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2.
Rev. enferm. UERJ ; 28: e36283, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1103400

RESUMEN

Objetivo: analisar a influência das composições familiares na ocorrência da gravidez na adolescência. Método:estudo caso-controle, realizado com 74 gestantes adolescentes, grupo de casos, e 74 adultas jovens sem história pregressa de gravidez na adolescência, grupo controle, pareadas pela variável renda familiar. Os dados foram coletados por meio de entrevistas estruturadas realizadas no período deagosto a outubro de 2016 em Cuiabá, Mato Grosso, e em seguida analisados pelos métodos estatísticos descritivo e inferencial. Resultados: identificou-se associação entre a ocorrência do desfecho com pertencer a famílias não nucleares, não permanecer a mesma família durante a infância e adolescência, e a constituição de uma família própria no período da adolescência. Conclusão:verificou-se que adolescentes inseridas em famílias não nucleares estão mais expostas a fatores de risco para ocorrência da gravidez na adolescência, quando comparadas às jovensprovenientes de famílias com ambos os pais.


Objective: to analyze the influence of family compositions in the occurrence of pregnancy in adolescence. Method:this is a case-control study performed with 74 pregnant adolescents, group of cases, and 74 young adults without background history of pregnancy during adolescence, group control, paired by family income. Data were collected through structured interviews conducted in the period from August to October 2016 in Cuiabá, Mato Grosso, and then analyzed by descriptive and inferential statistical methods. Results:we identified an association between the occurrence of the outcome and the belonging to non-nuclear families, as well as the non-belonging to the same family during childhood and adolescence, besides the constitution of an own family in the period of adolescence. Conclusion: checked that adolescents inserted in nonnuclear families are more exposed to risk factors for the occurrence of pregnancy in adolescence when compared to young people coming from families with both parents.


Objetivo: analizar la influencia de las composiciones familiares en la ocurrencia del embarazo adolescente. Método: estudio caso-control efectuado con 74 adolescentes embarazadas, grupo de casos, y 74 jóvenes adultas sin historia anterior de embarazo en la adolescencia, grupo de control, agrupadas por sus ingresos familiares. Los datos se recopilaron mediante entrevistas estructuradas conducidas en el periodo de agosto a octubre de 2016 en Cuiabá, Mato Grosso, y posteriormente analizados por los métodos estadísticos descriptivo e inferencial. Resultados:se identificó una asociación entre la ocurrencia del desenlace y la pertenencia a las familias no nucleares, no permanencia en la misma familia durante niñez y adolescencia, y la constitución de una familia propia en el periodo de la adolescencia. Conclusion: comprobado eso que las adolescentes insertadas en familias no nucleares están más expuestas a los factores de riesgo para la ocurrencia del embarazo adolescente en comparación con las jóvenes provenientes de familias con ambos padres biológicos.


Asunto(s)
Humanos , Femenino , Embarazo , Adolescente , Adulto Joven , Embarazo en Adolescencia/psicología , Composición Familiar , Factores de Riesgo , Conducta del Adolescente/psicología , Relaciones Familiares/psicología , Brasil/epidemiología , Núcleo Familiar/psicología , Estudios de Casos y Controles , Relaciones Padre-Hijo , Relaciones Madre-Hijo
3.
Rev. enferm. UERJ ; 28: e48522, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1103397

RESUMEN

Objetivo: identificar a presença de distúrbios osteomusculares relacionados ao trabalho nos trabalhadores de enfermagem de uma unidade de clínica médica e construir juntos aos trabalhadores propostas para reduzir a ocorrência dos distúrbios osteomusculares no ambiente de trabalho. Método: estudo transversal com 31 trabalhadores de enfermagem de uma clínica médica, que responderam uma ficha de dados sóciodemográfico e profissional e do Questionário Nórdico de Sintomas Osteomusculares. Resultados: os trabalhadores exercem suas atividades laborais com dores osteomusculares, sendo as regiões corpóreas mais prevalentes a lombar e a porção superior da coluna e ombros. Apesar disso, nem todos se afastam do trabalho ou procuram assistência terapêutica. As ações de redução dos distúrbios osteomusculares levantadas foram categorizadas em três dimensões: indivíduo, equipe e instituição. Conclusão: os trabalhadores apresentam distúrbios osteomusculares, principalmente, nas costas. As ações de redução de sua ocorrência perpassam pelo comportamento individual às mudanças estruturais e provisão de equipamentos de trabalho.


