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Brazil's health care

João Mauricio Castaldelli-Maia, Nilson R da Silva, Marta Rd Campos, Helena F Moura, Gustavo Zabert, Beatriz M Champagne, Katherine E Kemper, J Taylor Hays
BACKGROUND: The prevalence of smoking among mental health and addiction (MHA) patients is 3 times higher than it is in the general population, yet this patient population has received little help to combat smoking. Considering this, psychosocial care centers (CAPS - Centros de Atenção Psicossocial) are strategic locations for integrating tobacco dependence treatment (TDT) into existing treatment activities. METHODS: Our team provided an 8-hour training package to the staff of CAPS that have not been providing specialized TDT for smokers...
September 1, 2017: International Journal of Social Psychiatry
Pollyanna Fernandes Patriota, Andrea Rocha Filgueiras, Viviane Belucci Pires de Almeida, Guilherme Aparecido Costa Alexmovitz, Carlos Eduardo da Silva, Vivian Fortuna Feres de Carvalho, Natália Carvalho, Maria Paula de Albuquerque, Semiramis Martins Alvares Domene, Wagner Luiz do Prado, Gustavo Enrique Salazar Torres, Ana Paula Reis de Oliveira, Ricardo Sesso, Ana Lydia Sawaya
BACKGROUND: Excess of weight is a serious public health concern in almost all countries, afflicting people of different ages and socioeconomic backgrounds. Studies have indicated the need for developing treatment strategies that intervene directly in the obesogenic environment. This study aims to evaluate the effectiveness of a multi-component and environmental school-based intervention, lasting 16 months, on the recovery of the nutritional status of low-income children and adolescents with overweight/ obesity...
September 15, 2017: BMC Public Health
Cissa Azevedo, Juliana Dias Reis Pessalacia, Luciana Regina Ferreira da Mata, Elma Lourdes Campos Pavone Zoboli, Maria da Graça Pereira
OBJECTIVE: Analyzing the relationship between social support, quality of life and depression in patients eligible for palliative care at Primary Health Care of a municipality in the interior of Minas Gerais, Brazil. METHOD: A correlational cross-sectional study carried out with patients treated in six primary health care units. Data were submitted to descriptive statistical analysis, tests for differences between averages and medians, and correlation tests. The significance level was 0...
August 28, 2017: Revista da Escola de Enfermagem da U S P
Zilanda Martins de Almeida, Alberto Novaes Ramos, Marcos Túlio Raposo, Francisco Rogerlândio Martins-Melo, Cidia Vasconcellos
Leprosy is a hyperendemic chronic condition in the Rondônia State . Despite the significant impact of oral health on the quality of life and clinical evolution of leprosy patients, systematic evaluation of oral health status has been neglected. To analyze the dental-clinical profile, self-perceived oral health and dental health service access of leprosy cases in the municipality of Cacoal in Rondônia State , North Brazil, from 2001 to 2012. A descriptive, cross-sectional study design was performed based on dental evaluation and standardized structured instruments...
August 24, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Carlos F Pavletic, Edmundo Larrieu, Eduardo A Guarnera, Natalia Casas, Pilar Irabedra, Ciro Ferreira, Julio Sayes, Cesar M Gavidia, Eduardo Caldas, Michael Laurence Zini Lise, Melody Maxwell, Marcos Arezo, Ana Maria Navarro, Marco A N Vigilato, Ottorino Cosivi, Marcos Espinal, Victor J Del Rio Vilas
Cystic echinococcosis (CE) or hydatidosis, a parasitic zoonosis caused by a cestode of the family Taeniidae, species Echinococcus granulosus, is endemic in Argentina, Chile, Peru, Uruguay, and southern Brazil. This report presents CE figures for these five countries in 2009 - 2014 and proposes indicators to measure national control programs. Nearly 5 000 new CE cases were diagnosed annually in the five countries during the study period. The average case fatality rate was 2.9%, which suggests that CE led to approximately 880 deaths in these countries during the 6-year period...
August 21, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
Helena T G Martins, Nathalie V Balmant, Neimar de Paula Silva, Marceli de O Santos, Rejane de S Reis, Beatriz de Camargo
OBJECTIVE: Approximately 6% of all cancers arise in adolescents and young adults. Currently, the ward type best placed to treat this patient group remains controversial. The aim of this study was to evaluate exactly where adolescents and young adults with cancer are treated in Brazil. METHODS: Data were extracted from 271 Brazilian hospital-based cancer registries (2007-2011), including all five national regions (North, Northeast, Midwest, South, and Southeast)...
