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https://www.readbyqxmd.com/read/27918889/hospitalization-rates-length-of-stay-and-in-hospital-mortality-in-a-cohort-of-hiv-infected-patients-from-rio-de-janeiro-brazil
#1
Lara E Coelho, Sayonara R Ribeiro, Valdilea G Veloso, Beatriz Grinsztejn, Paula M Luz
In this study, we evaluated trends in hospitalization rates, length of stay and in-hospital mortality in a cohort of HIV-infected patients in Rio de Janeiro, Brazil, from 2007 through 2013. Among the 3991 included patients, 1861 hospitalizations occurred (hospitalization rate of 10.44/100 person-years, 95% confidence interval 9.98-10.93/100 person-years). Hospitalization rates decreased annually (per year incidence rate ratio 0.92, 95% confidence interval 0.89-0.95) as well as length of stay (median of 15 days in 2007 vs...
December 2, 2016: Brazilian Journal of Infectious Diseases
https://www.readbyqxmd.com/read/27907933/evaluation-of-pregnant-and-postpartum-women-s-knowledge-about-toxoplasmosis-in-rio-grande-rs-brazil
#2
Lis Maurente Lehmann, Paula Costa Santos, Carlos James Scaini
Introduction Toxoplasmosis a parasitic zoonosis of global distribution, responsible for disorders during gestation can cause fetal death or congenital anomalies. Objective To evaluate the knowledge of toxoplasmosis among pregnant and postpartum women treated at the University Hospital of the city of Rio Grande, Rio Grande do Sul, Brazil. Methods This was a cross-sectional study of 100 pregnant and postpartum women at the University Hospital. Participants answered a self-administered questionnaire and gave consent for data relating to serological examinations to be abstracted from their medical records...
December 1, 2016: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/27905980/temporal-evolution-of-the-risk-factors-associated-with-low-birth-weight-rates-in-brazilian-capitals-1996-2011
#3
Viviane Costa de Souza Buriol, Vânia Hirakata, Marcelo Zubaran Goldani, Clécio Homrich da Silva
OBJECTIVE: To analyze the trend of low birth weight (LBW) and its determinants in Brazilian state capitals between 1996 and 2011. We intended to determine which variables are associated with LBW during the period studied. METHODS: This is a cross-sectional study that used data from the National Information System of Live Births from 26 state capitals and Brasilia (the federal capital), divided into five geographical regions. The Average Annual Percentage of Change (AAPC) was used to assess the possible time trend in the low birth weight rates for considering all regions together and each region separately, according to each variable, and the Poisson regression was calculated in order to demonstrate time trends in low birth weight and the impact of variables (age and educational maternal level, antenatal visits, type of delivery, and gestational age) during the period...
May 3, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27899954/phosphoethanolamine-and-the-danger-of-unproven-drugs
#4
Noam Pondé, Evandro de Azambuja, Felipe Ades
The use of unproven forms of therapy in cancer treatment is very common. In Brazil, the distribution by researchers to patients of an investigational agent called phophoethanolamine (PHOS) has led to a widely publicized scientific scandal. PHOS is a precursor to components of the cell membrane, with some published pre-clinical studies suggesting cytotoxic activity in cancer cells. The willingness of courts and of legislators to guarantee access to PHOS in spite of the lack of any clinical data and against the recommendations of scientific and medical organisations underscores the risks that unproven agents pose to regulatory authorities, health care systems and patients, and bears resemblance to other cases such as the controversy surrounding the approval of zidovudine for AIDS treatment by the FDA...
2016: Ecancermedicalscience
https://www.readbyqxmd.com/read/27899227/challenges-to-estimating-vaccine-impact-using-hospitalization-data
#5
Cynthia Schuck-Paim, Robert J Taylor, Lone Simonsen, Roger Lustig, Esra Kürüm, Christian A W Bruhn, Daniel M Weinberger
Because the real-world impact of new vaccines cannot be known before they are implemented in national programs, post-implementation studies at the population level are critical. Studies based on analysis of hospitalization rates of vaccine-preventable outcomes are typically used for this purpose. However, estimates of vaccine impact based on hospitalization data are particularly prone to confounding, as hospitalization rates are tightly linked to changes in the quality, access and use of the healthcare system, which often occur simultaneously with introduction of new vaccines...