Objective: to identify the presence of work-related musculoskeletal disorders in nursing staff at an internal medicine unit and, jointly with the staff, to build proposals to reduce the occurrence of musculoskeletal disorders in the workplace. Method: in this cross-sectional study, 31 nursing staff of a medical clinic answered a socio-demographic and professional data sheet and the Nordic Musculoskeletal Questionnaire. Results: staff performed their work activities with musculoskeletal pain, the most prevalent body regions being: lower back and upper spine and shoulders. Nonetheless, not everyone would take time off work or seek therapeutic care. The actions suggested to reduce musculoskeletal disorders were categorized into three dimensions: individual, team and institutional. Conclusion: staff had musculoskeletal disorders, mainly in the back. Actions proposed to reduce pain ranged from individual behavior to structural changes and provision of work equipment.


Objetivo: identificar la presencia de trastornos musculoesqueléticos relacionados con el trabajo en el personal de enfermería en una unidad de medicina interna y, conjuntamente con el personal, elaborar propuestas para reducir la aparición de trastornos musculoesqueléticos en el lugar de trabajo. Método: en este estudio transversal, 31 miembros del personal de enfermería de una clínica médica respondieron una hoja de datos sociodemográficos y profesionales y el Cuestionario musculoesquelético nórdico. Resultados: el personal realizó sus actividades laborales con dolor musculoesquelético, siendo las regiones corporales más frecuentes: la parte baja de la espalda y la parte superior de la columna y los hombros. Sin embargo, no todos tomarían tiempo libre del trabajo o buscarían atención terapéutica. Las acciones sugeridas para reducir los trastornos musculoesqueléticos se clasificaron en tres dimensiones: individual, de equipo e institucional. Conclusión: el personal tenía trastornos musculoesqueléticos, principalmente en la espalda. Las acciones propuestas para reducir el dolor iban desde el comportamiento individual hasta los cambios estructurales y la provisión de equipos de trabajo.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Ambiente de Trabajo , Trastornos de Traumas Acumulados/prevención & control , Salud Laboral , Personal de Enfermería en Hospital , Brasil/epidemiología , Estudios Transversales , Encuestas y Cuestionarios , Prevención de Enfermedades , Dolor Musculoesquelético/prevención & control
4.
Rev. bioét. derecho ; (50): 333-352, nov. 2020.
Artículo en Portugués | IBECS | ID: ibc-191361

RESUMEN

Pretende-se mostrar como a pandemia de COVID-19 causada pelo novo coronavírus Sars-CoV-2, afeta a distribuição equitativa de recursos sanitários no Brasil, bem como evidenciar os dilemas e entraves éticos e psicológicos vivenciados pelos profissionais da saúde no contexto de combate à doença. O presente estudo objetivou revisar conhecimentos acerca de questões bioéticas referentes à escassez de recursos e saúde mental. Realizou-se, desse modo, uma análise de protocolos sobre alocação de recursos recém-publicados no Brasil


Se pretende mostrar cómo la pandemia de COVID-19 causada por el nuevo coronavirus Sars-CoV-2, afecta la distribución equitativa de los recursos de salud en Brasil, así como resaltar los dilemas y barreras éticas y psicológicas advertidas por los profesionales de la salud en el contexto de lucha contra la enfermedad. El presente estudio tuvo como objetivo revisar el conocimiento sobre cuestiones bioéticas relacionadas con la escasez de recursos y la salud mental. Así, se realizó un análisis de protocolos sobre la asignación de recursos recientemente publicados en Brasil


