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1.
Int J Public Health ; 69: 1607683, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39399882

RESUMO

Objectives: For the development of the 2021 global air quality guidelines, the World Health Organization (WHO) commissioned a series of systematic reviews and meta-analyses to assess the association between exposure to air pollution and all-cause and cause-specific mortality. One of these reviews, which we aim to update, focused on the effects of long-term exposure to PM2.5 and PM10 on all-cause and cause-specific mortality. Methods: The protocol for this study was registered in PROSPERO (CRD42023425327). We searched the PubMed and Embase databases for studies published between September 2018 and May 2023. Study-specific effects were pooled using random-effects models. Results: We included 106 studies in the meta-analysis, 46 studies from the previous review and 60 from this update. All exposure-outcome pairs analysed showed positive and significant associations, except for PM10 and cerebrovascular mortality. The certainty of the evidence was rated as high for the majority of exposure-outcome pairs. Conclusion: We included a large number of new cohorts, and provided new concentration-response functions that will inform WHO advice on the use of this information for air pollution health risk assessments.


Assuntos
Poluição do Ar , Exposição Ambiental , Material Particulado , Organização Mundial da Saúde , Humanos , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/análise , Poluição do Ar/efeitos adversos , Exposição Ambiental/efeitos adversos , Exposição Ambiental/normas , Mortalidade/tendências , Material Particulado/efeitos adversos , Material Particulado/normas , Medição de Risco
2.
BMC Nephrol ; 25(1): 346, 2024 Oct 12.
Artigo em Inglês | MEDLINE | ID: mdl-39394115

RESUMO

BACKGROUND: Chronic kidney disease (CKD) has become a concerning public health issue, affecting people regardless of their sex, age, or socioeconomic status. We aimed to analyze the burden of female CKD in Mexico between 1990 and 2021, expressed in terms of years lived with disability (YLDs), mortality, years of life lost (YLLs), and disability-adjusted life-years (DALYs). Additionally, we evaluated the relationship between DALYs and the Socio-Demographic Index (SDI) and the Healthcare Access and Quality Index (HAQI). METHODS: Secondary data analysis from the Global Burden of Disease, Injuries, and Risk Factors Study (GBD) 2021. We used mortality, years of life lost due to premature mortality (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs to analyze CKD in women between 1990 and 2021. We used a log-linear segmented regression model to analyze trends in female CKD DALY rates over time. The information was disaggregated by age groups and sub-causes nationally and across the 32 states. Age-standardized rates (ASR) were used. RESULTS: Between 1990 and 2021, the ASR mortality and ASR-DALYs due to CKD increased significantly at the national level. The DALYs are almost entirely explained by YLLs, indicating that a large proportion of women with CKD in Mexico die prematurely. Disparities in the burden of this disease were observed across different states and age groups within the country. In 2021, the highest ASR-DALY rate was recorded in Tabasco (1,972.0), while the lowest was in Sinaloa (865.1). The SDI and HAQI were associated with the CKD DALYs in most states. CONCLUSIONS: Mexican women experience a significant burden due to CKD, reflected in premature deaths and years lived with disability, while disparities between states need to be addressed to reduce inequities. Over the past 32 years, improvements in socioeconomic indicators and the quality and access to healthcare have not contributed to reducing the DALYs rate due to CKD, indicating a need to redirect policies to impact women's well-being and health positively.


Assuntos
Efeitos Psicossociais da Doença , Insuficiência Renal Crônica , Humanos , México/epidemiologia , Feminino , Insuficiência Renal Crônica/epidemiologia , Pessoa de Meia-Idade , Adulto , Idoso , Adulto Jovem , Anos de Vida Ajustados por Qualidade de Vida , Anos de Vida Ajustados por Deficiência , Adolescente , Mortalidade Prematura/tendências , Carga Global da Doença , Idoso de 80 Anos ou mais
3.
Rev Bras Enferm ; 77(5): e20230491, 2024.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39383433

RESUMO

OBJECTIVES: to develop and validate the content, appearance, and semantics of a prototype application for monitoring patients in the postoperative period of cardiac surgery. METHODS: this is a technological development study based on Contextualized Instructional Design. The content and appearance evaluation was conducted by a committee of specialists, and semantic validation was carried out by patients from a cardiac surgery outpatient clinic. RESULTS: the application prototype consisted of 43 screens, validated by 17 health specialists, with content validity ratio and appearance validity index results of 0.86 and 0.99, respectively. For semantic validation, 10 patients participated in data collection, with a total content validity index of 0.978. CONCLUSIONS: the prototype of the "VivaCor PósOp" application demonstrated evidence of content, appearance, and semantic validity, with the potential to stimulate self-care in patients in the postoperative period of cardiac surgery.


