68,470 Works

Physical activity in staff workers at Centers for Psychosocial Care in southern Brazil: temporal trends

Jeferson Santos Jerônimo, Vanda Maria Da Rosa Jardim, Luciane Prado Kantorski & Marlos Rodrigues Domingues
The aim of the study was to analyze temporal trends of physical activity among staff workers in Centers for Psychosocial Care and associated factors in southern Brazil from 2006 to 2011. This cross-sectional study was part of the Evaluation of Centers for Psychosocial Care in Southern Brazil/CAPSUL. Physical and mental health variables were collected using the Self-Report Questionnaire (SRQ-20), and physical activity was measured with the International Physical Activity Questionnaire (IPAQ). Participation included 435 staff...

Physical activity in staff workers at Centers for Psychosocial Care in southern Brazil: temporal trends

Jeferson Santos Jerônimo, Vanda Maria Da Rosa Jardim, Luciane Prado Kantorski & Marlos Rodrigues Domingues
The aim of the study was to analyze temporal trends of physical activity among staff workers in Centers for Psychosocial Care and associated factors in southern Brazil from 2006 to 2011. This cross-sectional study was part of the Evaluation of Centers for Psychosocial Care in Southern Brazil/CAPSUL. Physical and mental health variables were collected using the Self-Report Questionnaire (SRQ-20), and physical activity was measured with the International Physical Activity Questionnaire (IPAQ). Participation included 435 staff...

Assessing ethical and social issues of transtelephonic electrocardiography (TTEGG) in Chile

Eugenia Lamas, Silvia Miguel, Holger Muehlan, Silke Schmidt & Rodrigo A. Salinas
The aim of this study was to focus on the ethical and social issues derived from the implementation of transtelephonic electrocardiography (TTECG) in the public healthcare sector in Chile, studying patients and healthcare providers' acceptance and expectations concerning: (a) TTECG effectiveness and safety; and (b) data protection issues, such as confidentiality, privacy and security. For this purpose, we developed two psychosocial surveys; the first was addressed to patients receiving transtelephonic electrocardiogram (either in the emergency...

Factors associated with undernourishment among people 20 years old or over with HIV/AIDS, attending public health services in the São Paulo municipality, Brazil

Katia Cristina Bassichetto, Denise Pimentel Bergamaschi, Vania Regina Salles Garcia & Maria Amélia De Sousa Mascena Veras
The study evaluated the nutritional status of 629 people living with HIV/AIDS attended at 12 specialized services of São Paulo's Municipal Health Department, Brazil. Data were obtained from medical records and through interviews during nutritional consultation. We used the classification criteria established by World Health Organization to assess malnourished individuals, a BMI < 18.5kg/m2. The prevalence of malnutrition in people with AIDS is 3.12 times that observed among people with HIV, and among people with...

Use of evaluation by primary healthcare managers: a case study in southern Brazil

Daniela Alba Nickel, Sonia Natal, Zulmira Maria De Araújo Hartz & Maria Cristina Marino Calvo
This article reports on a meta-evaluation, focused on utilization, in a state in southern Brazil. This was a single case study with primary data collection using semi-structured interviews with health department administrators and staff. Content analysis used categories defined in the evaluation matrix: political and organizational context and implementation of evaluation. The political and organizational context revealed weaknesses in the items on experience, evaluation team, and time and space for reflection. Technical autonomy was verified...

Use of evaluation by primary healthcare managers: a case study in southern Brazil

Daniela Alba Nickel, Sonia Natal, Zulmira Maria De Araújo Hartz & Maria Cristina Marino Calvo
This article reports on a meta-evaluation, focused on utilization, in a state in southern Brazil. This was a single case study with primary data collection using semi-structured interviews with health department administrators and staff. Content analysis used categories defined in the evaluation matrix: political and organizational context and implementation of evaluation. The political and organizational context revealed weaknesses in the items on experience, evaluation team, and time and space for reflection. Technical autonomy was verified...

Assessing ethical and social issues of transtelephonic electrocardiography (TTEGG) in Chile

Eugenia Lamas, Silvia Miguel, Holger Muehlan, Silke Schmidt & Rodrigo A. Salinas
The aim of this study was to focus on the ethical and social issues derived from the implementation of transtelephonic electrocardiography (TTECG) in the public healthcare sector in Chile, studying patients and healthcare providers' acceptance and expectations concerning: (a) TTECG effectiveness and safety; and (b) data protection issues, such as confidentiality, privacy and security. For this purpose, we developed two psychosocial surveys; the first was addressed to patients receiving transtelephonic electrocardiogram (either in the emergency...

