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Brazilian primary care

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https://www.readbyqxmd.com/read/29027656/pulmonary-complications-after-non-cardiac-surgeries-temporal-patterns-and-risk-factors
#1
Cássia Toledo, Flávio Eduardo Nácul, Marcos Freitas Knibel, Nilton Brandão Silva, Ederlon Rezende, Cintia Magalhães Carvalho Grion, Murillo Assunção, Fernando Gutierrez, Joelma Villafanha Gandolfi, Suzana Margareth Lobo
BACKGROUND: Postoperative complications are the primary determinants of survival following major surgery. We aimed to characterize the early perioperative risk factors for postoperative pulmonary complications (POPCs) in patients undergoing major non-cardiac surgeries. METHODS: This study utilized a multicenter prospective observational cohort design. Adult patients undergoing non-cardiac surgeries and admitted to 21 Brazilian ICUs were screened for inclusion in the study...
October 13, 2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28990991/brazilian-payment-for-performance-pmaq-seen-from-a-global-health-and-public-policy-perspective-what-does-it-mean-for-research-and-policy
#2
Fabiana C Saddi, Stephen Peckham
This supplement of the Journal of Ambulatory Care Management on the Brazilian National Program for Improving Access and Quality of Primary Care (PMAQ) reveals a relevant gap in the Brazilian literature on pay for performance/PMAQ, and is therefore an opportunity to bring contributions from global health and public policy to the debate. We discuss the relevant gap in the light of developments in evaluation and policy analysis. We afterward present the state of knowledge regarding global health and public policy in pay for performance, giving attention to diverse themes, methods, types of analyses, theoretical contributions, and limitations...
October 4, 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/28988564/perceptions-of-primary-health-care-service-users-regarding-dental-team-practices-in-brazil
#3
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
https://www.readbyqxmd.com/read/28979152/hypertriglyceridemic-waist-phenotype-in-primary-health-care-comparison-of-two-cutoff-points
#4
Marina Augusta Dias Braz, Jallyne Nunes Vieira, Flayane Oliveira Gomes, Priscilla Rafaella da Silva, Ohanna Thays de Medeiros Santos, Ilanna Marques Gomes da Rocha, Iasmin Matias de Sousa, Ana Paula Trussardi Fayh
OBJECTIVE: We aimed to evaluate the prevalence of hypertriglyceridemic waist (HTGW) phenotype among users of primary health care using two different cutoff points used in the literature. METHODS: We evaluated adults and elderly individuals of both sexes who attended the same level of primary health care. HTGW phenotype was determined with measurements of waist circumference (WC) and triglyceride levels and compared using cutoff points proposed by the National Cholesterol Education Program - NCEP/ATP III (WC ≥102 cm for men and ≥88 cm for women; triglyceride levels ≥150 mg/dL for both sexes) and by Lemieux et al (WC ≥90 cm for men and ≥85 cm for women; triglyceride levels ≥177 mg/dL for both)...
2017: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
https://www.readbyqxmd.com/read/28977324/knowledge-of-puerperal-mothers-about-the-guthrie-test
#5
Giovanna Abadia Oliveira Arduini, Marly Aparecida Spadotto Balarin, Roseane Lopes da Silva-Grecco, Alessandra Bernadete Trovó de Marqui
OBJECTIVE: This study aimed to assess the knowledge of puerperal mothers about the Guthrie test. METHODS: A total of 75 mothers who sought primary care between October 2014 and February 2015 were investigated. The form was applied by the main researcher and the data was analyzed, using descriptive statistics with Microsoft Office Excel, and Statistical Package for Social Sciences (SPSS) programs. Association tests and statistical power were applied. RESULTS: Among the 75 mothers, 47 (62...