Assuntos
Procedimentos Cirúrgicos Cardíacos , Aplicativos Móveis , Humanos , Aplicativos Móveis/normas , Aplicativos Móveis/tendências , Aplicativos Móveis/estatística & dados numéricos , Procedimentos Cirúrgicos Cardíacos/métodos , Feminino , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Reprodutibilidade dos Testes , Idoso , Adulto
4.
BMC Res Notes ; 17(1): 299, 2024 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-39380055

RESUMO

OBJECTIVES: The control chart is a classic statistical technique in epidemiology for identifying trends, patterns, or alerts. One meaningful use is monitoring and tracking Infant Mortality Rates, which is a priority both domestically and for the World Health Organization, as it reflects the effectiveness of public policies and the progress of nations. This study aims to evaluate the applicability and performance of this technique in Brazilian cities with different population sizes using infant mortality data. RESULTS: In this article, we evaluate the effectiveness of the statistical process control chart in the context of Brazilian cities. We present three categories of city groups, divided based on population size and classified according to the quality of the analyses when subjected to the control method: consistent, interpretable, and inconsistent. In cities with a large population, the data in these contexts show a lower noise level and reliable results. However, in intermediate and small-sized cities, the technique becomes limited in detecting deviations from expected behaviors, resulting in reduced reliability of the generated patterns and alerts.


Assuntos
Cidades , Mortalidade Infantil , Densidade Demográfica , Humanos , Brasil/epidemiologia , Lactente , Mortalidade Infantil/tendências , Cidades/epidemiologia , Cidades/estatística & dados numéricos , Recém-Nascido
5.
J Exp Biol ; 227(19)2024 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-39370919

RESUMO

Researchers in the Global South (GS, developing countries) make valuable contributions to the field of comparative physiology, but face economic and scientific disparities and several unique challenges compared with colleagues in the Global North (developed countries). This Perspective highlights some of the challenges, knowledge gaps and disparities in opportunity faced by GS researchers, especially those at early-career stages. We propose collaborative solutions to help address these issues, and advocate for promoting investment and cultural and societal change for a more inclusive research community. Additionally, we highlight the role of GS researchers in contributing expert knowledge on local biodiversity and the environment; this knowledge can help to shape the future of comparative physiology, allowing us to achieve a better understanding of the evolution of physiological mechanisms and to develop innovative solutions to environmental and biomedical challenges. With this Perspective, we hope to highlight the need to foster a more diverse, equitable and inclusive research landscape in comparative physiology; one that empowers GS scientists to address the global challenges associated with biodiversity loss, climate change and environmental pollution.


Assuntos
Fisiologia Comparada , Pesquisadores , Fisiologia Comparada/tendências , Países em Desenvolvimento , Biodiversidade , Humanos , Animais , Mudança Climática
7.
Rev Bras Enferm ; 77Suppl 2(Suppl 2): e20230511, 2024.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39356927

RESUMO

OBJECTIVES: to describe the development of a Health Information and Communication Technology for the health care of long-haul truck drivers and their families. METHODS: this is a description of the development of an Information and Communication Technology, developed from March to September 2023, following the systematization of the experience in five steps: 1) starting point, 2) initial questions, 3) recovery of the lived process, 4) background reflection, and 5) arrival points. RESULTS: the technology called "Work-Family Balance," electronically available, presents resources for the health care of long-haul truck drivers. It is anchored in studies on the health of long-haul truck drivers, notes from the International Labor Organization, the Strategic Action Plan for Confronting Chronic Diseases and Non-Communicable Diseases in Brazil, 2021-2030, and the Declaration by the International Association of Family Nursing. FINAL CONSIDERATIONS: the theoretical improvement of nursing can potentially improve the health care of long-haul truck drivers, prevent Chronic Non-Communicable Diseases, and promote work-life balance to achieve the goals of Agenda 2030.


