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https://www.readbyqxmd.com/read/28647172/infection-related-microcephaly-after-the-2015-and-2016-zika-virus-outbreaks-in-brazil-a-surveillance-based-analysis
#1
Wanderson Kleber de Oliveira, Giovanny Vinícius Araújo de França, Eduardo Hage Carmo, Bruce Bartholow Duncan, Ricardo de Souza Kuchenbecker, Maria Inês Schmidt
BACKGROUND: On Nov 11, 2015, the Brazilian Ministry of Health declared a Public Health Emergency of National Concern in response to an increased number of microcephaly cases, possibly related to previous Zika virus outbreaks. We describe the course of the dual epidemics of the Zika virus infection during pregnancy and microcephaly in Brazil up to Nov 12, 2016, the first anniversary of this declaration. METHODS: We used secondary data for Zika virus and microcephaly cases obtained through the Brazilian Ministry of Health's surveillance systems from Jan 1, 2015, to Nov 12, 2016...
June 21, 2017: Lancet
https://www.readbyqxmd.com/read/28641588/health-technology-performance-assessment-real-world-evidence-for-public-healthcare-sustainability
#2
Augusto Afonso Guerra-Júnior, Lívia Lovato Pires de Lemos, Brian Godman, Marion Bennie, Cláudia Garcia Serpa Osorio-de-Castro, Juliana Alvares, Aine Heaney, Carlos Alberto Vassallo, Björn Wettermark, Gaizka Benguria-Arrate, Iñaki Gutierrez-Ibarluzea, Vania Cristina Canuto Santos, Clarice Alegre Petramale, Fransciso de Assis Acurcio
OBJECTIVES: Health technology financing is often based on randomized controlled trials (RCTs), which are often the same ones used for licensing. Because they are designed to show the best possible results, typically Phase III studies are conducted under ideal and highly controlled conditions. Consequently, it is not surprising that technologies do not always perform in real life in the same way as controlled conditions. Because financing (and price paid) decisions can be made with overestimated results, health authorities need to ask whether health systems achieve the results they expect when they choose to pay for a technology...
June 23, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28627377/mikania-glomerata-sprengel-extract-and-its-major-compound-ent-kaurenoic-acid-display-activity-against-bacteria-present-in-endodontic-infections
#3
Dora Lúcia Carrara Moreti, Luís Fernando Leandro, Thaís da Silva Moraes, Monique Rodrigues Moreira, Rodrigo Cassio Sola Veneziani, Sergio Ricardo Ambrosio, Brenda Paula Figueiredo Almeida Gomes, Carlos Henrique Gomes Martins
The search for new, effective and safe antimicrobial compounds from plant sources has continued to play an important role in the maintenance of human health since ancient times. Such compounds can be used to help to eradicate microorganisms from the root canal system, preventing/healing periapical diseases. Mikania glomerata (Spreng.), commonly known as "guaco," is a native climbing plant from Brazil that displays a wide range of pharmacological properties. Many of its activities have been attributed to its phytochemical composition, which is mainly composed of diterpenes, such as ent-kaurenoic acid (KA)...
June 13, 2017: Anaerobe
https://www.readbyqxmd.com/read/28619663/captive-wild-birds-as-reservoirs-of-enteropathogenic-e-coli-epec-and-shiga-toxin-producing-e-coli-stec
#4
Lilian Aparecida Sanches, Marcelo da Silva Gomes, Rodrigo Hidalgo Friciello Teixeira, Marcos Paulo Vieira Cunha, Maria Gabriela Xavier de Oliveira, Mônica Aparecida Midolli Vieira, Tânia Aparecida Tardelli Gomes, Terezinha Knobl
Psittacine birds have been identified as reservoirs of diarrheagenic Escherichia coli, a subset of pathogens associated with mortality of children in tropical countries. The role of other orders of birds as source of infection is unclear. The aim of this study was to perform the molecular diagnosis of infection with diarrheagenic E. coli in 10 different orders of captive wild birds in the state of São Paulo, Brazil. Fecal samples were analyzed from 516 birds belonging to 10 orders: Accipitriformes, Anseriformes, Columbiformes, Falconiformes, Galliformes, Passeriformes, Pelecaniformes, Piciformes, Psittaciformes and Strigiformes...
