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https://www.readbyqxmd.com/read/29324945/health-advocacy-by-nurses-in-the-family-health-strategy-barriers-and-facilitators
#1
Aline Belletti Figueira, Edison Luiz Devos Barlem, Simone Coelho Amestoy, Rosemary Silva da Silveira, Jamila Geri Tomaschewski-Barlem, Aline Marcelino Ramos
OBJECTIVE: Identify the barriers and facilitators of health advocacy to users delivered by nurses from the Family Health Strategy. METHOD: Qualitative study carried out with nurses from the Family Health Strategy of a city in the south of Brazil. Study participants were 15 nurses, who were interviewed. The content of the interviews was recorded, transcribed and analyzed in the light of the discursive text analysis. RESULTS: Two categories emerged, one about the lack of organization at the workplace, bureaucracy and limitations to professional work in health environments, and another about the facilitating aspects to exercise advocacy both individually and collectively...
January 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29316689/annual-direct-medical-costs-of-diabetic-foot-disease-in-brazil-a-cost-of-illness-study
#2
Cristiana M Toscano, Tatiana H Sugita, Michelle Q M Rosa, Hermelinda C Pedrosa, Roger Dos S Rosa, Luciana R Bahia
The aim of this study was to estimate the annual costs for the treatment of diabetic foot disease (DFD) in Brazil. We conducted a cost-of-illness study of DFD in 2014, while considering the Brazilian Public Healthcare System (SUS) perspective. Direct medical costs of outpatient management and inpatient care were considered. For outpatient costs, a panel of experts was convened from which utilization of healthcare services for the management of DFD was obtained. When considering the range of syndromes included in the DFD spectrum, we developed four well-defined hypothetical DFD cases: (1) peripheral neuropathy without ulcer, (2) non-infected foot ulcer, (3) infected foot ulcer, and (4) clinical management of amputated patients...
January 8, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29306586/communication-skills-teaching-in-brazilian-medical-schools-what-lessons-can-be-learned
#3
Rafaela Liberali, Dennis Novack, Pamela Duke, Suely Grosseman
OBJECTIVE: To assess current practices in communication skills (CS) teaching in Brazilian medical schools (MS), looking for similarities and differences with other countries. METHODS: This study was performed with 162 out of the 237 accredited Brazilian MS (68.35%). The quantitative data were analyzed using descriptive statistics and qualitative data using content analysis. RESULTS: 104 MS (64.2%) reported formal CS training. CS were more commonly taught in the pre-clinical years, by physicians and psychologists...
December 28, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29304796/referral-gynecological-ambulatory-clinic-principal-diagnosis-and-distribution-in-health-services
#4
Adna Thaysa Marcial da Silva, Camila Lohmann Menezes, Edige Felipe de Sousa Santos, Paulo Francisco Ramos Margarido, José Maria Soares, Edmund Chada Baracat, Luiz Carlos de Abreu, Isabel Cristina Esposito Sorpreso
BACKGROUND: The association between gynecological diagnoses and their distribution in the health sectors provides benefits in the field of women's health promotion and in medical and interdisciplinary education, along with rationalization according to level of care complexity. Thus, the objective is analyze the clinical-demographic characteristics, main diagnoses in gynecological ambulatory care, and their distribution in health services. METHOD: This is a research project of retrospective audit study design with a chart review of data from 428 women treated at University Ambulatory Clinic of Women's Health, the facility in gynecology and training for Family and Community Medical Residents, São Paulo, Brazil, from 2012 to 2014...
January 5, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29289729/replacing-amalgam-with-a-high-viscosity-glass-ionomer-in-restoring-primary-teeth-a-cost-effectiveness-study-in-brasilia-brazil
#5
A Goldman, J E Frencken, R G De Amorim, S C Leal
OBJECTIVES: When planning primary oral health care services the cost implications of adopting new intervention practices are important, especially in resource-strapped countries. Although on a trajectory to be phased-out, amalgam remains the standard of care in many countries. METHODS: Adopting a government perspective, this study compared the costs of performing amalgam and ART/high-viscosity glass-ionomer cement (HVGIC) restorations and the consequences of failed restorations over 3 years in suburban Brasilia, Brazil...
