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https://www.readbyqxmd.com/read/29469009/dairy-consumption-and-inflammatory-profile-a-cross-sectional-population-based-study-s%C3%A3-o-paulo-brazil
#1
Tábata Natal Gadotti, Marina Maintinguer Norde, Marcelo Macedo Rogero, Mauro Fisberg, Regina Mara Fisberg, Erica Oki, Lígia Araújo Martini
OBJECTIVES: The aim of this study was to investigate the association between dairy product consumption and plasma inflammatory biomarkers levels among a representative sample of Brazilian adults from São Paulo City. METHODS: Data were acquired from the Health Survey for São Paulo, a cross-sectional population-based study. All individuals 20 to 59 y of age with complete food consumption information (24-h dietary recall and food frequency questionnaire) and blood sample analysis were included (N = 259)...
October 26, 2017: Nutrition
https://www.readbyqxmd.com/read/29467098/retention-engagement-and-adherence-to-pre-exposure-prophylaxis-for-men-who-have-sex-with-men-and-transgender-women-in-prep-brasil-48-week-results-of-a-demonstration-study
#2
Beatriz Grinsztejn, Brenda Hoagland, Ronaldo I Moreira, Esper G Kallas, Jose V Madruga, Silvia Goulart, Iuri C Leite, Lucilene Freitas, Luana M S Martins, Thiago S Torres, Ricardo Vasconcelos, Raquel B De Boni, Peter L Anderson, Albert Liu, Paula M Luz, Valdiléa G Veloso
BACKGROUND: PrEP Brasil was a demonstration study to assess feasibility of daily oral tenofovir diphosphate disoproxil fumarate plus emtricitabine provided at no cost to men who have sex with men (MSM) and transgender women at high risk for HIV within the Brazilian public health system. We report week 48 pre-exposure prophylaxis (PrEP) retention, engagement, and adherence, trends in sexual behaviour, and incidence of HIV and sexually transmitted infections in this study cohort. METHODS: PrEP Brasil was a 48 week, open-label, demonstration study that assessed PrEP delivery at three referral centres for HIV prevention and care in Rio de Janeiro, Brazil (Fundação Oswaldo Cruz), and São Paulo, Brazil (Universidade de São Paulo and Centro de Referência e Treinamento em DST e AIDS)...
February 16, 2018: Lancet HIV
https://www.readbyqxmd.com/read/29464921/design-and-objectives-of-the-south-american-youth-child-cardiovascular-and-environmental-saycare-study
#3
Heráclito Barbosa Carvalho, Luis Alberto Moreno, Andrew Mello Silva, Gabriela Berg, Alejandro Estrada-Restrepo, Laura Inés González-Zapata, Pilar De Miguel-Etayo, Carlos Alberto Delgado, María Isabel Bove, Maria da Luz Rosario de Sousa, Francisco Leonardo Torres-Leal, Claudia L M Forjaz, Augusto César Ferreira De Moraes
OBJECTIVE: The purpose of this paper is to introduce the overarching study design of the South American Youth/Child Cardiovascular and Environmental (SAYCARE) study, which is an observational multicenter feasibility study held in seven South American cities: Buenos Aires (Argentina), Lima (Peru), Medellin (Colombia), Montevideo (Uruguay), Santiago (Chile), and São Paulo and Teresina (Brazil). Children and adolescents (3-17 years of age) were studied. METHODS: The data management systems, quality assurance monitoring activities, standardized operating procedure manuals, and training and study management are addressed in this paper...
March 2018: Obesity
https://www.readbyqxmd.com/read/29463587/regional-disparities-in-the-intimate-partner-sexual-violence-rate-against-women-in-paran%C3%A3-state-brazil-2009-2014-an-ecological-study
#4
Kátia Biagio Fontes, Ana Carolina Jacinto Alarcão, Oscar Kenji Nihei, Sandra Marisa Pelloso, Luciano Andrade, Maria Dalva de Barros Carvalho
OBJECTIVE: Evaluate disparities in a Brazilian state by conducting an analysis to determine whether socioeconomic status was associated with the reported intimate partner sexual violence (IPSV) rates against women. DESIGN: A retrospective, ecological study. SETTINGS: Data retrieved from the Notifiable Diseases Information System database of the Ministry of Health of Brazil. PARTICIPANTS: All cases of IPSV (n=516) against women aged 15-49 years reported in the Notifiable Diseases Information System between 2009 and 2014...
