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Brazil health system

Amanda C Nascimento-Carvalho, Ana-Luisa Vilas-Boas, Maria-Socorro H Fontoura, Tytti Vuorinen, Cristiana M Nascimento-Carvalho
BACKGROUND: Community-acquired pneumonia (CAP) causes a major burden to the health care system among children under-5 years worldwide. Information on respiratory viruses in non-severe CAP cases is scarce. OBJECTIVES: To estimate the frequency of respiratory viruses among non-severe CAP cases. STUDY DESIGN: Prospective study conducted in Salvador, Brazil. Out of 820 children aged 2-59 months with non-severe CAP diagnosed by pediatricians (respiratory complaints and radiographic pulmonary infiltrate/consolidation), recruited in a clinical trial (ClinicalTrials...
June 6, 2018: Journal of Clinical Virology: the Official Publication of the Pan American Society for Clinical Virology
Hui Wen Fan, Wuelton Marcelo Monteiro
A plan to achieve self-sufficiency in manufacturing biologicals for public health has been structured for the last 40 years in Brazil, in the context of a reform in the health system. Industrial plants of the national public laboratories have been modernized, and a program for reducing morbidity and mortality of venomous snakebite has been created, as part of the National Epidemiological Surveillance System. The epidemiological data are essential to plan for the antivenom production of 400,000 vials of snake antivenoms per year, and the acquisition by the Ministry of Health, which is the exclusive purchaser in the country...
June 13, 2018: Toxicon: Official Journal of the International Society on Toxinology
Christiane Santiago Maia, Daniel Roberto Coradi de Freitas, Luciana Guerra Gallo, Wildo Navegantes de Araújo
OBJECTIVE: to describe the adverse events related to health care resulting in death. METHODS: a descriptive study of reports recorded in the Brazilian Health Surveillance Notification System (Notivisa) in Brazil from Jun 2014 to Jun 2016; notifications recorded as 'other' in the 'incident type' were recoded. RESULTS: 417 cases were recorded, mostly in adults and the elderly (85%), with no sex differences; the states of São Paulo (N=92), Paraná (N=75) and Minas Gerais (N=66) were the main reporter; hospitals contributed to 97% of the records, principally in the intensive care and hospitalization sectors; the investigation by the notifying unit occurred in 5% of cases; in the recode of the type of incident, 52 records were recovered; the most common type of incident was 'failures during health care' (50%)...
June 11, 2018: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
Adriane da Silva Carvalho, Roger Dos Santos Rosa
OBJECTIVE: to characterize caracterize by Brazilian National Health System (SUS) hospitalizations for bariatric surgeries in residents of the Metropolitan Region of Porto Alegre, RS, Brazil, from 2010 to 2016. METHODS: data analysis of the National Hospital Information System (SIH/SUS); calculation of indicators by sex, age groups, use of Intensive Care Unit and hospitalization expenses; the target population were patients aged 15 years and older. RESULTS: there were 1,249 hospitalizations (178...
June 11, 2018: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
Mateus de Souza, Ribeiro Mioni, Acácia Ferreira Vicente, Marina Gea Peres, Camila Michele Appolinário, Bruna Letícia Davidé Ribeiro, José Carlos de Figueiredo Pantoja, José Paes de Almeida, Nogueira Pinto, Luis Antônio Mathias, Jane Megid
In Brazil, meat inspection occurs in a decentralized manner and consists of three types: (i) federal inspection (SIF), (ii) state inspection (SISP), and (iii) municipal inspection (SIM). The objective of this work was to discuss the three current inspection systems through the apparent prevalence of bovine brucellosis, a zoonosis that has an eradication program implemented by the Brazilian government. Nine abattoirs from federal, state, and municipal inspection systems were assessed and 1,490 animals were sampled...
June 13, 2018: Journal of Food Protection
John Codrington, Jimmy Roosblad, Amrish Baidjoe, Natanael Holband, Antoine Adde, Mirdad Kazanji, Claude Flamand
Introduction: Since the identification of ZIKV in Brazil in May 2015, the virus has spread extensively throughout the Americas. Cases of ZIKV infection have been reported in Suriname since October 2, 2015. Methods: A laboratory-based surveillance system was quickly implemented according to previous experience with the emergence of chikungunya. General practitioners and public health centers located in different districts of Suriname were asked to send blood samples from suspicious cases to Academic Hospital for molecular diagnosis of Zika virus infection...
