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https://www.readbyqxmd.com/read/29623240/rio-s-mountainous-region-regi%C3%A3-o-serrana-2011-landslides-impact-on-public-mental-health-system
#1
Marcelo Dell'Aringa, Otavio Ranzani, Joost Bierens, Virginia Murray
INTRODUCTION In January 2011 landslides and floods followed heavy rain in the Mountainous Region of Rio de Janeiro State ("Região Serrana"), in southeastern Brazil. These events led to the largest disaster registered in Brazilian recent history. Few studies addressed the impacts of this disaster on public health, and we found none addressing the impact on mental health. This study reviewed the consequences of the 2011 disaster in the "Região Serrana", by comparing the demand for public mental health assistance data from time periods before and after the even  METHODS  We performed an ecologic study, analysing the aggregate data from "Região Serrana" during the period two years before and after the disaster, exporting data from the Brazilian open access public health database...
January 25, 2018: PLoS Currents
https://www.readbyqxmd.com/read/29617494/transcatheter-aortic-valve-replacement-the-experience-of-one-brazilian-health-care-center
#2
Fabiula Schwartz Azevedo, Marcelo Goulart Correa, Débora Holanda Gonçalves Paula, Alex Dos Santos Felix, Luciano Herman Juaçaba Belém, Ana Paula Chedid Mendes, Valeria Gonçalves Silva, Bruno Miranda Marques, Andrey José de Oliveira Monteiro, Clara Weksler, Alexandre Siciliano Colafranceschi, Daniel Arthur Barata Kasal
OBJECTIVE: Transcatheter aortic valve replacement has been an alternative to invasive treatment for symptomatic severe aortic stenosis in high risk patients. The primary endpoint was 30-day and 1-year mortality from any cause. Secondary endpoints were to compare the clinical and echocardiographic variation pre-and post- transcatheter aortic valve replacement, and the occurrence of complications throughout a 4-year follow-up period. METHODS: This prospective cohort, nestled to a multicenter study (Registro Brasileiro de Implante de Bioprótese por Cateter), describes the experience of a public tertiary center in transcatheter aortic valve replacement...
January 2018: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29617486/-structure-of-primary-healthcare-units-for-treating-persons-with-diabetes-cycles-i-and-ii-of-the-brazilian-national-program-to-improve-access-and-quality
#3
Rosália Garcia Neves, Suele Manjourany Silva Duro, Javier Muñiz, Teresa Rosalia Pérez Castro, Luiz Augusto Facchini, Elaine Tomasi
The objective was to describe the necessary structure for treating diabetes patients in the primary healthcare system, as evaluated in Cycles I and II of the Brazilian National Program for the Improvement of Access and Quality (PMAQ) in 2012 and 2014, according to the municipalities' characteristics. A descriptive study was used to assess primary care units whose teams participated in Cycles I and II of the PMAQ in 2012 and 2014. The study used variables from Module I of the external evaluation of the PMAQ that addresses the primary care units' structure...
March 29, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29617476/acute-lower-respiratory-infection-in-guarani-indigenous-children-brazil
#4
Patricia Gomes de Souza, Andrey Moreira Cardoso, Clemax Couto Sant'Anna, Maria de Fátima Bazhuni Pombo March
OBJECTIVE: To describe the clinical profile and treatment of Brazilian Guarani indigenous children aged less than five years hospitalized for acute lower respiratory infection (ALRI), living in villages in the states from Rio de Janeiro to Rio Grande do Sul. METHODS: Of the 234 children, 23 were excluded (incomplete data). The analysis was conducted in 211 children. Data were extracted from charts by a form. Based on record of wheezing and x-ray findings, ALRI was classified as bacterial, viral and viral-bacterial...
