Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes
CONCLUSIONS Among the pregnant women, greater adherence to “ traditional Brazilian ” and “ healthy ” patterns was inversely associated with obesity, but no relationship was identified with gestational diabetes mellitus after adjusting for excessive body weight. Prospective studies are recommended to investigate the relationship between dietary patterns, overweight and gestational diabetes mellitus, reducing the chance of reverse causality.RESUMO OBJETIVO Investigar a rela ção entre os padrões alimentares de gestantes com o excesso de peso materno e o diabetes mellitus gestacional. MÉTODOS Estudo transversa...
Source: Revista de Saude Publica - July 1, 2019 Category: International Medicine & Public Health Source Type: research
Drug use in delivery hospitalization: Pelotas births cohort, 2015
CONCLUSIONS: We found high drug consumption in the delivery hospitalization period, and the main factors were cesarean delivery and epidural anesthesia. Drugs that act on the nervous system were the most used.RESUMO OBJETIVO: Identificar o padr ão de uso dos medicamentos durante a internação para o parto. MÉTODO: Estudo transversal realizado de junho a outubro de 2015, inserido na coorte de nascimentos de Pelotas de 2015. Todas as mulheres residentes na zona urbana da cidade que foram internadas para o parto fizeram parte da amostra. Foram coletadas informações referentes à prescrição e uso de medicamentos pela ...
Source: Revista de Saude Publica - May 31, 2019 Category: International Medicine & Public Health Source Type: research
Equity analysis of resource distribution for the Popular Pharmacy Program
CONCLUSIONS Although the Brazilian Popular Pharmacy Program seeks to reduce the socioeconomic inequalities observed in access to pharmaceutical care, which integrates health care services, regional disparities in access to medicine persist. These regional differences are attributed mostly to allocation failures and problems in managing the conventional pharmaceutical care cycle provided through SUS pharmacies.RESUMO OBJETIVO Analisar a aloca ção regional dos recursos do Programa Farmácia Popular do Brasil, levando em conta a disponibilidade relativa do programa e as necessidades potenciais da região. MÉTODOS Os dad...
Source: Revista de Saude Publica - May 20, 2019 Category: International Medicine & Public Health Source Type: research
Environmental and socioeconomic analysis of malaria transmission in the Brazilian Amazon, 2010–2015
CONCLUSIONS As a disease of poverty, the reduction in wealth inequalities and, therefore, health inequalities, could reduce the transmission considerably. Besides, environmental risk factors as length of the wet season should be considered in the planning, prevention and control. Municipality-level and fine-scale analysis should be done together to improve the knowledge of the local dynamics of transmission. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 20, 2019 Category: International Medicine & Public Health Source Type: research
Health Diplomacy and Global Health: Latin American perspectives
ABSTRACT We will analyze and comment on the book Health Diplomacy and Global Health: Latin American Perspectives, edited by Paulo Marchiori Buss and Sebasti án Tobar and published by Editora Fiocruz. Throughout its 653 pages, the book brings prominent national and foreign authors in the field of Health Diplomacy and Global Health, depicting a decade in which Brazil had great international protagonism in the field of Public Health, especially in South-S outh cooperation, in an innovative and structuring manner. Furthermore, the chapters present theoretical aspects and basic principles of Global Health as a new field of kno...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Construction and validation of an instrument for the assessment of care provided to people with suicidal behavior
CONCLUSIONS The final version of the instrument was able to fulfill its objectives. It is useful as a support for epidemiological research and planning of health actions. The evaluation of professional approaches to suicidal behavior is crucial for the organization of suicide assistance services in primary health care, and for the integration of services provided by different care units.RESUMO OBJETIVO Desenvolver e validar um instrumento para avalia ção da assistência às pessoas com comportamento suicida por profissionais da atenção primária à saúde. MÉTODOS Estudo metodológico iniciado com revisão de litera...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Sampling strategy of an epidemiological survey using a satellite image program
CONCLUSIONS The careful methods used in this study, in which satellite images were used in the delimitation of epidemiological areas, ensure the quality of the estimates obtained and allow for these estimates to be used in oral health surveillance and health policies improvements. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Exploring the effect of time and sex in family and community violence from 2008 to 2014
