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https://www.readbyqxmd.com/read/29143674/the-role-of-human-rights-litigation-in-improving-access-to-reproductive-health-care-and-achieving-reductions-in-maternal-mortality
#1
Jennifer Templeton Dunn, Katherine Lesyna, Anna Zaret
BACKGROUND: Improving maternal health, reducing global maternal mortality, and working toward universal access to reproductive health care are global priorities for United Nations agencies, national governments, and civil society organizations. Human rights lawyers have joined this global movement, using international law and domestic constitutions to hold nations accountable for preventable maternal death and for failing to provide access to reproductive health care services. CASE PRESENTATION: This article discusses three decisions in which international treaty bodies find the nations of Brazil and Peru responsible for violations of the Convention on the Elimination of All Forms of Discrimination Against Women and the International Covenant on Civil and Political Rights and also two domestic decisions alleging constitutional violations in India and Uganda...
November 8, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29139001/the-assessment-for-disinvestment-of-intramuscular-interferon-beta-for-relapsing-remitting-multiple-sclerosis-in-brazil
#2
REVIEW
Livia Lovato Pires de Lemos, Augusto Afonso Guerra Júnior, Marisa Santos, Carlos Magliano, Isabela Diniz, Kathiaja Souza, Ramon Gonçalves Pereira, Juliana Alvares, Brian Godman, Marion Bennie, Ivan Ricardo Zimmermann, Vânia Crisitna Canuto Dos Santos, Clarice Alegre Pretramale, Francisco de Assis Acurcio
In Brazil, inclusion and exclusion of health technologies within the Unified Health System (SUS) is the responsibility of the National Committee for Health Technology Incorporation (CONITEC). A recent Cochrane systematic review demonstrated that intramuscular interferon beta 1a (IFN-β-1a-IM) was inferior to the other beta interferons (IFN-βs) for multiple sclerosis (MS). As a result, CONITEC commissioned an analysis to review possible disinvestment within SUS. The objective of this paper is to describe the disinvestment process for IFN-β-1a-IM in Brazil...
November 14, 2017: PharmacoEconomics
https://www.readbyqxmd.com/read/29134851/perceptions-and-uses-of-public-and-private-health-care-in-a-brazilian-favela
#3
Débora Castiglione, Gina S Lovasi, Marilia S Carvalho
Since 1988, Brazil has reorganized and expanded its public health care system, defining access to health care as a right of every citizen. In parallel, the private health care sector grew rapidly to become one of the largest in the world. We explore the use of public and private health care by a low-income population living in a favela, Rio das Pedras, in Rio de Janeiro. At the time of data collection, only part of the community was covered by the primary health care program. We conducted semistructured interviews with 14 adults, both with and without access to the public primary care program...
November 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/29122043/physical-activity-promotion-by-health-practitioners-a-distance-learning-training-component-to-improve-knowledge-and-counseling
#4
Alex A Florindo, Douglas R Andrade, Paulo H Guerra, Jorge Mota, Diane Crone, Ana C C N Mafra, Mario M Bracco
Aim To report an evaluation of health professionals' participation in a distance-learning physical activity training course developed in a low socio-economic region of São Paulo city, Brazil. BACKGROUND: In countries with public universal health systems, physical activity promotion in primary health care settings can reap results, particularly given that such interventions have the potential to reach a large percentage of the population. However, few studies proposed physical activity training for health professionals in low- and middle-income countries...
November 10, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29091173/surgical-care-in-the-public-health-agenda
#5
Mário Scheffer, Saurabh Saluja, Nivaldo Alonso
The current article examines surgical care as a public health issue and a challenge for health systems organization. When surgery fails to take place in timely fashion, treatable clinical conditions can evolve to disability and death. The Lancet Commission on Global Surgery defined indicators for monitoring sustainable universal access to surgical care. Applied to Brazil, the global indicators are satisfactory, but the supply of surgeries in the country is marked by regional and socioeconomic inequalities, as well as between the public and private healthcare sectors...
