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https://www.readbyqxmd.com/read/28227725/gistelemed-an-online-based-gis-approach-to-epidemiological-analysis-in-telemedicine-systems
#1
Andrei de Souza Inacio, Alexandre Savaris, Joao Marcus Alves, Aldo von Wangenheim, Andrei de Souza Inacio, Alexandre Savaris, Joao Marcus Alves, Aldo von Wangenheim, Andrei De Souza Inacio, Joao Marcus Alves, Aldo Von Wangenheim, Alexandre Savaris
Large-scale telemedicine systems provide extensive amounts of data that can be used to gather epidemiological information. Epidemiologists have been using GIS systems for the easy and quick visualization of data and to perform georeferenced epidemiological analysis. This paper presents GISTelemed, a georeferenced epidemiological analysis tool developed as part of the Santa Catarina State Integrated Telemedicine and Telehealth System (STT/SC), a statewide telemedicine infrastructure in Brazil. The GISTelemed module offers an architecture supporting real-time recovery, information visualization and epidemiological analysis from structured and semi-structured data...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226022/-csapaih-a-function-to-classify-ambulatory-care-sensitive-conditions-in-the-statistical-software-r
#2
Fúlvio Borges Nedel
Hospitalizations due to ambulatory care sensitive conditions (ACSC) are an indirect indicator of primary health care. A package in the R program was developed in order to automatize the classification of codes of the International Statistical Classification of Diseases and Related Health Problems - 10th Revision (ICD-10), according to the Brazilian list of ACSC, and provide functionalities for the management of the "reduced files" of the inpatient hospital authorization (AIH). The csapAIH package contains a homonym function, which reads the data according to its nature (file or data frame with AIH structure, or a factor with ICD-10 codes) and returns, according to defined options, a databank or vector containing the classification for the hospitalization...
January 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28226017/-evaluation-of-psychosocial-care-centers-structure-in-the-region-of-m%C3%A3-dio-paraopeba-minas-gerais-brazil
#3
Sarah Nascimento Silva, Marina Guimarães Lima
OBJECTIVE: to evaluate the physical facilities, human resources and activities developed in the Psychosocial Care Centers (CAPS) in the region of Médio Paraopeba, Minas Gerais, Brazil, in 2014. METHODS: this is an evaluation study of the dimensions of structure and processes proposed by Donabedian, based on recommendations of the Ministry of Health and current laws; semi-structured forms were used to interview health managers; direct observation of mental health services was performed...
January 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28226016/-geographical-and-organizational-aspects-of-primary-health-care-services-in-detecting-tuberculosis-cases-in-pelotas-rio-grande-do-sul-brazil-2012
#4
Simone Pieren Dos Reis, Jenifer Harter, Lílian Moura de Lima, Dagoberta Alves Vieira, Pedro Fredemir Palha, Roxana Isabel Cardozo Gonzales
OBJECTIVE: to evaluate the geographical and organizational aspects of primary health care services in detecting tuberculosis cases in Pelotas-RS, Brazil. METHODS: this was a descriptive evaluation study involving 276 health professionals in 2012; data were collected using a structured questionnaire covering geographical and organizational aspects which received a score using a Likert scale of 1 to 5. RESULTS: average use of motorized transport by symptomatic respiratory patients having a cough for more than three weeks to get to a healthcare service was considered regular by respondents; although there was satisfactory availability of health professionals, human resource turnover and time-keeping were considered unsatisfactory; average time of more than 60 minutes waiting to see the doctor and average time spent with the doctor were considered regular...
January 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28226008/time-trends-in-hospitalizations-for-ambulatory-care-sensitive-conditions-among-children-under-five-years-old-in-cear%C3%A3-brazil-2000-2012
#5
Líllian de Queiroz Costa, Elzo Pereira Pinto, Marcelo Gurgel Carlos da Silva
OBJECTIVE: to analyze time trends and describe the causes of hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in children under five years old in Ceará, Brazil, 2000-2012. METHODS: this is an ecological time series study using data from the National Hospital Information System; trends were analyzed using Prais-Winsten regression. RESULTS: from 2000 and 2016 ACSC hospitalization rates fell from 32.5 to 11.2/1,000 inhabitants under five years old (annual variation of -16...