April 2017: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/28977271/-health-workers-experiences-in-dealing-with-the-neoliberal-logic-a-study-of-primary-care-in-colombia-and-brazil
#6
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
https://www.readbyqxmd.com/read/28977172/time-trends-of-hypertension-and-diabetes-mellitus-prevalence-among-adults-registered-in-the-brazilian-national-health-system-in-florian%C3%A3-polis-santa-catarina-state-brazil-2004-2011
#7
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
https://www.readbyqxmd.com/read/28962569/perspectives-and-experiences-of-community-health-workers-in-brazilian-primary-care-centers-using-m-health-tools-in-home-visits-with-community-members
#8
Julia Schoen, John William Mallett, Rebecca Grossman-Kahn, Alexandra Brentani, Elizabeth Kaselitz, Michele Heisler
BACKGROUND: Mobile health (m-health) tools are a promising strategy to facilitate the work of community health workers (CHWs) in low- and middle-income countries (LMICs). Despite their potential value, little is known about CHWs' experiences working with m-health tools in their outreach activities with community members. METHODS: To understand the benefits of and barriers to using m-health tools for CHWs, we conducted semi-structured interviews with 57 CHWs employed in six primary care centers in São Paulo, Brazil...
September 29, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28954165/evaluation-of-the-performance-of-actions-and-outcomes-in-primary-health-care
#9
Paula Vitali Miclos, Maria Cristina Marino Calvo, Claudia Flemming Colussi
OBJECTIVE: The objective of this study has been to evaluate the performance of the primary care of Brazilian municipalities in relation to health actions and outcomes. METHODS: This is an evaluative, cross-sectional research, with a quantitative approach, aimed at the identification of the efficiency frontier of the primary care in health actions and outcomes in Brazilian municipalities. Secondary data have been collected from the Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (National Program for Improving Access and Quality of Primary Care) and the Department of Informatics of the Brazilian Unified Health System, in 2012...
2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28919838/adherence-to-precautions-for-preventing-the-transmission-of-microorganisms-in-primary-health-care-a-qualitative-study
#10
Michely Aparecida Cardoso Maroldi, Adriana Maria da Silva Felix, Ana Angélica Lima Dias, Julia Yaeko Kawagoe, Maria Clara Padoveze, Sílvia Alice Ferreira, Sílvia Helena Zem-Mascarenhas, Stephen Timmons, Rosely Moralez Figueiredo
BACKGROUND: Health care associated infections (HAIs) are a source of concern worldwide. No health service in any country can be considered HAI risk-free. However, there is scarcity of data on the risks to which both patients and health workers are subject in non-hospital settings. The aim of this study was to identify issues that determine the adherence of professionals to precautions for preventing transmission of microorganisms in primary health care. METHOD: This was a qualitative study, using focus groups of primary health care staff, in two Brazilian municipalities...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28918569/highlights-from-the-ninth-international-symposium-of-thrombosis-and-anticoagulation-ista-ix-october-15-2016-salvador-bahia-brazil
#11
REVIEW
Renato D Lopes, Patricia O Guimarães, Elaine Hylek, Gilson S Feitosa-Filho, Luiz Ritt, Nivaldo Filgueiras, Eduardo Darzé, Mario S Rocha, Luis P Magalhães, Antonio Carlos Sobral Sousa, Luis Claudio Correia, Lucas Hollanda Oliveira, David A Garcia
To discuss and share knowledge about advances in the care of patients with thrombotic disorders, the Ninth International Symposium of Thrombosis and Anticoagulation was held in Salvador, Bahia, Brazil, on October 15, 2016. This scientific program was developed by clinicians for clinicians and was promoted by two major clinical research institutes-the Brazilian Clinical Research Institute and the Duke Clinical Research Institute of the Duke University School of Medicine. Comprising academic presentations and open discussion, the symposium had as its primary goal to educate, motivate, and inspire internists, cardiologists, hematologists, and other physicians by convening national and international visionaries, thought-leaders, and dedicated clinician-scientists...