Assuntos
Promoção da Saúde , Humanos , Brasil , Promoção da Saúde/métodos , Promoção da Saúde/tendências , Condução de Veículo/psicologia , Veículos Automotores , Caminhoneiros
8.
J Prev Med Public Health ; 57(5): 508-510, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39384174

RESUMO

Population aging is a global health priority due to the dramatic increase in the proportion of older persons worldwide. It is also expected that both global life expectancy and disability-free life expectancy will increase, leading to a significant rise in the proportion of individuals with extreme longevity, such as non-agenarians and centenarians. The inaccuracy of clinical evidence on therapeutic interventions for this demographic could lead to biased decision-making, influenced by age-related beliefs or misperceptions about their therapeutic needs. This represents a potential clinical ageism scenario stemming from gaps in clinical evidence. Such biases can result in 2 significant issues that adversely affect the health status and prognosis of older persons: polypharmacy and therapeutic inertia. To date, documents on polypharmacy in non-agenarians and centenarians account for less than 0.35% of the overall available evidence on polypharmacy. Furthermore, evidence regarding therapeutic inertia is non-existent. The purpose of this letter is to discuss polypharmacy and therapeutic inertia as potential clinical ageism scenarios resulting from the clinical evidence gaps in extreme longevity.


Assuntos
Etarismo , Longevidade , Polimedicação , Humanos , Etarismo/psicologia , Longevidade/efeitos dos fármacos , Idoso de 80 Anos ou mais , Idoso , Expectativa de Vida/tendências
9.
Medicina (B Aires) ; 84(5): 893-901, 2024.
Artigo em Espanhol | MEDLINE | ID: mdl-39399929

RESUMO

INTRODUCTION: The COVID-19 pandemic has had significant impacts on society, particularly on children and adolescents, who have faced serious social, educational, and health consequences due to the loss of their primary caregivers. MATERIALS AND METHODS: Female fertility rates were analyzed, and estimates of male fertility were made to calculate the number of children under 18 years old by age group. Demographic and mortality information from COVID-19 infection was used to calculate the resulting orphanhood in Argentina during the period 2020-2021, considering the loss of one or both parents or the main caregiver grandparent. RESULTS: A total of 25161 Argentine children and adolescents lost one of their primary caregivers due to COVID-19 during the pandemic. Of these, 22729 were orphaned by mother or father during the analyzed period. The majority of cases (79.5%) were related to the father's death. Specific age groups with higher incidence of orphanhood were identified. The loss of caregiver grandparents was also significant, affecting 2432 children and adolescents. DISCUSSION: The findings underscore the need for specific policies and programs to address the comprehensive needs of children and adolescents affected by orphanhood during the pandemic. Potential long-term impacts on the physical, mental, educational, and socioeconomic health of these children and adolescents are highlighted.


Introducción: La pandemia de COVID-19 ha ejercido impactos significativos en la sociedad, particularmente en niños, niñas y adolescentes (NNA), quienes han enfrentado consecuencias sociales, educativas y de salud graves debido a la pérdida de sus cuidadores principales. Materiales y métodos: Se analizaron las tasas de fertilidad femenina y se realizaron estimaciones sobre la fertilidad masculina a fin de calcular los hijos menores de 18 años por grupo de edad. Se utilizó información demográfica y de mortalidad por infección por COVID-19 para calcular la orfandad resultante en Argentina durante el período 2020-2021, considerando la pérdida de uno o ambos progenitores o del cuidador principal abuelo/a. Resultados: Un total de 25161 NNA argentinos perdieron a uno de sus cuidadores principales por el COVID-19 durante la pandemia. De ellos, 22729 NNA quedaron huérfanos de madre o padre durante el periodo analizado. La mayoría de los casos (79.5%) estuvo relacionada con la muerte del padre. Se identificaron grupos de edad específicos con mayor incidencia de orfandad. La pérdida de abuelos cuidadores también fue significativa, afectando a 2432 NNA. Discusión: Los hallazgos subrayan la necesidad de políticas y programas específicos para abordar las necesidades integrales de los NNA afectados por la orfandad durante la pandemia. Se destacan los posibles impactos a largo plazo en la salud física, mental, educativa y socioeconómica de estos niños y adolescentes.