January 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28222793/corporate-social-responsibility-to-improve-access-to-medicines-the-case-of-brazil
#6
Halla Thorsteinsdóttir, Natasha Ovtcharenko, Jillian Clare Kohler
BACKGROUND: Access to medicines and the development of a strong national pharmaceutical industry are two longstanding pillars of health policy in Brazil. This is reflected in a clear emphasis by Brazil's Federal Government on improving access to medicine in national health plans and industrial policies aimed at promoting domestic pharmaceutical development. This research proposes that such policies may act as incentives for companies to pursue a strategic Corporate Social Responsibility (CSR) agenda...
February 21, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28220577/real-world-evaluation-of-the-smoking-cessation-services-in-the-rio-de-janeiro-municipality-brazil
#7
Letícia Casado, Luiz Claudio Santos Thuler
INTRODUCTION: In recent years, there has been a growing recommendation for process evaluation of the smoking cessation programmes in the world. This study sought to evaluate smoking cessation services, with special attention to the degree to which public health care facilities adhere to governmental standards of practice. METHODS: A cross-sectional study examined smoking cessation services by using a key-informant approach. All the services that delivered smoking cessation treatment in 2013 at the National Health System of the Rio de Janeiro municipality, Brazil, were included in the study...
February 21, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28207688/transmission-of-zika-virus-haiti-october-12-2015-september-10-2016
#8
Ito Journel, Lesly L Andrécy, Dudley Metellus, Jean S Pierre, Rose Murka Faublas, Stanley Juin, Amber M Dismer, David L Fitter, Daniel Neptune, Marie José Laraque, Salomon Corvil, Manise Pierre, Josiane Buteau, Donald Lafontant, Roopal Patel, Jean Frantz Lemoine, David W Lowrance, Macarthur Charles, Jacques Boncy, Paul Adrien
Zika virus disease is caused by infection with a flavivirus with broad geographic distribution and is most frequently transmitted by the bite of an infected mosquito. The disease was first identified in the World Health Organization's Region of the Americas in 2015 and was followed by a surge in reported cases of congenital microcephaly in Brazil; Zika virus disease rapidly spread to the rest of the region and the Caribbean (1), including Haiti. Infection with the virus is associated with adverse fetal outcomes (1) and rare neurologic complications in adults...
February 17, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28198963/validation-of-the-comply-with-post-exposure-management-among-health-care-workers-instrument-for-brazil
#9
Adriane Corrêa Jansen, Maria Helena Palucci Marziale, Cláudia Benedita Dos Santos, Rosana Aparecida Spadotti Dantas, Danielle Maria de Souza Serio Dos Santos
OBJECTIVE: To validate the Comply with post-exposure management among healthcare workersinstrument for Nursing in Brazil. METHOD: A methodological study carried out with 137 nursing professionals exposed to biological material. The existence of floor and ceiling effects was analyzed, evaluating reliability by the internal consistency of the items and test-retest reproducibility. The construct validity was analyzed by the multitrait-multi method analysis. RESULTS: Ceiling effects were found in two subscales...
November 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28198945/rehabilitation-of-children-and-adolescents-with-myelomeningocele-the-daily-life-of-mothers-caregiversrehabilitation-of-children-and-adolescents-with-myelomeningocele-the-daily-life-of-mothers-caregivers
#10
Giselle Lima de Freitas, Roseni Rosângela de Sena, Josana Cristina Faleiros E Silva, Fabiana Faleiros Santana Castro
Objective: To analyze the daily routine of mothers-caregivers of children and adolescents with myelomeningocele at home. Method: Descriptive, exploratory, qualitative research. Data were collected with 16 mothers of children and adolescents with myelomeningocele by means of interviews and observation from May to August 2015, in municipalities of Minas Gerais, Brazil. The data were submitted to qualitative analysis. Results: The daily care routine of the mothers at home revealed two empirical categories: a) the impact of the birth on naturalization of care, and (b) changes in the routine of the mothers and women...