Es pretén mostrar com la pandèmia de COVID-19 causada pel nou coronavirus Sars-COV-2, afecta la distribució equitativa dels recursos de salut al Brasil, així com ressaltar els dilemes I les barreres ètiques I psicològiques reconegudes pels professionals de la salut en el context de lluita contra la malaltia. El present estudi va tenir com a objectiu revisar el coneixement sobre qüestions bioètiques relacionades amb l'escassetat de recursos I la salut mental. Així, es va realitzar una anàlisi de protocols sobre l'assignació de recursos recentment publicats al Brasil


It is intended to show how the COVID-19 pandemic caused by the new Sars-CoV-2 coronavirus, affects the equitable distribution of health resources in Brazil, as well as to highlight the ethical and psychological dilemmas and barriers experienced by health professionals in the context of fighting disease. The present study aimed to go through knowledge about bioethical issues related to the scarcity of resources and mental health. Thus, an analysis of protocols on the allocation of newly published resources in Brazil was carried out


Asunto(s)
Humanos , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Pandemias/ética , Salud Mental , Bioética , Prioridades en Salud , Gestión de Recursos , Asignación de Recursos/ética , Brasil/epidemiología
5.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud, LIS-CONASS | ID: lis-47933

RESUMEN

A Secretaria de Estado de Saúde do Rio de Janeiro informa que registra, até este domingo (09/08), 178.850 casos confirmados e 14.080 óbitos por coronavírus (Covid-19) no estado. Há ainda 992 óbitos em investigação e 331 foram descartados. Entre os casos confirmados, 159.372 pacientes se recuperaram da doença.


Asunto(s)
Infecciones por Coronavirus , Betacoronavirus , Epidemias/estadística & datos numéricos , Neumonía Viral , Brasil/epidemiología
6.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud, LIS-CONASS | ID: lis-47934

RESUMEN

A Secretaria de Estado de Saúde do Rio de Janeiro informa que registra, até esta segunda-feira (10/08), 180.016 casos confirmados e 14.108 óbitos por coronavírus (Covid-19) no estado. Há ainda 997 óbitos em investigação e 331 foram descartados. Entre os casos confirmados, 161.329 pacientes se recuperaram da doença.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Betacoronavirus , Epidemias/estadística & datos numéricos , Brasil/epidemiología , Neumonía Viral
7.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud, LIS-CONASS | ID: lis-47935

RESUMEN

A Secretaria de Estado de Saúde do Rio de Janeiro informa que registra, até esta terça-feira (11/08), 182.563 casos confirmados e 14.212 óbitos por coronavírus (Covid-19) no estado. Há ainda 1.049 óbitos em investigação e 333 foram descartados. Entre os casos confirmados, 163.579 pacientes se recuperaram da doença.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Betacoronavirus , Epidemias/estadística & datos numéricos , Brasil/epidemiología , Neumonía Viral/epidemiología
8.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud, LIS-CONASS | ID: lis-47936

RESUMEN

A Secretaria de Estado de Saúde do Rio de Janeiro informa que registra, até esta quarta-feira (12/08), 185.610 casos confirmados e 14.295 óbitos por coronavírus (Covid-19) no estado. Há ainda 1.061 óbitos em investigação e 333 foram descartados. Entre os casos confirmados, 165.894 pacientes se recuperaram da doença.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Betacoronavirus , Neumonía Viral , Epidemias/estadística & datos numéricos , Brasil/epidemiología
9.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud, LIS-CONASS | ID: lis-47937