Factors associated with undernourishment among people 20 years old or over with HIV/AIDS, attending public health services in the São Paulo municipality, Brazil

Katia Cristina Bassichetto, Denise Pimentel Bergamaschi, Vania Regina Salles Garcia & Maria Amélia De Sousa Mascena Veras
The study evaluated the nutritional status of 629 people living with HIV/AIDS attended at 12 specialized services of São Paulo's Municipal Health Department, Brazil. Data were obtained from medical records and through interviews during nutritional consultation. We used the classification criteria established by World Health Organization to assess malnourished individuals, a BMI < 18.5kg/m2. The prevalence of malnutrition in people with AIDS is 3.12 times that observed among people with HIV, and among people with...

Maternal smoking during pregnancy and birth defects in children: a systematic review with meta-analysis

Dilvania Nicoletti, Leilane Droppa Appel, Pedro Siedersberger Neto, Gabriel Waihrich Guimarães & Linjie Zhang
This systematic review aimed to investigate the association between maternal smoking during pregnancy and birth defects in children. We performed an electronic search of observational studies in the databases ovid MEDLINE (1950 to April 2010), LILACS and SciELO. We included 188 studies with a total of 13,564,914 participants (192,655 cases). Significant positive associations were found between maternal smoking and birth defects in the following body systems: cardiovascular (OR: 1.11; 95%CI: 1.03-1.19), digestive (OR: 1.18; 95%CI:...

Maternal smoking during pregnancy and birth defects in children: a systematic review with meta-analysis

Dilvania Nicoletti, Leilane Droppa Appel, Pedro Siedersberger Neto, Gabriel Waihrich Guimarães & Linjie Zhang
This systematic review aimed to investigate the association between maternal smoking during pregnancy and birth defects in children. We performed an electronic search of observational studies in the databases ovid MEDLINE (1950 to April 2010), LILACS and SciELO. We included 188 studies with a total of 13,564,914 participants (192,655 cases). Significant positive associations were found between maternal smoking and birth defects in the following body systems: cardiovascular (OR: 1.11; 95%CI: 1.03-1.19), digestive (OR: 1.18; 95%CI:...

The evaluation of health programs and services in Brazil as a space for knowledge and practice

Juarez Pereira Furtado & Ligia Maria Vieira-Da-Silva
This social and historical study drew on Bourdieu's genetic sociology to analyze the establishment and development of a specialized space for the production of knowledge and practices in health evaluation in Brazil. The study analyzed the trajectories of 28 researchers and policymakers and the historical conditions that allowed establishing this space, using in-depth interviews, document analysis, and a literature review. The resulting material was analyzed according to Bourdieu's concepts of field, habitus, and capital. The...

The evaluation of health programs and services in Brazil as a space for knowledge and practice

Juarez Pereira Furtado & Ligia Maria Vieira-Da-Silva
This social and historical study drew on Bourdieu's genetic sociology to analyze the establishment and development of a specialized space for the production of knowledge and practices in health evaluation in Brazil. The study analyzed the trajectories of 28 researchers and policymakers and the historical conditions that allowed establishing this space, using in-depth interviews, document analysis, and a literature review. The resulting material was analyzed according to Bourdieu's concepts of field, habitus, and capital. The...

Experiences with primary care associated to health, socio-demographics and use of services in children and adolescents

Silvina Berra, Maica Rodríguez-Sanz, Luis Rajmil, M. Isabel Pasarín & Carme Borrell
This study aimed to evaluate user experiences with primary care for children and adolescents according to health, socio-demographic characteristics, and use of healthcare services. The 2006 Catalan Health Interview Survey studied a representative sample of the population aged 0 to 14 (n = 2,200). Parents reported their experiences with primary care through 17 items from the Primary Care Assessment Tool. Multivariate models were fitted to estimate prevalence ratios (PR) of scoring low on experiences with...

