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https://www.readbyqxmd.com/read/27907933/evaluation-of-pregnant-and-postpartum-women-s-knowledge-about-toxoplasmosis-in-rio-grande-rs-brazil
#1
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
#2
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
#3
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
#4
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/27892616/a-policy-analysis-of-teamwork-as-a-proposal-for-healthcare-humanization-implications-for-nursing
#5
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/27881360/an-observational-registry-of-carotid-endarterectomy-and-carotid-artery-stenting-in-brazil-study-protocol
#6
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/27873299/using-the-manchester-triage-system-for-refusing-nonurgent-patients-in-the-emergency-department-a-30-day-outcome-study
#7
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/27869957/mental-disorders-record-on-the-brazilian-primary-health-care-information-system-2014
#8
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/27869954/-reporting-of-work-related-mental-disorders-among-workers-in-bahia-a-descriptive-study-2007-2012
#9
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/27869927/-evaluation-of-the-organization-of-health-services-as-a-strategy-for-the-prevention-and-control-of-visceral-leishmaniasis
#10
Miriam Nogueira Barbosa, Eliete Albano de Azevedo Guimarães, Zélia Maria Profeta da Luz
OBJECTIVE: to evaluate the organization of health services as a strategy for the prevention and control of visceral leishmaniasis (VL) in Ribeirão das Neves, Minas Gerais, Brazil, from 2010 to 2012. METHODS: this was a case study evaluation of the degree of implementation of a strategy for the integration of health care services, control of zoonosis and epidemiological surveillance; it consisted of observing the work process, interviewing health professionals and analysing secondary data from information systems...
July 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27869925/time-trends-in-mortality-from-intestinal-infectious-diseases-among-children-under-five-years-old-in-s%C3%A3-o-paulo-state-brazil-2000-2012
#11
Renata Soares Martins, Maria Bernadete de Paula Eduardo, Andréia de Fátima Nascimento
OBJECTIVE: to analyze time trends in mortality owing to intestinal infectious diseases (IID) among children under five years of age in São Paulo State and its Regional Health Care Networks (RRAS), from 2000 to 2012. METHODS: this was a time series study of deaths having IID as their underlying, antecedent or contributory cause, using Mortality Information System data. RESULTS: there were 2,886 deaths from IID in the state; the IID mortality rate went down by 10...
July 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27866336/the-role-of-clinical-pharmacists-in-treatment-adherence-fast-impact-in-suppression-of-chronic-myeloid-leukemia-development-and-symptoms
#12
Silmara Mendes Martins Moulin, Frederico Jacob Eutrópio, Jessica de Oliveira Souza, Fernanda de Oliveira Busato, David N Olivieri, Carlos Eduardo Tadokoro
PURPOSE: Chronic myeloid leukemia (CML) is a clonal myeloproliferative disease, accounting for 15 to 20% of leukemias, with an incidence of one to two cases/100,000 inhabitants. In Brazil, the estimated incidence of leukemia is six cases/100,000 men and 4.28 cases/100,000 women. CML is characterized by the presence of the Philadelphia chromosome. At present, three types of tyrosine kinase inhibitors (TKI) are administered to treat CML patients in the Brazilian public national health system (NHS), called the Unified Health System (in Portuguese, "Sistema Único de Saúde", SUS)...
November 19, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27861685/-healthcare-provided-to-indigenous-people-from-the-northeast-brazilian-state-of-maranh%C3%A3-o-by-the-unified-health-system-in-teresina-pi-in-2011-a-descriptive-study
#13
Marize Melo Dos Santos, Kyria Javanne Clímaco Cruz, Larissa Carvalho Ribeiro de Sá, Carulina Cardoso Batista, Edna Maria Guedes Aguiar, Apolonia Maria Tavares Nogueira
OBJECTIVE: to describe access to health services by Indians of Kanela and Guajajara ethnic groups and their satisfaction with care provided by the Unified Health System (SUS). METHODS: a descriptive study of a non-probabilistic sample of Indigenous people living in Barra do Corda, State of Maranhão, receiving SUS healthcare in Teresina, State of Piauí, Brazil, in 2011; a questionnaire was administered on frequently used health services, forms of access and ease or difficultly in accessing them...
January 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27856941/the-quest-to-extend-health-services-to-vulnerable-substance-users-in-rio-de-janeiro-brazil-in-the-context-of-an-unfolding-economic-crisis
#14
Noa Krawczyk, Deanna Kerrigan, Francisco Inácio Bastos
Calls to address crack-cocaine use in Brazil among homeless and street-frequenting populations who are in urgent need of health services have questioned the capacity of the Brazilian Unified Health System to attend to the nation's most marginalized citizens. In recent years, Brazil has launched several actions to escalate care for substance users, yet many obstacles hindering accessibility and effectiveness of services remain. Paradoxically, these actions have been implemented in the context of a growing economic crisis, and expanding services for a population of poor and stigmatized substance users while cutting other government programs tends to elicit harsh criticism from citizens...
