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Brazil health system

Mellina Yamamura, Marcelino Santos Neto, Francisco Chiaravalloti Neto, Luiz Henrique Arroyo, Antônio Carlos Vieira Ramos, Ana Angélica Rêgo de Queiroz, Aylana de Souza Belchior, Danielle Talita Dos Santos, Juliane de Almeida Crispim, Ione Carvalho Pinto, Severina Alice da Costa Uchôa, Regina Célia Fiorati, Ricardo Alexandre Arcêncio
BACKGROUND: In Brazil, people still fall ill and die from tuberculosis (TB), and this can be explained by the significant impasse in the equity of distribution of therapeutic resources to the population as a whole. The aim was to identify geographical areas which have shown progress in terms of equity (of income, schooling and urban occupancy) and test its effect on mortality from TB in a municipality of southeast Brazil. METHODS: It is an ecological study considering TB as the basic cause for deaths registered between 2006 and 2013 on the Mortality Information System and other variables obtained through the Demographic Census of the Brazilian Institute of Geography and Statistics (2010)...
October 12, 2017: Infectious Diseases of Poverty
Márcia Ferreira Teixeira Pinto, Ricardo Steffen, Aline Entringer, Ana Carolina Carioca da Costa, Anete Trajman
The study aimed to estimate the budget impact of GeneXpert MTB/RIF for diagnosis of tuberculosis from the perspective of the Brazilian National Program for Tuberculosis Control, drawing on a static model using the epidemiological method, from 2013 to 2017. GeneXpert MTB/RIF was compared with two diagnostic sputum smear tests. The study used epidemiological, population, and cost data, exchange rates, and databases from the Brazilian Unified National Health System. Sensitivity analysis of scenarios was performed...
October 9, 2017: Cadernos de Saúde Pública
L C Mendez, F Y Moraes, G Dos S Fernandes, E Weltman
AIMS: Radiotherapy plays a fundamental role in the treatment of cancer. Currently, the Brazilian public health system cannot match the national radiotherapy demand and many patients requiring radiotherapy are never exposed to this treatment. This study estimated the number of preventable deaths in the public health system if access to radiotherapy was universal. MATERIALS AND METHODS: Incidence rates for the year 2016 provided by Instituto Nacional de Cancer were used in this analysis...
October 5, 2017: Clinical Oncology: a Journal of the Royal College of Radiologists
Alexandre Baumgarten, Rochelle Santos Da Veiga, Patricia Tavora Bulgarelli, Vitor Motta Diesel, Alexandre Favero Bulgarelli
BACKGROUND: The Unified Health System (SUS) is the Brazilian set of public health services that offers global access to health care and disease treatments for all citizens. These services have been evaluated by means of a national survey assessing the users' perceptions. Aim To explore and characterize the SUS users' perceptions regarding primary dental team practices in the five Brazilian geographical regions. METHODS: Descriptive study. The sample consisted of 37 262 subjects...
October 9, 2017: Primary Health Care Research & Development
Ana Cecília Bezerra Carvalho, Túlio Nader Lana, João Paulo Silvério Perfeito, Dâmaris Silveira
ETHNOPHARMACOLOGICAL RELEVANCE: the herbal medicinal products (HMP) market is expanding in the world, an expansion that has not occurred in Brazil when considering the number of licensed products. Despite being a megadiverse country, the number of HMP licensed in Brazil is small, and the number of HMP obtained from native species is even smaller. A new legislation for herbal products licensing, which divides the products into two categories, Herbal Medicine (HM) and Traditional Herbal Product (THP) was launched in Brazil focusing on traditional use, as well as a law regulating the use of biodiversity and traditional knowledge...
October 4, 2017: Journal of Ethnopharmacology
Juliana M R B Mello, Fernando P Bittelbrunn, Marcio A B C Rockenbach, Guilherme G May, Leonardo M Vedolin, Marilia S Kruger, Matheus D Soldatelli, Guilherme Zwetsch, Gabriel T F de Miranda, Saone I P Teixeira, Bruna S Arruda
OBJECTIVES: To evaluate the quality assurance of mammography results at a reference institution for the diagnosis and treatment of breast cancer in southern Brazil, based on the BIRADS (Breast Imaging Reporting and Data System) 5th edition recommendations for auditing purposes. MATERIALS AND METHODS: Retrospective cohort and cross-sectional study with 4502 patients (9668 mammographies)) who underwent at least one or both breast mammographies throughout 2013 at a regional public hospital, linked to a federal public university...