RESUMEN

A Secretaria de Estado de Saúde do Rio de Janeiro informa que registra, até esta quinta-feira (13/08), 188.085 casos confirmados e 14.412 óbitos por coronavírus (Covid-19) no estado. Há ainda 1.079 óbitos em investigação e 336 foram descartados. Entre os casos confirmados, 167.609 pacientes se recuperaram da doença.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Betacoronavirus , Neumonía Viral/epidemiología , Epidemiología/estadística & datos numéricos , Brasil/epidemiología
10.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47908

RESUMEN

O Brasil volta a apresentar redução no número de casos e óbitos da Covid-19. O novo Boletim Epidemiológico, apresentado nesta quinta-feira (01/10) pelo Ministério da Saúde, mostrou queda de 11% na curva de casos confirmados da doença, caindo de 212.553 registros, entre os dias 13 e 19/09, para 189.751 entre 20 e 26/09.


Asunto(s)
Infecciones por Coronavirus , Brasil/epidemiología
12.
Goiânia; s.n; out. 09, 2020. ilus, tab, mapas, graf.(Boletim Epidemiológico Covid-19, 27).
Monografía en Portugués | Coleciona SUS, CONASS, SES-GO | ID: biblio-1122129

RESUMEN

Através do Boletim Epidemiológico Covid 19 n° 27, a Secretaria Estadual de Saúde do Estado de Goiás, Brasil, tem o objetivo de informar a situação epidemiológica no período de 02 de fevereiro à 03 de outubro do ano de 2020, considerando que desde os primeiros registros na China em dezembro de 2019 até o dia 03 de outubro foram confirmados 34.804.348 casos de COVID-19 no mundo. Deste total, 1.030.738 evoluíram a óbito. Quando comparados o número de casos e óbitos confirmados desta semana epidemiológica (SE 40) com a semana anterior, houve aumento de 6,3% nos casos e 4,0%nos óbitos. No Brasil, neste mesmo intervalo de tempo, o aumento foi 4,4% e 3,7% no número de casos e óbitos, respectivamente. No país o primeiro caso foi confirmado no dia 26 de fevereiro e até 03 de setembro foram registrados 4.927.235 casos confirmados com 146.675 óbitos. O registro dos primeiros casos suspeitos em Goiás foi a partir de 04 de fevereiro e até 03 de outubro foram notificados à Vigilância Epidemiológica 630.054 casos de COVID-19. Nesta última semana epidemiológica (SE 40) houve a confirmação de 13.468 casos novos, representando um aumento nos casos de COVID-19 de 6,6%, superior ao aumento observado no Brasil 4,4%. No Estado, 215.996(34,3%) foram confirmados sendo 208.780(96,7%) por critério laboratorial, 4.920(2,3%) pelo critério clínico-epidemiológico, 660(0,3%) por critério clínico-imagem e 1.144(0,5%) pelo critério clínico, 160.855(25,5%) foram descartados e 225.955(35,9%) continuam como suspeitos


Through the Epidemiological Bulletin Covid 19 n° 27, the State Department of Health of the State of Goiás, Brazil, aims to inform the epidemiological situation in the period from February 2 to October 3 of the year 2020, considering that from the first records in China in December 2019 to October 3, 34,804,348 cases of COVID-19 worldwide were confirmed. Of this total, 1,030,738 died. When comparing the number of confirmed cases and deaths of this epidemiological week (SE 40) with the previous week, there was an increase of 6.3% in cases and 4.0% in deaths. In Brazil, in this same time interval, the increase was 4.4% and 3.7% in the number of cases and deaths, respectively. In the country the first case was confirmed on February 26 and until September 3, 4,927,235 confirmed cases were recorded with 146,675 deaths. The record of the first suspected cases in Goiás was from February 4 and until October 3 were notified to the Epidemiological Surveillance 630,054 cases of COVID-19. In this last epidemiological week (SE 40) there was the confirmation of 13,468 new cases, representing an increase in cases of COVID-19 of 6.6%, higher than the increase observed in Brazil 4.4%. In the State, 215,996 (34.3%) were confirmed being 208,780 (96.7%) by laboratory criterion, 4,920 (2.3%) by clinical and epidemiological criteria, 660 (0.3%) by clinical-imaging criterion and 1,144 (0.5%) by clinical criterion, 160,855 (25.5%) were discarded and 225,955 (35.9%) continue as suspects