October 26, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/29078015/cost-of-visceral-leishmaniasis-care-in-brazil
#6
Isis Polianna Silva Ferreira de Carvalho, Henry Maia Peixoto, Gustavo Adolfo Sierra Romero, Maria Regina Fernandes de Oliveira
OBJECTIVE: To estimate the Brazilian direct and indirect costs of human visceral leishmaniasis (VL) in 2014. METHODS: Cost-of-illness study on the Brazilian public health system and societal perspective. VL cases registered in the Notifiable Diseases Information System in the year of 2014 were considered. Direct medical costs regarding diagnostic, treatment, and care provided to VL patients were estimated through the top-down approach. The indirect costs related to productivity loss due to premature mortality and morbidity were estimated by means of the human capital method...
October 27, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/29065842/effects-of-vaccination-against-the-h1n1-virus-on-bdnf-and-tnf-%C3%AE-plasma-levels-in-pregnant-women
#7
Fernando Machado Vilhena Dias, Mirla Fiuza Diniz, Glaura C Franco, Aline Silva de Miranda, Antonio Lucio Teixeira, Poliana Toledo Nunes, Angela Maria Ribeiro
Vaccination is a widespread strategy to protect women and their children during fetal deve-lopment. However, there is a lack of knowledge about potential effects of H1N1 vaccinati-on on concentration of cytokines that are important to mother's central nervous system functions and fetal neurodevelopment. The main purpose of the present study was to evalu-ate such interaction. The specific goals were to study the effects of vaccination against the H1N1 virus on plasma levels of the Brain Derived Neurotrophic Factor(BDNF), Tumor Necrosis Factor-α (TNF-α) and TNF-α Receptors 1 and 2 (sTNFR1; sTNFR2), in different periods of gestation...
October 20, 2017: Current Drug Safety
https://www.readbyqxmd.com/read/29061443/outcomes-of-lupus-and-rheumatoid-arthritis-patients-with-primary-dengue-infection-a-seven-year-report-from-brazil
#8
Mirhelen Mendes de Abreu, Alexandre Cristovão Maiorano, Sara K Tedeschi, Kazuki Yoshida, Tzu-Chieh Lin, Daniel H Solomon
OBJECTIVE: We described the clinical profile and outcomes of patients with SLE and RA diseases reported to the Brazilian Health Information System with primary dengue infection. METHODS: Databases from the Brazilian Public Health Informatics System (SUS) were linked as the source of information. Three databases comprising different longitudinal information of lupus or rheumatoid arthritis (RA) patients under treatment and care through the Brazilian Health System were linked...
September 8, 2017: Seminars in Arthritis and Rheumatism
https://www.readbyqxmd.com/read/29050646/worldwide-incidence-and-prevalence-of-inflammatory-bowel-disease-in-the-21st-century-a-systematic-review-of-population-based-studies
#9
Siew C Ng, Hai Yun Shi, Nima Hamidi, Fox E Underwood, Whitney Tang, Eric I Benchimol, Remo Panaccione, Subrata Ghosh, Justin C Y Wu, Francis K L Chan, Joseph J Y Sung, Gilaad G Kaplan
BACKGROUND: Inflammatory bowel disease is a global disease in the 21st century. We aimed to assess the changing incidence and prevalence of inflammatory bowel disease around the world. METHODS: We searched MEDLINE and Embase up to and including Dec 31, 2016, to identify observational, population-based studies reporting the incidence or prevalence of Crohn's disease or ulcerative colitis from 1990 or later. A study was regarded as population-based if it involved all residents within a specific area and the patients were representative of that area...
October 13, 2017: Lancet
https://www.readbyqxmd.com/read/29049704/mortality-and-morbidity-of-patients-on-the-waiting-list-for-coronary-artery-bypass-graft-surgery
#10
Viviane Belidio Pinheiro da Fonseca, Andrea De Lorenzo, Bernardo Rangel Tura, Felipe José Monassa Pittella, Antônio Sérgio Cordeiro da Rocha
OBJECTIVES: The public health care system in Brazil has extensive waiting lists of patients requiring complex operations such as coronary artery bypass grafting (CABG). The purpose of this study was to identify the mortality and morbidity rates of the patients awaiting CABG and identify predictors of adverse events and their association with perioperative outcomes. METHODS: We conducted a retrospective analysis of outpatient medical records of patients referred for this elective procedure in Rio de Janeiro, Brazil...
