Monotony in the consumption of fruits and vegetables and food environment characteristics
CONCLUSIONS The intake of fruits and vegetables was quantitatively adequate but monotonous, being influences by the consumer environment. Such results highlight the need for improving educational actions in health services and programs, in addition to acting on the consumer environment, aiming to promote and maintain the adequate and diversified consumption, as recommended by Brazilian guidelines for proper and healthy eating.RESUMO OBJETIVO Analisar a quantidade e a diversidade do consumo de frutas e hortali ças, assim como sua relação com características da aquisição e do ambiente alimentar do consumidor. MÉTOD...
Source: Revista de Saude Publica - September 2, 2019 Category: International Medicine & Public Health Source Type: research

Qualitative evaluation of an intervention to reduce energy poverty
CONCLUSIONS Programs such as this one can promote energy empowerment and improve psychosocial status. However, strategies with a gender and equity perspective should be considered to reach other vulnerable groups.RESUMEN OBJETIVO Conocer las valoraciones del programa “ Energ ía, la justa ” orientado a reducir la pobreza energ ética en la ciudad de Barcelona, desde la perspectiva de las personas destinatarias y de las personas trabajadoras involucradas en la intervención. MÉTODOS Estudio piloto realizado con metodología cualitativa, de tipo descriptivo y exploratorio, analizado desde un enfoque fenomenológico....
Source: Revista de Saude Publica - September 2, 2019 Category: International Medicine & Public Health Source Type: research

Maternal characteristics and type of prenatal care associated with peregrination before childbirth
CONCLUSIONS Antepartum peregrination suffers interference from the mother ’ s socioeconomic characteristics, the type of prenatal care received and the source of funding for childbirth.RESUMO OBJETIVO Analisar as caracter ísticas maternas e da assistência pré-natal associadas à peregrinação no anteparto entre gestantes de um estado do Nordeste brasileiro. MÉTODOS Estudo quantitativo e transversal, com abordagens descritiva e analítica, vinculado à pesquisa Nascer em Sergipe, realizada entre junho de 2015 e abril de 2016. Foram avaliadas 768 puérperas proporcionalmente distribuídas entre todas as maternid...
Source: Revista de Saude Publica - August 20, 2019 Category: International Medicine & Public Health Source Type: research

Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis
CONCLUSIONS The results of this economic analysis showed that the rehabilitation of mandibular edentulous patients by implant-supported total prosthesis is very cost-effective when compared to conventional complete prosthesis, considering the cost-effectiveness limits employed.RESUMO OBJETIVO Conduzir uma an álise de custo-efetividade das alternativas para tratamento reabilitador do edentulismo mandibular no contexto do Sistema Único de Saúde (prótese total implanto-suportada e prótese total convencional). MÉTODOS Foi desenvolvido um modelo de Markov para captar os resultados clínicos e econôm icos de longo pr...
Source: Revista de Saude Publica - August 20, 2019 Category: International Medicine & Public Health Source Type: research

Restrictive measure for the commercialization of antimicrobials in Brazil: results achieved
CONCLUSIONS The results suggest that the implementation of the restrictive measure of the commercialization of antimicrobials by the National Health Surveillance Agency reduced the incidence of hospital infection by a resistant microorganism.RESUMO OBJETIVO Avaliar se a incid ência de infecção hospitalar por microrganismo resistente diminuiu após a implementação da medida restritiva da Agência Nacional de Vigilância Sanitária para comercialização de antimicrobianos. MÉTODOS Estudo de coorte histórica de registros de prontuários de pacientes adultos admiti dos para internação em um hospital geral e púb...
Source: Revista de Saude Publica - August 20, 2019 Category: International Medicine & Public Health Source Type: research

Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle
CONCLUSIONS This study showed that the prevalence of HAC was low both in the institutions accredited to attend by SUS and in those of supplementary health; however, its presence contributes to increasing the length of stay in cases of cesarean sections without complications or comorbidities in supplementary health institutions.RESUMO OBJETIVO Analisar o impacto das condi ções hospitalares adquiridas em mulheres no ciclo gravídico puerperal no tempo de permanência. MÉTODOS Este estudo transversal foi conduzido com 113.456 mulheres, entre julho de 2012 e julho de 2017, em hospitais nacionais da rede suplementar de ...
Source: Revista de Saude Publica - August 20, 2019 Category: International Medicine & Public Health Source Type: research

Real-life challenge: training program on drug use and adolescence in primary health care
The objective of this study was to present the training stages on the theme for professionals in primary health care. Researchers conducted logistic structuring, content elaboration and evaluation of difficulties before and after training. Sixty percent of professionals involved in the care of adolescents in a medium-sized city participated in the study. More than half of them stated having difficulties in the approach, mainly theoretical limitations and short consultations. After the training, the professionals informed whether they felt more prepared, but practical difficulties remained.RESUMO Diretrizes ressaltam a impo...
Source: Revista de Saude Publica - August 15, 2019 Category: International Medicine & Public Health Source Type: research

