Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 172.711
Filtrar
1.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-48252

RESUMO

O Boletim do Observatório Covid-19 Fiocruz, divulgado nesta sexta-feira (4/6), constatou tendência de crescimento de Síndrome Respiratória Aguda Grave (SRAG) em 12 estados, além do Distrito Federal, na Semana Epidemiológica (SE) 21, período de 23 a 29 de maio.


Assuntos
Infecções por Coronavirus , Mortalidade Materna/tendências , Síndrome Respiratória Aguda Grave/mortalidade , Brasil/epidemiologia , Gestantes
2.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-48232

RESUMO

Hábitos saudáveis têm mais chances de acompanhar a população durante a vida se começarem logo na infância. Por isso, é preciso chamar atenção para a qualidade de vida e rotina alimentar balanceada nesta quinta-feira (3), Dia da Conscientização Contra a Obesidade Mórbida Infantil


Assuntos
Brasil/etnologia , Obesidade Pediátrica/mortalidade , Obesidade Mórbida , Criança
3.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-48234

RESUMO

O número de fumantes diminuiu no Brasil e o grupo de ex-usuários de tabaco é cada vez maior. Os dados são da Pesquisa Nacional de Saúde (PNS 2019), realizada pelo Instituto Brasileiro de Geografia e Estatística (IBGE), com o apoio o Ministério da Saúde, e divulgada nesta segunda-feira (31), quando é celebrado o Dia Mundial sem Tabaco.


Assuntos
Tabaco , Brasil/etnologia , Fumantes/estatística & dados numéricos , Prevenção do Hábito de Fumar
4.
J. Health NPEPS ; 6(1)jun. 2021.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1147344

RESUMO

Objetivo: analisar a letalidade da COVID-19 por sexo e idade entre os profissionais de saúde do Estado Pará, Brasil. Método: estudo epidemiológico e observacional, com utilização de dados secundários públicos sobre casos e óbitos acumulados por COVID-19 e dados demográficos, entre março e outubro de 2020. O número de casos e óbitos por COVID-19 ocorridos entre profissionais de saúde foram comparados em relação à idade e ao sexo pelo teste qui-quadrado, seguido por regressão logística pelo método Backward Stepwise de Wald. Resultados: entre os 15.332 casos confirmados de COVID-19, 70,3% eram do sexo feminino e 61,3% com idade entre 30 a 49 anos (39,2±11,6 anos). Registraram-se 97 óbitos, com uma taxa de letalidade de 0,6%. A probabilidade de óbito foi 52,8 vezes (20,7-134,5) e 4,0 vezes (2,5-6,2) maior entre jovens e homens quando comparados às demais notificações. Conclusão: a taxa de letalidade entre os profissionais de saúde é alta, especialmente entre homens jovens. Este é um alerta sobre os impactos da doença entre os trabalhadores da saúde e suscita ao poder público, especificamente ao setor saúde melhores condições de trabalho e políticas de saúde do trabalhador.(AU)


Objective: to analyze the lethality of COVID-19 by sex and age among health professionals in the state of Pará, Brazil. Method: epidemiological and observational study, using public secondary data on cases and deaths accumulated by COVID-19 and demographic data, between March and October 2020. The number of cases and deaths by COVID-19 that occurred among health professionals were compared in relation to age and sex using the chi-square test, followed by logistic regression using Wald's Backward Stepwise method. Results: among the 15,332 confirmed cases of COVID-19, 70.3% were female and 61.3% aged between 30 and 49 years (39.2 ± 11.6 years). 97 deaths were recorded, with a fatality rate of 0.6%. The probability of death was 52.8 times (20.7-134.5) and 4.0 times (2.5-6.2) higher among young men and men when compared to other reports. Conclusion: the lethality rate among health professionals is high, especially among young men. This is an alert about the impacts of the disease among health workers and raises the public authorities, specifically the health sector, better working conditions and worker health policies.(AU)