February 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29463231/prevalence-and-correlates-of-non-adherence-to-immunosuppressants-and-to-health-behaviours-in-patients-after-kidney-transplantation-in-brazil-the-adhere-brazil-multicentre-study-a-cross-sectional-study-protocol
#5
Helady Sanders-Pinheiro, Fernando Antonio Basile Colugnati, Elisa Oliveira Marsicano, Sabina De Geest, José Osmar Pestana Medina
BACKGROUND: Non-adherence to immunosuppressive therapy is a prevalent risk factor for poor clinical and after kidney transplantation (KT), and has contributed to the lack of improvement in long-term graft survival over the past decade. Understanding the multilevel correlates and risk factors of non-adherence is crucial to determine the optimal level for planning interventions, namely at the patient, health care provider, KT centre, and health care system level. Brazil, having the largest public transplantation program in the world and with regional differences regarding access to health services and service implementation, is in a unique position to study this multilevel approach...
February 20, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/29460168/multimethodology-applied-to-the-evaluation-of-healthcare-in-brazilian-municipalities
#6
Marcos Pereira Estellita Lins, Sergio Orlando Antoun Netto, Maria Stella de Castro Lobo
The integration of quantitative indicators with qualitative descriptions of context is a noticeable demand from many different scientific disciplines, since it contributes to linking theoretical and practical approaches to problem solving. Amongst them are the problem structuring methods, systems thinking and multimethodology. This work presents a mixed quantitative and qualitative methodological approach to aid formulation and structuring of performance measurement of health care in 5565 Brazilian municipalities...
February 19, 2018: Health Care Management Science
https://www.readbyqxmd.com/read/29451615/entomological-and-epidemiological-aspects-of-dengue-epidemics-in-fortaleza-cear%C3%A3-brazil-2001-2012
#7
Rhaquel de Morais Alves Barbosa Oliveira, Fernanda Montenegro de Carvalho Araújo, Luciano Pamplona de Góes Cavalcanti
OBJECTIVE: to characterize the entomological and epidemiological aspects of dengue epidemics occurred in Fortaleza, Ceará, Brazil, from 2001 to 2012. METHODS: descriptive study with data from the Information System for Notifiable Diseases (Sinan), Information System of Hospitalizations due to Yellow Fever and Dengue (2001-2009), National Program for Dengue Control (2010-2012), and Rapid Survey of Aedes aegypti Infestation Index, referring to the years in which the incidence of dengue was above 75%...
2018: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/29451614/agreement-between-underlying-cause-and-preventability-of-infant-deaths-before-and-after-the-investigation-in-recife-pernambuco-state-brazil-2014
#8
Lays Janaina Prazeres Marques, Dayane da Rocha Pimentel, Conceição Maria de Oliveira, Mirella Bezerra Rodrigues Vilela, Paulo Germano Frias, Cristine Vieira do Bonfim
OBJECTIVE: to assess the agreement and describe the causes and preventability of infant deaths before and after the investigation. METHODS: investigation files and death certificates of infants under one year, of mothers living in Recife, Brazil, in 2014 were used; the Cohen kappa index was adopted for agreement analysis of the underlying causes of death; the list of preventable causes of deaths by interventions of the Brazilian National Health System was also adopted...
2018: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/29432854/color-vision-impairments-with-low-level-methylmercury-exposure-of-an-amazonian-population-brazil
#9
Cláudia Feitosa-Santana, Givago da Silva Souza, Esaú Sirius Ventura Pupo, Anderson Raiol Rodrigues, Maria Izabel Tentes Cortes, Dora Fix Ventura
Land exploitation that follows deforestation and mining can result in soil erosion and the release of mercury to the waters of rivers in the Amazon Basin. Inorganic mercury is methylated by bacteria that are present in the environment and it serves as a source of human contamination through fish consumption in the form of methylmercury. Long-term exposure to low-level methylmercury in the riverside populations can lead to nervous system alterations, some of which are visual impairments such as loss of luminance contrast sensitivity, restricted visual fields and color vision defects...
