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Brazilian primary care

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https://www.readbyqxmd.com/read/28676466/brazilian-samba-protocol-for-individuals-with-parkinson-s-disease-a-clinical-non-randomized-study
#1
Ana Cristina Tillmann, Alexandro Andrade, Alessandra Swarowsky, Adriana Coutinho De Azevedo Guimarães
BACKGROUND: In the 10 most populated countries in the world, Parkinson's disease (PD) affects more than 5 million individuals. Despite optimal treatment options already developed for the disease, concomitant involvement of other areas of health care plays an important role in complementing the treatment. From this perspective, dancing can be viewed as a non-drug alternative that can reduce falls by improving some motor skills, such as mobility, balance, gait, and posture, and can also improve the overall quality of life...
July 4, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28667398/caries-progression-as-a-risk-factor-for-increase-in-the-negative-impact-on-ohrqol-a-longitudinal-study
#2
Fabiane Piva, Joanna Tatith Pereira, Patrícia Blaya Luz, Fernando Neves Hugo, Fernando Borba de Araújo
OBJECTIVES: The aim of this study is to evaluate the association between caries lesions progression and oral health-related quality of life (OHRQoL) among Brazilian preschools, after 2 years. MATERIALS AND METHODS: At baseline, 163 children (3-4 years old) enrolled in 12 public primary care services in Porto Alegre/RS-Brazil were evaluated. After 2 years, 119 children were re-evaluated. Calibrated examiners employing the ICDAS criteria conducted clinical examinations...
June 30, 2017: Clinical Oral Investigations
https://www.readbyqxmd.com/read/28658700/prevalence-of-human-papillomavirus-infection-and-cervical-cancer-screening-among-riverside-women-of-the-brazilian-amazon
#3
Daniel Valim Duarte, Rodrigo Covre Vieira, Elza Baía de Brito, Maria da Conceição Nascimento Pinheiro, Jeniffer do Socorro Valente Monteiro, Mário Diego Rocha Valente, Edna Aoba Yassui Ishikawa, Hellen Thais Fuzii, Maísa Silva de Sousa
Purpose The aim of this study was to evaluate the overall and type-specific prevalence of human papillomavirus (HPV) infection among females living in riverside communities in the state of Pará, in the Eastern Brazilian Amazon. These communities are inhabited by low-income people, and are accessible only by small boats. Cervical cytology and risk factors for HPV infection were also assessed. Methods Cervical samples from 353 women of selected communities were collected both for Papanicolau (Pap) test and HPV detection...
July 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28651514/study-protocol-for-the-balanced-solution-versus-saline-in-intensive-care-study-basics-a-factorial-randomised-trial
#4
Fernando G Zampieri, Luciano C P Azevedo, Thiago D Corrêa, Maicon Falavigna, Flavia R Machado, Murillo S C de Assunção, Suzana M A Lobo, Letícia K Dourado, Otavio Berwanger, John A Kellum, Nilton Brandão, Alexandre B Cavalcanti
BACKGROUND: The effectiveness and safety of balanced crystalloid fluids compared with saline (0.9% sodium chloride) as a fluid of choice in critically ill patients remain unclear. The effects of different fluid infusion rates on outcomes are also unknown. OBJECTIVES: To test the hypothesis that a balanced crystalloid solution, compared with saline, decreases 90-day all-cause mortality among critically ill patients; and to test the hypothesis that slow, compared with rapid, infusion rate decreases 90-day mortality in this population of patients...
June 2017: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/28642017/patterns-of-care-and-temporal-trends-in-ischemic-stroke-management-a-brazilian-perspective
#5
Monique Bueno Alves, Gisele Sampaio Silva, Renata Carolina Acri Miranda, Rodrigo Meireles Massaud, Andreia Maria Heins Vaccari, Miguel Cendoroglo-Neto, Solange Diccini
BACKGROUND AND PURPOSE: Demonstration of an improvement process of quality indicators in stroke care is essential to obtain certification as a primary stroke center (PSC). Our aim was to evaluate factors that influence temporal trends in quality indicators of ischemic stroke (IS) in a Brazilian hospital. METHODS: We evaluated patients discharged with IS from a tertiary hospital from January 2009 to December 2013. Ten predefined performance measures selected by the Get With the Guidelines-Stroke program were assessed...