February 9, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28188030/unveiling-of-hiv-dynamics-among-transgender-women-a-respondent-driven-sampling-study-in-rio-de-janeiro-brazil
#11
Beatriz Grinsztejn, Emilia M Jalil, Laylla Monteiro, Luciane Velasque, Ronaldo I Moreira, Ana Cristina F Garcia, Cristiane V Castro, Alícia Krüger, Paula M Luz, Albert Y Liu, Willi McFarland, Susan Buchbinder, Valdilea G Veloso, Erin C Wilson
BACKGROUND: The burden of HIV in transgender women (transwomen) in Brazil remains unknown. We aimed to estimate HIV prevalence among transwomen in Rio de Janeiro and to identify predictors of newly diagnosed HIV infections. METHODS: We recruited transwomen from Rio de Janeiro, Brazil, by respondent-driven sampling. Eligibility criteria were self-identification as transwomen, being 18 years of age or older, living in Rio de Janeiro or its metropolitan area, and having a valid peer recruitment coupon...
February 7, 2017: Lancet HIV
https://www.readbyqxmd.com/read/28182778/epidemiology-of-multimorbidity-within-the-brazilian-adult-general-population-evidence-from-the-2013-national-health-survey-pns-2013
#12
Magdalena Rzewuska, João Mazzoncini de Azevedo-Marques, Domenica Coxon, Maria Lúcia Zanetti, Ana Carolina Guidorizzi Zanetti, Laercio Joel Franco, Jair Lício Ferreira Santos
Middle-income countries are facing a growing challenge of adequate health care provision for people with multimorbidity. The objectives of this study were to explore the distribution of multimorbidity and to identify patterns of multimorbidity in the Brazilian general adult population. Data from 60202 adults, aged ≥18 years that completed the individual questionnaire of the National Health Survey 2013 (Portuguese: "Pesquisa Nacional de Saúde"-"PNS") was used. We defined multimorbidity as the presence of two or more chronic conditions, including self-reported diagnoses and responses to the 9-item Patient Health Questionnaire for depression...
2017: PloS One
https://www.readbyqxmd.com/read/28182156/how-do-demographic-transitions-and-public-health-policies-affect-patients-with-parkinson-s-disease-in-brazil
#13
REVIEW
Tânia M Bovolenta, Andre C Felicio
Brazil is currently experiencing a significant demographic transition characterized by a decrease in fertility rates and an exponential increase in the number of elderly citizens, which presents a special challenge for the health care professionals. More than other portions of the population, the elderly are most commonly affected by chronic diseases such as Parkinson's disease. Policymakers contend that Brazil is reasonably well-prepared regarding elderly health care, with policies that aim to ensure the quality of life and the well-being of this portion of the population...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28177056/social-representations-of-the-health-care-of-the-mby%C3%A3-guarani-indigenous-population-by-health-workers
#14
Mirian Benites Falkenberg, Helena Eri Shimizu, Ximena Pamela Díaz Bermudez
Objective: to analyze the social representations of health care of the Mbyá-Guarani ethnic group by multidisciplinary teams from the Special Indigenous Health District in the south coast of Rio Grande do Sul state (Distrito Sanitário Especial Indígena Litoral Sul do Rio Grande do Sul), Brazil. Method: a qualitative method based on the theory of social representations was used. Data were collected via semi-structured interviews with 20 health workers and by participant observation...
February 6, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28176946/lower-education-among-low-income-brazilian-adolescent-females-is-associated-with-planned-pregnancies
#15
Alexandre Faisal-Cury, Karen M Tabb, Guilherme Niciunovas, Carrie Cunningham, Paulo R Menezes, Hsiang Huang
Adolescent pregnancy has social, economic, and educational consequences and is also linked to adverse perinatal outcomes. However, studies show a positive relationship between pregnancy and increased social status among low-income adolescents. This study aims to assess the association between planned pregnancy and years of schooling among low-income Brazilian adolescents. This is a secondary analysis of a cohort study conducted from May 2005 to March 2007 in public primary care clinics in São Paulo, Brazil...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/28174371/determinants-of-demand-in-the-public-dental-emergency-service
#16
Maria Sa Matsumoto, Marcia An Gatti, Marta Hs de Conti, Sandra F de Ap Simeão, Solange de Oliveira Braga Franzolin, Sara N Marta
INTRODUCTION: Although dental emergencies are primarily aimed at pain relief, in practice, dental emergency services have been overwhelmed by the massive inflow of patients with less complex cases, which could be resolved at basic levels of health care. They frequently become the main gateway to the system. We investigated the determinant factors of demand at the Central Dental Emergency Unit in Bauru, São Paulo, Brazil. MATERIALS AND METHODS: The questionnaire was applied to 521 users to evaluate sociodemographic profile; factors that led users to seek the service at the central dental emergency; perception of service offered...