Objetivo: analizar la letalidad de COVID-19 por sexo y edad en profesionales de la salud en el estado de Pará, Brasil. Método: estudio epidemiológico y observacional, utilizando datos secundarios públicos sobre casos y defunciones acumulados por COVID-19 y datos demográficos, entre marzo y octubre de 2020. Se comparó el número de casos y defunciones por COVID-19 ocurridos entre profesionales de la salud en relación con edad y sexo usando la prueba de chi-cuadrado, seguida de regresión logística usando el método de Wald Backward Stepwise. Resultados: entre los 15.332 casos confirmados de COVID-19, el 70,3% eran mujeres y el 61,3% tenían entre 30 y 49 años (39,2 ± 11,6 años). Se registraron 97 muertes, con una tasa de letalidad del 0,6%. La probabilidad de muerte fue 52,8 veces (20,7-134,5) y 4,0 veces (2,5-6,2) más grande entre hombres y jóvenes en comparación con otros informes. Conclusión: la tasa de letalidad entre los profesionales de la salud es alta, especialmente entre los hombres jóvenes. Se trata de una alerta sobre los impactos de la enfermedad entre los trabajadores de la salud y plantea a las autoridades públicas, específicamente al sector salud, mejores condiciones laborales y políticas de salud laboral.(AU)


Assuntos
Humanos , Saúde do Trabalhador , Pessoal de Saúde/estatística & dados numéricos , Infecções por Coronavirus/mortalidade , Política de Saúde , Brasil , Estudos Epidemiológicos
5.
Artigo em Inglês | MEDLINE | ID: mdl-34062783

RESUMO

The COVID-19 pandemic is a public health emergency of international concern, and the main measures to contain the spread of the coronavirus causing COVID-19 were social distancing, quarantine, and self-isolation. Although these policies are effective in containing the spread of the virus, they might represent a challenge to psychological well-being, increasing levels of depressive and anxiety-related symptoms. AIMS: We explored the frequency of anxiety and depression symptoms during COVID-19 restrictions and associations with sociodemographic factors in a Brazilian sample. METHOD: Data of a total of 936 Brazilian adults (68.2% women) aged 18 to 77 years old (M = 38.95, SD = 13.91) were collected through an online survey. RESULTS: In general, we observed a frequency of 17.36% for severe anxiety and 66.13% for severe depression symptoms, in which younger participants (18-39 years old) and women showed higher scores in anxiety and depression scales compared to older age groups. Logistic regressions showed that women were more likely to present severe symptoms of anxiety (20.4%) compared to men (10.9%), as well as respondents in the educational sector (24.3%) compared to those in the health sector (10%). CONCLUSIONS: We highlight the importance of mental health professionals in developing strategies to help younger adults to mitigate the effects of social restriction.


Assuntos
Pandemias , Adolescente , Adulto , Idoso , Ansiedade/epidemiologia , Brasil/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Surtos de Doenças , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
6.
Medicine (Baltimore) ; 100(22): e26060, 2021 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-34087848

RESUMO

ABSTRACT: Global burden of sexually transmitted infections (STIs) remains high and has a profound impact on health and lives of children, adolescents and adults worldwide. For over a decade, the Brazilian Department of Chronic Condition Diseases and Sexually Transmitted Infections and the Ministry of Defense have been conducting the Conscripts Survey aiming to assess the STI prevalence and obtain data on knowledge regarding STIs and risk factors among youth.A cross-sectional study was conducted among conscripts across Brazil aged 17 to 22 years from August to December 2016. It included a self-reported questionnaire containing 74 questions, 25 questions related to awareness and knowledge of STIs and their associated symptoms, routes of transmission, complications and risk factors.A total of 37,282 young men across Brazil were considered for the analysis. The majority resided in the Northeast and Southeast regions (38.9% and 30.0%, respectively), followed by the South (13.9%), North (9.7%), and Central-west (7.5%) regions. Of the conscripts, 97.2% have the knowledge they may be at risk if they do not use condoms during sex. Conscripts with a higher level of education have almost 2 times greater chance of having knowledge of having sex without a condom (OR 3.23 CI95% 2.82-3.70 P = .000) and sharing needles and syringes (OR 2.84 CI95% 2.62-3.07 P = .000) represents a risk. Those with higher education also have an almost 50% greater chance of having knowledge regarding STI transmission from mother to child (OR 1.54 CI95% 1.44-1.64 P = .000), and knowledge of no transmission by mosquito bite (OR 1.61 CI95%1.51-1.72 P = .000), by kissing (OR 1.45 CI95% 1.36-1.55 P = .000) or by using public toilets (OR 1.51 CI95% 1.41-1.61 P = .000). Television (71.8%) and internet (69.4%) are the preferred forms to obtain STIs information regardless of the level of education.Conscripts with higher level of education have greater knowledge regarding transmission of STIs. However, there are gaps regarding their knowledge about HIV pre-exposure prophylaxis and the fact that other STIs can increase the chances of acquiring HIV.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Militares/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/epidemiologia , Adolescente , Brasil , Preservativos , Estudos Transversais , Escolaridade , Infecções por HIV/epidemiologia , Infecções por HIV/transmissão , Humanos , Masculino , Uso Comum de Agulhas e Seringas/estatística & dados numéricos , Características de Residência , Medição de Risco , Fatores de Risco , Comportamento Sexual , Doenças Sexualmente Transmissíveis/transmissão , Adulto Jovem
7.
PLoS One ; 16(6): e0252238, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34097694

