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https://www.readbyqxmd.com/read/28099714/zika-virus-infection-in-brazil-and-human-rights-obligations
#1
Debora Diniz, Sinara Gumieri, Beatriz Galli Bevilacqua, Rebecca J Cook, Bernard M Dickens
The February 2016 WHO declaration that congenital Zika virus syndrome constitutes a Public Health Emergency of International Concern reacted to the outbreak of the syndrome in Brazil. Public health emergencies can justify a spectrum of human rights responses, but in Brazil, the emergency exposed prevailing inequities in the national healthcare system. The government's urging to contain the syndrome, which is associated with microcephaly among newborns, is confounded by lack of reproductive health services. Women with low incomes in particular have little access to such health services...
January 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28099666/access-to-medicines-in-brazil-based-on-monetary-and-non-monetary-acquisition-data-obtained-from-the-2008-2009-household-budget-survey
#2
Fernanda Caroline Silva Goes, Mauricio Homem-de-Mello, Eloisa Dutra Caldas
OBJECTIVE: To investigate the access to medicines by Brazilian families by monetary and non-monetary acquisition data. METHODS: This is a cross-sectional study based on data obtained from the 2008/2009 Brazilian Household Budget Survey. The units of assessment were households that participated in the survey and the data on the acquisition of medicines over the 30 days prior to the interviews. The medicines were classified according to the Anatomical Therapeutic Chemical classification system...
December 22, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28099661/pharmaceutical-lobbying-in-brazil-a-missing-topic-in-the-public-health-research-agenda
#3
Francisco José Roma Paumgartten
In the US, where registration of lobbyists is mandatory, the pharmaceutical industry and private health-care providers spend huge amounts of money seeking to influence health policies and government decisions. In Brazil, where lobbying lacks transparency, there is virtually no data on drug industry expenditure to persuade legislators and government officials of their viewpoints and to influence decision-making according to commercial interests. Since 1990, however, the Associação da Indústria Farmacêutica de Pesquisa (Interfarma - Pharmaceutical Research Industry Association), Brazilian counterpart of the Pharmaceutical Research and Manufacturers of America (PhRMA), main lobbying organization of the US pharmaceutical industry, has played a major role in the advocacy of interests of major drug companies...
December 22, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28099654/meanings-and-vulnerability-to-hiv-aids-among-long-distance-truck-drivers-in-brazil
#4
Laio Magno, Marcelo Eduardo Pfeiffer Castellanos
OBJECTIVE: To understand the meanings assigned by long-distance truck drivers to HIV/AIDS and its transmission and prevention, bearing in mind different contexts of vulnerability. METHODS: Qualitative research with 22 truck drivers. Semi-structured interviews and participant observation were conducted in highways of the state of Bahia in 2013. We selected male truck drivers, with one year or more of work experience in long-distance routes. We carried out the thematic analysis of the interviews, to identify different contexts of vulnerability...
December 22, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28099434/mlst-based-population-genetic-analysis-in-a-global-context-reveals-clonality-amongst-cryptococcus-neoformans-var-grubii-vni-isolates-from-hiv-patients-in-southeastern-brazil
#5
Kennio Ferreira-Paim, Leonardo Andrade-Silva, Fernanda M Fonseca, Thatiana B Ferreira, Delio J Mora, Juliana Andrade-Silva, Aziza Khan, Aiken Dao, Eduardo C Reis, Margarete T G Almeida, Andre Maltos, Virmondes R Junior, Luciana Trilles, Volker Rickerts, Ariya Chindamporn, Jane E Sykes, Massimo Cogliati, Kirsten Nielsen, Teun Boekhout, Matthew Fisher, June Kwon-Chung, David M Engelthaler, Marcia Lazéra, Wieland Meyer, Mario L Silva-Vergara
Cryptococcosis is an important fungal infection in immunocompromised individuals, especially those infected with HIV. In Brazil, despite the free availability of antiretroviral therapy (ART) in the public health system, the mortality rate due to Cryptococcus neoformans meningitis is still high. To obtain a more detailed picture of the population genetic structure of this species in southeast Brazil, we studied 108 clinical isolates from 101 patients and 35 environmental isolates. Among the patients, 59% had a fatal outcome mainly in HIV-positive male patients...