March 29, 2018: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/29613837/lingual-frenulum-phenotypes-in-brazilian-infants-with-congenital-zika-syndrome
#5
Cristiane Sá Roriz Fonteles, Erlane Marques Ribeiro, Marinisi Sales Aragão Santos, Rebeka Ferreira Pequeno Leite, Gabryela Sales Assunção, André Jalles Monteiro, André Luiz Santos Pessoa, Célia Maria Giacheti, Sáile Cavalcante Kerbage, Thyciana Rodrigues Ribeiro, Luciano Pamplona de Góes Cavalcanti
OBJECTIVE: The present study aimed to evaluate lingual frenulum in children affected by congenital Zika syndrome (CZS) and to analyze the association of lingual frenulum phenotypes with other variables. DESIGN: This present work had a cross-sectional, descriptive study design. SETTING: This study was carried out in Fortaleza (Brazil). The health professionals provided tertiary level of care. Data collection occurred during a multidisciplinary task force for evaluating infants affected by CZS in December 2 to 3, 2016...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29607319/availability-of-dental-prosthesis-procedures-in-brazilian-primary-health-care
#6
Maria Aparecida Gonçalves Melo Cunha, Antônio Thomaz Gonzaga Matta-Machado, Simone Dutra Lucas, Mauro Henrique Nogueira Guimarães Abreu
Objectives: To describe dental prosthesis provision in the Brazilian public health service and report the performance of dental prosthesis procedures according to the Brazilian macroregions. Methods: A structured interview was conducted with senior-level health professionals from each of the 18,114 oral health teams (OHT). The dependent variables were performance of removable prostheses and prosthesis procedures, including provision of fixed prostheses by OHT. Descriptive statistics were produced together with performing a cluster analysis using SPSS version 19...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29590242/-sources-of-medicines-for-chronic-patients-using-the-brazilian-unified-national-health-system
#7
Samara Ramalho Matta, Andréa Dâmaso Bertoldi, Isabel Cristina Martins Emmerick, Andréia Turmina Fontanella, Karen Sarmento Costa, Vera Lucia Luiza
The article aimed to identify the sources of medicines for users of the Brazilian Unified National Health System (SUS) that reported chronic non-communicable diseases, characterizing the group according to demographic, socioeconomic, and health variables in the different regions of Brazil. Data were analyzed from the National Survey on Access, Use, and Promotion of Rational Use of Medicines in Brazil (PNAUM), a cross-sectional population-based study. The dependent variable was "source of medicines", and the associations were analyzed with demographic, socioeconomic, and health status variables...
March 26, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29562033/advanced-practice-nursing-a-possibility-for-primary-health-care
#8
Manoel Vieira de Miranda Neto, Talita Rewa, Valéria Marli Leonello, Maria Amélia de Campos Oliveira
OBJECTIVE: Reflect on the role of advanced practice nursing (APN) in the context of Brazilian primary health care. METHOD: analysis of the main scientific productions and of the discussion on the implementation of APN. RESULTS: there are favorable areas for the work of APN in primary health care, especially in the family health strategy. Professional master's degree and nurse residency programs constitute powerful training spaces. As a challenge, standardized definition of the roles of advanced practice nurses and of minimum training for work are necessary...
2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29544112/social-context-and-geographic-space-an-ecological-study-about-hospitalizations-of-older-persons
#9
Ana Carolina Lima Cavaletti, Célia Pereira Caldas, Kenio Costa de Lima
OBJECTIVES: To identify the diseases that lead older persons to hospitalizations in the public health system in the state of Rio de Janeiro and, through a study of spatial distribution among hospitalization rates of the municipal districts, discuss the social contexts involved in the hospitalization of the elderly. METHODS: An ecological cross-sectional study using secondary data from the Brazilian hospital information system from the period 2009 to 2015 was performed...
March 12, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29524111/highlights-from-the-tenth-international-symposium-of-thrombosis-and-anticoagulation-ista-x-september-22-and-23-2017-salvador-bahia-brazil
#10
REVIEW
Renato D Lopes, Patricia O Guimarães, Mark Crowther, Elaine Hylek, Gilson S Feitosa-Filho, Luiz E Ritt, Nivaldo Filgueiras, David A Garcia
To discuss and share knowledge about advances in the care of patients with thrombotic disorders, the Tenth International Symposium of Thrombosis and Anticoagulation was held in Salvador, Bahia, Brazil, on September 22 and 23, 2017. 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...