June 2, 2017: Brazilian Journal of Microbiology: [publication of the Brazilian Society for Microbiology]
https://www.readbyqxmd.com/read/28619397/development-of-environmental-health-indicators-for-the-child-population-report-on-a-brazilian-experience
#5
Flavia Franchini de Moraes, Volney de Magalhaes Camara, Carmen Ildes R Froes Asmus
BACKGROUND: This report presents the Brazilian experience on the elaboration of a matrix of children's environmental health indicators to the Brazilian Health Surveillance System. This experience was part of a project with the financial support of the Ministry of Health of Brazil to develop appropriate indicators for identification, measuring, and monitoring of the environmental risk factors to the children's health. METHODS: The methodology adopted for the development of the matrix of indicators of children's environmental health to Brazil comprised 3 steps...
March 2017: Annals of Global Health
https://www.readbyqxmd.com/read/28614523/intra-urban-differences-in-rates-of-admissions-for-ambulatory-care-sensitive-conditions-in-brazil-s-center-west-region
#6
Alessandro Leonardo Alvares Magalhães, Otaliba Libânio de Morais
Admissions for ambulatory care sensitive conditions (ACSCs) represent a useful indicator of assess to and the effectiveness of primary health care. This article examined rates of admissions for ACSCs and the main causes of admissions in intra-urban areas of the municipality of Goiânia, capital of the State of Goiás. An ecological study was conducted to determine rates of admissions in Goiânia's seven health districts between 2008 and 2013 using data from Hospital Admission Authorization forms obtained from the municipality's Hospital Information System...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614518/rationalization-and-sensemaking-in-care-management-an-experience-of-change-in-a-hospital-of-the-sus-unified-health-system
#7
Creuza da Silva Azevedo, Marilene de Castilho Sá, Marcela Cunha, Gustavo Correa Matta, Lilian Miranda, Victor Grabois
This study aimed to analyze organizational processes of change in the hospital care management by using qualitative evaluation developed in the case study. The study was developed at the Hospital Fornecedores de Cana de Piracicaba, in São Paulo State, Brazil, in September and October of 2012. There were 25 interviews with members of the senior board of directors of the hospital, managers and health professionals linked to healthcare of adults, in addition to the analysis of managerial documents and observations of some activities...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614512/sexual-and-reproductive-health-among-young-people-rio-de-janeiro-brazil
#8
Stella Regina Taquette, Denise Leite Maia Monteiro, Nádia Cristina Pinheiro Rodrigues, Riva Rozenberg, Daniela Contage Siccardi Menezes, Adriana de Oliveira Rodrigues, José Augusto Sapienza Ramos
We aimed to analyze the geographic distribution, the structure of healthcare services and the human resources of all units of the Sistema Único de Saúde (SUS - the Unified Health System) that provide sexual and reproductive health (SRH) services to the adolescent population in the second largest city in Brazil. We conducted a cross-sectional study with geographical mapping and data collection through a questionnaire applied in person with coordinators of the units or their representatives in 147 outpatient clinics in Rio de Janeiro that have SSR services...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614505/why-do-people-appeal-to-the-courts-for-access-to-medication-the-case-of-insulin-analogues-in-bahia-brazil
#9
Erick Soares Lisboa, Luis Eugenio Portela Fernandes de Souza
Insulin analogues have been the object of controversy concerning their therapeutic superiority to human insulin. Perhaps, in part, because of this, insulin analogues are frequently the subject of lawsuits. The judicialization of health has been well studied, but little is known about the reasons that lead people to go to the courts to obtain access to medicines on SUS (the Brazilian National Health System). Therefore, this study aims to analyze the reasons that led people to appeal to the courts to obtain access to insulins analogues in the state of Bahia...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614504/care-coordination-in-primary-health-care-an-evaluative-study-in-a-municipality-in-the-northeast-of-brazil
#10
Italo Ricardo Santos Aleluia, Maria Guadalupe Medina, Patty Fidelis de Almeida, Ana Luiza Queiroz Vilasbôas