RESUMO

BACKGROUND: To investigate the excess of deaths by specific causes, in the first half of 2020 in the city of São Paulo-Brazil, during the COVID-19 pandemic. METHODS: Ecological study conducted from 01/01 to 06/30 of 2019 and 2020. Population and mortality data were obtained from DATASUS. The standardized mortality ratio (SMR) by age was calculated by comparing the standardized mortality rate in 2020 to that of 2019, for overall and specific mortality. The ratio between the standardized mortality rate due to COVID-19 in men as compared to women was calculated for 2020. Crude mortality rates were standardized using the direct method. RESULTS: COVID-19 was responsible for 94.4% of the excess deaths in São Paulo. In 2020 there was an increase in overall mortality observed among both men (SMR 1.3, 95% CI 1.17-1.42) and women (SMR 1.2, 95% CI 1.06-1.36) as well as a towards reduced mortality for all cancers. Mortality due to COVID-19 was twice as high for men as for women (SMR 2.1, 95% CI 1.67-2.59). There was an excess of deaths observed in men above 45 years of age, and in women from the age group of 60 to 79 years. CONCLUSION: There was an increase in overall mortality during the first six months of 2020 in São Paulo, which seems to be related to the COVID-19 pandemic. Chronic health conditions, such as cancer and other non-communicable diseases, should not be disregarded.


Assuntos
COVID-19/mortalidade , Mortalidade , Pandemias , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Causalidade , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Adulto Jovem
8.
Rev Esc Enferm USP ; 55: e03735, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34105686

RESUMO

OBJECTIVE: To evaluate the practice of using masks by the population of the Brazilian state of Paraíba during the COVID-19 pandemic. METHOD: Cross-sectional, descriptive-analytical study conducted with adults living in the state of Paraíba through an online instrument from April to May 2020, through the Face Mask Use Scale of Faculdades Metropolitanas Unidas da Paraíba. RESULTS: The participants amounted to 1,307 (100.0%) individuals, who were predominantly female (78.0%), aged 35 to 45 (32.3%), married (53.3%) and post-graduates (46.9%). The mean score for the practice of using masks was 18.7 (SD = 8.0; minimum 6.00; maximum 30). The use of masks for self-protection scored 9.8 (DP = 3.9; minimum 3.0; maximum 15.0), whereas the score for protection of others was 8.9 (SD = 4.5; minimum 3.0; maximum 15.0). In the comparison between the scores of the practice of using masks, there was a significant statistical difference for gender, education, age group, and income (p ≤ 0.01). The practice of using masks was more frequent in health environments, 7.3 (DP = 3.2). CONCLUSION: The practice of using masks was predominant among women, people over 35, married, with an income higher than seven minimum wages, and post-graduation. The use of masks for self-protection was higher than for the protection of others and its use in health environments was higher than in the others.