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Preescolar , Niño , Adolescente , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Adulto Joven , Neumonía Viral/epidemiología , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Pandemias , Betacoronavirus , Brasil/epidemiología , Incidencia , Infecciones por Coronavirus/mortalidad , Monitoreo Epidemiológico
13.
Goiânia; s.n; Out. 14, 2020. ilus, tab, mapas, graf.(Boletim Epidemiológico Covid-19, 28).
Monografía en Portugués | Coleciona SUS, CONASS, SES-GO | ID: biblio-1123103

RESUMEN

Esta edição do Boletim Epidemiológico COVID19 apresenta um panorama geral desde os primeiros registros na China em dezembro de 2019 até o dia 10 de outubro foram confirmados 37.109.851 casos de COVID-19 no mundo. Deste total, 1.070.355 evoluíram a óbito. Quando comparados o número de casos e óbitos confirmados desta semana epidemiológica (SE 41) com a semana anterior, houve aumento de 6,6% nos casos e 3,8% nos óbitos. No Brasil, neste mesmo intervalo de tempo, o aumento foi 3,6% e 2,7% no número de casos e óbitos, respectivamente. No país o primeiro caso foi confirmado no dia 26 de fevereiro e até 10 de outubro foram registrados 5.103.408 casos confirmados com 150.689 óbitos. Apresenta os dados referentes a situação epidemiológica COVID-19 no período de 02 de fevereiro a 10 de outubro de 2020 no Estado de Goiás, Brasil, informando que o registro dos primeiros casos suspeitos em Goiás foi a partir de 04 de fevereiro e até 10 de outubro foram notificados à Vigilância Epidemiológica 656.938 casos de COVID-19. Nesta última semana epidemiológica (SE 40) houve a confirmação de 12.721 casos novos, representando um aumento de 5,9%, superior ao aumento observado no Brasil 3,6%. No Estado, 228.717 (34,8%) foram confirmados sendo 220.473 (96,4%) por critério laboratorial, 5.565 (2,4%) pelo critério clínico-epidemiológico, 780 (0,3%) por critério clínico-imagem e 1.393 (0,6%) pelo critério clínico, 168.061 (25,6%) foram descartados e 228.443 (34,8%) continuam como suspeitos


This edition of the EPIDEMIOLOGICAL BULLETIN COVID19 presents an overview from the first records in China in December 2019 to October 10, 37,109,851 cases of COVID-19 worldwide were confirmed. Of this total, 1,070,355 died. When comparing the number of confirmed cases and deaths of this epidemiological week (SE 41) with the previous week, there was an increase of 6.6% in cases and 3.8% in deaths. In Brazil, in this same time interval, the increase was 3.6% and 2.7% in the number of cases and deaths, respectively. In the country the first case was confirmed on February 26 and until October 10, 5,103,408 confirmed cases with 150,689 deaths were recorded. It presents data regarding the epidemiological situation COVID-19 from February 2 to October 10, 2020 in the State of Goiás, Brazil, stating that the registration of the first suspected cases in Goiás was from February 4 and until October 10, 656,938 cases of COVID-19 were reported to epidemiological surveillance. In this last epidemiological week (SE 40) there was the confirmation of 12,721 new cases, representing an increase of 5.9%, higher than the increase observed in Brazil 3.6%. In the State, 228,717 (34.8%) were confirmed to be 220,473 (96.4%) by laboratory criterion, 5,565 (2.4%) by clinical and epidemiological criteria, 780 (0.3%) by clinical-imaging criterion and 1,393 (0.6%) by clinical criterion, 168,061 (25.6%) were discarded and 228,443 (34.8%) continue as suspects