March 9, 2018: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/29494871/predictive-validity-of-the-brazilian-version-of-the-tilburg-frailty-indicator-for-adverse-health-outcomes-in-older-adults
#11
Lívia Maria Santiago, Robbert J J Gobbens, Marcel A L M van Assen, Cleber Nascimento Carmo, Daniele Bittencourt Ferreira, Inês Echenique Mattos
PURPOSE: This study aimed to determine the predictive value of the Brazilian Tilburg Frailty Indicator (TFI) for adverse health outcomes (falls, hospitalization, disability and death), in a follow-up period of twelve months. METHODS: This longitudinal study was carried out with a sample of people using primary health care services in Rio de Janeiro, Brazil. At baseline the sample consisted of 963 people aged 60 years and older. A subset of all respondents participated again one year later (n = 640, 66...
February 22, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29490030/cytomegalovirus-cmv-shedding-in-seropositive-pregnant-women-from-a-high-seroprevalence-population-the-brazilian-cytomegalovirus-hearing-and-maternal-secondary-infection-study-brachs
#12
Nayara G Barbosa, Aparecida Y Yamamoto, Geraldo Duarte, Davi C Aragon, Karen B Fowler, Suresh Boppana, William J Britt, Marisa M Mussi-Pinhata
Background: Most congenital CMV infections in highly seropositive populations occur in infants born to women with preexisting CMV seroimmunity. Although essential for developing prevention strategies, CMV shedding patterns in pregnant women with non-primary infections have not been characterized. We investigated correlates of CMV shedding in a cohort of seropositive pregnant women. Methods: In a prospective study, saliva, urine, vaginal swabs, and blood were collected from 120 CMV seropositive women in the 1st, 2nd, and 3rd trimesters and one month postpartum...
February 27, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29489992/mental-health-in-primary-care-an-evaluation-using-the-item-response-theory
#13
Hugo André da Rocha, Alaneir de Fátima Dos Santos, Ilka Afonso Reis, Marcos Antônio da Cunha Santos, Mariângela Leal Cherchiglia
OBJECTIVE To determine the items of the Brazilian National Program for Improving Access and Quality of Primary Care that better evaluate the capacity to provide mental health care. METHODS This is a cross-sectional study carried out using the Graded Response Model of the Item Response Theory using secondary data from the second cycle of the National Program for Improving Access and Quality of Primary Care, which evaluates 30,523 primary care teams in the period from 2013 to 2014 in Brazil. The internal consistency, correlation between items, and correlation between items and the total score were tested using the Cronbach's alpha, Spearman's correlation, and point biserial coefficients, respectively...
2018: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29489952/-integration-of-primary-care-in-the-healthcare-network-analysis-of-the-components-in-the-external-evaluation-of-the-pmaq-ab
#14
Lenir Aparecida Chaves, Alzira de Oliveira Jorge, Mariangela Leal Cherchiglia, Ilka Afonso Reis, Marcos Antônio da Cunha Santos, Alaneir de Fátima Santos, Antônio Thomaz Gonzaga da Matta Machado, Eli Iola Gurgel Andrade
This cross-sectional study examined the integration of primary care in the healthcare network of the Brazilian Unified National Health System (SUS), using the Gradual Response Model of Item Response Theory. Based on data from 17,202 teams that participated in the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB, 2012), we measured gradients of integration to identify the teams' profile by level of integration. The results show that the items pertaining to matrix support measures (medical consultations, case discussions, shared clinical action, joint elaboration of therapeutic projects, permanent educational activities, work process discussions, interventions in the territory, and visits with primary care professionals) improved the performance of primary care teams...
February 19, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29420660/contextual-and-individual-factors-associated-with-dental-services-utilisation-by-brazilian-adults-a-multilevel-analysis
#15
Fernando José Herkrath, Mario Vianna Vettore, Guilherme Loureiro Werneck
BACKGROUND: Inequalities in the utilisation of dental services in Brazil are remarkable. The aim of this study was to evaluate the association of contextual and individual factors with the utilisation of dental services by Brazilian adults using the Andersen's behavioural model. METHODS: Individual-level data from 27,017 adults residents in the State capitals who were interviewed in the 2013 Brazilian National Health Survey were pooled with contextual city-level data...