Experiences with primary care associated to health, socio-demographics and use of services in children and adolescents

Silvina Berra, Maica Rodríguez-Sanz, Luis Rajmil, M. Isabel Pasarín & Carme Borrell
This study aimed to evaluate user experiences with primary care for children and adolescents according to health, socio-demographic characteristics, and use of healthcare services. The 2006 Catalan Health Interview Survey studied a representative sample of the population aged 0 to 14 (n = 2,200). Parents reported their experiences with primary care through 17 items from the Primary Care Assessment Tool. Multivariate models were fitted to estimate prevalence ratios (PR) of scoring low on experiences with...

Reliability of screening tests for health-related problems among low-income elderly

Valéria Teresa Saraiva Lino, Margareth Crisóstomo Portela, Luiz Antônio Bastos Camacho & Nádia Cristina Pinheiro Rodrigues
Screening tests for health problems can identify elderly people who should undergo the Comprehensive Geriatric Assessment, enabling the planning of actions to prevent disability. The aim of this study was to analyze the inter-rater reliability (IRR) of self-assessment questions (SAQ) and performance tests (PT) recommended in Brazil, in a sample of low-income elderly people, through an exploratory study performed with 165 elderly assessed by two professionals on different days. IRR was evaluated using the intraclass...

Reliability of screening tests for health-related problems among low-income elderly

Valéria Teresa Saraiva Lino, Margareth Crisóstomo Portela, Luiz Antônio Bastos Camacho & Nádia Cristina Pinheiro Rodrigues
Screening tests for health problems can identify elderly people who should undergo the Comprehensive Geriatric Assessment, enabling the planning of actions to prevent disability. The aim of this study was to analyze the inter-rater reliability (IRR) of self-assessment questions (SAQ) and performance tests (PT) recommended in Brazil, in a sample of low-income elderly people, through an exploratory study performed with 165 elderly assessed by two professionals on different days. IRR was evaluated using the intraclass...

Health in the post-2015 United Nations Development Agenda

Paulo Marchiori Buss, Danielly De Paiva Magalhães, Andréia Faraoni Freitas Setti, Edmundo Gallo, Francisco De Abreu Franco Netto, Jorge Mesquita Huet Machado & Daniel Forsin Buss
This paper evaluates health as a Sustainable Development Goal (SDG) in the context of the Post-2015 Development Agenda, between 2012 and 2014. Health was part of the debate since the Millennium Summit and the MDGs (2000), and it also appears in the documents discussing the Post-2015 Agenda, from the Rio+20 to the Open Working Group (OWG), whose report was submitted to the General Assembly of the United Nations (UNGA) 2014-2015, and in the Global Consultation...

Health in the post-2015 United Nations Development Agenda

Paulo Marchiori Buss, Danielly De Paiva Magalhães, Andréia Faraoni Freitas Setti, Edmundo Gallo, Francisco De Abreu Franco Netto, Jorge Mesquita Huet Machado & Daniel Forsin Buss
This paper evaluates health as a Sustainable Development Goal (SDG) in the context of the Post-2015 Development Agenda, between 2012 and 2014. Health was part of the debate since the Millennium Summit and the MDGs (2000), and it also appears in the documents discussing the Post-2015 Agenda, from the Rio+20 to the Open Working Group (OWG), whose report was submitted to the General Assembly of the United Nations (UNGA) 2014-2015, and in the Global Consultation...

Patterns in the use of outpatient care in Brazil by patients treated through the Brazilian Unified National Health System, private health insurance, and out-of-pocket medical care

Alitéia Santiago Dilélio, Elaine Tomasi, Elaine Thumé, Denise Silva Da Silveira, Fernando Carlos Vinholes Siqueira, Roberto Xavier Piccini, Suele Manjourany Silva, Bruno Pereira Nunes & Luiz Augusto Facchini
Indicators of supply, access, and use of healthcare are helpful for characterizing services, planning activities, and organizing demand. This study describes patterns of use of outpatient care and the associations with demographic and socioeconomic factors, morbidity, population size of the municipality and region, and administrative and financial classification of the provider. This was a population-based cross-sectional study with a sample of 12,402 Brazilian adults from 20 to 59 years of age living in urban areas...

Patterns in the use of outpatient care in Brazil by patients treated through the Brazilian Unified National Health System, private health insurance, and out-of-pocket medical care

Alitéia Santiago Dilélio, Elaine Tomasi, Elaine Thumé, Denise Silva Da Silveira, Fernando Carlos Vinholes Siqueira, Roberto Xavier Piccini, Suele Manjourany Silva, Bruno Pereira Nunes & Luiz Augusto Facchini
Indicators of supply, access, and use of healthcare are helpful for characterizing services, planning activities, and organizing demand. This study describes patterns of use of outpatient care and the associations with demographic and socioeconomic factors, morbidity, population size of the municipality and region, and administrative and financial classification of the provider. This was a population-based cross-sectional study with a sample of 12,402 Brazilian adults from 20 to 59 years of age living in urban areas...

