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https://www.readbyqxmd.com/read/27932442/contraceptive-sales-in-the-setting-of-the-zika-virus-epidemic
#1
Luis Bahamondes, Moazzam Ali, Ilza Monteiro, Arlete Fernandes
STUDY QUESTION: Has there been any influence of the Zika virus (ZIKV) outbreak on the sales of contraceptive methods in Brazil? SUMMARY ANSWER: Contraceptive sales in the 24 months of evaluation showed little variation and no significant change has been observed since the ZIKV outbreak. WHAT IS KNOWN ALREADY: Transmission of ZIKV is primarily by Aedes aegypti mosquitoes; however, sexual transmission has also been described. The association of several birth defects and the ZIKV infection during pregnancy has been established, and it was estimated in Bahia, Brazil that the infection rate could range from 10% to 80%...
December 7, 2016: Human Reproduction
https://www.readbyqxmd.com/read/27925134/-leptospirosis-space-time-distribution-and-risk-factors-in-bel%C3%A3-m-par%C3%A3-brazil
#2
Nelson Veiga Gonçalves, Ediane Nunes de Araujo, Alcinês da Silva Sousa, Waltair Maria Martins Pereira, Claudia do Socorro Carvalho Miranda, Pedro Silvestre da Silvia Campos, Mauro Wendel de Souza Matos, Vera Regina da Cunha Menezes Palácios
The occurrence of leptospirosis has defied epidemiology even when using different analysis technologies at local geographical levels. This cross-sectional and descriptive study sought to identify spatial correlations between social and environmental risk factors and leptospirosis in Belém in the State of Pará from 2007 to 2013. Epidemiological data were obtained from the Information System for Notifiable Diseases of the Pará State Department of Public Health and the environmental, demographic and cartographical data from the Brazilian Institute of Geography and Statistics...
December 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27925109/analysis-of-factors-associated-with-traffic-accidents-of-cyclists-attended-in-brazilian-state-capitals
#3
Carlos Augusto Moreira de Sousa, Camila Alves Bahia, Patrícia Constantino
Introduction: Brazil has the sixth largest bicycles fleet in the world and bicycle is the most used individual transport vehicle in the country. Few studies address the issue of cyclists' accidents and factors that contribute to or prevent this event. Methodology: VIVA is a cross-sectional survey and is part of the Violence and Accidents Surveillance System, Brazilian Ministry of Health. We used complex sampling and subsequent data review through multivariate logistic regression and calculation of the respective odds ratios...
December 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27925107/characteristics-of-motorcyclists-involved-in-road-traffic-accidents-attended-at-public-urgent-and-emergency-services
#4
Márcio Dênis Medeiros Mascarenhas, Rayone Moreira Costa Veloso Souto, Deborah Carvalho Malta, Marta Maria Alves da Silva, Cheila Marina de Lima, Marli de Mesquita Silva Montenegro
Injuries resulting from motorcycle road traffic accidents are an important public health issue in Brazil. This study aimed to describe the characteristics of motorcyclists involved in traffic accidents attended in public urgent and emergency services in the state capitals and the Federal District. This is a cross-sectional study based on data from the Violence and Accident Surveillance System (VIVA Survey) in 2014. Data were analyzed according to sociodemographic, event and attendance characteristics. Proportional differences between genders were analyzed by chi-square test (Rao-Scott) with 5% significance level...
December 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27925025/initiatives-to-challenge-patent-barriers-and-their-relationship-with-the-price-of-medicines-procured-by-the-brazilian-unified-national-health-system
#5
Carolinne Thays Scopel, Gabriela Costa Chaves
Since 1996, when antiretroviral (ARV) treatments started being guaranteed to people living with HIV in Brazil, the government has faced the challenge of ensuring sustainability of this policy within a context of incorporating patented medicines. This article sought to analyze the historical series of the price of lopinavir/ritonavir (LPV/r) in Brazil and in the international market also considering the initiatives to challenge patent barriers between 2001 and 2012. The methods used were mapping initiatives to challenge LPV/r patent barriers and the analysis of historical series of its price in Brazil and in the international market...
