertension is an important risk factor for cardiovascular outcomes. Primary health care (PHC) physicians should be prepared to act appropriately in the prevention of cardiovascular risk factors. However, the rates of patients with control of blood pressure (BP) remain low. The impact of the reclassification of high BP by 24-hour ambulatory BP monitoring (ABPM) can lead to different medical decisions in PHC. Objective: To evaluate the agreement between the BP measured by a conventional method by PHC physicians and by 24-hour ABPM, considering different BP normal thresholds for the 24-hour ABPM according to the V Brazilian ABPM Guidelines and the European Society of Hypertension Guidelines...
February 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/27982407/a-study-of-cases-reported-as-incidents-in-a-public-hospital-from-2011-to-2014
#18
Leila Bernarda Donato Göttems, Maria do Livramento Gomes Dos Santos, Paloma Aparecida Carvalho, Fábio Ferreira Amorim
OBJECTIVE: Analyzing incidents reported in a public hospital in the Federal District, Brasilia, according to the characteristics and outcomes involving patients. METHOD: A descriptive and retrospective study of incidents reported between January 2011 and September 2014. RESULTS: 209 reported incidents were categorized as reportable occurrences (n = 22, 10.5%), near misses (n = 16, 7.7%); incident without injury (n = 4, 1.9%) and incident with injury (adverse events) (n = 167, 79...
September 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27982391/using-the-bologna-score-to-assess-normal-delivery-healthcare
#19
Isaiane da Silva Carvalho, Rosineide Santana de Brito
OBJECTIVE: Describing the obstetric care provided in public maternity hospitals during normal labour using the Bologna Score in the city of Natal, Northeastern Brazil. METHOD: A quantitative cross-sectional study conducted with 314 puerperal women. Data collection was carried out consecutively during the months of March to July 2014. RESULTS: Prenatal care was provided to 95.9% of the mothers, beginning around the 1st trimester of pregnancy (72...
September 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27982373/prevalence-of-self-medication-in-brazil-and-associated-factors
#20
Paulo Sérgio Dourado Arrais, Maria Eneida Porto Fernandes, Tatiane da Silva Dal Pizzol, Luiz Roberto Ramos, Sotero Serrate Mengue, Vera Lucia Luiza, Noemia Urruth Leão Tavares, Mareni Rocha Farias, Maria Auxiliadora Oliveira, Andréa Dâmaso Bertoldi
OBJECTIVE: To analyze the prevalence and associated factors regarding the use of medicines by self-medication in Brazil. METHODS: This cross-sectional population-based study was conducted using data from the PNAUM (National Survey on Access, Use and Promotion of Rational Use of Medicines), collected between September 2013 and February 2014 by interviews at the homes of the respondents. All people who reported using any medicines not prescribed by a doctor or dentist were classified as self-medication practitioners...
December 2016: Revista de Saúde Pública
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