May 10, 2018: PLoS Currents
Helena Hiemisch Lobo Borba, Laiza Maria Steimbach, Bruno Salgado Riveros, Fernanda Stumpf Tonin, Vinicius Lins Ferreira, Bruna Aline de Queiros Bagatim, Gisele Balan, Roberto Pontarolo, Astrid Wiens
BACKGROUND: Amphotericin formulations, indicated for invasive fungal infections (IFIs), vary in effectiveness, safety and costs. In Brazil, only the conventional formulation is provided by the Public Health System. OBJECTIVES: To perform a cost-effectiveness analysis comparing conventional amphotericin B (CAB), liposomal amphotericin B (LAB) and amphotericin B lipid complex (ABLC). METHODS: A decision tree was developed. The model began with high-risking patients on suspicion or confirmation of IFI...
June 12, 2018: Mycoses
(no author information available yet)
BACKGROUND: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016...
June 2, 2018: Lancet
C Mayence, C Mathien, A Sanna, S Houcke, P Tabard, A Roux, C Valentin, D Resiere, D Lemonnier, F Nkont Cho, D Hommel, H W Fan, H Kallel
In the American continent, larval forms (caterpillars) of the Lonomia genus can cause systemic reactions in human beings. In this Paper, we report the third case of Lonomia envenoming recorded in French Guiana in 25 years, and the first in which specific antivenom was administered. Severe symptoms of the envenoming were observed in our patient including pain; coagulopathy and systemic hemorrhage. They are caused by skin contact with caterpillars. Recovery, however, was quite satisfactory thanks to the international cooperation of the health authorities in both France and Brazil...
June 8, 2018: Toxicon: Official Journal of the International Society on Toxinology
Beatriz Carriconde Colvara, Daniel Demétrio Faustino-Silva, Elisabeth Meyer, Fernando Neves Hugo, Juliana Balbinot Hilgert, Roger Keller Celeste
OBJECTIVE: To assess the effectiveness of motivational interviewing in preventing early childhood caries compared with conventional oral health education. STUDY DESIGN: Twelve health care units in southern Brazil were randomly allocated in 2 groups of 6 and professionals in 1 group were trained in motivational interviewing. The mothers/children and external examiners were blinded to the intervention. The data were collected by calibrated examiners using questionnaires and a clinical examination based on modified International Caries Detection and Assessment System criteria...
June 6, 2018: Journal of Pediatrics
Diorge Jônatas Marmitt, Shanna Bitencourt, Amanda do Couto E Silva, Claudete Rempel, Márcia Inês Goettert
OBJECTIVE: The aim of this study was to conduct a systematic review of the healing potential of medicinal plants belonging to the Brazilian National List of Medicinal Plants of Interest to the Unified Health System (RENISUS). METHOD: PubMed and ScienceDirect databases were searched for relevant articles, regardless of the language, from 2010 to June 2016. Two reviewers independently assessed study eligibility. Articles were included if they presented evidence of healing potential of medicinal plants...
June 1, 2018: Journal of Wound Care
Mauro Romero Leal Passos
Vargas et al, (BJOG 2018) describe a serious deficiency in the Brazilian public health system. Unfortunately, even worse syphilis-related data can be identified in other regions of Brazil as well as in other countries. In seven Brazilian state capitals - Teresina, Fortaleza, Natal, João Pessoa, Maceió, Aracaju and Porto Alegre - more cases of congenital syphilis in babies than episodes of syphilis in pregnant women have been reported (Boletim Epidemiológico Sífilis, Vol 48, No. 36; 2017). This article is protected by copyright...
June 7, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Ludimila G Campos, Jennifer Bragg-Gresham, Yun Han, Thyago P Moraes, Ana E Figueiredo, Pasqual Barretti, Rajesh Balkrishnan, Rajiv Saran, Roberto Pecoits-Filho
INTRODUCTION: Patients on peritoneal dialysis (PD) suffer from a high burden of comorbidities, which are managed with multiple medications. Determinants of prescription patterns are largely unknown in this population. This study assesses temporal changes and factors associated with medication prescription in a nationally representative population of patients on PD under the universal coverage healthcare system in Brazil. METHODS: Incident patients recruited in the Brazilian Peritoneal Dialysis Study (BRAZPD) from December 2004 to January 2011, stratified by prior hemodialysis (HD) treatment, were included in the analysis...