December 28, 2017: Journal of Dentistry
https://www.readbyqxmd.com/read/29284400/medium-term-outcomes-of-78-808-patients-after-heart-valve-surgery-in-a-middle-income-country-a-nationwide-population-based-study
#6
Regina Maria de Aquino Xavier, Vitor Manuel Pereira Azevedo, Paulo Henrique Godoy, Arn Migowski, Antonio Luiz Pinho Ribeiro, Rogério Brant Martins Chaves, Marcelo Goulart Correia, Carolina de Aquino Xavier, Lucas de Aquino Hashimoto, Clara Weksler, Nelson Albuquerque Souza E Silva
BACKGROUND: Heart valve surgery outcomes are unknown in middle-income countries and thus cannot be used in health system decision making processes. This study estimated in-hospital mortality and medium and long-term survival. METHODS: This was a retrospective study of 78,806 patients who underwent heart valve surgery between 2001 and 2007 in Brazil. Two national databases were used, the Hospital Information System and the Mortality Information System. Kaplan-Meier survival analysis and log-rank tests were performed...
December 28, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29274950/knowledge-about-epilepsy-in-university-health-students-a-multicenter-study
#7
Priscila Souza, Leslie A Portes, Robert K Thomas, Jorge R Bonito, Marilia Rua, Fabio J Pacheco, Phillip Plaatjes, Natalia C Oliveira
Even with economic development and improvements in health care around the world, it is estimated that nowadays, 50 million people have epilepsy. It is one of the most prevalent neurological diseases, yet it is still surrounded by prejudice, stigma, lack of awareness, and wrong attitudes of the population towards the disease. The aim of this study was to evaluate and compare the knowledge about epilepsy in health students from different countries: Brazil, Argentina, Portugal, United States, and South Africa...
December 21, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29259931/bone-marrow-necrosis-and-fat-embolism-syndrome-a-dreadful-complication-of-hemoglobin-sickle-cell-disease
#8
Eduardo Pelegrineti Targueta, André Carramenha de Góes Hirano, Fernando Peixoto Ferraz de Campos, João Augusto Dos Santos Martines, Silvana Maria Lovisolo, Aloisio Felipe-Silva
Sickle cell disease encompasses a wide range of genotypic presentation with particular clinical features. The entity affects millions of people, particularly those whose ancestors came from sub-Saharan Africa and other countries in the Western Hemisphere, Saudi Arabia, and India. Currently, the high frequency of S and C genes reflects natural selection through the protection of heterozygotes against severe malaria, the high frequency of consanguineous marriages, improvement of some public health policies and the nutritional standards in the poorer countries where newborns are now living long enough to present for diagnosis and management...
October 2017: Autopsy & Case Reports
https://www.readbyqxmd.com/read/29258444/evaluation-of-a-field-deployable-reverse-transcription-insulated-isothermal-pcr-for-rapid-and-sensitive-on-site-detection-of-zika-virus
#9
Mariano Carossino, Yanqiu Li, Pei-Yu A Lee, Chuan-Fu Tsai, Pin-Hsing Chou, Dennis Williams, Ashley Skillman, R Frank Cook, Grayson Brown, Hsiao-Fen G Chang, Hwa-Tang T Wang, Udeni B R Balasuriya
BACKGROUND: The recent emergence of Zika virus (ZIKV) in Brazil and its precipitous expansion throughout the Americas has highlighted the urgent need for a rapid and reliable on-site diagnostic assay suitable for viral detection. Such point-of-need (PON), low-cost diagnostics are essential for ZIKV control in vulnerable areas with limited resources. METHODS: We developed and evaluated a ZIKV-specific field-deployable RT-iiPCR reagent set targeting the E gene for rapid detection of ZIKV in ZIKV-spiked human and mosquito specimens, and compared its performance to the Center for Disease Control and Prevention (CDC) and Pan American Health Organization (PAHO) RT-qPCR assays targeting the E and NS2B genes, respectively...