Assuntos
COVID-19/prevenção & controle , Máscaras/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Brasil , Estudos Transversais , Escolaridade , Feminino , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
9.
Environ Monit Assess ; 193(7): 409, 2021 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-34114093

RESUMO

Brazil has one of the greatest hydroelectric potential in the world with high number of reservoirs for the electricity generation. However, little is known about the influence of these environments on the water quality. The water quality monitoring data from 14 stations distributed throughout the Irapé HPP reservoir (lentic environment), and its main tributaries (lotic environment), between the years 2008 and 2018, were evaluated and compared to assess the spatial variability of water quality. The analyzed parameters included total alkalinity, thermotolerant coliforms, electric conductivity, biochemical oxygen demand, dissolved iron, total phosphorus, nitrate, total ammoniacal nitrogen, dissolved oxygen, pH, total dissolved solids, sulfate, water temperature, and turbidity. Cluster analysis (CA), Kruskal-Wallis (KW) tests, Spearman rank-order correlation, and principal component analysis (PCA) were applied to identify and compare the relationship between the main parameters in the lotic and lentic environments. The CA resulted in four clusters according to proximity and the environment type (lotic or lentic). In general, the water quality showed better conditions in the reservoir and in the lotic stations on the immediate surround. The results may be associated with the greater sedimentation in the lentic environment. The analyses indicated that agricultural activities and the geochemical characteristics of the region are the main responsible for changes in the water quality.


Assuntos
Poluentes Químicos da Água , Qualidade da Água , Brasil , Monitoramento Ambiental , Fósforo/análise , Análise de Componente Principal , Rios , Poluentes Químicos da Água/análise
11.
BMC Med Inform Decis Mak ; 21(1): 175, 2021 06 02.
Artigo em Inglês | MEDLINE | ID: mdl-34078366

RESUMO

BACKGROUND: Accurate, comprehensive, cause-specific mortality estimates are crucial for informing public health decision making worldwide. Incorrectly or vaguely assigned deaths, defined as garbage-coded deaths, mask the true cause distribution. The Global Burden of Disease (GBD) study has developed methods to create comparable, timely, cause-specific mortality estimates; an impactful data processing method is the reallocation of garbage-coded deaths to a plausible underlying cause of death. We identify the pattern of garbage-coded deaths in the world and present the methods used to determine their redistribution to generate more plausible cause of death assignments. METHODS: We describe the methods developed for the GBD 2019 study and subsequent iterations to redistribute garbage-coded deaths in vital registration data to plausible underlying causes. These methods include analysis of multiple cause data, negative correlation, impairment, and proportional redistribution. We classify garbage codes into classes according to the level of specificity of the reported cause of death (CoD) and capture trends in the global pattern of proportion of garbage-coded deaths, disaggregated by these classes, and the relationship between this proportion and the Socio-Demographic Index. We examine the relative importance of the top four garbage codes by age and sex and demonstrate the impact of redistribution on the annual GBD CoD rankings. RESULTS: The proportion of least-specific (class 1 and 2) garbage-coded deaths ranged from 3.7% of all vital registration deaths to 67.3% in 2015, and the age-standardized proportion had an overall negative association with the Socio-Demographic Index. When broken down by age and sex, the category for unspecified lower respiratory infections was responsible for nearly 30% of garbage-coded deaths in those under 1 year of age for both sexes, representing the largest proportion of garbage codes for that age group. We show how the cause distribution by number of deaths changes before and after redistribution for four countries: Brazil, the United States, Japan, and France, highlighting the necessity of accounting for garbage-coded deaths in the GBD. CONCLUSIONS: We provide a detailed description of redistribution methods developed for CoD data in the GBD; these methods represent an overall improvement in empiricism compared to past reliance on a priori knowledge.


Assuntos
Confiabilidade dos Dados , Saúde Global , Algoritmos , Brasil , Causas de Morte , Feminino , França , Humanos , Japão , Masculino
12.
Front Immunol ; 12: 669539, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34093568