June 6, 2018: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
P B Villela, C H Klein, G M M Oliveira
OBJECTIVES: The proportion of deaths attributed to hypertensive diseases (HYPDs) was only 50% of that registered for cerebrovascular diseases (CBVDs) in 2013 in Brazil. This article aims to evaluate mortality related to HYPDs and CBVDs as multiple causes of death, in Brazil from 2004 to 2013. STUDY DESIGN: Analysis of historical series of secondary data obtained from Brazilian official registries. METHODS: Data about the deaths were obtained from the Mortality Information System of the Brazilian Ministry of Health, available on the DATASUS website...
June 2, 2018: Public Health
Jéssica de Castro Alves, Claudia Garcia Serpa Osorio-de-Castro, Bjorn Wettermark, Tatiana Chama Borges Luz
BACKGROUND: Immunosuppressants are recommended for treatment of autoimmune diseases, and in transplant therapy. The high cost of these drugs has been causing an important impact on global pharmaceutical spending. OBJECTIVE: Analyzing immunosuppressant expenditure in Brazil, using data from the Federal Procurement System database (SIASG), between 2010 and 2015. METHODS: The pharmaceutical products were classified in accordance with the Anatomical, Therapeutic and Chemical (ATC) classification system recommended by World Health Organization (WHO) and aggregated by volume and by expenditure...
June 5, 2018: Expert Review of Pharmacoeconomics & Outcomes Research
Luciana B Mattos, Marina B Mattos, Ana P O Barbosa, Mariana da Silva Bauer, Maina H Strack, Pedro Rosário, Caroline T Reppold, Cleidilene R Magalhães
The Health and Education Ministries of Brazil launched the Health in School Program (Programa Saúde na Escola - PSE) in 2007. The purpose of the PSE is two-fold: articulate the actions of the education and health systems to identify risk factors and prevent them; and promote health education in the public elementary school system. In the health field, the self-regulation (SR) construct can contribute to the understanding of life habits which can affect the improvement of individuals' health. This research aims to present a program that promotes SR in health (SRH)...
2018: Frontiers in Psychology
Arielly Souza Mariano, Nathan Mendes Souza, Afonso Cavaco, Luciane Cruz Lopes
BACKGROUND: In Brazil, as in most countries nowadays, there is a pursuit for healthcare quality improvement and sustainability in public and private systems. Healthcare professionals' perceptions, knowledge and attitudes determine evidence-based practice (EBP), which remain uncertain among Brazilian practitioners. A standardised national instrument whose wide use will identify gaps and flaws in establishing an EBP could contribute to an effective resources allocation from health professionals willing to use an EBP...
June 4, 2018: BMJ Open
Volnei Garrafa, Thiago Rocha DA Cunha, Camilo Manchola
This article explores the current situation regarding the importance of access to healthcare in relation to the genesis and context of bioethics developed in Brazil, a country in which healthcare is understood through the national constitution to be a universal right of its population. Since the onset of the development of Brazilian bioethics at the beginning of the 1990s, topics relating directly and indirectly to the field of public health have been a priority in the bioethics agenda. The article considers the socioeconomic context within which conflicts occur, an issue that has been addressed in other scientific articles on bioethics in Latin America...
July 2018: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
Thiago Nascimento do Prado, Deborah Bain Brickley, Nancy K Hills, Eliana Zandonade, Sandra Fagundes Moreira-Silva, Angélica Espinosa Miranda
Mother-to-child transmission (MTCT) is the main mode of HIV-1 acquisition among young children worldwide. The goals of this study were to estimate the proportion of HIV MTCT and to identify factors associated with transmission. We reviewed data for HIV-infected pregnant women that had been reported to the National Information on Reportable Diseases System (SINAN) in Espírito Santo state, Brazil, between January 2007 and December 2012. HIV cases in children were followed until age 18 months. The proportion of women who transmitted HIV to their babies was 14% (95% CI 11-17%)...
May 29, 2018: AIDS and Behavior
Haryelle Náryma Confessor Ferreira, Veronica Schiariti, Isabelly Cristina Rodrigues Regalado, Klayton Galante Sousa, Silvana Alves Pereira, Carla Patrícia Novaes Dos Santos Fechine, Egmar Longo
INTRODUCTION: The increase in the number of cases of microcephaly in Brazil and its association with the Zika virus (ZIKV) is a global public health problem. The International Classification of Functioning Disability and Health (ICF) model is a powerful tool and extremely relevant in managing disability. OBJECTIVE: Describe the functioning profile of children with microcephaly associated with ZIKV in two states of northeastern Brazil. METHODS: This is a descriptive cross-sectional study...
May 29, 2018: International Journal of Environmental Research and Public Health
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