January 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28095810/neonatal-screening-for-congenital-adrenal-hyperplasia-in-southern-brazil-a-population-based-study-with-108-409-infants
#6
Cristiane Kopacek, Simone Martins de Castro, Mayara Jorgens Prado, Claudia Maria Dornelles da Silva, Luciana Amorim Beltrão, Poli Mara Spritzer
BACKGROUND: Congenital adrenal hyperplasia (CAH) is an autosomal recessive disorder associated with inborn errors of steroid metabolism. 21-hydroxylase enzyme deficiency occurs in 90 to 95% of all cases of CAH, with accumulation of 17 hydroxyprogesterone (17-OHP). Early diagnosis of CAH based on newborn screening is possible before the development of symptoms and allows proper treatment, correct sex assignment, and reduced mortality rates. This study describes the results obtained in the first year of a public CAH screening program in the state of Rio Grande do Sul, Brazil...
January 17, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28076553/acupuncture-in-brazil-s-unified-health-system-an-analysis-based-on-different-health-management-tools
#7
Leandra Andréia de Sousa, Nelson Filice de Barros, Jéssica de Oliveira Pigari, Glaucia Tamburú Braghetto, Luciana Brondi Karpiuck, Maria José Bistafa Pereira
The integration of Integrative and Complementary Practices into public health systems has been the subject of national and international debate. In Brazil, the National Policy on Integrative and Complementary Practices guides the integration of acupuncture into the Unified Health System (UHS). This article explored the availability and/or accessibility of acupuncture in the UHS in 26 municipalities in the XIII Health Region of the State of São Paulo between 2001 and 2011, based on the analysis of Municipal Health Plans, Annual Management Reports and complementary data obtained from Information Systems...
January 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28076552/perceptions-about-men-s-health-in-a-gender-relational-perspective-brazil-2014
#8
Erly Catarina de Moura, Romeu Gomes, Georgia Martins Carvalho Pereira
The goal of this article is to assess the perception of male health from the viewpoint of men and women. The study drew from a random sample of men aged 20 to 59 who were SUS (Unified Healthcare System) users and resided in the capitals of Brazilian states and the Federal District. Participants were interviewed by phone. Sociodemographic variables and variables related to perception of healthcare services, health status and health care were recorded. Logistic regression was used to assess failure to seek service and good and very good self-care...
January 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28076541/private-health-care-coverage-in-the-brazilian-population-according-to-the-2013-brazilian-national-health-survey
#9
Deborah Carvalho Malta, Sheila Rizzato Stopa, Cimar Azeredo Pereira, Célia Landmann Szwarcwald, Martha Oliveira, Arthur Chioro Dos Reis
This study aims to present the percentages of the Brazilian population holding health insurance plans, itemized by social-demographic characteristics, based on the data of the National Health Survey carried out in 2013, and to compare this information with the administrative data of the National Supplementary Health Agency for the same year. Data from the National Health Survey, and from the Beneficiaries Information System of the National Health Agency for the year 2013, were used. The percentage of people having a health plan was described according to stratification for: all of Brazil, urban/rural, Brazilian official Regions, Brazilian States and state capitals, gender, age group, level of schooling, position in the workforce, ethnic classification, and self-assessed state of health...
January 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28069858/large-reductions-in-amenable-mortality-associated-with-brazil-s-primary-care-expansion-and-strong-health-governance
#10
Thomas Hone, Davide Rasella, Mauricio Barreto, Rifat Atun, Azeem Majeed, Christopher Millett
Strong health governance is key to universal health coverage. However, the relationship between governance and health system performance is underexplored. We investigated whether expansion of the Brazilian Estratégia de Saúde da Família (ESF; family health strategy), a community-based primary care program, reduced amenable mortality (mortality avoidable with timely and effective health care) and whether this association varied by municipal health governance. Fixed-effects longitudinal regression models were used to identify the relationship between ESF coverage and amenable mortality rates in 1,622 municipalities in Brazil over the period 2000-12...
