Evaluation of at-risk infant care: comparison between models of primary health care
CONCLUSIONS Regardless of the type of management model, low overall and essential scores were found, indicating that guardians of at-risk infants rated some attributes as unsatisfactory, with emphasis on accessibility, integrality and family guidance. Such a performance may have negative consequences for the quality and integrality of these infants ’ health care.RESUMO OBJETIVOS Analisar a rede de cuidados ao beb ê de risco na região Oeste do município de São Paulo, tendo a atenção primária à saúde como ordenadora, e comparar a presença e extensão dos atributos da atenção primária à saúde nos serviços...
Source: Revista de Saude Publica - November 26, 2019 Category: International Medicine & Public Health Source Type: research
Mental disorders and suicide risk in emerging adulthood: the 1993 Pelotas birth cohort
CONCLUSIONS Our findings showed that about 20% of the youths had at least one mental disorder. However, this prevalence is underestimated since other relevant mental disorders were not assessed. Mental disorders were associated with higher suicide risk, especially the comorbidity between them. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - October 21, 2019 Category: International Medicine & Public Health Source Type: research
Factors associated with inadequate follow-up of children with congenital syphilis
CONCLUSIONS Most children with congenital syphilis attended primary care for follow-up, but the services do not meet the recommendations of the Brazilian Ministry of Health for adequate follow-up.RESUMO OBJETIVO Analisar fatores associados ao seguimento ambulatorial n ão adequado de crianças notificadas com sífilis congênita. MÉTODOS Estudo de coorte não concorrente, realizado em unidades de atenção primária e três maternidades de referência de Fortaleza (Ceará). Os dados foram coletados de setembro de 2013 a setembro de 2016 nas fichas de notificaç ão e nos prontuários médicos de internamento e de segui...
Source: Revista de Saude Publica - October 21, 2019 Category: International Medicine & Public Health Source Type: research
School environment and oral health promotion: the National Survey of School Health (PeNSE)
CONCLUSIONS The potential to support oral health promotion in schools in Brazilian capitals, assessed by the AEPSB indicator, was associated with contextual factors of schools, capitals and Brazilian regions.RESUMO OBJETIVO Avaliar o potencial de suporte do ambiente escolar para a promo ção da saúde bucal e fatores associados nas capitais brasileiras. MÉTODOS Os dados de 1.339 escolas públicas e privadas das 27 capitais brasileiras foram obtidos da Pesquisa Nacional de Saúde do Escolar (PeNSE) 2015. Os dados das capitais foram obtidos do Programa das Nações Unidas para o D esenvolvimento e do Datasus. Foi elabor...
Source: Revista de Saude Publica - October 21, 2019 Category: International Medicine & Public Health Source Type: research
Regulatory framework for dietary supplements and the public health challenge
CONCLUSIONS The necessary changes represent a major regulatory and production challenge due to the wide range of dietary supplements and markets, an effort that aims to protect the consumers ’ health. Some previous gaps in the regulatory framework were not fully solved.RESUMO OBJETIVO O novo marco regulat ório para os suplementos alimentares no Brasil instigou a presente análise do panorama atual desses produtos e os desafios impostos pelas novas diretrizes. MÉTODOS Foi realizado um estudo qualitativo, observacional e descritivo dos suplementos alimentares comercializados em lojas virtuais brasil eiras, com o aux...
Source: Revista de Saude Publica - October 21, 2019 Category: International Medicine & Public Health Source Type: research
Yellow fever: profile of cases and factors associated with death in a hospital in the State of Rio de Janeiro, 2017–2018
CONCLUSIONS This study contributed to the knowledge on the profile of confirmed cases of high severity yellow fever. The main factors associated with death were changes in renal excretion and elevated serum transaminases, especially ALT. High lethality emphasizes the need for early diagnosis and treatment, and the importance of increasing vaccination coverage.RESUMO OBJETIVO Descrever o perfil cl ínico-epidemiológico dos casos confirmados de febre amarela internados em hospital geral de referência para doenças infecciosas no estado do Rio de Janeiro, Brasil, de 11 de março de 2017 a 15 de junho de 2018, durante rece...
Source: Revista de Saude Publica - October 21, 2019 Category: International Medicine & Public Health Source Type: research
Prevalence and co-occurrence of modifiable risk factors in adults and older people
CONCLUSIONS The subgroups with increased risk of developing multiple unhealthy behaviors and the most prevalent behaviors were identified. These findings are expected to contribute to the better targeting of health promotion and preventive care. It is worth noting that, for the adoption of healthy lifestyle habits, macro-social and inter-sectoral policies are more effective.RESUMO OBJETIVO Estimar a coocorr ência dos principais fatores de risco para doenças crônicas não transmissíveis em adultos (18 a 59 anos) e idosos ( ≥ 60 anos) residentes nas capitais dos estados brasileiros e Distrito Federal. M ÉTODOS Est...