December 1, 2016: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/27922763/antimicrobial-resistance-in-nontyphoidal-salmonella-isolated-from-human-and-poultry-related-samples-in-brazil-20-year-meta-analysis
#6
Daiane Voss-Rech, Luciana Potter, Clarissa Silveira Luiz Vaz, Daniela Isabel Brayer Pereira, Luís Antonio Sangioni, Águeda Castagna Vargas, Sônia de Avila Botton
Nontyphoidal Salmonella are one of the leading causes of foodborne diseases in the world. As poultry products are recognized as main sources of human salmonellosis, nontyphoidal Salmonella control has become a global issue for the poultry industry. The increasing antimicrobial resistance in poultry-related nontyphoidal Salmonella serovars is a global matter of concern. By monitoring the evolution of antimicrobial resistance, alternative treatments can be identified and possible restrictions in the treatment of systemic human salmonellosis foreseen...
December 6, 2016: Foodborne Pathogens and Disease
https://www.readbyqxmd.com/read/27907933/evaluation-of-pregnant-and-postpartum-women-s-knowledge-about-toxoplasmosis-in-rio-grande-rs-brazil
#7
Lis Maurente Lehmann, Paula Costa Santos, Carlos James Scaini
Introduction Toxoplasmosis a parasitic zoonosis of global distribution, responsible for disorders during gestation can cause fetal death or congenital anomalies. Objective To evaluate the knowledge of toxoplasmosis among pregnant and postpartum women treated at the University Hospital of the city of Rio Grande, Rio Grande do Sul, Brazil. Methods This was a cross-sectional study of 100 pregnant and postpartum women at the University Hospital. Participants answered a self-administered questionnaire and gave consent for data relating to serological examinations to be abstracted from their medical records...
December 1, 2016: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/27907034/budget-impact-of-long-acting-insulin-analogues-the-case-in-brazil
#8
Fernanda O Laranjeira, Everton Nunes da Silva, Maurício G Pereira
BACKGROUND: Long-acting insulin analogues for type 1 diabetes (T1D) treatment have been available on the Brazilian market since 2002. However, the population cannot access the analogues through the public health system. OBJECTIVE: To estimate the incremental budget impact of long-acting insulin analogues coverage for T1D patients in the Brazilian public health system compared to NPH insulin. METHODS: We performed a budget impact analysis of a five-year period...
2016: PloS One
https://www.readbyqxmd.com/read/27905980/temporal-evolution-of-the-risk-factors-associated-with-low-birth-weight-rates-in-brazilian-capitals-1996-2011
#9
Viviane Costa de Souza Buriol, Vânia Hirakata, Marcelo Zubaran Goldani, Clécio Homrich da Silva
OBJECTIVE: To analyze the trend of low birth weight (LBW) and its determinants in Brazilian state capitals between 1996 and 2011. We intended to determine which variables are associated with LBW during the period studied. METHODS: This is a cross-sectional study that used data from the National Information System of Live Births from 26 state capitals and Brasilia (the federal capital), divided into five geographical regions. The Average Annual Percentage of Change (AAPC) was used to assess the possible time trend in the low birth weight rates for considering all regions together and each region separately, according to each variable, and the Poisson regression was calculated in order to demonstrate time trends in low birth weight and the impact of variables (age and educational maternal level, antenatal visits, type of delivery, and gestational age) during the period...
May 3, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27905897/cost-and-cost-effectiveness-of-tuberculosis-treatment-shortening-a-model-based-analysis
#10
G B Gomez, D W Dowdy, M L Bastos, A Zwerling, S Sweeney, N Foster, A Trajman, M A Islam, S Kapiga, E Sinanovic, G M Knight, R G White, W A Wells, F G Cobelens, A Vassall
BACKGROUND: Despite improvements in treatment success rates for tuberculosis (TB), current six-month regimen duration remains a challenge for many National TB Programmes, health systems, and patients. There is increasing investment in the development of shortened regimens with a number of candidates in phase 3 trials. METHODS: We developed an individual-based decision analytic model to assess the cost-effectiveness of a hypothetical four-month regimen for first-line treatment of TB, assuming non-inferiority to current regimens of six-month duration...