November 16, 2016: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27852276/coverage-and-equity-in-reproductive-and-maternal-health-interventions-in-brazil-impressive-progress-following-the-implementation-of-the-unified-health-system
#15
Giovanny V A França, María Clara Restrepo-Méndez, Maria Fátima S Maia, Cesar G Victora, Aluísio J D Barros
BACKGROUND: The Brazilian SUS (Unified Health System) was created in 1988 within the new constitution, based on the premises of being universal, comprehensive, and equitable. The SUS offers free health care, independent of contribution or affiliation. Since then, great efforts and increasing investments have been made for the system to achieve its goals. We assessed how coverage and equity in selected reproductive and maternal interventions progressed in Brazil from 1986 to 2013. METHODS: We reanalysed data from four national health surveys carried out in Brazil in 1986, 1996, 2006 and 2013...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27852265/the-effect-of-the-family-health-strategy-on-usual-source-of-care-in-brazil-data-from-the-2013-national-health-survey-pns-2013
#16
Inês Dourado, Maria Guadalupe Medina, Rosana Aquino
BACKGROUND: A usual source of care (USC) has been conceptualized as having a health provider or place available for patients to consult when sick or in need of medical care. Having a USC is a means to achieve longitudinality of care with Primary Health Care (PHC) providers. Brazil has made enormous progress in PHC and thus provides an important opportunity to investigate USC in a middle-income country context. METHODS: This study uses data from a nationally representative household survey, the 2013 National Health Survey (n = 62,986), to describe the prevalence of having a USC in Brazil and to investigate to what extent the Family Health Strategy (FHS) has contributed to USC prevalence...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27849293/costs-of-the-smoking-cessation-program-in-brazil
#17
Andréa Cristina Rosa Mendes, Cristiana Maria Toscano, Rosilene Marques de Souza Barcellos, Alvaro Luis Pereira Ribeiro, Jonas Bohn Ritzel, Valéria de Souza Cunha, Bruce Bartholow Duncan
OBJECTIVE: To assess the costs of the Smoking Cessation Program in the Brazilian Unified Health System and estimate the cost of its full implementation in a Brazilian municipality. METHODS: The intensive behavioral therapy and treatment for smoking cessation includes consultations, cognitive-behavioral group therapy sessions, and use of medicines. The costs of care and management of the program were estimated using micro-costing methods. The full implementation of the program in the municipality of Goiania, Goias was set as its expansion to meet the demand of all smokers motivated to quit in the municipality that would seek care at Brazilian Unified Health System...
November 10, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/27849278/epidemiologic-situation-of-tuberculosis-in-rio-grande-do-sul-an-analysis-about-sinan-s-data-between-2003-and-2012-focusing-on-indigenous-peoples
#18
Anapaula Martins Mendes, João Luiz Bastos, Deise Bresan, Maurício Soares Leite
Objective: This article analyzes the epidemiological situation of tuberculosis in the state of Rio Grande do Sul, emphasizing the indigenous population. The data are based on the Information System of Grievance Notification (Sinan) between 2003 and 2012. Methods: The notified cases of tuberculosis were analyzed according to age, sex, zone of residence, input type, means of diagnosis, clinical form, anti-HIV exam, medical care, supervised treatment (in Portuguese, TDO), closure, and race...
July 2016: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/27849271/quality-of-hospital-databases-in-brazil-some-elements
#19
Juliana Pires Machado, Mônica Martins, Iuri da Costa Leite
Introduction: The use of secondary data for health service research has been increasingly common, having the advantage of acquiring information faster and cheaper, in addition to its larger population, temporal and geographical amplitude. Objectives: The aim of this study was to describe problems in the quality of information about hospitals characteristics and hospitalizations in Brazil. Methods: The National Database on Health Units (CNES), the Public Hospital Information System (SIH), and the Private Hospital Information System (CIH) were analyzed...
July 2016: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/27849265/maternal-mortality-in-brazil-from-2001-to-2012-time-trends-and-regional-differences
#20
Bruna Gonçalves Cordeiro da Silva, Natália Peixoto Lima, Shana Ginar da Silva, Simone Farías Antúnez, Lenise Menezes Seerig, María Clara Restrepo-Méndez, Fernando César Wehrmeister
Objective: To assess time trends in maternal mortality in Brazil and its five geographical regions from 2001 to 2012, as well as to describe its main causes. Methods: This is a time series analysis, from data obtained in the Mortality Information System (SIM) and in the Live Births Information System (SINASC). Maternal mortality ratio (MMR) and causes of maternal death were described according to the categories of the Tenth Revision of the International Classification of Diseases, in the years 2001, 2006, and 2011...
July 2016: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
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