RESUMO

Acute lung injury (ALI) is an intractable disorder associated with macrophages. This bibliometric analysis was applied to identify the characteristics of global scientific output, the hotspots, and frontiers about macrophages in ALI over the past 10 years. We retrieved publications published from 2011 to 2020 and their recorded information from Science Citation Index Expanded (SCI-expanded) of Web of Science Core Collection (WoSCC). Bibliometrix package was used to analyze bibliometric indicators, and the VOSviewer was used to visualize the trend and hotspots of researches on macrophages in ALI. Altogether, 2,632 original articles were reviewed, and the results showed that the annual number of publications (Np) concerning the role of macrophages in ALI kept increasing over the past 10 years. China produced the most papers, the number of citations (Nc) and H-index of the USA ranked first. Shanghai Jiaotong University and INT IMMUNOPHARMACOL were the most prolific affiliation and journal, respectively. Papers published by Matute-Bello G in 2011 had the highest local citation score (LCS). Recently, the keywords "NLRP3" and "extracellular vesicles" appeared most frequently. Besides, researches on COVID-19-induced ALI related to macrophages seemed to be the hotspot recently. This bibliometric study revealed that publications related to macrophages in ALI tend to increase continuously. China was a big producer and the USA was an influential country in this field. Most studies were mainly centered on basic researches in the past decade, and pathways associated with the regulatory role of macrophages in inhibiting and attenuating ALI have become the focus of attention in more recent studies. What is more, our bibliometric analysis showed that macrophages play an important role in COVID-19-induced ALI and may be a target for the treatment of COVID-19.


Assuntos
Lesão Pulmonar Aguda/imunologia , Bibliometria , Macrófagos/imunologia , Lesão Pulmonar Aguda/etiologia , Ásia , Brasil , COVID-19/complicações , COVID-19/imunologia , Europa (Continente) , Humanos , América do Norte , Editoração/tendências , SARS-CoV-2
13.
Rev Bras Epidemiol ; 24: e210012, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34105593

RESUMO

OBJECTIVE: To analyze changes in the lifestyles of Brazilian adolescents during the COVID-19 pandemic. METHODS: Cross-sectional study carried out with adolescents who participated in the survey "ConVid Adolescentes - Pesquisa de Comportamentos". The indicators related to lifestyles before and during the COVID-19 pandemic were evaluated: consumption of healthy and unhealthy foods, physical activity and sedentary behavior, smoking and consumption of alcohol. Prevalence and 95% confidence intervals were calculated for the total population and according to sex and age group. RESULTS: A total of 9,470 adolescents participated in the study. During the period of social distancing, there was an increase in the prevalence of vegetables consumption (from 27.34 to 30.5%), frozen foods (from 13.26 to 17.3%), chocolates and sweets (from 48.58 to 52.51%), and time in front of screens (from 44.57 to 70.15%). On the other hand, there was a decrease in the practice of physical activity (from 28.70 to 15.74%) and in the consumption of alcohol (from 17.72 to 12.77%). Differences were observed according to sex and age group. CONCLUSION: The results show changes in the lifestyle of adolescents and an increase in health risk behaviors.


Assuntos
COVID-19 , Pandemias , Adolescente , Brasil/epidemiologia , Estudos Transversais , Humanos , Estilo de Vida , SARS-CoV-2
14.
Rev Bras Epidemiol ; 24: e210022, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34105594

RESUMO

This article discusses the epidemic situation of Covid-19 in Brazil, in the face of the emergence of a new strain called P.1, which is more transmissible and may be associated with reinfection. Given the collapse of hospital care in Manaus in January 2021 and the results of three recent preprints, each that reports increased transmissibility of the P.1 variant, we propose some urgent measures. Genomic surveillance based on multi-step diagnostics, starting with RT-PCR type tests and up to sequencing, should be established. Efforts to identify reinfections associated with this variant and the update of its definition in protocols should be prioritized, and studies on the efficacy of currently available vaccines in Brazil concerning the new variant should be conducted. We also propose improving the Brazilian health surveillance system such that genomic surveillance is coordinated and thereby better able to respond to future emergencies in a more timely fashion. We call on the public agents involved in health surveillance to share data and information regarding the epidemic in a clear, fast and transparent way. Finally, we propose a greater engagement in inter-institutional cooperation of all those involved in the response and production of knowledge about the pandemic in our country.