August 24, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29044315/implementation-of-dental-specialty-centers-a-descriptive-analysis-of-the-current-status-in-the-brazilian-territory
#11
Laura Estery, Graziela O Cericato, Lilian Rigo, Sigmar M Rode, Igor F P Lima, Luiz R Paranhos
This study aimed to assess the current implementation status of Dental Specialty Centers (Centros de Especialidades Odontológicas - CEO) in Brazil. The sample included CEOs implemented up to November 2015 in the 27 Brazilian federative units. Data were obtained directly from the database of the Informatics Department of the Brazilian Unified Health System, according to the National Registry of Health Facilities (NRHF) of Dental Specialty Centers of all Brazilian regions. Primary care data were also collected from the cities with implemented CEOs, including coverage status of the Family Health Strategy (FHS) and number of Oral Health Teams (OHT) I and II, at 2 collection periods (January 2006 and November 2015)...
October 16, 2017: Anais da Academia Brasileira de Ciências
https://www.readbyqxmd.com/read/29036661/the-impact-of-the-brazilian-family-health-strategy-and-the-conditional-cash-transfer-on-tuberculosis-treatment-outcomes-in-rio-de-janeiro-an-individual-level-analysis-of-secondary-data
#12
Betina Durovni, Valeria Saraceni, Mariana Soares Puppin, Wagner Tassinari, Oswaldo G Cruz, Solange Cavalcante, Claudia Medina Coeli, Anete Trajman
Background: Unsuccessful tuberculosis outcomes are frequent; bold policies are needed to end the tuberculosis (TB) epidemic to attain the third Sustainable Development Goal (SDG) by 2030. We examined the effect of the Family Health Strategy (FHS) and its interactions with the conditional cash transfer programme (CTP) on TB outcomes in Rio de Janeiro, Brazil. Methods: We performed individual-based analyses of a database resulting from deterministic and probabilistic linkages of the TB information system, FHS registries and CTP payrolls...
September 28, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/29036489/training-community-health-workers-to-promote-breast-cancer-screening-in-brazil
#13
Lorna Bittencourt, Isabel C Scarinci
Although it has been show that early detection through mammograms is the most effective way to reduce breast cancer mortality, breast cancer is the leading cause of cancer deaths among women worldwide with survival rates being even lower in low- and middle-income countries as compared to high-income countries. Despite the availability of breast cancer screening programs in Brazil through the public health system, some women do not participate in these programs due to structural and/or inter/intrapersonal barriers...
September 26, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28988564/perceptions-of-primary-health-care-service-users-regarding-dental-team-practices-in-brazil
#14
Alexandre Baumgarten, Rochelle Santos Da Veiga, Patricia Tavora Bulgarelli, Vitor Motta Diesel, Alexandre Favero Bulgarelli
BACKGROUND: The Unified Health System (SUS) is the Brazilian set of public health services that offers global access to health care and disease treatments for all citizens. These services have been evaluated by means of a national survey assessing the users' perceptions. Aim To explore and characterize the SUS users' perceptions regarding primary dental team practices in the five Brazilian geographical regions. METHODS: Descriptive study. The sample consisted of 37 262 subjects...
October 9, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28977271/-health-workers-experiences-in-dealing-with-the-neoliberal-logic-a-study-of-primary-care-in-colombia-and-brazil
#15
Johanna Garrido-Pinzón, Marcia Hespanhol Bernardo
: The aim of this study was to analyze the experiences of primary healthcare workers in the public health systems in Colombia and Brazil in relation to the neoliberal logic. These two cases are relevant to public health research, as examples of health systems that emerged from opposing guidelines: the Colombian system was created at the government level with a marked private-sector influence, while the Brazilian system was an important conquest by social movements. Based on the Social Psychology of Work, this was a qualitative and empirical study...