September 16, 2017: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/28915797/effectiveness-of-a-16-month-multi-component-and-environmental-school-based-intervention-for-recovery-of-poor-income-overweight-obese-children-and-adolescents-study-protocol-of-the-health-multipliers-program
#12
Pollyanna Fernandes Patriota, Andrea Rocha Filgueiras, Viviane Belucci Pires de Almeida, Guilherme Aparecido Costa Alexmovitz, Carlos Eduardo da Silva, Vivian Fortuna Feres de Carvalho, Natália Carvalho, Maria Paula de Albuquerque, Semiramis Martins Alvares Domene, Wagner Luiz do Prado, Gustavo Enrique Salazar Torres, Ana Paula Reis de Oliveira, Ricardo Sesso, Ana Lydia Sawaya
BACKGROUND: Excess of weight is a serious public health concern in almost all countries, afflicting people of different ages and socioeconomic backgrounds. Studies have indicated the need for developing treatment strategies that intervene directly in the obesogenic environment. This study aims to evaluate the effectiveness of a multi-component and environmental school-based intervention, lasting 16 months, on the recovery of the nutritional status of low-income children and adolescents with overweight/ obesity...
September 15, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28913887/the-equity-of-access-to-primary-dental-care-in-s%C3%A3-o-paulo-brazil-a-geospatial-analysis
#13
Aidan Yuen, Carla Martins Rocha, Estie Kruger, Marc Tennant
OBJECTIVES: Brazil is one of the largest countries in the world, in terms of geography and population. Most Brazilians reside in the south and south-eastern regions, with notable numbers in the regions' megacities, such as São Paulo city. Healthcare provision in such a complex environment is difficult. Thus, a clear understanding of the distribution - or rather, the maldistribution - of these services is fundamental for optimising the allocation of human and financial resources to areas of greatest privation...
September 15, 2017: International Dental Journal
https://www.readbyqxmd.com/read/28876424/evaluation-of-medical-interns-attitudes-towards-relevant-aspects-of-medical-practice
#14
Áquila Talita Lima Santana Alves, Fernando Vinicius Alves, Enaldo Vieira Melo, Edméa Fontes de Oliva-Costa
Introduction: In traditional medical school curriculum, sixth-year is the moment in which students experience medical practice more intensively. Attitudes can be considered predictors of behaviors and actions. Evaluating them contributes to improve medical training. Objective: To evaluate attitudes during medical internship considering medical practice and associated factors in a Brazilian public university. Method: Cross-sectional study that included 69 students, based on a structured questionnaire and an attitude scale (Colares, 2002)...
June 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28870602/the-brazilian-back-complaints-in-the-elders-brazilian-bace-study-characteristics-of-brazilian-older-adults-with-a-new-episode-of-low-back-pain
#15
Fabianna Resende De Jesus-Moraleida, Paulo Henrique Ferreira, Manuela Loureiro Ferreira, Juscelio Pereira Da Silva, Marcella Guimarães Assis, Leani Souza Máximo Pereira
OBJECTIVE: Low back pain (LBP) is little explored in the aging population especially when considering age-relevant and culturally dependent outcomes. We aimed to describe socio-demographic and clinical characteristics of Brazilian older people with a new episode of LBP presenting to primary care. METHODS: We sourced baseline information on socio-demographic, pain-related and clinical characteristics from 602 older adults from the Brazilian Back Complaints in the Elders (Brazilian BACE) study...
August 10, 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/28862111/how-can-we-improve-education-of-breast-surgeons-across-europe
#16
Agnieszka Kolacinska
The proposed global curriculum developed by the American Society of Surgical Oncology (SSO) and the European Society of Surgical Oncology (ESSO) and the textbook: provides a state-of- the- art of breast cancer surgery, complements the syllabus and curriculum of the Union Europeenne des Medecins Specialistes (UEMS) examination in breast surgery/ European Board of Surgery Qualification in Breast Surgery (EBSQinBS) administered by ESSO (1) Knowledge and understanding of the principles of breast cancer incidence, aetiology, risk factors, genetics, premalignant and high-risk lesions, pathology, prognostic and predictive factors, risk prediction models, screening, diagnosis and imaging, breast cancer, oncoplastic, reconstructive breast surgery, axillary surgery and future perspective for this, radiation therapy, neoadjuvant and adjuvant systemic treatment- endocrine-, immuno- and chemotherapy, side effects and toxicities of treatment, locoregional recurrence, follow-up, locally advanced breast cancer, metastatic breast cancer, breast cancer in young and elderly patients, survivor issues, lymphedema, palliative care, chroni pain, body image and sexuality, fertility issues, cognitive functions, etc...
