Impact of oral condition on the quality of life of homeless people
CONCLUSIONS: The prevalence of oral health impact on quality of life of homeless people was high and higher than that verified in the overall Brazilian population. The impact was associated with the need for upper prosthesis, regardless of sociodemographic characteristics of the individuals.RESUMO OBJETIVO: Descrever a preval ência do impacto da saúde bucal na qualidade de vida e sua associação com a condição dentária e fatores sociodemográficos de indivíduos em situação de rua. MÉTODOS: A amostra foi composta por 116 indivíduos adultos, atendidos temporariamente por uma instituição pública no município ...
Source: Revista de Saude Publica - February 25, 2019 Category: International Medicine & Public Health Source Type: research
The human exposome unraveling the impact of environment on health: promise or reality?
ABSTRACT Considering the innovative nature of the approach to human exposome, we present the state of the art of studies on exposome, and discuss current challenges and perspectives in this area. Several reading and discussion activities were conducted by the Expossoma e Sa úde do Trabalhador (eXsat – Group Exposome and Worker's Health), with systematization of the literature in the area published between January 2005 and January 2017, available in the databases PubMed and Web of Science. This comment brings a thematic analysis to encourage the dissemination of the exposome approach for studies in the Public Health are...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Interventions to reduce the prescription of inappropriate medicines in older patients
CONCLUSIONS: The systematic reviews included in this overview showed potential benefits of different interventions. However, it was not possible to determine the most effective intervention. Combined interventions are likely to provide better results than isolated interventions.RESUMO OBJETIVO: Identificar e avaliar criticamente revis ões sistemáticas sobre a efetividade de intervenções para reduzir a prescrição de medicamentos potencialmente inapropriados para pacientes idosos. MÉTODOS: Overview de revisões sistemáticas. A busca e a seleção dos estudos foram feitas nas bases de dados Medline, Biblioteca Cochr...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Use of psychoactive drugs predicts functional disability among older adults
CONCLUSIONS: The study showed a prospective association between the use of psychoactive drugs and functional disability. These results indicate the need to carefully assess the prescription of psychoactive drugs for older adults and monitor their usage in order to detect damages to the health of users.RESUMO OBJETIVO: Investigar se o uso de psicof ármacos seria um preditor da incidência de incapacidade funcional entre idosos residentes em comunidade. MÉTODOS: Trata-se de um estudo longitudinal de base populacional, desenvolvido entre primeiro de janeiro de 1997 e 31 de dezembro de 2011, junto a idosos residentes em co...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Impacts of a Brazilian pharmaceutical program on the health of chronic patients
CONCLUSIONS: The strategy to expand access to medicines through the PFPB was effective in reducing hospitalizations and deaths by hypertension and diabetes in Brazil during the investigated period. Better understanding the impacts of the program is important to improve the pharmaceutical care policy, to ensure access to cost-effective treatments.RESUMO OBJETIVO: Avaliar o impacto da amplia ção do acesso a medicamentos pelo Programa Farmácia Popular do Brasil sobre indicadores de internações hospitalares e óbitos por hipertensão arterial e diabetes. MÉTODOS: Para estimar o impacto do Programa Farmácia Popular do ...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
WHODAS 2.0-BO: normative data for the assessment of disability in older adults
CONCLUSIONS: A score corresponding to 12 points in the 90 percentile on a scale from zero to 40 was observed, which suggests severe disability. The score in WHODAS 2.0-BO increased with the advance in age, as well as in the presence of comorbidities, negative health perception, depression, high blood pressure, visual and hearing impairment and mobility impairment.RESUMO OBJETIVO: Examinar os dados de normatiza ção do WHODAS 2.0-BO para idosos brasileiros (World Health Disability Assessment Schedule – Brazilian version for older people) e sua distribui ção de acordo com sexo, idade, percepção subjetiva de saúde, ...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Validation of an anxiety scale for prenatal diagnostic procedures
CONCLUSIONS: The Brazilian version is reliable and valid for use in the diagnosis of anxiety related to the performance of ultrasound procedures in prenatal care. Due to the lack of correlation with the rest of the construct, it is suggested that item 2 be removed from the final version.RESUMO OBJETIVO: Proceder à adaptação transcultural do questionário Prenatal Diagnostic Procedures Anxiety Scale para aplicação no contexto cultural brasileiro. MÉTODOS: Os processos de tradução e retrotradução seguiram critérios aceitos internacionalmente. Um comitê de especialistas avaliou as equivalências s emântica, idi...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Resilience and mental health problems in children and adolescents who have been victims of violence
CONCLUSIONS: The quality and perception of social support and resources present in the home environment may have facilitated the development of resilience in the studied children and adolescents. Violence may have increased the chance of mental health problems, domestic violence being an aggravating factor. There is need for research on aspects that predict resilience and investment in intervention strategies for this population, as a way to promote mental health.RESUMO OBJETIVO: Compreender o processo de resili ência (suporte social e recursos do ambiente familiar) e a chance de problemas de saúde mental em crianças e...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Aspects of work and sleep associated with work ability in regular aviation pilots
CONCLUSIONS: Work organization was a determining factor for decreased work ability, especially concerning aspects related to rest and its influence on the sleep of pilots.RESUMO OBJETIVO: Analisar a associa ção da organização do trabalho e dos aspectos do sono com a capacidade para o trabalho entre pilotos da aviação regular. MÉTODOS: Foi realizada uma pesquisa epidemiológica transversal, com 1.234 pilotos da aviação regular, que realizavam voos de rotas nacionais e internacionais, afiliados à Associação Brasileira de Pilotos da Aviação Civil. A coleta de dados foi feita através de questionário on-line....