September 6, 2017: Jornal de Pediatria
Everton Cazzo, Helena Paes de Almeida de Saito, José Carlos Pareja, Elinton Adami Chaim, Francisco Callejas-Neto, João de Souza Coelho-Neto
BACKGROUND: Occurrences of mesenchymal tumors have been more recognized in recent years, and the incidental diagnosis of these lesions during bariatric surgery has been previously reported. OBJECTIVE: To describe the cases of incidentally diagnosed mesenchymal tumors during consecutive bariatric surgeries. SETTING: Private health-providing service, Brazil. METHODS: A retrospective population-based study, which enrolled individuals who consecutively underwent Roux-en-Y gastric bypass at a single center from January 2006 through July 2016...
July 29, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Emílio P da Fonseca, Antonio C Frias, Fábio L Mialhe, Antonio C Pereira, Marcelo de C Meneghim
OBJECTIVES: We investigated the factors associated with no dental visit within the last two years by adolescents in the state of São Paulo, Brazil, by using data from the Oral Health Conditions of São Paulo state population Project (SBSP-2015) conducted in 2015. METHODS: This was a cross-sectional epidemiological study with a representative sample of adolescents aged 15 to higher years residing in São Paulo State. The examiners were calibrated and dental visits were measured categorically as 1- Less than 1 year, 2- One to two years, 3 - Three years or more, 4- I have never visited the dentist...
2017: PloS One
Marina Tripodi, Maria Anna Siano, Claudia Mandato, Anna Giulia Elena De Anseris, Paolo Quitadamo, Salvatore Guercio Nuzio, Claudia Viggiano, Francesco Fasolino, Annalisa Bellopede, Maria Annunziata, Grazia Massa, Francesco Maria Pepe, Maria De Chiara, Paolo Siani, Pietro Vajro
BACKGROUND: The term "humanization" indicates the process by which people try to make something more human and civilized, more in line with what is believed to be the human nature. The humanization of care is an important and not yet a well-defined issue which includes a wide range of aspects related to the approach to the patient and care modalities. In pediatrics, the humanization concept is even vaguer due to the dual involvement of both the child and his/her family and by the existence of multiple proposed models...
August 30, 2017: Italian Journal of Pediatrics
Marta Inês Cazentini Medeiros, Samanta Cristine Grassi Almeida, Maria Luiza Leopoldo Silva Guerra, Paulo da Silva, Ana Maria Machado Carneiro, Denise de Andrade
BACKGROUND: Infections caused by Streptococcus pneumoniae (Spn) still challenge health systems around the world, even with advances in vaccination programs. The present study evaluated the frequency of various Spn serotypes isolated in Regional Health Care Network 13 (RRAS 13), which includes the regional health departments (RHDs) of Araraquara, Barretos, Franca and Ribeirão Preto, especially after the introduction of 10-valent pneumococcal conjugate vaccine (PCV10) in 2010. METHODS: The analyzed Spn strains were isolated from patients with invasive pneumococcal diseases (IPDs) and then sent to Adolfo Lutz Institute (ALI) for further confirmative identification tests during the period from 1998 to 2013...
August 25, 2017: BMC Infectious Diseases
Tatyana Souza Rosendo, Angelo Giuseppe Roncalli, George Dantas de Azevedo
Purpose To identify the prevalence of maternal morbidity and its socioeconomic, demographic and health care associated factors in a city in Northeastern Brazil. Methods A cross-sectional and population-based study was conducted, with a design based on multi-stage complex sampling. A validated questionnaire was applied to 848 women aged between 15 and 49 years identified in 8,227 households from 60 census tracts of Natal, the capital of the state of Rio Grande do Norte (RN), Brazil. The main outcome measure was maternal morbidity...
August 23, 2017: Revista Brasileira de Ginecologia e Obstetrícia
Juvenal Soares Dias da Costa, Ana Maria Ferreira Borges Teixeira, Mauricio Moraes, Eliane Schneider Strauch, Denise Silva da Silveira, Maria Laura Vidal Carret, Everton Fantinel
Objective: To verify the hospitalization trend for primary care sensitive-conditions in Pelotas, Rio Grande do Sul, Brazil from 1998 to 2012. Methods: An ecological study compared hospitalizations rates of the city of Pelotas with the rest of state of Rio Grande do Sul. Analysis was conducted using direct standardization of rates, coefficients were stratified by sex and the Poisson regression was used. Results: Hospitalizations for sensitive conditions decreased in Pelotas and Rio Grande do Sul...
April 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Raqueli Altamiranda Bittencourt, Marysabel Pinto Telis Silveira, Marília Cruz Guttier, Fernanda Fernandes Miranda, Andréa Dâmaso Bertoldi
Introduction: Well-planned and executed pharmaceutical services (PS) are important for proper treatment of the population's health needs, thus enabling the access to essential drugs and promoting their rational use. Objective: To assess the situation of PS in the city of Uruguaiana (State of Rio Grande do Sul), Brazil. Methods: This cross-sectional study was applied to 650 interviews between June and September of 2013 in 11 Basic Health Units (UBS) and in the Main Pharmacy of the city...