November 26, 2016: Vaccine
https://www.readbyqxmd.com/read/27892990/zika-virus-what-the-otolaryngologist-should-know-a-review
#6
Demetri Arnaoutakis, Tapan Padhya
Importance: Initially discovered in 1947, Zika virus infection received little notoriety as a tropical disease until 2015 when an outbreak of microcephaly cases was reported in Brazil. Zika is a single-stranded RNA arbovirus of the Flaviviridae family. The primary source of infection in humans stems from Aedes aegypti mosquito bites but can also occur through sexual, blood, and perinatal transmission. With expectations that 3 to 4 million people across the Americas will be infected over the next year, the World Health Organization has declared this event a Public Health Emergency of International Concern...
November 17, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27892616/a-policy-analysis-of-teamwork-as-a-proposal-for-healthcare-humanization-implications-for-nursing
#7
R N da Silva, F D da S de Freitas, F P de Araújo, M de A Ferreira
AIM: To analyse the implications of the political devices of the Brazilian National Humanization Policy, Singular Therapeutic Project and Reference Team and Matrix Support, for nursing as a professional discipline. BACKGROUND: The Brazilian Unified Health System, SUS-Brazil, has as its principles regarding health care: universal access at all levels of care; equality and non-discrimination; integrality; community participation; and political and administrative decentralization, regionalization, and hierarchization...
December 2016: International Nursing Review
https://www.readbyqxmd.com/read/27890024/end-of-life-experiences-and-deathbed-phenomena-as-reported-by-brazilian-healthcare-professionals-in-different-healthcare-settings
#8
Claudia Soares Dos Santos, Bianca Sakamoto Ribeiro Paiva, Alessandra Lamas Granero Lucchetti, Carlos Eduardo Paiva, Peter Fenwick, Giancarlo Lucchetti
OBJECTIVE: The objectives of the present study were to describe and compare the characteristics and reports of end-of-life experiences (ELEs) by healthcare professionals at different institutions and to investigate the influence of religious beliefs on these reports. METHOD: A multicenter study was carried out in Brazil that included six nursing homes (NHs), a cancer hospital (ONC), and a palliative care (PC) unit. Sociodemographic data, ELE reports (Fenwick's questionnaire), religiosity (the Duke Religion Index), spirituality (the Spirituality Self-Rating Scale), and mental health (the DASS-21 questionnaire) were assessed...
November 28, 2016: Palliative & Supportive Care
https://www.readbyqxmd.com/read/27881360/an-observational-registry-of-carotid-endarterectomy-and-carotid-artery-stenting-in-brazil-study-protocol
#9
Edwaldo Edner Joviliano, Winston Bonetti Yoshida, Marcone Lima Sobreira, Regina Moura, Ana Terezinha Guillaumon, Selma Regina De Oliveira Raymundo, Daniel Gustavo Miquelin, Ludvig Hafner, Marcelo Jose Almeida
BACKGROUND: Carotid artery stenting (CAS) and carotid endarterectomy (CEA) are alternative strategies for stroke prevention in patients with atherosclerotic carotid disease. CEA has been considered the first-line treatment for carotid stenosis worldwide, and the safety and efficacy of CAS compared to CEA remains in question. OBJECTIVE: The purpose of this study is to compare the practice and outcomes of CAS and CEA in a real-world setting within public university hospitals in Brazil...
November 23, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27878220/diagnosis-of-compliance-of-health-care-product-processing-in-primary-health-care
#10
Camila Eugenia Roseira, Darlyani Mariano da Silva, Isis Pienta Batista Dias Passos, Fabiana Souza Orlandi, Maria Clara Padoveze, Rosely Moralez de Figueiredo
Objective: identify the compliance of health care product processing in Primary Health Care and assess possible differences in the compliance among the services characterized as Primary Health Care Service and Family Health Service. Method: quantitative, observational, descriptive and inferential study with the application of structure, process and outcome indicators of the health care product processing at ten services in an interior city of the State of São Paulo - Brazil...