Assuntos
COVID-19 , Crianças Órfãs , Humanos , Argentina/epidemiologia , COVID-19/epidemiologia , Adolescente , Criança , Feminino , Masculino , Crianças Órfãs/estatística & dados numéricos , Pré-Escolar , Lactente , Cuidadores/estatística & dados numéricos , Pandemias , Recém-Nascido , Coeficiente de Natalidade/tendências , SARS-CoV-2
10.
Sci Rep ; 14(1): 23960, 2024 10 14.
Artigo em Inglês | MEDLINE | ID: mdl-39397034

RESUMO

The effects of the COVID-19 pandemic on comprehensive maternal deaths in Brazil have not been fully explored. Using publicly available data from the Brazilian Mortality Information (SIM) and Information System on Live Births (SINASC) databases, we used two complementary forecasting models to predict estimates of maternal mortality ratios using maternal deaths (MMR) and comprehensive maternal deaths (MMRc) in the years 2020 and 2021 based on data from 2008 to 2019. We calculated national and regional standardized mortality ratio estimates for maternal deaths (SMR) and comprehensive maternal deaths (SMRc) for 2020 and 2021. The observed MMRc in 2021 was more than double the predicted MMRc based on the Holt-Winters and autoregressive integrated moving average models (127.12 versus 60.89 and 59.12 per 100,000 live births, respectively). We found persisting sub-national variation in comprehensive maternal mortality: SMRc ranged from 1.74 (95% confidence interval [CI] 1.64, 1.86) in the Northeast to 2.70 (95% CI 2.45, 2.96) in the South in 2021. The observed national estimates for comprehensive maternal deaths in 2021 were the highest in Brazil in the past three decades. Increased resources for prenatal care, maternal health, and postpartum care may be needed to reverse the national trend in comprehensive maternal deaths.


Assuntos
COVID-19 , Mortalidade Materna , Pandemias , Humanos , COVID-19/mortalidade , COVID-19/epidemiologia , Brasil/epidemiologia , Feminino , Mortalidade Materna/tendências , Gravidez , SARS-CoV-2/isolamento & purificação , Morte Materna/estatística & dados numéricos , Adulto , Bases de Dados Factuais
11.
Artigo em Inglês | MEDLINE | ID: mdl-39338127

RESUMO

The population aging in the region is occurring under scenarios of inequality, raising concerns about how the increase in life expectancy is experienced and what factors affect the quality of life of older adults. This research quantified the differentials of healthy aging in Colombia in 2018 and its association with social indicators through a cross-sectional, descriptive, and correlational observational study. Healthy aging was quantified using the Disability-Free Life Expectancy (DFLE) indicator and later correlated with social indicators and subjected to a Multiple Factor Analysis (MFA). The results showed a healthy life expectancy of 71.5 years for women and 66.9 years for men, with a disability expectancy of 8.3 and 6.4 years, respectively. Negative associations emerged with health problems, disability, lack of medical care, illiteracy, school absenteeism, and poverty, while higher education levels and retirement showed positive associations. The factor analysis by area of residence highlighted urban areas as conducive to healthy aging. In conclusion, the accelerated aging of the Colombian population faces health disparities that policies must address by improving education, economic security, and health services, especially for women and rural areas.


Assuntos
Envelhecimento Saudável , Colômbia , Humanos , Feminino , Masculino , Idoso , Estudos Transversais , Pessoa de Meia-Idade , Condições Sociais , Idoso de 80 Anos ou mais , Expectativa de Vida/tendências , Fatores Socioeconômicos , Qualidade de Vida
12.
BMC Palliat Care ; 23(1): 225, 2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39256708

RESUMO

BACKGROUND: Countries with formal policies for palliative care, and advanced and integrated practices in this field, such as Portugal, face challenges in achieving excellence in care, particularly in home-based assistance. Issues include care coordination among providers, confusion regarding the roles of each health care professional in the network, and a lack of monitoring and evaluation of actions. Our objective was to analyze the implementation of palliative care in primary health care in Portugal. METHODS: We conducted a qualitative, descriptive, and exploratory study in Portugal involving health care professionals with experience in palliative care. The data were collected through semistructured interviews and focus groups between March and October 2023. Eighteen health care professionals participated. We used the Alceste software for lexicographic analysis. The research was authorized by an Ethics Committee. RESULTS: Four classes were identified; classes 1 and 2, comprising 77% of the corpus, addressed the study objectives. Participants highlighted inequitable access, strategic development plans with unattainable short-term goals; and low literacy. They emphasized the importance of legislation, professional training initiatives for generalist palliative care at home, and early referral. Home-based challenges included professionals' lack of exclusive dedication, absence of 24/7 coverage, and unavailability of capable family caregivers. The networks' response to hospital admissions and patient transitions from hospital to home, with access to the specialized team, was also inadequate. CONCLUSIONS: Health care professionals aim to increase patients' time spent at home, reduce emergency department visits, and minimize hospitalizations by leveraging the resources of the national palliative care network. In addition to investments to sustain network implementation and legally guaranteed palliative care rights, the country must focus on measurable indicators for evaluating and monitoring actions, providing better guidance in the short, medium, and long term.