Assuntos
COVID-19 , SARS-CoV-2 , Brasil/epidemiologia , Emergências , Humanos , Saúde Pública
15.
Rev Bras Epidemiol ; 24: e210032, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34105595

RESUMO

OBJECTIVE: To evaluate the association between dental visits and variation in the glycated hemoglobin index (A1C) of patients with type 2 diabetes (T2DM) with well or not well glycemic control over time. METHODS: Patients with T2DM, A1C ≥ 7% (not well-controlled) and < 7% (well-controlled), who attended a primary care service and were followed up from January 2010 to May 2018. The outcome was the variation of A1C obtained from reference laboratories. At the beginning of the study, a questionnaire with behavioral, clinical, and socioeconomic information was carried out. Multiple linear regression analyses tested interaction terms of all variables with the initial glycemic level (not well-controlled or well-controlled). RESULTS: The sample consisted of 507 people, 65% women, and 66% individuals 55 to 74 years old, followed on average for 5.4 years. There was an interaction (p = 0.01) between dental visits and initial A1C. Patients not well-controlled with at least one dental visit had an average reduction in A1C of -0.56 percentage point (95%CI -1.06 - -0.56), whereas the well-controlled group who also had at least one dental visit had an increase of 0.34 percentage point (95%CI -0.18 - 0.87). CONCLUSION: Dental visits were associated with an improvement in A1C of approximately a half-percentage point in patients who had the initial A1C considered as not well-controlled.


Assuntos
Diabetes Mellitus Tipo 2 , Idoso , Brasil , Estudos de Coortes , Diabetes Mellitus Tipo 2/terapia , Feminino , Hemoglobina A Glicada/análise , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Primária à Saúde , Estudos Retrospectivos
16.
Rev Bras Epidemiol ; 24: e210033, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34105596

RESUMO

OBJECTIVE: To evaluate the usual consumption of ultra-processed foods (UPF) and its association with body mass index (BMI), physical activity (PA), age, and sex in adults living in Brasília City, Brazil. METHODOLOGY: A total of 506 individuals aged ≥ 20 years old were interviewed. Dietary intake was assessed with two non-consecutive 24-h food recalls. The distributions of usual intakes of energy and the amount of UPF were estimated using the Iowa State University method. The association of age, BMI, PA, and sex with the proportions of UPF consumption (%Kcal and %grams) was investigated with linear regression models. RESULTS: UPF represented 9.2% of the total dietary consumption (grams/day) and 25% of total energy intake. Compared to eutrophic, subjects with obesity consumed a higher percentage of UPF in grams, whereas subjects with overweight had a higher percentage of UPF in kilocalories. The share of UPF in energy intake was lower in male than female individuals, and PA and age were inversely associated with UPF consumption. CONCLUSION: Careful monitoring of intake of UPF is recommended. Its consumption should be reduced among people with overweight/obesity and sedentary individuals. Appropriate choices for methods to evaluate the usual distribution of intake will strengthen future analysis of UPF assessment.


Assuntos
Fast Foods , Manipulação de Alimentos , Adulto , Índice de Massa Corporal , Brasil/epidemiologia , Dieta , Ingestão de Energia , Exercício Físico , Feminino , Humanos , Masculino , Adulto Jovem
17.
Rev Bras Epidemiol ; 24: e210034, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34105597

RESUMO

OBJECTIVES: This study aimed to describe the incidence and proportional lethality of human leptospirosis in the municipality of São Paulo, between 2007 and 2016, according to sociodemographic factors and characteristics of the disease, and to assess the temporal trends of incidence, according to age group and region of residence. METHODS: Proportional distributions of leptospirosis cases of residents in the municipality were built and regression models with a Binomial Negative response were adjusted. RESULTS: 2,201 cases of leptospirosis were registered, most of them being males (82%), aged between 20 to 59 years (64.6%), white (39%) or brown (32.8%), residing in the South (27.8%), East (23.8%) and North (18.5%) regions. The overall lethality was 15.1%. The risk was higher in the 20 to 59 age group. There was a downward trend in incidence in all age groups and regions, estimated at 5.6% per year. CONCLUSIONS: Despite the downward trend in incidence, leptospirosis is a serious disease with high lethality, affecting mainly male individuals in the age groups considered economically active and living in the peripheral regions of the municipality.