June 20, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28640330/-incorporation-of-information-and-communication-technologies-and-quality-of-primary-healthcare-in-brazil
#6
Alaneir de Fátima Dos Santos, Délcio Fonseca, Lucas Lobato Araujo, Cristiane da Silva Diniz Procópio, Érica Araújo Silva Lopes, Angela Maria de Lourdes Dayrell de Lima, Clarice Magalhães Rodrigues Dos Reis, Daisy Maria Xavier de Abreu, Alzira Oliveira Jorge, Antonio Thomaz Matta-Machado
Information and Communication Technologies (ICTs) are means to handle information, streamline communication, and contribute to patient care. This article describes the incorporation of Information and Communication Technologies in primary care and its association with quality, based on the Brazilian National Program for the Improvement of Access and Quality in Primary Care (PMAQ in portuguese). This was a cross-sectional study with 17,053 teams. An Index of Incorporation of ICTs was created, which included: information infrastructure, systems, and utilization...
June 5, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28638444/understanding-the-barriers-and-improving-care-in-type-2-diabetes-brazilian-perspective-in-time-to-do-more-in-diabetes
#7
Sérgio Vencio, Päivi M Paldánius, Matthias Blüher, Daniel Giannella-Neto, Rafael Caiado-Vencio, W David Strain
BACKGROUND: Type 2 diabetes mellitus (T2DM) is a complex disease, particularly in a continental country like Brazil. We attempted to understand and evaluate the perceptions and routines of Brazilians with T2DM and physicians, compared with other countries. METHODS: We compared the results from a 20-min online survey in Brazil with simultaneously collated data from India, Japan, Spain, UK and USA. RESULTS: In total, 652 adults with T2DM and 337 treating physicians were enrolled, of whom 100 patients and 55 physicians were from Brazil...
2017: Diabetology & Metabolic Syndrome
https://www.readbyqxmd.com/read/28637449/task-shifting-interpersonal-counseling-for-depression-a-pragmatic-randomized-controlled-trial-in-primary-care
#8
Camila T Matsuzaka, Milton Wainberg, Andrea Norcini Pala, Elis V Hoffmann, Bruno M Coimbra, Rosaly F Braga, Annika C Sweetland, Marcelo F Mello
BACKGROUND: Task shifting approaches (rational redistribution of tasks among health workforce teams) to train lay professionals to assist with integrating mental health treatment in primary care has been recommended to close the mental health treatment gap for depression in low- and middle-income countries. This study aims to examine the a new model for depression care in a low-resource environment compared to enhanced treatment at usual (E-TAU). METHODS: We trained non-specialist community health workers (local lay employees of the public health system) to provide Interpersonal Counseling (IPC) to treat depressive symptoms in the Brazilian, São Paulo city, family health strategy (FHS)...
June 21, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28622111/caregiving-for-the-elderly-person-discourses-embedded-in-the-brazilian-practical-guide-for-the-caregiver
#9
Meiriel Tavares Araujo, Isabela Cancio Velloso, Christine Ceci, Mary Ellen Purkis
It is estimated that in 2025, Brazil will have the sixth largest elderly population in the world. Beyond the economic consequences of this projection, this changing demographic portends significant changes in the social realm. The aim of this study was to review and consider a range of government documents directed towards elderly Brazilian citizens that have been developed over the past thirty years to explore the ways that caregivers of older persons are positioned in daily care practices through the discourses such documents deploy...