January 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28065616/experience-on-mechanical-thrombectomy-for-acute-stroke-treatment-in-a-brazilian-university-hospital
#11
Guilherme S Nakiri, Luis H Castro-Afonso, Lucas M Monsignore, Francisco A Dias, Frederico F Alessio-Alves, Soraia Ramos C Fabio, Millene R Camilo, Pedro T Cougo-Pinto, Octavio M Pontes-Neto, João Pereira Leite, Daniel G Abud
BACKGROUND: Brazil is a developing country struggling to reduce its extreme social inequality, which is reflected on shortage of health-care infrastructure, mainly to the low-income class, which depends exclusively on the public health system. In Brazil, less than 1% of stroke patients have access to intravenous thrombolysis in a stroke unit, and constraints to the development of mechanical thrombectomy in the public health system increase the social burden of stroke. OBJECTIVE: Report the feasibility of mechanical thrombectomy as part of routine stroke care in a Brazilian public university hospital...
January 5, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28053659/a-web-based-information-system-for-a-regional-public-mental-healthcare-service-network-in-brazil
#12
Vinicius Tohoru Yoshiura, João Mazzoncini de Azevedo-Marques, Magdalena Rzewuska, André Luiz Teixeira Vinci, Ariane Morassi Sasso, Newton Shydeo Brandão Miyoshi, Antonia Regina Ferreira Furegato, Rui Pedro Charters Lopes Rijo, Cristina Marta Del-Ben, Domingos Alves
BACKGROUND: Regional networking between services that provide mental health care in Brazil's decentralized public health system is challenging, partly due to the simultaneous existence of services managed by municipal and state authorities and a lack of efficient and transparent mechanisms for continuous and updated communication between them. Since 2011, the Ribeirao Preto Medical School and the XIII Regional Health Department of the Sao Paulo state, Brazil, have been developing and implementing a web-based information system to facilitate an integrated care throughout a public regional mental health care network...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28033286/maximizing-cost-effectiveness-by-adjusting-treatment-strategy-according-to-glaucoma-severity
#13
Ricardo Augusto Paletta Guedes, Vanessa Maria Paletta Guedes, Carlos Eduardo de Mello Gomes, Alfredo Chaoubah
BACKGROUND: The aim of this study is to determine the most cost-effective strategy for the treatment of primary open-angle glaucoma (POAG) in Brazil, from the payer's perspective (Brazilian Public Health System) in the setting of the Glaucoma Referral Centers. METHODS: Study design was a cost-effectiveness analysis of different treatment strategies for POAG. We developed 3 Markov models (one for each glaucoma stage: early, moderate and advanced), using a hypothetical cohort of POAG patients, from the perspective of the Brazilian Public Health System (SUS) and a horizon of the average life expectancy of the Brazilian population...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28017252/microcephaly-and-arthrogryposis-multiplex-congenita-the-full-blown-cns-spectrum-in-newborns-with-zikv-infection
#14
Marcio Leyser, Alexandre Fernandes, Pamela Passos, Camila Pupe, Andre Pc Matta, Marcio Moacyr Vasconcelos, Osvaldo Jm Nascimento
The recent alarming statements concerning the newborn ZIKV-induced microcephaly epidemics in the Northeast of Brazil, released by the Brazilian Ministry of Health, as well as important international health agencies, such as the World Health Organization and the Pan American Health Organization, raised many "why and how" questions so far, that will hopefully be scientifically answered, as more researches in that regard come up in the long term. In this paper, we describe another potentially ZIKV-induced central nervous system and musculoskeletal disorder that has accompanied microcephaly in these children: atrhogryposis multiplex congenita...
January 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28011086/the-application-of-epidemiology-in-national-veterinary-services-challenges-and-threats-in-brazil
#15
Vitor Salvador Picão Gonçalves, Geraldo Marcos de Moraes
The application of epidemiology in national veterinary services must take place at the interface between science and politics. Animal health policy development and implementation require attention to macro-epidemiology, the study of economic, social and policy inputs that affect the distribution and impact of animal or human disease at the national level. The world has changed fast over the last three decades including the delivery of veterinary services, their remit and the challenges addressed by public and animal health policies...