2018: PloS One
https://www.readbyqxmd.com/read/29412412/hospitalizations-for-diabetes-mellitus-and-the-family-health-strategy-paran%C3%A3-brazil-2000-2012
#16
Guilherme Oliveira de Arruda, Débora Berger Schmidt, Sonia Silva Marcon
The aim of this study was to identify trends in hospitalization for diabetes mellitus and their correlation with the Family Health Strategy (FHS) coverage in the state of Paraná, by Health District (HD), between 2000 and 2012. It is an ecological study based on secondary data from the Hospital Information System of the Brazilian Unified Health System and the Primary Care Department. There was downward trend for general admission rates (from 10.2 to 9.0/10,000 inhabitants), but upward trend for some HDs. No correlation was observed between admission rates and the FHS coverage for the state...
February 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29412323/contextual-and-individual-factors-associated-with-dissatisfaction-with-public-emergency-health-services-in-brazil-2011-2012
#17
Rafaela Soares Rech, Fernando Neves Hugo, Jessye Melgarejo do Amaral Giordani, Lúcia Gimenes Passero, Juliana Balbinot Hilgert
The Brazilian network of emergency care, in recent years, has shown significant progress. The objective was to evaluate contextual and individual factors associated with the satisfaction with public emergency health services. This was a cross-sectional multilevel study carried out between June 2011 and January 2012. Data were collected via telephone at the ombudsman's office of the Brazilian Unified National Health System (SUS). Telephone numbers were randomly selected from a telephone company database. Health services, socioeconomic, and individual demographic variables were evaluated, in addition to information about the municipalities...
February 5, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29412314/-association-between-socioeconomic-health-and-primary-care-conditions-and-hospital-morbidity-due-to-waterborne-diseases-in-brazil
#18
Roberta Fernanda da Paz de Souza Paiva, Marcela Fernanda da Paz de Souza
The current study aimed to assess the association between socioeconomic conditions, basic sanitation, and coverage by family health teams and hospitalizations for waterborne diseases. The analysis of socioeconomic conditions and sanitation was based on an ecological study with data from the Brazilian National Household Sample Survey (PNAD) and the Brazilian Health Informatics Departament (DATASUS) database (observations for the States and Federal District) for the year 2013. Associations between family health teams and hospitalization were assessed by simple regressions, with data from DATASUS and the Department of Primary Care of Ministry of Health from 1998 to 2014...
February 5, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29380500/validation-and-standardization-of-the-brazilian-version-of-the-medication-regimen-complexity-index-for-older-adults-in-primary-care
#19
Laís Ln Pantuzza, Maria das Graças B Ceccato, Micheline R Silveira, Isabela Vl Pinto, Adriano Max M Reis
AIM: To validate and standardize the Brazilian version of the Medication Regimen Complexity Index (MRCI) for older adults in primary healthcare. METHODS: A cross-sectional methodological study was carried out with elderly patients attending primary healthcare centers in southeastern Brazil. Convergent validity was tested by correlating MRCI scores with medication number. Divergent validity was tested by correlating MRCI scores with age, sex, cognition, and basic and instrumental activities of daily living...
January 30, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29366345/perceptions-and-experiences-regarding-the-impact-of-race-on-the-quality-of-healthcare-in-southeast-brazil-a-qualitative-study
#20
Aneela Chauhan, Gilles de Wildt, Marcos da Cunha Lopes Virmond, Derek Kyte, Noemi Garcia de Almeida Galan, Renata Bilion Ruiz Prado, Vidya Shyam-Sundar
OBJECTIVE: To explore the impact of race on the quality of healthcare received by patients attending a primary care centre in Brazil. DESIGN: This was a qualitative study consisting of 19 semi-structured interviews conducted on patients from six racial groups (as defined in Brazil as white, yellow, brown, black and indigenous and one self-identified 'other' group). The interviews were analysed using thematic analysis. RESULTS: Four main themes were identified during analysis; factors affecting the access to healthcare, experiences regarding quality of healthcare, discrimination in healthcare and deep-rooted societal discrimination, which were categorised into a number of sub-themes...
January 24, 2018: Ethnicity & Health
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