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Dental care for early childhood in Brazil: from the public policy to evidence
CONCLUSIONS: One fifth of health units in Brazil do not provide dental care for children in early childhood. Health units ’ well-structured organization and planning protocols are associated with the provision of this service, as well as better employment relationship and graduate activities for dental surgeons.RESUMO OBJETIVO: Avaliar se caracter ísticas dos serviços de saúde, da equipe de saúde bucal e do cirurgião-dentista estão associadas à prestação de atendimento odontológico a crianças de até cinco anos de idade na atenção básica brasileira. MÉTODOS: Estudo transversal, com dados de 18.114 equip...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Clinical pathways of breast cancer patients treated in the Federal District, Brazil
CONCLUSIONS: We observed that multiple pathways were covered by women with breast cancer treated in public services of the Federal District. Socioeconomic iniquities and several aspectos of the pathways covered were associated with a longer time interval between the first appointment and the start of breast cancer therapy.RESUMO OBJETIVO: Conhecer os itiner ários terapêuticos de mulheres com câncer de mama tratadas em hospitais públicos, assim como analisar os fatores que influenciam o intervalo de tempo entre a primeira consulta e o início do tratamento. MÉTODOS: Realizou-se um estudo transversal com 600 mulheres ...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Assisted reproductive technology: prevalence and associated factors in Southern Brazil
CONCLUSIONS: The use of assisted reproductive technology services was reported by only a few women in the Pelotas 2015 Birth Cohort Study. Our study highlights sociodemographic factors associated to assisted reproductive technology procedures. To better understand the patterns and barriers in overall use of assisted reproductive technology services over time, national-level trend studies in assisted reproductive technology treatments and outcomes, as well as studies exploring the characteristics of women who have sought this kind of treatment are needed in low-middle income countries. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Fetal mortality and the challenges for women's health care in Brazil
CONCLUSIONS: The quality of information about fetal deaths, investments in research committees, and improvement in the quality of prenatal care should be prioritized to enable more effective coping and to reduce the fetal mortality rate in Brazil.RESUMO OBJETIVO: Tra çar uma série histórica da mortalidade fetal no Brasil e regiões entre 1996 e 2015, identificando seu comportamento e tendência. MÉTODOS: Estudo descritivo sobre casos de óbitos fetais no Brasil e em cada região notificados de 1996 a 2015, registrados no Datasus e classificados pela CID-10. A idade e escolaridade da mãe, duração da gestação e t...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Contextual income and incidence of disability: results of EpiFloripa Elderly Cohort
CONCLUSIONS: Contextual income influences the development of disability in basic activities of daily living in the elderly and should be the subject of actions to reduce socioeconomic inequalities and promote longevity with independence.RESUMO OBJETIVO: Avaliar a associa ção entre a renda contextual e a incidência de incapacidade nas atividades básicas e instrumentais da vida diária. MÉTODOS: Trata-se de estudo de coorte, com amostra de idosos (n = 1.196) residentes em Florianópolis, SC. As incidências de incapacidades foram avaliadas por meio do relato de dificuldade ou inabilidade para realizar seis atividades ...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
Maternity leave and exclusive breastfeeding
CONCLUSIONS: Maternity leave has contributed to the practice of exclusive breastfeeding for children under six months of life, which indicates the importance of this benefit in protecting exclusive breastfeeding for women inserted in the formal labor market.RESUMO OBJETIVO: Analisar a associa ção entre a licença-maternidade e o aleitamento materno exclusivo e estimar a prevalência de aleitamento materno exclusivo em crianças menores de seis meses de vida. MÉTODOS: Estudo transversal, com mães de crianças menores de seis meses, assistidas por unidades básicas de saúde com Posto de Recolhimento de Leite Humano O...
Source: Revista de Saude Publica - January 31, 2019 Category: International Medicine & Public Health Source Type: research