December 15, 2016: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28001275/speech-language-pathology-findings-in-attention-deficit-hyperactivity-disorder-a-systematic-literature-review
#16
Nárli Machado-Nascimento, Arthur Melo E Kümmer, Stela Maris Aguiar Lemos
Purpose: To systematically review the scientific production on the relationship between Attention Deficit Hyperactivity Disorder (ADHD) and Speech-language Pathology and to methodologically analyze the observational studies on the theme. Research strategies: Systematic review of the literature conducted at the databases Medical Literature Analysis and Retrieval System online (MEDLINE, USA), Literature of Latin America and the Caribbean Health Sciences (LILACS, Brazil) and Spanish Bibliographic Index of Health Sciences (IBECS, Spain) using the descriptors: "Language", "Language Development", "Attention Deficit Hyperactivity Disorder", "ADHD" and "Auditory Perception"...
November 2016: CoDAS
https://www.readbyqxmd.com/read/28001229/sociodemographic-and-epidemiological-profile-of-leprosy-patients-in-an-endemic-region-in-brazil
#17
Ronald Jefferson Martins, Maria Emília Oliveira Gomes Carloni, Suzely Adas Saliba Moimaz, Cléa Adas Saliba Garbin, Artênio José Ísper Garbin
INTRODUCTION: The incidence of Hansen's disease is high in overlooked populations. METHODS: Data of Hansen's disease cases reported in the information system of the Department of Informatics, Brazilian Unified Health System, from 2013 to 2014 were analyzed. RESULTS: Among 434 studied cases of Hansen's disease, the female sex (52.5%), adult age (73.7%), low educational level (61.8%), and multibacillary form were associated with higher prevalence rates...
November 2016: Revista da Sociedade Brasileira de Medicina Tropical
https://www.readbyqxmd.com/read/28001205/-integrated-tobacco-production-health-labor-and-working-conditions-of-tobacco-farmers-in-southern-brazil
#18
Deise Lisboa Riquinho, Élida Azevedo Hennington
This study aimed to analyze the tobacco farming and marketing process in an integrated system and tobacco farmers' living and working conditions in Southern Brazil. A qualitative study was conducted from December 2010 to August 2011, with 31 semi-structured interviews with tobacco farmers and key informants, besides participant observation. The principal analytical reference was the ergological perspective. The integrated system allows the tobacco industry to control the amounts paid and the tobacco's quality...
December 22, 2016: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28001196/-financial-impact-of-smoking-on-health-systems-in-latin-america-a-study-of-seven-countries-and-extrapolation-to-the-regional-level
#19
Andrés Pichon-Riviere, Ariel Bardach, Federico Augustovski, Andrea Alcaraz, Luz Myriam Reynales-Shigematsu, Márcia Teixeira Pinto, Marianela Castillo-Riquelme, Esperanza Peña Torres, Diana Isabel Osorio, Leandro Huayanay, César Loza Munarriz, Belén Sáenz de Miera-Juárez, Verónica Gallegos-Rivero, Catherine De La Puente, María Del Pilar Navia-Bueno, Joaquín Caporale
Objective: Estimate smoking-attributable direct medical costs in Latin American health systems. Methods: A microsimulation model was used to quantify financial impact of cardiovascular and cerebrovascular disease, chronic obstructive pulmonary disease (COPD), pneumonia, lung cancer, and nine other neoplasms. A systematic search for epidemiological data and event costs was carried out. The model was calibrated and validated for Argentina, Bolivia, Brazil, Chile, Colombia, Mexico, and Peru, countries that account for 78% of Latin America's population; the results were then extrapolated to the regional level...
October 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28001171/anisakid-larva-parasitizing-plagioscion-squamosissimus-in-maraj%C3%A3-bay-and-tapaj%C3%A3-s-river-state-of-par%C3%A3-brazil
#20
Gabrielle Fontenelle, Marcelo Knoff, Nilza Nunes Felizardo, Eduardo José Lopes Torres, Edilson Rodrigues Matos, Delir Corrêa Gomes, Sérgio Carmona de São Clemente
In November 2014 and May 2015, a total of 44 specimens of the South American silver croaker Plagioscion squamosissimus were collected: 30 in Marajó Bay and 14 in the Tapajós River, state of Pará, Brazil. The aim was to investigate the presence of anisakid nematodes and determine their parasitism indices and sites of infection, because of their importance regarding health inspection. Sixty-nine Anisakis sp. larvae were found; among them, 16 larvae in seven fish collected in Marajó Bay and 53 larvae in four fish in the Tapajós River...
October 2016: Revista Brasileira de Parasitologia Veterinária, Brazilian Journal of Veterinary Parasitology
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