December 19, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29240727/health-and-development-at-age-19-24-months-of-19-children-who-were-born-with-microcephaly-and-laboratory-evidence-of-congenital-zika-virus-infection-during-the-2015-zika-virus-outbreak-brazil-2017
#10
Ashley Satterfield-Nash, Kim Kotzky, Jacob Allen, Jeanne Bertolli, Cynthia A Moore, Isabela Ornelas Pereira, André Pessoa, Flavio Melo, Ana Carolina Faria E Silva Santelli, Coleen A Boyle, Georgina Peacock
In November 2015, the Brazilian Ministry of Health (MOH) declared the Zika virus outbreak a public health emergency after an increase in microcephaly cases was reported in the northeast region of the country (1). During 2015-2016, 15 states in Brazil with laboratory-confirmed Zika virus transmission reported an increase in birth prevalence of microcephaly (2.8 cases per 10,000 live births), significantly exceeding prevalence in four states without confirmed transmission (0.6 per 10,000) (2). Although children with microcephaly and laboratory evidence of Zika virus infection have been described in early infancy (3), their subsequent health and development have not been well characterized, constraining planning for the care and support of these children and their families...
December 15, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29235427/dengue-hospitalisations-in-brazil-annual-wave-from-west-to-east-and-recent-increase-among-children
#11
J Wunderlich, R Acuña-Soto, W J Alonso
The number of dengue epidemics in Brazil has increased dramatically in the last 15 years. In this study, we analysed the seasonal patterns in the incidence of hospitalisations due to dengue across the different states of Brazil and compared these with the corresponding climatic patterns. We discovered that the seasonality of dengue hospitalisations in Brazil has a clear zonal gradient, characterised by the progression of primary peaks from West to East during the first half of the year, which may be associated with the increased vapour pressure and rainfall during this period, leading to increased mosquito abundance and activity...
December 13, 2017: Epidemiology and Infection
https://www.readbyqxmd.com/read/29225926/does-expanding-primary-healthcare-improve-hospital-efficiency-evidence-from-a-panel-analysis-of-avoidable-hospitalisations-in-5506-municipalities-in-brazil-2000-2014
#12
Everton Nunes da Silva, Timothy Powell-Jackson
Background: Hospitals account for the major share of health expenditure. Primary healthcare may improve efficiency at the hospital level by reducing avoidable admissions. We examined whether rapid expansion of primary healthcare in the context of Brazil's Family Health Strategy (FHS) was associated with a reduction in avoidable hospitalisations. Methods: We constructed panel data for 5506 municipalities over 2000-2014. Our primary outcome was the rate of avoidable hospitalisations, defined with reference to the official list of ambulatory care sensitive conditions (ACSC)...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29223962/evaluation-of-seven-rapid-tests-for-syphilis-available-in-brazil-using-defibrinated-plasma-panels
#13
Maria Luiza Bazzo, Leonardo Rapone da Motta, Renata Cristina Messores Rudolf-Oliveira, Alisson Bigolin, Lisléia Golfetto, Fábio Mesquita, Adele Schwartz Benzaken, Pamela Cristina Gaspar, Ana Flavia Nacif P Coelho Pires, Orlando da Costa Ferreira Júnior, Miriam Franchini
OBJECTIVES: In 2012, the WHO estimated that 6 million new cases of syphilis per year would occur worldwide, including 937 000 in Brazil. Early diagnosis and treatment of syphilis are essential to reduce morbidity and prevent transmission. The availability of rapid tests (RTs) for this diagnosis means that testing can be performed more quickly, as a point-of-care test, even in non-laboratory environments and requires only simple technical training to antibodies detection. The objective of this study was to evaluate the performance and operational aspects of seven commercially available RTs for syphilis in Brazil...
December 2017: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/29215153/the-role-of-municipal-public-policies-in-oral-health-socioeconomic-inequalities-in-brazil-a-multilevel-study
#14
Violeta Rodrigues Aguiar, Marcos Pascoal Pattussi, Roger Keller Celeste
OBJECTIVES: It is known that fluoridation has a contextual effect on oral health socioeconomic inequalities, but broad public policies have not been investigated. Thus, the aim of this study was to determine the effects of municipal public policies on oral health across different social strata. METHODS: This was a cross-sectional study with 7328 12-year-old children and 5445 15-19-year-old adolescents from 177 Brazilian municipalities. Information at municipal level was collated for dental services, educational services, sanitation and water fluoridation...