October 4, 2017: Insights Into Imaging
Maria de Fátima Costa Caminha, Suzana Lins da Silva, Marília de Carvalho Lima, Pedro Tadeu Álvares Costa Caminha de Azevedo, Maria Cristina Dos Santos Figueira, Malaquias Batista
OBJECTIVE: To describe Brazil's historical background with regard to child development surveillance and perform a systematic review of studies published on surveillance records of child development within Child Health Handbooks. DATA SOURCES: A literature review was conducted in April of 2016 in the following electronic databases: Latin American and Caribbean Literature in Health Sciences (LILACS), the Scientific Electronic Library Online (SciELO), and the Medical Literature Analysis and Retrieval System Online (Medline)...
January 2017: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
Tatiana Aragão Figueiredo, Joyce Mendes de Andrade Schramm, Vera Lúcia Edais Pepe
: The public production of medicines in Brazil by Government Pharmaceutical Laboratories has once again become the object of incentives, and Industrial Development Partnerships are one of the mechanisms adopted for the production of strategic medicines for the Brazilian Unified National Health System (SUS). Considering that burden-of-disease studies have been used as a tool to define priority and essential medicines, the article compares the product portfolios of the country's Official Pharmaceutical Laboratories (OPL) and the list of strategic medicines for the SUS and burden of disease in Brazil in 2008...
September 28, 2017: Cadernos de Saúde Pública
Heloisa Godoi, Selma Regina de Andrade, Ana Lúcia Schaefer Ferreira de Mello
: The objective was to describe the governance system used in structuring the regionalized healthcare network in Santa Catarina State, Brazil, based on the Bipartite Inter-Managerial Commission (CIB), with a focus on structuring of oral healthcare. This was a qualitative, exploratory-descriptive documental study, based on the foundations of governance as an analytical tool through identification of the dimensions actors, norms, nodal points, and processes. Secondary data were collected from the minutes of CIB meetings held from January 2011 to December 2015...
September 28, 2017: Cadernos de Saúde Pública
Johanna Garrido-Pinzón, Marcia Hespanhol Bernardo
: The aim of this study was to analyze the experiences of primary healthcare workers in the public health systems in Colombia and Brazil in relation to the neoliberal logic. These two cases are relevant to public health research, as examples of health systems that emerged from opposing guidelines: the Colombian system was created at the government level with a marked private-sector influence, while the Brazilian system was an important conquest by social movements. Based on the Social Psychology of Work, this was a qualitative and empirical study...
September 28, 2017: Cadernos de Saúde Pública
Lucas Coraça Germano, Herling Gregorio Aguilar Alonzo
OBJECTIVE: to describe the epidemiological profile of hospital care on chemical exposure cases and accidents with venomous animals performed in a municipal hospital in São Paulo State, Brazil. METHODS: case series descriptive study with data of medical records from the emergency department of the Municipal Hospital of Itapira-SP, in 2012. RESULTS: out of 3,184 medical cases due to toxicological events (3.3% of total), the exposures to drugs of abuse (58...
July 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
Camilla Ferreira Catarino, Maria Auxiliadora de Souza Mendes Gomes, Saint Clair Dos Santos Gomes, Cynthia Magluta
OBJECTIVE: to describe the occurrence of cases of congenital heart disease in infants under one year recorded in health information systems of Rio de Janeiro State, from 2006 to 2010. METHODS: descriptive study with data from the Information System on Live Births (Sinasc), Hospital Information System of the Brazilian National Health System (SIH/SUS) and Mortality Information System (SIM). RESULTS: a total of 345 records were found on Sinasc, there were 1,089 hospitalized children (SIH/SUS) and 1,121 deaths (SIM) of children under one year of age whose underlying cause was congenital heart disease; the prevalence of congenital heart disease was 3...
July 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
Cristiano Corrêa de Azevedo Marques, José da Rocha Carvalheiro
OBJECTIVE: to assess the performance of the diagnostic network in the implementation process of the Program for Viral Hepatitis Prevention and Control in São Paulo State, Brazil, from 1997 to 2012. METHODS: evaluation study based on documentary research and structured interviews, combined with a historical series analysis of indicators developed to assess the implementation process of the program, using data from the Department of the Brazilian National Health System...
July 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
Catiuscie Cabreira da Silva Tortorella, Arlete Catarina Tittoni Corso, David Alejandro Gonzáles-Chica, Angélica Rocha de Freitas Melhen
OBJECTIVE: to investigate the time trend of prevalence of hypertension, diabetes mellitus, and both diseases combined, from 2004 to 2011; and to analyze their association with sociodemographic factors in adults registered in the Brazilian National Health System (SUS) in Florianópolis-SC, Brazil, in 2011. METHODS: time-series study using secondary data from the Primary Health Care Information System of adults (≥20 years) at SUS; Prais-Winsten regression was used...