Assuntos
Leptospirose , Adulto , Brasil/epidemiologia , Humanos , Incidência , Leptospirose/epidemiologia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
18.
Codas ; 33(5): e20200039, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34105602

RESUMO

PURPOSE: To compare the treatment time for acquired neurological disorders of communication and the reason for discharge of users of a medium complexity care service for two periods: before and after implementation of treatment indicators. METHODS: A retrospective cohort study was carried out involving the analysis of medical records of users of the Adult Language Sector of the Speech and Hearing Therapy Service of the Integrated Rehabilitation Center, seen before and after treatment indicators implementation. RESULTS: 129 electronic medical records of users who remained under treatment until discharge from speech therapy in the two studied periods were analyzed. The mean duration of speech therapy for these users was 10.9 months for the first period and 7.8 months for the second period. After implementation of the indicators with regular reassessments, 72 out of the 89 users continued with treatment. There was a statistically significant difference in the therapy average time and reason for discharge before and after treatment indicators implementation. CONCLUSION: After treatment indicators implementation, there was a reduction of the average speech therapy treatment time for communication disorders and an increase of speech therapy discharge percentage of users seen in a Brazilian service of medium complexity.


Assuntos
Alta do Paciente , Fonoterapia , Adulto , Brasil , Humanos , Estudos Retrospectivos , Fala
19.
Codas ; 33(3): e20200044, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34105615

RESUMO

PURPOSE: Cross-cultural adaptation to Brazilian Portuguese and evaluation of content validity of a patient decision aid to help in choosing the feeding route for patients with severe dementia entitled "Making Choices: Feeding Options for Patients with Dementia". METHODS: The cross-cultural adaptation involved two independent translations, synthesis of translations, two independent back-translations, their synthesis, and pretest with 30 caregivers. Content validation was based on analyzes of 35 Brazilian specialists (physicians, speech-language therapists and nurses experienced in caring for patients with severe dementia) through measures of content validity index and concordance between multiple judges by Fleiss' kappa. RESULTS: The level of comprehension of the instrument by caregivers in the pretest was almost perfect. The specialists committee considered the contents of the instrument valid, in a statistically significant way. CONCLUSION: The patient decision aid in Brazilian Portuguese entitled "Fazendo escolhas: opções de alimentação para pacientes com demência" obtained evidence of cross-cultural equivalence and content validity for use in the Brazilian population. Further studies are needed to assess its effects on the decision-making process in our population.


Assuntos
Comparação Transcultural , Demência , Brasil , Técnicas de Apoio para a Decisão , Humanos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Traduções
20.
Rev Soc Bras Med Trop ; 54: e00332021, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34105625

RESUMO

INTRODUCTION: Parasitic infections are considered a major public health problem due to their associated morbimortality and negative impact on physical and intellectual development, especially in the at-risk pediatric group. Periodic prophylactic administration of antiparasitic agents against soil-transmitted helminths is recommended by the World Health Organization (WHO) to control parasitic infections and disease burden. We aimed to evaluate the prevalence of intestinal parasitic infections in Brazil. METHODS: We performed a systematic review by searching the literature found in the PubMed, LILACS, and SciELO databases, followed by a meta-analysis of the proportions from studies published in English, Portuguese, and/or Spanish from January 2000 to May 2018. This systematic review was registered in the PROSPERO database (CRD42018096214). RESULTS: The prevalence of intestinal parasitic infections (protozoa and/or helminths) in Brazil was 46% (confidence interval: 39-54%), with 99% heterogeneity. Prevalence varied by region: 37%, 51%, 50%, 58%, and 41% in the Southeast, South, Northeast, North, and Central-West regions, respectively. Most studies (32/40) evaluated children (<18 years) and found an average prevalence of 51%. Children also had the highest prevalence in all four regions: Central-West (65%), South (65%), North (58%), Northeast (53%), and Southeast (37%). However, most studies evaluated specific populations, which may have created selection bias. Presumably, this review of intestinal parasitic diseases in Brazil includes the most studies and the largest population ever considered. CONCLUSIONS: The prevalence of intestinal parasitic infections is high in Brazil, and anthelmintic drugs should be administered periodically as a prophylactic measure, as recommended by the WHO.


Assuntos
Anti-Helmínticos , Helmintos , Enteropatias Parasitárias , Animais , Anti-Helmínticos/uso terapêutico , Brasil/epidemiologia , Criança , Estudos Transversais , Fezes , Humanos , Enteropatias Parasitárias/epidemiologia , Prevalência
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...