June 16, 2017: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/28614504/care-coordination-in-primary-health-care-an-evaluative-study-in-a-municipality-in-the-northeast-of-brazil
#10
Italo Ricardo Santos Aleluia, Maria Guadalupe Medina, Patty Fidelis de Almeida, Ana Luiza Queiroz Vilasbôas
International and Brazilian studies have highlighted the importance of the coordination of care for the organization of local health systems. This study aimed to analyze the coordination of care by Primary Health Care (PHC) in a municipal health system in the State of Bahia. This study was conducted in the lead municipality of the macro-region and involved two levels of analysis: PHC team and municipal management. Outlining conditions for the study were defined (hypertension and diabetes mellitus) and an objective image corresponding to the coordination of care was developed based on current national and international literature review...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28610624/normal-limits-of-the-electrocardiogram-derived-from-a-large-database-of-brazilian-primary-care-patients
#11
Daniel M F Palhares, Milena S Marcolino, Thales M M Santos, José L P da Silva, Paulo R Gomes, Leonardo B Ribeiro, Peter W Macfarlane, Antonio L P Ribeiro
BACKGROUND: Knowledge of the normal limits of the electrocardiogram (ECG) is mandatory for establishing which patients have abnormal ECGs. No studies have assessed the reference standards for a Latin American population. Our aim was to establish the normal ranges of the ECG for pediatric and adult Brazilian primary care patients. METHODS: This retrospective observational study assessed all the consecutive 12-lead digital electrocardiograms of primary care patients at least 1 year old in Minas Gerais state, Brazil, recorded between 2010 and 2015...
June 13, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28598250/telehealth-centers-a-proposal-of-a-theoretical-model-for-evaluation
#12
Luana Gabriele Nilson, Luise Lüdke Dolny, Sônia Natal, Josimari Telino de Lacerda, Maria Cristina Marino Calvo
BACKGROUND: Telehealth is a form of assistance support and continuing education for professionals who work in Primary Healthcare. INTRODUCTION: The implementation of the Brazilian Telehealth Program has extended the need for evaluation of its results to improve its use and benefits. Thus, it is necessary to systematize the theory, principals, and guidelines that guide the program organization, its activities, and resources. The objective of this study is to propose a theoretical model of functioning and organization for telehealth centers of the Brazilian Telehealth Program...
June 9, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28591372/-factors-associated-with-cross-nursing-in-two-cities-in-southeast-brazil
#13
Mariana Pujól von Seehausen, Maria Inês Couto de Oliveira, Cristiano Siqueira Boccolini, Maria do Carmo Leal
The objective was to estimate the prevalence of cross-nursing in two Brazilian cities and analyze factors associated with the practice. This was a cross-sectional study nested in a cohort of pregnant women recruited at public health services that offered prenatal care in two medium-sized cities in the State of Rio de Janeiro: one in Greater Metropolitan Rio and the other in the Mountainous Region, conducted from 2008 to 2010. The current study included women interviewed when their infants were six months old...
June 1, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28591320/degree-of-agreement-between-cardiovascular-risk-stratification-tools
#14
Guilherme Thomé Garcia, Ana Maria Nunes de Faria Stamm, Ariel Córdova Rosa, Antônio Carlos Marasciulo, Rodrigo Conill Marasciulo, Cristian Battistella, Alexandre Augusto de Costa Remor
Background: Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in Brazil, and primary prevention care may be guided by risk stratification tools. The Framingham (FRS) and QRISK-2 (QRS) risk scores estimate 10-year overall cardiovascular risk in asymptomatic individuals, but the instrument of choice may lead to different therapeutic strategies. Objective: To evaluate the degree of agreement between FRS and QRS in 10-year overall cardiovascular risk stratification in disease-free individuals...
May 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28558083/obesity-and-its-association-with-food-consumption-diabetes-mellitus-and-acute-myocardial-infarction-in-the-elderly
#15
Erika Aparecida da Silveira, Liana Lima Vieira, Thiago Veiga Jardim, Jacqueline Danesio de Souza
BACKGROUND: Obesity affects a large part of elderly individuals worldwide and is considered a risk predictor for the development of chronic diseases such as cardiac diseases, the leading causes of death in the elderly population. OBJECTIVE: To investigate the prevalence of obesity and associated factors, with emphasis on the occurrence of other diseases and on food consumption in elderly individuals treated at the Brazilian Unified Health System (Sistema Único de Saúde, SUS)...