April 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Luiz Bernardo Leonelli, Solange Andreoni, Patricia Martins, Elisa Harumi Kozasa, Vera Lúcia de Salvo, Daniela Sopezki, Jesus Montero-Marin, Javier Garcia-Campayo, Marcelo Marcos Piva Demarzo
Objective: To evaluate the perceived stress (PS) of professionals in Primary Health Care and its association with the characteristics of the teams in the Family Health Program (FHP). The association between PS and self-referred morbidity was also investigated. Methods: This is a cross-sectional study conducted with 450 employees from 60 teams in 12 Basic Health Units (BHUs) in a region of São Paulo. The differences in the total score in the Perceived Stress Scale were evaluated through multiple linear regression models...
April 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Luciane Prado Kantorski, Vanda Maria da Rosa Jardim, Carlos Alberto Dos Santos Treichel, Daiane Aquino Demarco, Aline Dos Santos Neutzling, Michele Mandagará de Oliveira, Valéria Cristina Chirstello Coimbra
Objective: This study aims to assess the satisfaction of family members of patients of mental health community services through a tested, validated and previously applied scale in order to allow comparison of results. Methods: The results were obtained by applying the scale SATIS-BR to 1242 relatives of patients of 40 mental health community services in Brazil. The average scores of the three subscales of the SATIS-BR scale were compared using the Wilcoxon test...
April 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Rodolpho Telarolli, Leonor Castro Monteiro Loffredo, Rosangela Maria Gasparetto
CONTEXT AND OBJECTIVE: In the twenty-first century, tuberculosis remains a serious public health problem in Brazil. The aim here was to characterize tuberculosis in a municipality with a high human development index (HDI), based on clinical and epidemiological variables. DESIGN AND SETTING: Epidemiological study with analysis of incidence that included 533 new cases of tuberculosis in the municipality of Araraquara, São Paulo, reported to the Brazilian Notifiable Diseases Information System (SINAN) between 2002 and 2011...
August 21, 2017: São Paulo Medical Journal, Revista Paulista de Medicina
Claudia Leite de Moraes, Aline Gaudard E Silva de Oliveira, Michael Eduardo Reichenheim, Silvana Granado Nogueira da Gama, Maria do Carmo Leal
The aim of the study was to estimate the prevalence of physical intimate partner violence in the first six months after childbirth among women attending primary care clinics (UBS) for the infant's follow-up in Rio de Janeiro, Brazil. This is the first study on the theme using a representative sample of primary care clinics in the city of Rio de Janeiro. The study used a cross-sectional design from June to September 2007 and included 927 mothers/infants seen at 27 UBS, selected by complex sampling, geographically representative of the city...
August 21, 2017: Cadernos de Saúde Pública
Sabado Nicolau Girardi, Cristiana Leite Carvalho, Lucas Wan Der Maas, Jackson Freire Araujo, Alice Werneck Massote, Ana Cristina de Sousa van Stralen, Osmar Ambrósio de Souza
This article presents the results of a discrete choice experiment (DCE) conducted in 2012 with 277 final-year medical students from Minas Gerais State, Brazil. The experiment tested students' preferences concerning future work as physicians in primary health care, based on hypothetical job scenarios aimed at measuring the likelihood of placement in areas with a shortage of doctors. Application of DCE involved (i) a qualitative stage to define the attributes and their respective levels to comprise the job scenarios, (ii) construction and application of the instrument, and (iii) analysis with application of multinomial logit with conditional probability to estimate the weight of attributes and to construct scenarios for choice probability...
August 21, 2017: Cadernos de Saúde Pública
Ana Cristina Ostermann, Minéia Frezza, Rafael Machado Rosa
Communicating diagnostic news in health contexts is a potentially difficult event for all parties involved. However, despite this task's presence in the physician-patient context, it is rarely addressed during clinical training. The current study thus aimed to describe and evaluate how difficult news can be toned down during genetic counseling sessions involving cases of fetal syndromes and/or malformations. The study analyzed 33 naturalistic interactions (i.e. real situations), taped and transcribed, according to the theoretical and methodological perspective of Conversation Analysis, with an ethnomethodological basis...
August 21, 2017: Cadernos de Saúde Pública
Aylene Bousquat, Ligia Giovanella, Marcia Cristina Rodrigues Fausto, Edgard Rodrigues Fusaro, Maria Helena Magalhães de Mendonça, Juliana Gagno, Ana Luiza d'Ávila Viana
The structural typology of Brazil's 38,812 primary healthcare units (UBS) was elaborated on the basis of the results from a survey in cycle 1 of the National Program for Improvement in Access and Quality of Primary Care. Type of team, range of professionals, shifts open to the public, available services, and installations and inputs were the sub-dimensions used. For each sub-dimension, a reference standard was defined and a standardized score was calculated, with 1 as the best. The final score was calculated by factor analysis...
August 21, 2017: Cadernos de Saúde Pública
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