February 9, 2018: Neurotoxicology
https://www.readbyqxmd.com/read/29430405/respiratory-mechanics-ventilator-associated-pneumonia-and-outcomes-in-intensive-care-unit
#10
Kelser de Souza Kock, Rosemeri Maurici
AIM: To evaluate the predictive capability of respiratory mechanics for the development of ventilator-associated pneumonia (VAP) and mortality in the intensive care unit (ICU) of a hospital in southern Brazil. METHODS: A cohort study was conducted between, involving a sample of 120 individuals. Static measurements of compliance and resistance of the respiratory system in pressure-controlled ventilation (PCV) and volume-controlled ventilation (VCV) modes in the 1 st and 5 th days of hospitalization were performed to monitor respiratory mechanics...
February 4, 2018: World Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29424092/characterization-of-rabies-post-exposure-prophylaxis-in-a-region-of-the-eastern-amazon-state-of-par%C3%A3-brazil-between-2000-and-2014
#11
N S De Paula, E A Saraiva, I M Araújo, K K G Nascimento, D A Xavier, K S Santos, E M N Abreu, R J P S Guimãraes, I Abel
Animal bites are a serious public health issue, and prevention strategies have been consistently documented worldwide. The aim of this study was to characterize human anti-rabies treatment in 11 counties of the Salgado microregion, Pará state, Brazil, which borders the Bragantina microregion, where exposures of human rabies were reported in 2004 and 2005. A descriptive retrospective study was conducted using anti-rabies treatment notifications registered in the Information System for Notifiable Diseases (SINAN) database of the State Department of Public Health of Pará (SESPA) from January 2000 to December 2014...
February 8, 2018: Zoonoses and Public Health
https://www.readbyqxmd.com/read/29421542/leptin-levels-and-its-correlation-with-crack-cocaine-user-severity-a-preliminary-study
#12
Mariana Escobar, Juliana Nichterwitz Scherer, Felipe Ornell, Giovana Bristot, Cassia Medino Soares, Luciano Santos Pinto Guimarães, Lísia Von Diemen, Flavio Pechansky
BACKGROUND: Crack-cocaine is an important public health problem in Brazil and worldwide. It is a potent form of cocaine which results in rapid and damaging stimulating effects on the central nervous system through inhibition of the dopamine transporter. Some studies have suggested that both food and drugs - including crack, can act on the same brain reward mechanisms, altering the dopamine pathways that modulate behavioral responses. Our hypothesis was that leptin, a well-known peptide that modulates energy metabolism and appetite, can be used as a biomarker for drug use...
February 5, 2018: Neuroscience Letters
https://www.readbyqxmd.com/read/29419786/disease-and-economic-burden-of-hospitalizations-attributable-to-diabetes-mellitus-and-its-complications-a-nationwide-study-in-brazil
#13
Michelle Quarti Machado Rosa, Roger Dos Santos Rosa, Marcelo G Correia, Denizar V Araujo, Luciana R Bahia, Cristiana M Toscano
Diabetes is associated with a significant burden globally. The costs of diabetes-related hospitalizations are unknown in most developing countries. The aim of this study was to estimate the total number and economic burden of hospitalizations attributable to diabetes mellitus (DM) and its complications in adults from the perspective of the Brazilian Public Health System in 2014. Data sources included the National Health Survey (NHS) and National database of Hospitalizations (SIH). We considered diabetes, its microvascular (retinopathy, nephropathy, and neuropathy) and macrovascular complications (coronary heart disease, cerebrovascular disease, and peripheral arterial disease), respiratory and urinary tract infections, as well as selected cancers...
February 8, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29415705/resource-allocations-and-disparities-in-the-brazilian-health-care-system-insights-from-organ-transplantation-services
#14
Eduardo J Gómez, Sven Jungmann, Agnaldo Soares Lima
BACKGROUND: To date, few studies have assessed how Brazil's universal healthcare system's (SUS, Sistema Único de Saúde) systemic, infrastructural, and geographical challenges affect individuals' abilities to access organ transplantation services and receive quality treatment. DISCUSSION: In this article we evaluated the existing literature to examine the impact that SUS has had on an increasingly important healthcare sector: organ transplantation services. We assess how equity challenges within the transplantation system can be explained by wider problems within SUS...