July 2017: Chirurgia
https://www.readbyqxmd.com/read/28832856/hospitalizations-for-primary-care-sensitive-conditions-in-pelotas-brazil-1998-to-2012
#17
Juvenal Soares Dias da Costa, Ana Maria Ferreira Borges Teixeira, Mauricio Moraes, Eliane Schneider Strauch, Denise Silva da Silveira, Maria Laura Vidal Carret, Everton Fantinel
Objective: To verify the hospitalization trend for primary care sensitive-conditions in Pelotas, Rio Grande do Sul, Brazil from 1998 to 2012. Methods: An ecological study compared hospitalizations rates of the city of Pelotas with the rest of state of Rio Grande do Sul. Analysis was conducted using direct standardization of rates, coefficients were stratified by sex and the Poisson regression was used. Results: Hospitalizations for sensitive conditions decreased in Pelotas and Rio Grande do Sul...
April 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/28832805/clinical-and-epidemiological-profile-of-tuberculosis-in-an-urban-area-with-high-human-development-index-in-southeastern-brazil-time-series-study
#18
Rodolpho Telarolli, Leonor Castro Monteiro Loffredo, Rosangela Maria Gasparetto
CONTEXT AND OBJECTIVE: In the twenty-first century, tuberculosis remains a serious public health problem in Brazil. The aim here was to characterize tuberculosis in a municipality with a high human development index (HDI), based on clinical and epidemiological variables. DESIGN AND SETTING: Epidemiological study with analysis of incidence that included 533 new cases of tuberculosis in the municipality of Araraquara, São Paulo, reported to the Brazilian Notifiable Diseases Information System (SINAN) between 2002 and 2011...
August 21, 2017: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/28832785/prevalence-of-physical-intimate-partner-violence-in-the-first-six-months-after-childbirth-in-the-city-of-rio-de-janeiro-brazil
#19
Claudia Leite de Moraes, Aline Gaudard E Silva de Oliveira, Michael Eduardo Reichenheim, Silvana Granado Nogueira da Gama, Maria do Carmo Leal
The aim of the study was to estimate the prevalence of physical intimate partner violence in the first six months after childbirth among women attending primary care clinics (UBS) for the infant's follow-up in Rio de Janeiro, Brazil. This is the first study on the theme using a representative sample of primary care clinics in the city of Rio de Janeiro. The study used a cross-sectional design from June to September 2007 and included 927 mothers/infants seen at 27 UBS, selected by complex sampling, geographically representative of the city...
August 21, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28832772/-structural-typology-of-brazilian-primary-healthcare-units-the-5-rs
#20
Aylene Bousquat, Ligia Giovanella, Marcia Cristina Rodrigues Fausto, Edgard Rodrigues Fusaro, Maria Helena Magalhães de Mendonça, Juliana Gagno, Ana Luiza d'Ávila Viana
The structural typology of Brazil's 38,812 primary healthcare units (UBS) was elaborated on the basis of the results from a survey in cycle 1 of the National Program for Improvement in Access and Quality of Primary Care. Type of team, range of professionals, shifts open to the public, available services, and installations and inputs were the sub-dimensions used. For each sub-dimension, a reference standard was defined and a standardized score was calculated, with 1 as the best. The final score was calculated by factor analysis...
August 21, 2017: Cadernos de Saúde Pública
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