Assuntos
Grupos Focais , Cuidados Paliativos , Pesquisa Qualitativa , Humanos , Cuidados Paliativos/normas , Cuidados Paliativos/métodos , Portugal , Grupos Focais/métodos , Política de Saúde/tendências , Masculino , Feminino , Adulto , Pessoa de Meia-Idade
13.
Rev Bras Enferm ; 77(4): e20230413, 2024.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39258605

RESUMO

OBJECTIVE: to reflect on the perspectives of adopting the Progress Test in undergraduate nursing education. METHODS: this is a reflective study, based on authors' critical thinking and supported by national and international literature on the Progress Test application in undergraduate health courses. RESULTS: the Progress Test is as a valuable teaching-learning strategy, with potential applications and benefits for students, professors, and academic management. FINAL CONSIDERATIONS: systematic nursing education assessment indicates valuable information for different stakeholders. Understanding its potential benefits, the Progress Test is presented as a strategy that can be replicated in undergraduate nursing education, either individually, by institutions, or collaboratively, by the establishment of partnerships or consortiums of institutions.


Assuntos
Bacharelado em Enfermagem , Avaliação Educacional , Bacharelado em Enfermagem/métodos , Bacharelado em Enfermagem/tendências , Bacharelado em Enfermagem/normas , Humanos , Avaliação Educacional/métodos , Estudantes de Enfermagem/estatística & dados numéricos , Estudantes de Enfermagem/psicologia
14.
Rev Bras Enferm ; 77(4): e20230465, 2024.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39258608

RESUMO

OBJECTIVE: to describe Nursing Process implementation in a faith-based senior living community. METHOD: strategic action research with 19 nursing professionals and three managers of a faith-based senior living community. Implementation took place in four phases: diagnosis, planning, implementation and assessment. The data collected through semi-structured interviews and focus groups were subjected to discursive textual analysis. RESULTS: the central categories were constructed: Nursing Process in faith-based senior living community: diagnosis of knowledge and application; Nursing Process in faith-based senior living community: implementation; Nursing process in faith-based senior living community: assessment after its implementation. CONCLUSION: Nursing Process implementation made it possible to structure work management/organization, contributing to knowledge, organization and continuity of care for safety and professional support.


Assuntos
Processo de Enfermagem , Pesquisa Qualitativa , Humanos , Processo de Enfermagem/tendências , Processo de Enfermagem/normas , Grupos Focais/métodos , Feminino , Idoso , Masculino , Geriatria/métodos , Geriatria/tendências , Pessoa de Meia-Idade
15.
Rev Saude Publica ; 58: 30, 2024.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39258636

RESUMO

OBJECTIVE: To assess the trend in mortality rates and years of potential life lost (YPLL) due to suicide among adolescents in Northeast Brazil. METHODS: This is an ecological time series study, with secondary data from 2011 to 2020 from the Mortality Information System for adolescents aged 10 to 19 years in the Northeast region of Brazil. Groups of causes from the 10th Revision of the International Classification of Diseases were included: X60-X84 (intentionally self-inflicted injuries), Y10-Y19 (poisoning of undetermined intent), and Y87 (sequelae of intentional self-harm). Mortality coefficients and frequency distribution by sociodemographic variables, place of occurrence, and method of suicide were estimates. YPLL were estimated by gender and age. Joinpoint regression analysis was used, and the annual percentage change (APC) was determined with 95% confidence intervals. RESULTS: A total of 2,410 deaths were recorded, with a predominance of adolescents aged between 15 and 19, males, of mixed-race, low schooling, and home was the main place of occurrence. The trend in the death rate was increasing in the Northeast (APC: 3.6%; p = 0.001), in girls aged 10 to 14 (APC: 8.7%; p = 0.003), in boys aged 15 to 19 (APC: 4.6%; p = 0.002) and in Bahia (APC: 8.1%; p = 0.012). Hanging/strangulation was the main method adopted by both sexes. The YPLL due to suicide were 11,110 in 2011 and 14,960 in 2020. CONCLUSION: The precociousness of suicide committed by girls and the increase in mortality among older adolescents are noteworthy, and specific preventive measures need to be adopted for these groups in order to reduce this preventable cause of death.


