RESUMEN
PURPOSE:: To evaluate severity and built a pilot of a national databank about pediatric trauma and to determine its severity. METHODS:: Prospective study of unintentional pediatric trauma in five hospitals in the city of São Paulo, Brazil. RESULTS:: 916 patients in 4 months. 61.5% of traumatized children were male, average 6.5 years. 48. 4% were falls. Most families had an average monthly income less than three minimum wages. 42% of accidents occurred at home. 18.9% of children were alone. 59,8% of parents thought it could be prevented. 26.5% of children had previous accidents. GCS was severe: 5 patients, moderate: 8 patients. 21 patients were intubated (2.4%), RTS <7 in 10.2%, PTS<8 in 3.6%. 8.5% patients were considered severe, which was related to falls (p=0.001); sports (p=0.045); pedestrian (p=0.006); child education (p=0.015) and cared by male (p=0.007). CONCLUSIONS:: Severity occurred in 8.5% and was associated to falls, sports, traffic, child education, and cared by male. Simple preventive measures could have prevented most of the accidents. The tested tool for details was successful and can be used throughout the country.
Asunto(s)
Accidentes/estadística & datos numéricos , Puntaje de Gravedad del Traumatismo , Heridas y Lesiones/epidemiología , Adolescente , Distribución por Edad , Brasil/epidemiología , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Estudios ProspectivosRESUMEN
Abstract Purpose: To evaluate severity and built a pilot of a national databank about pediatric trauma and to determine its severity. Methods: Prospective study of unintentional pediatric trauma in five hospitals in the city of São Paulo, Brazil. Results: 916 patients in 4 months. 61.5% of traumatized children were male, average 6.5 years. 48. 4% were falls. Most families had an average monthly income less than three minimum wages. 42% of accidents occurred at home. 18.9% of children were alone. 59,8% of parents thought it could be prevented. 26.5% of children had previous accidents. GCS was severe: 5 patients, moderate: 8 patients. 21 patients were intubated (2.4%), RTS <7 in 10.2%, PTS<8 in 3.6%. 8.5% patients were considered severe, which was related to falls (p=0.001); sports (p=0.045); pedestrian (p=0.006); child education (p=0.015) and cared by male (p=0.007). Conclusions: Severity occurred in 8.5% and was associated to falls, sports, traffic, child education, and cared by male. Simple preventive measures could have prevented most of the accidents. The tested tool for details was successful and can be used throughout the country.
Asunto(s)
Humanos , Masculino , Femenino , Lactante , Preescolar , Niño , Adolescente , Heridas y Lesiones/epidemiología , Accidentes/estadística & datos numéricos , Puntaje de Gravedad del Traumatismo , Brasil/epidemiología , Estudios Prospectivos , Distribución por EdadRESUMEN
Relata que a Lei 9.656/98 é confusa e cheia de brechas introduzidas pela própria Lei ou por Medidas Provisórias. Faz uma análise completa de todos os tipos de planos e indica o que vale também para os planos anteriores à Lei. Analisa treze contratos de planos-referência de empresas de planos e seguros de saúde lançados no mercado em 2000. Encontra abusos tão injustificáveis quanto os que havia nos antigos. Traz textos completos da Lei 9.656/98, com as alterações produzidas por Medida Provisória, que vem sendo reeditada há dois anos, por vinte e quatro resoluções do Conselho Nacional de Saúde (CONSU) e mais de trinta resoluções da Agência Nacional de Saúde Suplemenar (ANS) e portarias do Ministério da Justiça. Traz trinta modelos de cartas para o consumidor reclamar quando se sentir prejudicado, além dos endereços a que deve se dirigir para fazer reclamações.
Asunto(s)
Sistemas Prepagos de Salud , Organización y Administración , Planes de Salud de Prepago/legislación & jurisprudencia , Brasil , Defensa del Consumidor , Legislación como AsuntoRESUMEN
Guia em ordem alfabética com soluções para os problemas mais freqüentes dos consumidores
Asunto(s)
Defensa del ConsumidorRESUMEN
Traduz em linguagem simples, utilizando o maior número de exemplos possível, o Código de Defesa do Consumidor (CDC), que entrou em vigor a partir de 11 de março de 1991. Além do CDC, anotado e exemplificado pela equipe do departamento jurídico do IDEC, integram a edição os textos completos e atualizados de outras leis que se aplicam à defesa do consumidor, como a dos Juizados Especiais e a que disciplina a ação civil pública. E, na parte final, o usußrio poderß encontrar os endereços de entidades e órgãos de defesa do consumidor, no Brasil e no exterior