September 28, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28977179/descriptive-study-of-hospital-care-on-toxicological-events-in-a-municipality-of-s%C3%A3-o-paulo-state-brazil-2012
#16
Lucas Coraça Germano, Herling Gregorio Aguilar Alonzo
OBJECTIVE: to describe the epidemiological profile of hospital care on chemical exposure cases and accidents with venomous animals performed in a municipal hospital in São Paulo State, Brazil. METHODS: case series descriptive study with data of medical records from the emergency department of the Municipal Hospital of Itapira-SP, in 2012. RESULTS: out of 3,184 medical cases due to toxicological events (3.3% of total), the exposures to drugs of abuse (58...
July 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28977172/time-trends-of-hypertension-and-diabetes-mellitus-prevalence-among-adults-registered-in-the-brazilian-national-health-system-in-florian%C3%A3-polis-santa-catarina-state-brazil-2004-2011
#17
Catiuscie Cabreira da Silva Tortorella, Arlete Catarina Tittoni Corso, David Alejandro Gonzáles-Chica, Angélica Rocha de Freitas Melhen
OBJECTIVE: to investigate the time trend of prevalence of hypertension, diabetes mellitus, and both diseases combined, from 2004 to 2011; and to analyze their association with sociodemographic factors in adults registered in the Brazilian National Health System (SUS) in Florianópolis-SC, Brazil, in 2011. METHODS: time-series study using secondary data from the Primary Health Care Information System of adults (≥20 years) at SUS; Prais-Winsten regression was used...
July 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28958178/the-national-health-services-of-brazil-and-northern-europe-universality-equity-and-integrality-time-has-come-for-the-latter
#18
Garibaldi D Gurgel, Islândia M Carvalho de Sousa, Sydia Rosana de Araujo Oliveira, Francisco de Assis da Silva Santos, Finn Diderichsen
In 1990 the national health services in the United Kingdom and Sweden started to split up in internal markets with purchasers and providers. It was also the year when Brazil started to implement a national health service (SUS) inspired by the British national health service that aimed at principles of universality, equity, and integrality. While the reform in Brazil aimed at improving equity and effectiveness, reforms in Europe aimed at improving efficiency in order to contain costs. The European reforms increased supply and utilization but never provided the large increase in efficiency that was hoped for, and inequities have increased...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28955173/epidemiology-of-femur-fractures-in-the-elderly-and-cost-to-the-state-of-paran%C3%A3-brazil
#19
Camila Cristine Oliveira, Victoria Zeghbi Cochenski Borba
OBJECTIVES: To evaluate the incidence and economic impact of femur fractures in the state of Paraná, Brazil . METHODS: This descriptive study included men and women ≥ 60 years of age with hip fractures which were treated by the Public Health System in emergency care from January 2010 to December 2014. Data were collected from the DATASUS public health database using filters to select patients; results were presented descriptively and as proportions. The standardized incidence of femur fracture was calculated by sex and age for 10,000 inhabitants in Paraná state and in Brazil for the year 2012 ...
July 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28954163/use-of-the-coding-causes-of-death-in-hiv-in-the-classification-of-deaths-in-northeastern-brazil
#20
Diana Neves Alves, Cristiane Campello Bresani-Salvi, Joanna d'Arc Lyra Batista, Ricardo Arraes de Alencar Ximenes, Demócrito de Barros Miranda-Filho, Heloísa Ramos Lacerda de Melo, Maria de Fátima Pessoa Militão de Albuquerque
OBJECTIVE: Describe the coding process of death causes for people living with HIV/AIDS, and classify deaths as related or unrelated to immunodeficiency by applying the Coding Causes of Death in HIV (CoDe) system. METHODS: A cross-sectional study that codifies and classifies the causes of deaths occurring in a cohort of 2,372 people living with HIV/AIDS, monitored between 2007 and 2012, in two specialized HIV care services in Pernambuco. The causes of death already codified according to the International Classification of Diseases were recoded and classified as deaths related and unrelated to immunodeficiency by the CoDe system...
2017: Revista de Saúde Pública
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