February 7, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29415700/health-promotion-initiatives-at-school-related-to-overweight-insulin-resistance-hypertension-and-dyslipidemia-in-adolescents-a-cross-sectional-study-in-recife-brazil
#15
Myrtis Katille de Assunção Bezerra, Eduardo Freese de Carvalho, Juliana Souza Oliveira, Eduarda Ângela Pessoa Cesse, Pedro Israel Cabral de Lira, Jonathan Galvão Tenório Cavalcante, Vanessa Sá Leal
BACKGROUND: The emergence of diseases such as dyslipidemia, systemic arterial hypertension, insulin resistance and metabolic syndrome in children and adolescents has brought about a change in the epidemiologic profile of the pediatric population. As action to promote health in the school environment is a useful tool for changing the pattern of health/disease in the young population, the present study aimed to identify schools that promote healthy eating and physical activity and to study the relationship between these practices and the prevalence of overweight, hypertension, insulin resistance and hypercholesterolemia in adolescents...
February 7, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29412412/hospitalizations-for-diabetes-mellitus-and-the-family-health-strategy-paran%C3%A3-brazil-2000-2012
#16
Guilherme Oliveira de Arruda, Débora Berger Schmidt, Sonia Silva Marcon
The aim of this study was to identify trends in hospitalization for diabetes mellitus and their correlation with the Family Health Strategy (FHS) coverage in the state of Paraná, by Health District (HD), between 2000 and 2012. It is an ecological study based on secondary data from the Hospital Information System of the Brazilian Unified Health System and the Primary Care Department. There was downward trend for general admission rates (from 10.2 to 9.0/10,000 inhabitants), but upward trend for some HDs. No correlation was observed between admission rates and the FHS coverage for the state...
February 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29412401/interview-the-chronic-conditions-approach-by-the-unified-health-system
#17
Eugênio Vilaça Mendes
The interview explains the analysis of Eugenio Vilaça Mendes regarding the importance of chronic conditions in the morbidity and mortality profile and its impact on the Unified Health System (SUS) in Brazil. It points out which measures should be prioritized, in the interviewee's view, for the improvement of the SUS in order to qualify the care offered to the patients of these conditions, and finally brings a set of considerations formulated by him regarding the organizaton of access to Primary Care the health...
February 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29412395/-family-therapeutic-trajectories-rare-hereditary-diseases-involving-long-term-suffering
#18
Waleska de Araújo Aureliano
This article analyzes common elements in the trajectory of people affected by rare hereditary diseases in Brazil, focusing on the search for diagnosis and treatment, and the reproducibility in the family. Rare diseases affect 65 people in every 100 thousand. These are usually chronic and degenerative conditions, many incurable or without effective treatment. About 80% of rare diseases are genetic in origin and can be inherited. This fact has important implications for family health care policies, reproduction, and care for clinical conditions that, in some cases, spanned generations...
February 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29412373/use-of-electronic-immunization-registry-in-the-surveillance-of-adverse-events-following-immunization
#19
Ana Paula Sayuri Sato, Vinícius Leati de Rossi Ferreira, Márcia de Cantuária Tauil, Laura Cunha Rodrigues, Mariana Bernardes Barros, Edmar Martineli, Ângela Aparecida Costa, Marta Inenami, Eliseu Alves Waldman
OBJECTIVE: To describe adverse events following vaccination (AEFV) of children under two years old and analyze trend of this events from 2000 to 2013, in the city of Araraquara (SP), Brazil. METHODS: This is a descriptive study conducted with data of the passive surveillance system of AEFV that is available in the electronic immunization registry (EIR) of the computerized medical record of the municipal health service (Juarez System). The study variables were: age, gender, vaccine, dose, clinical manifestations and hospitalization...
February 5, 2018: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29412351/assessment-of-the-production-of-cervical-cancer-care-procedures-in-the-brazilian-national-health-system-in-2015
#20
Caroline Madalena Ribeiro, Gulnar Azevedo E Silva
OBJECTIVE: to assess the procedures production of screening, diagnostic investigation and precursor lesions treatment for cervical cancer in the Brazilian National Health System (SUS). METHODS: normative evaluation with calculation of estimates of need based on national screening guidelines in two scenarios: organized (1) and opportunistic (2) screening; data were obtained from the SUS Ambulatory Care Information System and the Cervical Cancer Information System...
February 1, 2018: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
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