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Lactante , Preescolar , Niño , Adolescente , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Adulto Joven , Neumonía Viral/epidemiología , Infecciones por Coronavirus/epidemiología , Pandemias , Betacoronavirus , Neumonía Viral/diagnóstico , Neumonía Viral/mortalidad , Brasil/epidemiología , Incidencia , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/mortalidad , Monitoreo Epidemiológico
15.
J Contemp Dent Pract ; 21(6): 657-665, 2020 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-33025935

RESUMEN

AIM: The present study aimed to investigate the total number of visits required to conclude root canal treatments (RCTs) as well as the motivations associated to the choice of dentists practicing in low-income areas of Brazil. MATERIALS AND METHODS: A total of 3,103 questionnaires were electronically and individually delivered to professionals of Salvador, Sergipe, and Alagoas (Brazil). The questionnaire encompassed sociodemographic data and questions regarding the number of sessions required to conclude RCT. Also, postoperative pain, professional qualification, the use of technological resources, and time for one-visit treatment were evaluated. Data were analyzed using Chi-square and Poisson regression analyses (p < 0.05). RESULTS: A total of 326 responses were obtained with higher prevalence of specialists in the field of endodontics (36.8%). Dentists reported greater preference for rotary instrumentation (Alagoas 54.6%, Aracaju 62.1%, and Salvador 83.5%), and most of the participants reported multiple visits to treat root canals with the necrotic pulp tissue associated or not to periapical radiolucency, excluding Salvador (53.8%). Dentists who graduated in public dental schools were less likely to perform RCT of necrotic teeth with periapical lesion in one clinical appointment (p = 0.034). The single-session therapy was positively associated to continuing education attendance (p = 0.004) and to the occurrence of clinical complications (p < 0.001). Dentists who graduated in lato sensu programs were more likely to conclude RCT in less than 60 minutes (p < 0.001), although the occurrence of postoperative pain was more likely observed upon this scenario (p < 0.001). CONCLUSION: Despite the social inequalities in the analyzed area, professionals have been seeking for knowledge by means of continuing education programs and the implementation of technological resources in their clinical routine, although this fact has poorly influenced the acceleration of RCT. Clinical significances: The total number of visits to conclude endodontic treatment may be influenced by both professional and biological parameters such as the attendance to postgraduation programs and the use of technology as well as to the biological condition of the pulp and the occurrence of postoperative complications.


Asunto(s)
Endodoncia , Tratamiento del Conducto Radicular , Brasil/epidemiología , Atención Odontológica , Necrosis de la Pulpa Dental , Humanos
16.
Rev Bras Epidemiol ; 23: e200091, 2020.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33027433

RESUMEN

OBJECTIVE: To analyze the association between the transmission potential of SARS-CoV-2 and the decisions made by the municipal government of Florianópolis (Brazil) regarding social distancing. METHODS: We analyzed new cases of COVID-19 identified in Florianópolis residents between February 1 and July 14, 2020, using a nowcasting approach. Decrees related to COVID-19 published in the Official Gazette of the Municipality between February 1 and July 14, 2020 were also analyzed. Based on the actions proposed in the decrees, whether they loosened social distancing measures, or increased or maintained existing restrictions, was analyzed, thus creating a Social Distancing Index. Time-dependent reproduction numbers (Rt) for a period of 14 days prior to each decree were calculated. A matrix was constructed associating the classification of each decree and the Rt values, analyzing the consonance or dissonance between the potential dissemination of SARS-CoV-2 and the actions of the decrees. RESULTS: A total of 5,374 cases of COVID-19 and 26 decrees were analyzed. Nine decrees increased social distancing measures, nine maintained them, and eight loosened them. Of the 26 actions, 9 were consonant and 17 dissonant with the tendency indicated by the Rt. Dissonance was observed in all of the decrees that maintained the distance measures or loosened them. The fastest expansion in the number of new cases and the greatest amount of dissonant decrees was found in the last two months analyzed. CONCLUSION: There was an important divergence between municipal measures of social distancing with epidemiological indicators at the time of each political decision.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Toma de Decisiones , Gobierno Local , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Brasil/epidemiología , Humanos , Estudios Retrospectivos , Distancia Social
17.
Rev Bras Epidemiol ; 23: e200095, 2020.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33027434