December 1, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27901244/trends-in-mortality-from-ill-defined-causes-among-the-elderly-in-brazil-1979-2013-ecological-study
#11
Davi Félix Martins, Ridalva Dias Martins Felzemburg, Acácia Batista Dias, Tania Maria Costa, Pedro Nascimento Prates Santos
CONTEXT AND OBJECTIVE: Mortality measurements are traditionally used as health indicators and are useful in describing a population's health situation through reporting injuries that lead to death. The aim here was to analyze the temporal trend of proportional mortality from ill-defined causes (IDCs) among the elderly in Brazil from 1979 to 2013. DESIGN AND SETTING: Ecological study using data from the Mortality Information System of the Brazilian Ministry of Health...
September 2016: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/27901188/assessment-of-actions-for-breast-cancer-early-detection-in-brazil-using-process-indicators-a-descriptive-study-with-sismama-data-2010-2011
#12
Jeane Glaucia Tomazelli, Arn Migowski, Caroline Madalena Ribeiro, Mônica de Assis, Dolores Maria Franco de Abreu
OBJECTIVE: to assess actions for breast cancer early detection in the Brazilian National Health System using process indicators. METHODS: this is a descriptive study with secondary data from the Breast Cancer Information System (Sismama), for the period from 2010 to 2011. RESULTS: 5,759,503 mammograms and 44,892 histopathological tests were assessed; screening mammography was predominant (96.2%), with annual interval (44.6%) and 51.2% of the patients were in the recommended age group (50 to 69 years); mammogram report was emitted in 30 days in 61...
November 28, 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27899954/phosphoethanolamine-and-the-danger-of-unproven-drugs
#13
Noam Pondé, Evandro de Azambuja, Felipe Ades
The use of unproven forms of therapy in cancer treatment is very common. In Brazil, the distribution by researchers to patients of an investigational agent called phophoethanolamine (PHOS) has led to a widely publicized scientific scandal. PHOS is a precursor to components of the cell membrane, with some published pre-clinical studies suggesting cytotoxic activity in cancer cells. The willingness of courts and of legislators to guarantee access to PHOS in spite of the lack of any clinical data and against the recommendations of scientific and medical organisations underscores the risks that unproven agents pose to regulatory authorities, health care systems and patients, and bears resemblance to other cases such as the controversy surrounding the approval of zidovudine for AIDS treatment by the FDA...
2016: Ecancermedicalscience
https://www.readbyqxmd.com/read/27899227/challenges-to-estimating-vaccine-impact-using-hospitalization-data
#14
Cynthia Schuck-Paim, Robert J Taylor, Lone Simonsen, Roger Lustig, Esra Kürüm, Christian A W Bruhn, Daniel M Weinberger
Because the real-world impact of new vaccines cannot be known before they are implemented in national programs, post-implementation studies at the population level are critical. Studies based on analysis of hospitalization rates of vaccine-preventable outcomes are typically used for this purpose. However, estimates of vaccine impact based on hospitalization data are particularly prone to confounding, as hospitalization rates are tightly linked to changes in the quality, access and use of the healthcare system, which often occur simultaneously with introduction of new vaccines...
November 26, 2016: Vaccine
https://www.readbyqxmd.com/read/27892616/a-policy-analysis-of-teamwork-as-a-proposal-for-healthcare-humanization-implications-for-nursing
#15
R N da Silva, F D da S de Freitas, F P de Araújo, M de A Ferreira
AIM: To analyse the implications of the political devices of the Brazilian National Humanization Policy, Singular Therapeutic Project and Reference Team and Matrix Support, for nursing as a professional discipline. BACKGROUND: The Brazilian Unified Health System, SUS-Brazil, has as its principles regarding health care: universal access at all levels of care; equality and non-discrimination; integrality; community participation; and political and administrative decentralization, regionalization, and hierarchization...