July 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
Celia Almeida
This essay addresses several dimensions that promote and consolidate the growing participation by private stakeholders in the decision-making process in health, emphasizing international and domestic factors that have facilitated and sustained the persistence of the neoliberal political and ideological perspective over the course of nearly thirty years (since the 1990s). The article emphasizes the role of intergovernmental organizations in this process, highlighting public-private interactions at the global and domestic levels, with a specific focus on so-called public-private partnerships (PPPs)...
October 2, 2017: Cadernos de Saúde Pública
Cristiani Vieira Machado, Luciana Dias de Lima, Tatiana Wargas de Faria Baptista
This article analyzes the trajectory of national health policy in Brazil from 1990 to 2016 and explores the policy's contradictions and conditioning factors during the same period. Continuities and changes were seen in the policy's context, process, and content in five distinct moments. The analysis of the policy's conditioning factors showed that the Constitutional framework, institutional arrangements, and action by health sector stakeholders were central to the expansion of public programs and services, providing the material foundations and expanding the basis of support for the Brazilian Unified National Health System at the health sector level...
October 2, 2017: Cadernos de Saúde Pública
Marcelo Martins Pinto, Luisa C C Brant, José Luiz Padilha-da-Silva, Murilo Foppa, Paulo A Lotufo, José Geraldo Mill, Paulo R Vasconcelo-Silva, Maria da Conceição C Almeida, Sandhi Maria Barreto, Antônio Luiz Pinho Ribeiro
BACKGROUND: The electrocardiogram (ECG) is widely used in population-based studies. However, there are few studies on electrocardiographic findings in Latin America and in Brazil. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) comprised 15,105 participants (35-74 years) from six Brazilian capitals. OBJECTIVES: To describe electrocardiographic findings in Brazilian adults without heart disease, stratified by sex, age and race/skin color. METHODS: Cross-sectional study with baseline data of 11,094 adults (44...
October 2, 2017: Arquivos Brasileiros de Cardiologia
Márcia Cristina de S Oliveira, Maria Luiza F Nicodemo, Marcos R Gusmão, José Ricardo M Pezzopane, Talita B Bilhassi, Clarissa H Santana, Thuane C Gonçalves, Márcio D Rabelo, Rodrigo Giglioti
The use of silvopastoral systems (SPS) can be a good alternative to reduce the environmental impacts of livestock breeding in Brazil. One of the reasons for its scarce adoption is the lack of information on health and productivity of cattle raised under these conditions. The experiment reported here was designed to compare the infestation by external parasites - the cattle tick (Rhipicephalus microplus), horn fly (Haematobia irritans), and larvae of the botfly (Dermatobia hominis) - in beef cattle raised in a SPS and a conventional pasture system (CPS), evaluated for 24 months...
November 15, 2017: Veterinary Parasitology
Wanderley R Bastos, Solange M Vieira, Ângelo G Manzatto, José G Dórea, Marcelo C Rubira, Victor Francisco P de Souza, Walkimar A da Costa Junior, Maria T Souza Bastos
Infant exposure to neurotoxic elements is a public health issue that needs monitoring with regard to breast milk composition. We studied six neurotoxic elements in breast milk samples at different stages of lactation in mothers from Porto Velho, Brazil. We used a flow-injection mercury system (FIMS) to determine total Hg concentrations and an inductively coupled plasma optical emission spectrometer (ICP-OES) to determine the concentrations of Al, As, Cd, Pb, and Mn in 106 donors of a human milk bank. Association rules analyses were applied to determine the pattern of binary and ternary mixtures of the measured exposants...
October 1, 2017: Biological Trace Element Research
Fernanda M Rebelo, Leandro R da Cunha, Patrícia D Andrade, Walkimar A da Costa Junior, Wanderley R Bastos, Eloisa D Caldas
Mercury is a toxic metal, ubiquitous in nature; it is excreted in breast milk from exposed mothers and may affect infant neuro-development. In this study, 224 breast milk samples provided by eight human milk banks in the Federal District of Brazil were analyzed for total mercury (THg), of which 183 were also analyzed for methyl mercury (MeHg), the most relevant form of this metal for the breastfed infants. Samples were acid digested in a microwave oven and THg determined by atomic fluorescence spectrometry (LOQ of 0...
December 2017: Journal of Trace Elements in Medicine and Biology
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