November 21, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27873299/using-the-manchester-triage-system-for-refusing-nonurgent-patients-in-the-emergency-department-a-30-day-outcome-study
#11
Roger Daglius Dias, Izabel Cristina Rios, Carlos Luis Benites Canhada, Maria Dolores Galinanes Otero Fernandes, Leila Suemi Harima Letaif, Eloisa Bonfá, Maria Beatriz Moliterno Perondi
OBJECTIVE: To evaluate the long-term outcomes and satisfaction of nonurgent patients who seek care in the emergency department (ED) and are diverted to primary health services (PHS). METHODS: Data were collected from 264 nonurgent patients diverted from the ED of a tertiary public university hospital in São Paulo, Brazil. The nonurgent patient definition was performed by Manchester triage system version II (MTS-II) associated to medical interview in the triage service...
September 2016: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/27869976/-characterization-of-the-physical-environment-and-practice-of-physical-activities-in-primary-health-care-units-in-guarapuava-paran%C3%A3-state-brazil-2011-2012
#12
Marcos Roberto Queiroga, Sandra Aires Ferreira, Marina David Boneti, Marcus Peikriszwili Tartaruga, Silvano da Silva Coutinho, Timothy Gustavo Cavazzoto
OBJECTIVE: to characterize the physical environment and physical activity (PA) in Primary Health Care Units (PHU) in the urban area of Guarapuava-PR, Brazil, 2011-2012. METHODS: this is a descriptive study in which the coordinators of the municipality's 27 PHUs were interviewed about violence, crime and physical space and safety conditions for PAs inside and outside the PHUs; the streets surrounding the area were visited to evaluate environmental factors categorized as favorable or unfavorable to PA deployment and practice...
October 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27869975/-oral-health-knowledge-and-practices-among-pregnant-women-using-health-services-in-s%C3%A3-o-lu%C3%A3-s-maranh%C3%A3-o-brazil-2007-2008
#13
Fernanda Ferreira Lopes, Tafnes Valverde Ribeiro, Daniela Braga Fernandes, Nayra Rodrigues de Vasconcelos Calixto, Cláudia Maria Coêlho Alves, Antônio Luiz Amaral Pereira, Adriana de Fátima Vasconcelos Pereira
OBJECTIVE: to describe characteristics of oral health care during prenatal check-ups and knowledge about oral health among pregnant women using public and private health services in São Luís, Maranhão, Brazil. METHODS: this is a descriptive study of 300 women interviewed in public health services and a further 300 interviewed in private health services between August 2007 and July 2008. RESULTS: tooth brushing frequency was similar among users of public and private services (p=0...
October 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27869957/mental-disorders-record-on-the-brazilian-primary-health-care-information-system-2014
#14
Maximiliano Loiola Ponte de Souza
OBJECTIVE: to describe the occurrence of the recording of mental disorders (MD) in primary health care (PHC) services in Brazilian municipalities and to analyze associated factors. METHODS: an ecological study was conducted using PHC Information System secondary data for the year 2014; the magnitude of the occurrence of MD recording was assessed through indicators developed for this purpose; bivariate analysis was used. RESULTS: 15,216 MD cases were recorded in 42 (0...
April 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27869955/progress-with-the-strategic-action-plan-for-tackling-chronic-non-communicable-diseases-in-brazil-2011-2015
#15
Deborah Carvalho Malta, Taís Porto Oliveira, Maria Aline Siqueira Santos, Silvânia Suely Caribé de Araújo Andrade, Marta Maria Alves da Silva
OBJECTIVE: to describe the actions undertaken by the Strategic Action Plan for Tackling Chronic Non-Communicable Diseases (NCDs) in Brazil, from 2011 to 2015. METHODS: the actions were identified through sectorial and interministerial meetings, annual forums, as well as document reviews of publications and laws on government websites. RESULTS: the actions found were: national surveys and monitoring of mortality and risk factor reduction targets; encouragement of physical activity, adequate nutrition and health promotion through the creation of the Health Gym Program (Programa Academia da Saúde); the publication of legislation on tobacco-free environments; free of charge drugs for hypertension, diabetes, and asthma; organization of the emergency service network for cardiovascular diseases; and expanding access to diagnosis and treatment of cancer patients...