December 7, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/29211209/risk-and-protection-factors-for-self-reported-hypertension-and-diabetes-in-jo%C3%A3-o-pessoa-brazil-the-vigitel-survey-2014-a-cross-sectional-study
#15
Ana Paula Leite Moreira, Deborah Carvalho Malta, Rodrigo Pinheiro de Toledo Vianna, Patrícia Vasconcelos Leitão Moreira, Alice Teles de Carvalho
CONTEXT AND OBJECTIVE: Chronic diseases are the main cause of death among adults and are responsible for most outpatient and hospital care expenses in Brazil. The objective here was to determine the prevalence of hypertension and diabetes and to analyze the associations with risk and protection factors among adults. DESIGN AND LOCAL: Cross-sectional study in a state capital in northeastern Brazil. METHODS: Data on adults of both sexes aged ≥ 45 years who were interviewed in the Vigitel telephone survey in 2014 were analyzed...
September 2017: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/29211176/the-relationship-of-climate-variables-in-the-prevalence-of-acute-respiratory-infection-in-children-under-two-years-old-in-rondon%C3%A3-polis-mt-brazil
#16
Débora Aparecida da Silva Santos, Pedro Vieira de Azevedo, Ricardo Alves de Olinda, Carlos Antonio Costa Dos Santos, Amaury de Souza, Denise Maria Sette, Patrício Marques de Souza
It is estimated that approximately 30% of childhood diseases can be attributed to environmental factors and 40% involve children under the age of five years old, representing about 10% of world population. This study aimed to analyze the relationship of climate variables in the prevalence of acute respiratory infection (ARI) in children under two years old, in Rondonopolis-MT, from 1999 to 2014. It was used a cross-sectional study with a quantitative and a descriptive approach with meteorological teaching and research data from the database from the health information system...
November 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29211159/social-inequalities-in-limitations-caused-by-chronic-diseases-and-disabilities-in-brazil-the-2013-national-health-survey
#17
Patricia de Moraes Mello Boccolini, Cristina Maria Rabelais Duarte, Miguel Abud Marcelino, Cristiano Siqueira Boccolini
This paper aims to evaluate the association between social inequalities and self-reported limitations for the performance of daily activities caused by chronic diseases or disabilities. The 2013 National Health Survey evaluated a sample of Brazilians with 18+ years. The outcome was that individuals reported that their daily activities were moderately, severely or very severely limited (LIMIT) by one or more chronic diseases, or mental, physical, hearing or motor impairment. The main exposure was the economy class, classified into five categories, ranging from A (richest) to E (poorest)...
November 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29211147/assessment-of-growth-monitoring-in-child-care-visits-at-the-family-health-strategy-in-two-municipalities-of-para%C3%A3-ba-state-brazil
#18
Dixis Figueroa Pedraza, Iná S Santos
OBJECTIVE: to assess the process and structural aspects of child care visits at the Family Health Strategy, in relation to growth monitoring. METHODS: evaluative study of implementation analysis, carried out in two municipalities of Paraíba State, Brazil; structural characteristics of the services were assessed and child care visits were observed for analysis of the working process. RESULTS: 119 visits (53 in one municipality and 66 in the other) were observed; they were conducted by 18 nurses who were in charge of child care visits (nine from each municipality); five of the nurses had no training to work in primary health care and four units did not have a scale; weight (84...
October 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/29211145/assessment-of-the-implementation-of-the-leprosy-control-program-in-camaragibe-pernambuco-state-brazil
#19
Monique Feitosa de Souza, Lygia Carmen de Moraes Vanderlei, Paulo Germano de Frias
OBJECTIVE: to assess the implementation of the actions of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil. METHODS: evaluative research with 'implementation analysis', based on criteria, indicators and parameters guided from the construction of the Logic Model; four components were assessed - management, health care, epidemiological surveillance, health education and communication -; direct observation/questionnaire was used, as well as data from the Information System for Notifiable Diseases...
October 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/29211143/hospitalizations-due-to-diseases-associated-with-poor-sanitation-in-the-public-health-care-network-of-the-metropolitan-region-of-porto-alegre-rio-grande-do-sul-state-brazil-2010-2014
#20
Mariana Santiago Siqueira, Roger Dos Santos Rosa, Ronaldo Bordin, Rita de Cássia Nugem
OBJECTIVE: to describe the occurrence, characteristics and expenditures of hospitalizations due to diseases associated with poor sanitation funded by the Brazilian National Health System (SUS) among residents of the metropolitan region of Porto Alegre-RS, Brazil, from 2010 to 2014. METHODS: descriptive study with data from SUS Hospital Information System (SIH/SUS). RESULTS: out of 13,929 hospitalizations for diseases associated with poor sanitation, 93...
October 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
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