Pulmonary tuberculosis among residents of municipalities in Mato Grosso do Sul State, Brazil, bordering on Paraguay and Bolivia

Marli Marques, Antonio Ruffino-Netto, Ana Maria Campos Marques, Sonia Maria Oliveira De Andrade, Baldomero Antonio Kato Da Silva & Elenir Rose Jardim Cury Pontes
This study analyzed the epidemiological profile of pulmonary tuberculosis from 2007 to 2010 in municipalities (counties) in Mato Grosso do Sul State, Brazil, that border on Paraguay and Bolivia. In the border region, the incidence rate (49.1/100,000 inhabitants), mortality rate (4.0/100,000 inhabitants), and treatment dropout rate (11.3%) were 1.6, 1.8, and 1.5 times higher than in the non-border region. Among indigenous individuals in the border region, the rates for incidence (253.4/100,000 inhabitants), mortality (11.6/100,000 inhabitants),...

Pulmonary tuberculosis among residents of municipalities in Mato Grosso do Sul State, Brazil, bordering on Paraguay and Bolivia

Marli Marques, Antonio Ruffino-Netto, Ana Maria Campos Marques, Sonia Maria Oliveira De Andrade, Baldomero Antonio Kato Da Silva & Elenir Rose Jardim Cury Pontes
This study analyzed the epidemiological profile of pulmonary tuberculosis from 2007 to 2010 in municipalities (counties) in Mato Grosso do Sul State, Brazil, that border on Paraguay and Bolivia. In the border region, the incidence rate (49.1/100,000 inhabitants), mortality rate (4.0/100,000 inhabitants), and treatment dropout rate (11.3%) were 1.6, 1.8, and 1.5 times higher than in the non-border region. Among indigenous individuals in the border region, the rates for incidence (253.4/100,000 inhabitants), mortality (11.6/100,000 inhabitants),...

Dietary patterns of Brazilian adolescents: results of the Brazilian National School-Based Health Survey (PeNSE)

Letícia Ferreira Tavares, Inês Rugani Ribeiro De Castro, Renata Bertazzi Levy, Letícia De Oliveira Cardoso & Rafael Moreira Claro
The objectives of this study were to identify dietary patterns in Brazilian adolescents, describe their distributions in Brazil's State capitals and Federal District, and analyze the correlations with the Municipal Human Development Index (HDI-M). The study analyzed a sample of 60,954 ninth-graders from public and private schools who participated in the National School-Based Health Survey (PeNSE) in 2009. Cluster analysis was used to characterize dietary patterns. Three patterns were identified: healthy (27.7%), unhealthy (34.6%), and...

Dietary patterns of Brazilian adolescents: results of the Brazilian National School-Based Health Survey (PeNSE)

Letícia Ferreira Tavares, Inês Rugani Ribeiro De Castro, Renata Bertazzi Levy, Letícia De Oliveira Cardoso & Rafael Moreira Claro
The objectives of this study were to identify dietary patterns in Brazilian adolescents, describe their distributions in Brazil's State capitals and Federal District, and analyze the correlations with the Municipal Human Development Index (HDI-M). The study analyzed a sample of 60,954 ninth-graders from public and private schools who participated in the National School-Based Health Survey (PeNSE) in 2009. Cluster analysis was used to characterize dietary patterns. Three patterns were identified: healthy (27.7%), unhealthy (34.6%), and...

Femoral fractures in elderly Brazilians: a spatial and temporal analysis from 2008 to 2012

Danilo Simoni Soares, Luane Marques De Mello, Anderson Soares Da Silva, Edson Zangiacomi Martinez & Altacílio Aparecido Nunes
Fractures in the elderly (≥ 60 years) have a major public health impact and take a heavy social and economic toll. This article aimed to describe spatial and time trends in femoral fractures among elderly men and women in all regions of Brazil. Bayesian descriptive analyses of spatial and time series were performed on data obtained from the Hospital Information System of the Brazilian Unified National Health System, using Poisson regression for femoral fractures in...

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