Adapted version of the Pubertal Development Scale for use in Brazil
CONCLUSIONS We conclude that self-assessment of body changes by youngsters using the Portuguese version of the Pubertal Development Scale is useful when estimates of pubertal progression are sufficient, and exact agreement with clinical staging is not necessary. The Pubertal Development Scale is, therefore, a reliable instrument for use in large-scale studies in Brazil that aim at investigating adolescent health related to pubertal developmental. The translated version and scoring systems are provided. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - August 15, 2019 Category: International Medicine & Public Health Source Type: research

Seasonal variation of femoral fractures in the state of São Paulo, Southeast Brazil
CONCLUSIONS In general, more cases of fractures occur during the coldest months of the year; however, men and women have different patterns of incidence according to each age group. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - August 15, 2019 Category: International Medicine & Public Health Source Type: research

Psychometric properties of BREALD-30 for assessing adolescents’ oral health literacy
CONCLUSIONS BREALD-30 shows satisfactory psychometric properties for use on Brazilian adolescents and can be applied as a fast, simple, and reliable measure of oral health literacy. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - August 15, 2019 Category: International Medicine & Public Health Source Type: research

Trend analysis of leprosy indicators in a hyperendemic Brazilian state, 2001–2015
CONCLUSIONS A downward trend for the detection coefficients in the general population and in individuals under 15 years old was found in Maranh ão. Despite this result, the rates are still very high, demanding efforts from all spheres of public administration and health professionals to reduce the burden of the disease in the state.RESUMO OBJETIVO Analisar a tend ência temporal dos indicadores da hanseníase em estado brasileiro hiperendêmico, no período de 2011 a 2015. MÉTODOS Trata-se de um estudo de série temporal dos indicadores de hanseníase no estado do Maranhão, região Nordeste, que utilizou dados do Sis...
Source: Revista de Saude Publica - August 2, 2019 Category: International Medicine & Public Health Source Type: research

Ordinance 3992/2017: challenges and advances for resource management in the Brazilian Unified Health System (SUS)
ABSTRACT To advance in order to overcome the challenge of enabling greater autonomy in the use of financial resources in the Unified Health System (SUS), system managers agreed that transfers from the Union to other federated entities will be carried out through a financial investment account and a costing account. Over the past few years, states and municipalities managed more than 34,000 bank accounts dedicated to the Union ’ s on-lendings, in which balance exceeded R$8 billion. However, from 2018, Ordinance 3,992/2017 unequivocally separated the budget flow from the financial flow, and the fund-to-fund transfers start...
Source: Revista de Saude Publica - July 19, 2019 Category: International Medicine & Public Health Source Type: research

Cultural adaptation of the Retirement Resources Inventory for Brazilian culture
CONCLUSIONS The methodological process of cultural adaptation of the Retirement Resources Inventory resulted in adequate content validity and ease of understanding by the participants. We emphasize that this study precedes the evaluation process of the psychometric properties of the instrument, which will be carried out in new studies.RESUMO OBJETIVO Traduzir e adaptar o Retirement Resources Inventory para a cultura brasileira. M ÉTODOS Pesquisa metodológica incluindo as etapas de tradução, síntese, avaliação por comitê de juízes, retrotradução e pré-teste. A consistência interna do instrumento foi avaliada...
Source: Revista de Saude Publica - July 19, 2019 Category: International Medicine & Public Health Source Type: research

Spatial analysis of pneumococcal meningitis in São Paulo in the pre- and post-immunization era
CONCLUSIONS Pneumococcal meningitis is probably underdiagnosed and underreported in S ão Paulo. Differentiated rates of pneumococcal meningitis diagnosis and reporting in each microregion, according to the São Paulo Index of Social Responsibility, might explain our results. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - July 19, 2019 Category: International Medicine & Public Health Source Type: research

Gestational weight gain, nutritional status and blood pressure in pregnant women
CONCLUSIONS Insufficient weekly gestational weight gain was associated with the risk of vitamin A insufficiency. Excessive weight gain, in turn, was associated with higher blood pressure values at the beginning of the third gestational trimester.RESUMO OBJETIVO Avaliar se o ganho de peso gestacional semanal est á associado à anemia, à insuficiência de vitamina A e a níveis pressóricos no terceiro trimestre gestacional. MÉTODOS Estudo prospectivo com 457 gestantes assistidas na atenção básica em Cruzeiro do Sul, Acre. A taxa de ganho de peso gestacional semanal medida entre o segundo e o terceiro trimestres fo...
Source: Revista de Saude Publica - July 19, 2019 Category: International Medicine & Public Health Source Type: research