CONCLUSIONS The results indicate a trend of increasing female victims in the family violence, mainly perpetrated by men. The reduction in community violence rates could be the result of policies to reduce crime. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Challenges and lessons from a primary care intervention in a Brazilian municipality
CONCLUSIONS Community health agents and health managers played a fundamental role in the Primary Health Care network. The case study of Santo Antonio do Monte poses some challenges and lessons that clarify future interventions on building a Primary Health Care network that is essential to provide an adequate and longitudinal care to chronic conditions. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Prevalence and factors associated to chronic kidney disease in older adults
CONCLUSIONS The prevalence of chronic kidney disease was high in older adults, being associated with age, self-assessment of health as bad or very bad, obesity, diabetes and metabolic syndrome.RESUMO OBJETIVO Verificar a preval ência de doença renal crônica e os fatores a ela associados em idosos ( ≥ 60 anos). M ÉTODOS Trata-se de um inquérito de base populacional realizado em 2014, envolvendo 1.016 idosos residentes nas zonas urbana e rural do município de Rio Branco, Acre. A doença renal crônica foi definida pela taxa de filtração glomerular< 60 ml/min/1,73 m 2 , estimada pelas equa ções da Chronic Ki...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Prenatal evaluation in primary care in Northeast Brazil: factors associated with its adequacy
CONCLUSIONS Prenatal care, when evaluated b y broader criteria, showed a low percentage of adequacy. Strategies should be developed to ensure the referral to the maternity where the birth will take place and health education activities and examinations to provide adequate prenatal care in the municipality under study. In addition, factors ass ociated with adequacy must be considered by managers and health professionals.RESUMO OBJETIVO Caracterizar a assist ência pré-natal e verificar possíveis fatores associados à sua adequação. MÉTODOS Este é um estudo transversal realizado a partir de entrevistas com os prof...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Patient safety culture from the perspective of workers and primary health care teams
CONCLUSIONS We concluded that, although close to the average, patient safety culture among professionals in the Primary Health Care is positive and that there are differences in safety culture between family health and oral health teams in comparison with the primary health care teams.ABSTRACT OBJETIVO Analisar se a cultura de seguran ça do paciente entre os profissionais da atenção primária à saúde difere entre as equipes de saúde. MÉTODOS Estudo transversal, quantitativo, realizado nos meses de abril e maio de 2017, em um município da região Sul do Brasil. Participaram 144 profissionais que responderam ao ...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Recommendations of physical activity and rest in a Colombian prenatal control program
CONCLUSIONS The low frequency of physical activity recommendations found in the records makes it necessary to reinforce the management strategies of health centers and strengthen the monitoring and accompaniment to comply with the care protocols. In addition, it is necessary to train health teams on the benefits of physical activity and their proper prescription, considering the multiple benefits derived from their practice on the maternal-fetal health.RESUMEN OBJETIVO Determinar la frecuencia del registro de recomendaciones de actividad f ísica y reposo realizadas a las gestantes y explorar sus factores asociados, en ...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Prenatal care in Southern Brazil: coverage, trend and disparities
CONCLUSIONS The provision of prenatal care, considering only the number of appointments and the early start, occurred in greater proportion among the poorest. However, only the richest recent mothers were contemplated with more elaborate care, such as laboratory tests, which increased the disparities in the provision of prenatal care.RESUMO OBJETIVO Estimar a cobertura, examinar a tend ência e avaliar se houve redução da disparidade em relação à renda familiar na realização de pré-natal adequado entre puérperas residentes em Rio Grande, RS, nos anos de 2007, 2010, 2013 e 2016. MÉTODOS Foram incluídas neste ...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
Health system financing paradigm in the state of São Paulo: a regional analysis
CONCLUSIONS The paradigm of the health sector ’ s financing in S ão Paulo revealed that the expenditure on primary health care, level elected by health policy as strategic because it depends on coordination and integral health care in the attention networks, was not considered a priority in relation to the expenditure with the medium and high complexity, exposin g the iniquities in the state ’ s regions.RESUMO OBJETIVO Analisar a aloca ção de recursos financeiros no Sistema Único de Saúde (SUS) no estado de São Paulo por nível de atenção, região de saúde, fonte de recursos e ente federado. MÉTODOS Trata-...
Source: Revista de Saude Publica - May 7, 2019 Category: International Medicine & Public Health Source Type: research