Source: Revista de Saude Publica - October 21, 2019 Category: International Medicine & Public Health Source Type: research
Brazilian generics market change after Farmácia Popular program
CONCLUSIONS Ministry of Health policies on the amount of patient cost sharing and on the choice of medicines on coverage lists have substantial impacts on overall generic sales volume in retail pharmacies. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - October 18, 2019 Category: International Medicine & Public Health Source Type: research
Use of antibiotics in the health care unit: 2015 Pelotas Birth Cohort
CONCLUSIONS Despite the efforts related to the Pastoral da Criança campaign “ Antibiotic: first dose immediately, ” adherence to the provision of antibiotics in the health care unit is still low. Strategies are necessary and urgent so children have access to the first dose of antibiotics in the health care unit.RESUMO OBJETIVO Estimar o uso da primeira dose do antibi ótico no local de atendimento nas crianças da Coorte de Nascimentos de Pelotas de 2015 aos 24 meses. MÉTODOS Foram acompanhadas 4.014 crianças. A associação entre variáveis socioeconômicas e demográficas, participação em creche, nas ações...
Source: Revista de Saude Publica - October 18, 2019 Category: International Medicine & Public Health Source Type: research
Development and evaluation of food environment audit instrument: AUDITNOVA
CONCLUSIONS AUDITNOVA is reliable for measuring aspects such as availability, price, quantity of brands, and advertising of foods available in the consumer food environment.RESUMO OBJETIVO Desenvolver e avaliar a confiabilidade de um instrumento de auditoria do ambiente alimentar do consumidor que possibilite captar informa ções sobre indicadores do ambiente alimentar do consumidor como disponibilidade, preço, estratégias promocionais e publicitárias e quantidade de marcas disponíveis, utilizando como base teórica as recomendações alimentares adotadas pelo Guia Alimentar para a População Brasileira. MÉTODO S...
Source: Revista de Saude Publica - October 18, 2019 Category: International Medicine & Public Health Source Type: research
Characterization of women with cervical cancer assisted at Inca by histological type
CONCLUSIONS The difference between histological types is highlighted, suggesting that women with cervical adenocarcinoma may represent a distinct clinical entity of cervical neoplasia, which may require different approaches from those used in squamous cell carcinoma.RESUMO OBJETIVO Determinar a distribui ção das características sociodemográficas, reprodutivas, clínicas e de hábitos de vida na coorte de mulheres diagnosticadas com câncer cervical, atendidas no Inca entre 2012 e 2014, segundo o tipo histológico. MÉTODOS Estudo observacional retrospectivo de uma coorte hospitalar de 1.004 mu lheres diagnosticada...
Source: Revista de Saude Publica - October 4, 2019 Category: International Medicine & Public Health Source Type: research
Group prenatal care: effectiveness and challenges to implementation
ABSTRACT Group prenatal care is an alternative model of care during pregnancy, replacing standard individual prenatal care. The model has shown maternal benefits and has been implemented in different contexts. We conducted a narrative review of the literature in relation to its effectiveness, using databases such as PubMed, EBSCO, Science Direct, Wiley Online and Springer for the period 2002 to 2018. In addition, we discussed the challenges and solutions of its implementation based on our experience in Mexico. Group prenatal care may improve prenatal knowledge and use of family planning services in the postpartum period. T...
Source: Revista de Saude Publica - October 1, 2019 Category: International Medicine & Public Health Source Type: research
User satisfaction in the spanish health system: trend analysis
CONCLUSIONS A negative trend was observed in the opinion of the Spanish national health system users. Financing, human resources, quality management systems and differences in the autonomous communities may be some of the causes.RESUMEN OBJETIVO Analizar la tendencia de indicadores de opini ón y satisfacción del sistema nacional de salud español de 2005 a 2017. MÉTODOS Estudio ecológico de series temporales analizando la tendencia de ocho indicadores de opinión y satisfacción sobre el sistema nacional de salud y sus comunidades autónomas de 2005 a 2017. Los datos se obtuvieron del Ministerio de Sanidad, Servici...
Source: Revista de Saude Publica - October 1, 2019 Category: International Medicine & Public Health Source Type: research
Vectors of arboviruses in the state of São Paulo: 30 years of Aedes aegypti and Aedes albopictus
CONCLUSIONS Initially, these Culicidae occupied distinct and opposing areas. Over time, however, co-occurrence showed how g reat their capacity for adaptation is, even in the face of different social and urban conjunctures. The increase of the mean temperature contributed to Ae. Aegypti ’ s geographic expansion, as well as to the clearly seasonal profile of both species. In general, larval infestation by Ae. aegypti prevailed, which evidenced its competitive superiority. These data provide a better understanding of the dynamics of arboviral transmission in the state of S ão Paulo and can be used in vector surveillance ...
Source: Revista de Saude Publica - October 1, 2019 Category: International Medicine & Public Health Source Type: research
Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil
CONCLUSION An increase in ICU hospitalization rate due to trauma in Brazil may be the result of some factors, such as an increasing number of accidents and cases of violence, the implementation of pre-hospital care, and improved access to care, with more beds in ICU. In addition, population aging is another factor, as a greater increase in hospitalization was observed among people aged 60 years and older.RESUMO OBJETIVO Analisar a magnitude e a tend ência das taxas de internação por lesões traumáticas em unidades de terapia intensiva (UTI) no Brasil de 1998 a 2015. MÉTODOS Estudo ecológico de séries temporais co...
Source: Revista de Saude Publica - October 1, 2019 Category: International Medicine & Public Health Source Type: research