December 2016: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28537476/intimate-partner-violence-is-associated-with-suicidality-among-low-income-postpartum-women
#16
Karen M Tabb, Hsiang Huang, Miriam Valdovinos, Raman Toor, Teresa Ostler, Erin Vanderwater, Yang Wang, Paulo Rossi Menezes, Alexandre Faisal-Cury
BACKGROUND: Although intimate partner violence (IPV) during perinatal period is more common than during other maternal health conditions, it receives less attention within research on maternal mortality rates. Given the risks for maternal mortality because of suicidality, the purpose of this investigation is to examine the risk of suicidal ideation (SI) among postpartum women exposed to IPV. MATERIALS AND METHODS: In this cross-sectional study, participants were recruited between May 2005 and March 2007 from primary care clinics in São Paulo, Brazil...
May 24, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28526380/comparison-between-two-assessment-tools-for-fruit-and-vegetable-intake-relative-to-the-24-h-recall
#17
Mariana Souza Lopes, Luana Caroline Dos Santos, Aline Cristine Souza Lopes, Mery Natali Silva Abreu
OBJECTIVE: The aim of this study was to evaluate the validity of methods assessing fruit and vegetable (FV) intake among Brazilian users of the Primary Attention Health Care Program. METHODS: The present study included 299 participants (age ≥20 y) from a representative sample from a randomized controlled community trial performed as part of a health promotion program in a Brazilian metropolis. All participants completed three methods for the assessment of FV consumption: brief questionnaire of FV (QBrief-FV), food frequency questionnaire of FV, and a 24-h dietary recall...
June 2017: Nutrition
https://www.readbyqxmd.com/read/28513803/primary-health-care-and-tuberculosis-services-evaluation
#18
Anneliese Domingues Wysocki, Maria Amélia Zanon Ponce, Maria Eugênia Firmino Brunello, Aline Ale Beraldo, Silvia Helena Figueiredo Vendramini, Lúcia Marina Scatena, Antonio Ruffino, Tereza Cristina Scatena Villa
Introduction: In order to control tuberculosis, the Brazilian Ministry of Health recommends the decentralization of control actions directed to the Primary Health Care, and there are few studies on the performance of the Tuberculosis Control Program in decentralized contexts. Objective: To evaluate the performance of Primary Health Care services in tuberculosis treatment. Methods: This is an evaluative study with cross-sectional approach conducted in 2011...
January 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/28492769/census-of-the-primary-health-care-structure-in-brazil-2012-potential-coverage-estimates
#19
Kátia Crestine Poças, Lúcia Rolim Santana de Freitas, Elisabeth Carmen Duarte
OBJECTIVE: to estimate and discuss selected indicators of Primary Health Care (PHC) structure in Brazil in 2012. METHODS: a descriptive ecological study was carried out using Primary Health Care Centre census data from the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB); potential coverage indicators were estimated for infrastructure, health team composition and services available. RESULTS: the results revealed high coverage (≥70%) in Brazil for Community Health Agents (87...
April 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28492756/a-longitudinal-study-of-early-childhood-caries-and-associated-factors-in-brazilian-children
#20
Fabiane Piva, Joanna Tatith Pereira, Patrícia Blaya Luz, Lina Naomi Hashizume, Fernando Neves Hugo, Fernando Borba de Araujo
Early childhood caries (ECC) affects children all over the world and has high prevalence and severity in preschool children. Different social, biological and behavioral factors compose a network of causal factors for ECC. The aim was to evaluate the association between socioeconomic variables and caries at baseline, and the presence of Streptococcus mutans and Lactobacillus spp. microorganisms with the progression of caries lesions after two years of follow-up in a group of children. At baseline, 163 children (3-4 years old) living in the areas of 12 primary care services of the Hospital Group Conceição (GHC, Porto Alegre, RS, Brazil) were evaluated...
March 2017: Brazilian Dental Journal
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