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https://www.readbyqxmd.com/read/28642017/patterns-of-care-and-temporal-trends-in-ischemic-stroke-management-a-brazilian-perspective
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
https://www.readbyqxmd.com/read/28479026/correlates-of-physical-activity-counseling-by-health-providers-to-patients-with-diabetes-and-hypertension-attended-by-the-family-health-strategy-in-the-state-of-pernambuco-brazil
#17
Jessyka Mary Vasconcelos Barbosa, Wayner Vieira de Souza, Renan Williams Marques Ferreira, Eduardo Maia Freese de Carvalho, Eduarda Angela Pessoa Cesse, Annick Fontbonne
AIMS: The aim of this study was to determine correlates of physical activity (PA) counseling by health providers of the Brazilian primary care delivery system, for hypertensive and diabetic subjects, as well as correlates of actual leisure-time PA of these subjects. METHODS: This was a cross-sectional study conducted in random samples of 785 hypertensive and 822 diabetic subjects, in the State of Pernambuco, Brazil. Relationships between PA counseling and leisure-time PA and explanatory variables were sought through multiple logistic regressions...
May 3, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28453116/-expectation-of-brazilian-nurses-about-the-reception-held-at-the-primary-health-care
#18
Paula C Da Costa, Ana P Rigon Francischetti-Garcia, Vanessa Pellegrino-Toledo
Objective: To know the expectations of Brazilians nurses in relation to the reception held for them at the Primary Health Care. Method: This is a qualitative study based on the social phenomenology by Alfred Schutz. Results: The nurses report that the host is something far from their reality, dependent on policy, management, population and physical structure of the workplace. Conclusion: The findings of this study showed that the reality of care performed by nurses in primary health care is characterized by calls for the evaluation of acute complaints, and that the solution to the host be ideal, providing changes in the relationship between him and the user they require far capabilities of its reality, which was called in this study magic output...
September 2016: Revista de Salud Pública
https://www.readbyqxmd.com/read/28444025/risk-of-misinterpretation-of-trends-in-hospital-admissions-for-primary-care-sensitive-conditions-in-local-contexts-itabora%C3%A3-rio-de-janeiro-state-brazil-2006-2011
#19
Janaina Furtado Botelho, Margareth Crisóstomo Portela
The study's objectives were to describe hospital admissions for primary care sensitive conditions (PCSCs) among residents of Itaboraí, a municipality in Rio de Janeiro State, Brazil, with a high rate of such admissions, to identify associated factors, and to explore the impact from closing a hospital. The ultimate aim was to contribute to the debate on the indicator's indiscriminate use for inferences on the expansion and quality of primary care. The study was based on data from the Hospital Information System of the Brazilian Unified National Health System...
April 20, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28442077/construct-and-discriminant-validity-of-start-back-screening-tool-brazilian-version
#20
Bruna Pilz, Rodrigo A Vasconcelos, Paulo P Teixeira, Wilson Mello, Freddy B Marcondes, Jonathan C Hill, Débora B Grossi
BACKGROUND: The STarT Back Screening Tool (SBST) was developed to stratify low back pain patients according to their risk of future physical disability so that prognostic subgroups can receive matched treatments in primary care. OBJECTIVE: To measure the construct and discriminative validity of the SBST-Brazil questionnaire. METHOD: A hundred and fifty one patients were recruited to test the construct and discriminative validity comparing the SBST-Brazil to the Brazilian Version of the Oswestry Disability Index (ODI), Roland Morris Disability Questionnaire (RMDQ) and Fear-Avoidance Beliefs Questionnaire-Work (FABQ-W) and Physical Activity (FABQ-PA) subscales at baseline...
January 2017: Brazilian Journal of Physical Therapy
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