International and Brazilian studies have highlighted the importance of the coordination of care for the organization of local health systems. This study aimed to analyze the coordination of care by Primary Health Care (PHC) in a municipal health system in the State of Bahia. This study was conducted in the lead municipality of the macro-region and involved two levels of analysis: PHC team and municipal management. Outlining conditions for the study were defined (hypertension and diabetes mellitus) and an objective image corresponding to the coordination of care was developed based on current national and international literature review...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614501/the-group-oral-health-movement-in-brazil
#11
Catharina Leite Matos Soares, Jairnilson Silva Paim, Sonia Cristina de Lima Chaves, Thais Regis Aranha Rossi, Sandra Garrido Barros, Denise Nogueira Cruz
Group Oral Health (GOH) is a specific phenomenon in time, separate from other "Alternative Odontology", and a theoretical reference for dental practice in healthcare services. This study is an attempt to understand how long "Alternative Odontology" will remain with the social context of struggling for oral health in Brazil, based on the positions of the founding agents and their precursors, bearing in mind the concepts of GOH, GH (Group Health) and the SUS (Unified Healthcare System). We started out with Pierre Bourdieu's Practice Theory, complemented with Gramsci's concept of hegemony and counter-hegemony...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614500/oral-health-policy-in-brazil-between-2003-and-2014-scenarios-proposals-actions-and-outcomes
#12
Sônia Cristina Lima Chaves, Ana Maria Freire de Lima Almeida, Thaís Regis Aranha Rossi, Sisse Figueiredo de Santana, Sandra Garrido de Barros, Carla Maria Lima Santos
This study examined the implementation of Brazil's National Oral Health Policy by the three governments during the period 2003 to 2014. It provides a general overview of oral health care scenarios and examines institutional proposals and actions developed by the executive branch based on the components of the health care system. A documental analysis was conducted using documents produced by key government agencies. The findings show that there was an increase in the provision and coverage of public dental services between 2003 and 2006 and that rates were maintained to a certain degree in subsequent periods (2007 to 2010 and 2011 to 2014)...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614484/embedding-research-to-improve-program-implementation-in-latin-america-and-the-caribbean
#13
Nhan Tran, Etienne V Langlois, Ludovic Reveiz, Ilona Varallyay, Vanessa Elias, Arielle Mancuso, Francisco Becerra-Posada, Abdul Ghaffar
In the last 10 years, implementation research has come to play a critical role in improving the implementation of already-proven health interventions by promoting the systematic uptake of research findings and other evidence-based strategies into routine practice. The Alliance for Health Policy and Systems Research and the Pan American Health Organization implemented a program of embedded implementation research to support health programs in Latin America and the Caribbean (LAC) in 2014-2015. A total of 234 applications were received from 28 countries in the Americas...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614463/health-technology-assessment-the-process-in-brazil
#14
Fernanda Lessa, Marcos Bosi Ferraz
Objectives: To describe, analyze, and compare the opinions of decisionmakers involved in the health technology assessment (HTA) process in Brazil in 2011. Methods: A cross-sectional study was conducted using a structured questionnaire to evaluate the opinions of a convenience sample of health care professionals from both the public and private health care systems (HCS). The survey collected demographic data for each respondent along with their input on national regulations...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28614450/classification-systems-for-avoidability-of-infant-deaths-different-methods-different-repercussions
#15
Barbara Almeida Soares Dias, Edson Theodoro Dos Santos, Maria Angélica Carvalho Andrade
The objective of this study was to compare the avoidability of infant deaths according to different classification methods. This was a descriptive comparative study from 2006 to 2013 in Espírito Santo State, Brazil, focusing on the classification of 5,316 infant deaths according to five different methods. The methods of the International Collaborative Effort on Infant Mortality (ICE) and the SEADE Foundation correctly classified the highest proportions of deaths as avoidable versus unavoidable (94.6% and 94...