RESUMEN

OBJECTIVE: To assess, through space-time analyses, whether the income inequality of the Federative Units (FUs) in Brazil can be associated with the risk of infection and death by COVID-19. METHODS: This was an ecological study, based on secondary data on incidence and mortality rates for COVID-19. Data were analyzed at the state level, having the Gini coefficient as the main independent variable. Records of twelve days were used, spaced one week each, between April 21th and June 7th, 2020. The weekly variation in the rates was calculated through Prais-Winsten regression, aiming at measuring the evolution of the pandemic in each FU. Spearman's correlation test was used to assess correlation between the rates and their weekly evolution and the independent variables. Lastly, a spatial dependence diagnosis was conducted, and a Spatial Regression lag model was used when applicable. RESULTS: Incidence and mortality rates of COVID-19 increased in all Brazilian FUs, being more pronounced among those with greater economic inequality. Association between Gini coefficient and COVID-19 incidence and mortality rates remained even when demographic and spatial aspects were taken into account. CONCLUSION: Income inequality can play an important role in the impact of COVID-19 on the Brazilian territory, through absolute and contextual effects. Structural policies to reduce inequality are essential to face this and future health crises in Brazil.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Disparidades en el Estado de Salud , Pandemias , Neumonía Viral/epidemiología , Brasil/epidemiología , Infecciones por Coronavirus/mortalidad , Humanos , Neumonía Viral/mortalidad , Medición de Riesgo , Factores Socioeconómicos
18.
Rev Bras Epidemiol ; 23: e200098, 2020.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33027435

RESUMEN

OBJECTIVE: To assess the association between the impact of oral health on daily life and sociodemographic variables with oral parameters in adolescents living in the State of São Paulo, Brazil. METHODS: A cross-sectional study was conducted with data from 5,409 adolescents who participated in the "State Oral Health Survey of São Paulo - OH", 2015. The impact of oral health on daily life was assessed by the oral impacts on daily performances (OIDP) index, prevalence (presence or absence of impact) and severity of impact (OIDP scores). The negative binomial regression model (zeros-inflated) was used, considering the complex sampling and the sample weights. Prevalence ratio (PR), ratio of means (ROM) and confidence intervals (CI) were calculated. RESULTS: The prevalence of impact was 37.4%. After adjusting for the model, the impact was more prevalent (PR = 1.59; 95%CI 1.22 ‒ 1.81) and more severe (RR = 1.49; 95%CI 1.22 ‒ 1.81) among females. Compared to white-skin people, all remaining groups had a higher prevalence of impact. Among socioeconomic characteristics, family income higher than R$ 2,501 (RR = 0.79; 95%CI 0.64 ‒ 0.98) and household crowding (RR = 1.18; 95%CI 1.00 ‒ 1.39) were associated with the severity of impact. In the oral health conditions, untreated caries (PR = 1.46; 95%CI 1.23 ‒ 1.74) and gingival bleeding (PR = 1.35; 95%CI 1.14 ‒ 1.60) were associated with higher prevalence of impact. CONCLUSION: Females, non-whites, with untreated caries and gingival bleeding were associated with higher impact of oral health on daily life. Family income higher than R$ 2,500 and living in less crowded households were factors associated with less impact.