April 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27869954/-reporting-of-work-related-mental-disorders-among-workers-in-bahia-a-descriptive-study-2007-2012
#16
Técia Maria Santos Carneiro E Cordeiro, Amália Ivine Santana Mattos, Mariana de Castro Brandão Cardoso, Kionna Oliveira Bernardes Santos, Tânia Maria de Araújo
OBJECTIVE: to describe characteristics of work-related mental disorder (WRMD) cases in the State of Bahia, Brazil, 2007-2012. METHODS: this was a descriptive study using Bahia Surveillance and Health Protection Superintendents Office data kept on the Notifiable Diseases Information System (Sinan). RESULTS: 211 cases of WRMD were reported, 97.0% in the Worker's Health Reference Centers (CEREST), with more reported cases in 2011 (n=63; 29.9%); slightly more than half the cases were found among men (n=108; 51...
April 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27869945/-assessment-of-the-adequacy-of-prenatal-care-according-to-family-income-in-aracaju-sergipe-state-brazil-2011
#17
Renata Alves da Silva Carvalho, Victor Santana Santos, Cláudia Moura de Melo, Ricardo Queiroz Gurgel, Cristiane Costa da Cunha Oliveira
OBJECTIVE: to assess the adequacy of prenatal care offered to pregnant health service users in Aracaju, Sergipe State, Brazil, according to family income. METHODS: this was a cross-sectional study with 322 women living in the city of Aracaju whose children were born in November and December 2011; data were collected using questionnaires, including number of consultations, technical and laboratory procedures recommended by the Brazilian Ministry of Health (MoH); adequacy of prenatal care was assessed according to MoH criteria; chi-square test was used to compare proportions between categorical variables...
April 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27869944/evaluation-of-drug-prescription-quality-indicators-in-a-primary-health-care-facility-with-different-models-of-health-care
#18
Daniela Oliveira de Melo, Sílvia Regina Ansaldi da Silva, Lia Lusitana Cardozo de Castro
OBJECTIVE: to describe drug prescription indicators in a primary health care facility with different models of health care. METHODS: this was a descriptive study using secondary data of prescriptions with regard to quality indicators in a health facility that has three health care models: Outpatient Medical Care (OMC), Primary Health Care Unit (PHU) and Family Health Strategy (FHS) in Vila Nova Jaguaré OMC/PHU in São Paulo-SP, Brazil, from July to October 2011...
April 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27869937/factors-associated-to-toxoplasmosis-related-knowledge-among-pregnant-women-attending-public-health-services-in-the-municipality-of-niter%C3%A3-i-rio-de-janeiro-brazil-2013-2015
#19
Fernanda Loureiro de Moura, Patrícia Riddell Millar Goulart, Ana Paula Pereira de Moura, Thais Silva de Souza, Ana Beatriz Monteiro Fonseca, Maria Regina Reis Amendoeira
OBJECTIVE: to analyze the factors associated to toxoplasmosis-related knowledge among pregnant women attending public health services in the municipality of Niterói, Rio de Janeiro, Brazil. METHODS: this is a cross-sectional study conducted with pregnant women assisted in eight health care units; data was collected using a standardized questionnaire, from April 2013 to February 2015. RESULTS: among the 405 pregnant women interviewed, 173 (42...
July 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27869931/-descriptive-study-of-the-profiles-of-victims-of-firearm-projectile-injuries-and-healthcare-costs-in-a-hospital-in-the-viva-sentinela-network
#20
Paulo Roberto Maciel, Marta Rovery de Souza, Claci Fátima Weirich Rosso
OBJECTIVE: to describe the profile of victims with injuries caused by firearm projectiles and the cost of treatment at a referral hospital in Midwestern Brazil belonging to the Viva Sentinela Network. METHODS: a descriptive study with convenience samplie was conducted from January to March 2013; data sources were interviews, patients' medical records, and the hospital statistics department. RESULTS: the 150 victims who participated were predominantly male (94...
July 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
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