June 12, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28614449/-evaluation-of-the-healthcare-network-for-persons-with-arterial-hypertension-study-of-a-health-district
#16
Cleuzieli Moraes Dos Santos, Ana Rita Barbieri, Crhistinne Cavalheiro Maymone Gonçalves, Daniel Henrique Tsuha
In the context of public health policies, healthcare network is a strategy that aims to promote people's equitable access to services and to reduce fragmentation. The aim of this study was to evaluate the degree of development of components in a healthcare network for hypertension. This was an ex-ante, cross-sectional evaluative study focused on the implementation of a healthcare network for persons with chronic diseases, applying a questionnaire to 17 health administrators from the municipalities (counties) comprising the largest health district in Mato Grosso do Sul State, Brazil...
June 12, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28614444/expected-hazards-and-hospital-beds-in-host-cities-of-the-2014-fifa-world-cup-in-brazil
#17
Elaine Silva Miranda, Kimberley Shoaf, Raulino Sabino da Silva, Carolina Figueiredo Freitas, Claudia Garcia Serpa Osorio-de-Castro
Planning for mass gatherings involves health system preparedness based on an understanding of natural and technological hazards identified through prior risk assessment. We present the expected hazards reported by health administrators of the host cities for the 2014 FIFA World Cup in Brazil and discuss the hazards considering minimal available public hospital beds in the 12 cities at the time of the event. Four different groups of respondents were interviewed: pharmaceutical service administrators and overall health administrators at both the municipal and hospital levels...
June 12, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28614437/chronic-disease-in-childhood-and-adolescence-continuity-of-care-in-the-health-care-network
#18
Vanessa Medeiros da Nóbrega, Maria Elizabete de Amorim Silva, Leiliane Teixeira Bento Fernandes, Claudia Silveira Viera, Altamira Pereira da Silva Reichert, Neusa Collet
OBJECTIVE: To evaluate the continuity of care for children and adolescents with chronic diseases in the health care network. METHODS: This qualitative study was conducted between February and October 2013 with 12 families, six health managers, and 14 health professionals from different health care services in a municipality of the state of Paraíba, Brazil, using focal groups, semi-structured interviews, and medical record consultation. The data were analyzed by triangulation and thematic analysis...
June 12, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28612497/pharmacotherapy-follow-up-role-in-active-malaria-surveillance-in-a-travel-medicine-centre-outside-the-transmission-area-in-brazil
#19
R S Pedro, P Brasil, A Pina-Costa, C R Machado, L S Damasceno, C T Daniel-Ribeiro, L Guaraldo
WHAT IS KNOWN AND OBJECTIVE: Malaria is a potentially severe disease, widespread in tropical and subtropical areas. Apart from parasite drug resistance, which receives the largest share of attention, several factors directly influence the response to antimalarial treatment such as incorrect doses, adverse drug events, lack of adherence to treatment, drug quality and drug-drug interactions. Pharmacotherapy follow-up can be used to monitor and improve the effectiveness of treatment, prevent drug-related problems and ensure patient safety...
June 13, 2017: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/28599353/restricting-access-to-alcohol-and-public-health-evidence-from-electoral-dry-laws-in-brazil
#20
Marcos Y Nakaguma, Brandon J Restrepo
We analyze the impact of short-term alcohol bans on road traffic accidents, traffic injuries, and hospital admissions. We focus on the 2012 Municipal Elections in Brazil, during which 11 out of 27 states imposed on its 2,733 municipalities the decision to adopt alcohol bans. Using day-level data on municipalities, we find that alcohol bans caused substantial reductions in road crashes (19%), traffic injuries (43%), and traffic-related hospitalizations (17%). An analysis of traffic-related hospitalization costs allows us to estimate the lower bound of the negative externality associated with excessive alcohol consumption in this context, which reveals that electoral dry laws saved Brazil's public healthcare system $100,000 per day...
June 9, 2017: Health Economics
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