February 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28169041/treatment-of-postmenopausal-osteoporosis-a-literature-based-algorithm-for-use-in-the-public-health-care-system
#17
Ellen Luz Pereira Caires, Mailze Campos Bezerra, Ana Flávia Torquato de Araújo Junqueira, Sheila Márcia de Araújo Fontenele, Silvana Cristina de Albuquerque Andrade, Catarina Brasil d'Alva
Bisphosphonates are considered first-line agents in the treatment of postmenopausal osteoporosis based on extensive experience of use, safety, and proven efficacy in reducing vertebral, non-vertebral and femur fractures. However, post-marketing reports based on the treatment of millions of patients/year over lengthy periods of time have revealed the occurrence of initially unexpected adverse effects, such as osteonecrosis of the jaw and atypical femoral fracture, leading to the restriction of treatment duration with bisphosphonates by global regulatory agencies...
December 27, 2016: Revista Brasileira de Reumatologia
https://www.readbyqxmd.com/read/28164494/the-blood-bank-for-diabetes-screening-a-feasible-alternative
#18
Mauren I Anghebem-Oliveira, Claudia D Costa, Giorgio R Baldanzi, Juliane C Schmitt-Mansur, Geraldo Picheth, Fabiane G M Rego
BACKGROUND: Vascular complications of diabetes mellitus (DM) are associated with 5% of deaths globally every year. Early diagnosis and treatment could reduce this figure. The aim of this project was to investigate the frequency of undiagnosed DM among blood donors and the possibility of blood banks participating in DM screening. METHODS: Of the approximate 5,600 candidates for blood donation who were evaluated, 4,601 were considered suitable. Candidates with any type of DM, hypertension, thyroid disease, and/or continuous use of any drugs were excluded, resulting in the participation of 635 donors aged 18 - 69 years...
January 1, 2017: Clinical Laboratory
https://www.readbyqxmd.com/read/28153055/high-prevalence-of-skin-and-wound-care-of-hospitalized-elderly-in-brazil-a-prospective-observational-study
#19
Carleara Ferreira da Rosa Silva, Rosimere Ferreira Santana, Beatriz Guitton Renaud Baptista de Oliveira, Thalita Gomes do Carmo
BACKGROUND: Skin changes caused by aging increase the risk of skin damages, such as pressure ulcers, during hospitalization of elderly patients. There is few information about the cost of wound treatment in Brazil. Conversely, skin and wound problems are highly reported among hospitalized elderly patients and caregivers. The purpose is to analyze the socio-demographic and clinical profile associated with skin and wound care in hospitalized elderly. METHODS: This is a prospective observational study...
February 2, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28152664/self-rated-health-and-substance-use-among-individuals-in-hiv-care-in-rio-de-janeiro-brazil-a-cross-sectional-study
#20
Iona K Machado, Paula M Luz, Jordan E Lake, Rodolfo Castro, Luciane Velasque, Jesse L Clark, Valdilea G Veloso, Beatriz Grinsztejn, Raquel B De Boni
Self-rated health (SRH) is associated with morbidity and mortality in HIV-uninfected populations but is understudied in HIV. Substance use may affect SRH in addition to its deleterious effect on HIV disease. This analysis aimed to estimate SRH and substance use prevalence and evaluate factors associated with poor SRH among individuals in HIV care in Rio de Janeiro, Brazil. A convenience sample of HIV-infected adults completed one item of SRH, the Alcohol, Smoking and Substance Involvement Screening Test, and the Patient Health Questionnaire-2 (PHQ-2)...
January 1, 2017: International Journal of STD & AIDS
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