December 2016: International Nursing Review
https://www.readbyqxmd.com/read/27888987/free-asthma-medications-reduces-hospital-admissions-in-brazil-free%C3%A2-asthma-drugs-reduces-hospitalizations-in-brazil
#16
Talitha Comaru, Paulo Márcio Pitrez, Frederico Orlando Friedrich, Victória D Silveira, Leonardo A Pinto
BACKGROUND: Since June 2011, the Brazilian health system started providing asthma medications (beclomethasone and salbutamol), totally free of charge to patients with asthma. The aim of this study was to evaluate the impact of the provision of free asthma medications on hospital admissions for asthma in Brazil, using a national hospitalization database (DATASUS), comparing the incidence of hospital admissions before and after the free supply of these drugs. METHODS: Admissions of patients with 1-49 years of age by the Brazilian public health system with the diagnosis of asthma were compared pre (2008-2010) and post (2012-2014) provision of free medicines (beclomethasone and salbutamol)...
December 2016: Respiratory Medicine
https://www.readbyqxmd.com/read/27887696/reprint-of-neurocysticercosis-related-mortality-in-brazil-2000-2011-epidemiology-of-a-neglected-neurologic-cause-of-death
#17
Francisco Rogerlândio Martins-Melo, Alberto Novaes Ramos, Marta Guimarães Cavalcanti, Carlos Henrique Alencar, Jorg Heukelbach
Neurocysticercosis (NCC) is an important cause of severe neurological disease mainly in low- and middle-income countries, but data on NCC mortality from endemic areas are scarce. Here we analysed the epidemiological patterns of NCC-related mortality in Brazil. We included all deaths recorded in Brazil between 2000 and 2011, in which NCC was mentioned on death certificates, either as underlying or as associated cause of death. NCC was identified in 1829/12,491,280 deaths (0.015%), 1130 (61.8%) as underlying cause, and 699 (38...
November 22, 2016: Acta Tropica
https://www.readbyqxmd.com/read/27881360/an-observational-registry-of-carotid-endarterectomy-and-carotid-artery-stenting-in-brazil-study-protocol
#18
Edwaldo Edner Joviliano, Winston Bonetti Yoshida, Marcone Lima Sobreira, Regina Moura, Ana Terezinha Guillaumon, Selma Regina De Oliveira Raymundo, Daniel Gustavo Miquelin, Ludvig Hafner, Marcelo Jose Almeida
BACKGROUND: Carotid artery stenting (CAS) and carotid endarterectomy (CEA) are alternative strategies for stroke prevention in patients with atherosclerotic carotid disease. CEA has been considered the first-line treatment for carotid stenosis worldwide, and the safety and efficacy of CAS compared to CEA remains in question. OBJECTIVE: The purpose of this study is to compare the practice and outcomes of CAS and CEA in a real-world setting within public university hospitals in Brazil...
November 23, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27873299/using-the-manchester-triage-system-for-refusing-nonurgent-patients-in-the-emergency-department-a-30-day-outcome-study
#19
Roger Daglius Dias, Izabel Cristina Rios, Carlos Luis Benites Canhada, Maria Dolores Galinanes Otero Fernandes, Leila Suemi Harima Letaif, Eloisa Bonfá, Maria Beatriz Moliterno Perondi
OBJECTIVE: To evaluate the long-term outcomes and satisfaction of nonurgent patients who seek care in the emergency department (ED) and are diverted to primary health services (PHS). METHODS: Data were collected from 264 nonurgent patients diverted from the ED of a tertiary public university hospital in São Paulo, Brazil. The nonurgent patient definition was performed by Manchester triage system version II (MTS-II) associated to medical interview in the triage service...
September 2016: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/27869979/assessing-the-completeness-and-agreement-of-variables-of-the-information-systems-on-live-births-and-on-mortality-in-recife-pe-brazil-2010-2012
#20
Lays Janaina Prazeres Marques, Conceição Maria de Oliveira, Cristine Vieira do Bonfim
OBJECTIVE: to assess the information completeness and agreement on infant deaths. METHODS: this was an evaluation study with descriptive design using data of the Information System on Live Births (Sinasc) and Mortality Information System (SIM) of residents in Recife-PE, Brazil, in 2010-2012; the deterministic records linkage was used to combine the data on infant deaths and live births. RESULTS: of the 837 infant deaths registered on SIM, 811 (96...
October 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
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