Asunto(s)
Actividades Cotidianas , Enfermedades de la Boca/epidemiología , Adolescente , Brasil/epidemiología , Estudios Transversales , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Factores Socioeconómicos
19.
Rev Bras Epidemiol ; 23: e200101, 2020.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33027436

RESUMEN

OBJECTIVE: To identify the prevalence of glomerular filtration rate (GFR) less than 60 mL/min/1.73 m2 in Brazil and the associated factors. METHODS: This is a cross-sectional household-based epidemiological survey. Data were collected from the National Health Survey (PNS), conducted in 2013, by carrying out creatinine blood test and GFR calculation (n = 7,457). The groups of explanatory variables were: sociodemographic characteristics, lifestyles, chronic diseases, anthropometry, and health assessment. The prevalence of GFR < 60 mL/min/1.73 m2 and the respective 95% confidence intervals were estimated using the Poisson regression to calculate the crude and adjusted prevalence ratio (PR and adjPR) by age, sex, education level, and region. RESULTS: The prevalence of GFR < 60 mL/min/1.73 m2 was 6.48% (95%CI 5.88 - 7.09). After the adjustment, the following aspects remained associated: women (PR = 1.40; 95%CI 1.16 - 1.68), age of 45-59 years (adjPR = 7.27; 95%CI 3.8 - 14.1), 60 years or older (adjPR = 33.55; 95%CI 17.8 - 63.4), obesity (PR = 1.32 (95%CI 1.1 - 1.7), diabetes (PR = 1.44; 95%CI 1.2 - 1.8), poor/very poor self-rated health (PR = 1.50; 95%CI 1.2 - 1.9); and the lowest adjPR was found for the Northeast and Southeast regions, among smokers with high salt intake. CONCLUSION: GFR < 60 mL/min/1.73 m2 was higher in women, increased with age, in addition to being associated with obesity, diabetes, and poor self-rated health. Knowing the prevalence of chronic kidney disease through biochemical tests and risk and protective factors are paramount to support public health policies.


Asunto(s)
Insuficiencia Renal Crónica/epidemiología , Brasil/epidemiología , Estudios Transversales , Femenino , Tasa de Filtración Glomerular , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo
20.
Rev Assoc Med Bras (1992) ; 66(9): 1247-1251, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33027453

RESUMEN

BACKGROUND: Recurrent laryngeal papillomatosis, caused by the Human Papilloma Virus, has a significant economic impact worldwide and there are no epidemiological data of this disease in Brasil. OBJECTIVE: The objective of the study was to estimate the incidence and prevalence of laryngeal papillomatosis of some otorhinolaryngology centers in São Paulo State (Brasil). METHODS: A questionnaire containing data on the number of new and follow-up cases diagnosed with laryngeal papillomatosis was sent to the Otorhinolaryngology services (n=35) of São Paulo State (Brasil). RESULTS: A total of 20 otorhinolaryngology centers answered the questionnaire. Of these, the five largest regional health centers were selected as follows: Campinas (42 cities - 4,536,657 inhabitants), Sao Jose do Rio Preto (102 cities - 1,602,845 inhabitants), Ribeirão Preto (26 cities - 1,483,715 inhabitants), Bauru (68 cities - 1,770,427 inhabitants), and Sorocaba (47 cities - 2,478,208 inhabitants). The incidence and prevalence of each regional health centers were, respectively: Campinas (5.51;7.27), Sorocaba (2.02;6.86), São José do Rio Preto (1.87;7.49), Ribeirão Preto (11.46;22.92), and Bauru (3.95;7.91). CONCLUSION: The incidence and prevalence of the laryngeal papillomatosis of the five largest regional health centers of the interior of São Paulo State (Brasil) varied between 1.87 to 11.46 and 6.86 to 22.92 per 1,000,000 inhabitants, respectively for a total population of 11,871,852 inhabitants.


Asunto(s)
Neoplasias Laríngeas , Papiloma , Brasil/epidemiología , Ciudades , Humanos , Incidencia , Neoplasias Laríngeas/epidemiología , Papiloma/epidemiología , Prevalencia
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