Assuntos
Fatores Socioeconômicos , Suicídio , Humanos , Adolescente , Masculino , Feminino , Brasil/epidemiologia , Suicídio/estatística & dados numéricos , Suicídio/tendências , Criança , Adulto Jovem , Causas de Morte/tendências , Distribuição por Sexo , Fatores Sociodemográficos , Distribuição por Idade , Fatores Sexuais , Expectativa de Vida/tendências
16.
P R Health Sci J ; 43(3): 125-131, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39269763

RESUMO

OBJECTIVE: The abrupt decline in the Total Fertility Rate (TFR) of Puerto Rico to 0.9 children per woman, well below the replacement level of 2.1 children per woman, makes the prospect of a sustained population decline a real possibility. Population projections produced by the United States Census Bureau and the United Nations Population Division show that the island population may decline from 3.8 millions in 2000 to slightly above 2 million by 2050, a dramatic population decline of 47% in 50 years. Both population projections assume that all countries with a TFR below replacement level could eventually increase toward or oscillate to 2.1 children per woman and have Puerto Rico's TFR approaching 1.5 by 2050. This assumption has been widely criticized as unrealistic and not supported by evidence. The main objective of our research is to provide an alternative fertility projection for Puerto Rico by 2050 that has more realistic assumptions. METHODS: Our methodology is based on the Bayesian Hierarchical Probabilistic Theory used by the United Nations to incorporate a way to measure the uncertainty and to estimate the projection parameters. We modified the assumptions used by the United Nations by considering 17 countries with TFR similar to Puerto Rico. RESULTS: By 2050, Puerto Rico may have a TFR of 1.1 bounded by a 95% credibility interval (0.56,1.77). CONCLUSION: Under this scenario Puerto Rico can expect to have a larger population decline than that projected by the Census Bureau and the United Nations.


Assuntos
Teorema de Bayes , Coeficiente de Natalidade , Porto Rico , Humanos , Coeficiente de Natalidade/tendências , Feminino , Previsões
18.
Front Public Health ; 12: 1435694, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39290415

RESUMO

This mini review delves into the complex issue of mortality linked to malnutrition, highlighting its multifaceted nature beyond just biomedical factors, presenting it as an intricate intersectional phenomenon. Method: The mini-review methodology involved a systematic literature search across databases like PubMed and Scielo, focusing on malnutrition and infant mortality in Colombia. We used specific keywords and Boolean operators to identify relevant studies, emphasizing socio-economic, gender, and ethnic factors, while excluding non-peer-reviewed and outdated publications. Results: The relationship between gender and food/nutrition has deep historical and cultural roots. Patriarchal norms influence dietary habits based on gender roles, often placing undue responsibility on mothers for children's nutritional health, reflecting profound social intersections. Mortality due to malnutrition is most prevalent among indigenous and Afro-descendant children in rural, conflict-affected areas with limited access to healthcare. Unpaid domestic work restricts women's economic independence, intensifying challenges for single-parent households. Conclusion: A comprehensive understanding can shift institutional attitudes toward mothers, leading to more coherent policy strategies and effective interventions.


Assuntos
Mortalidade Infantil , Humanos , Colômbia/epidemiologia , Lactente , Mortalidade Infantil/tendências , Feminino , Desnutrição/mortalidade , Desnutrição/epidemiologia , Fatores Socioeconômicos , Masculino
19.
Health Informatics J ; 30(3): 14604582241286436, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39305465

RESUMO

Objective: Community health workers work directly in the communities and are the intermediaries between the population's needs and the primary health care teams. Their work focuses on health education and preventing diseases and disorders, accompanying citizens, families, and households in a particular neighborhood. This study sought to analyze the use of the e-SUS Território application in the work of community health workers in Brazil. Methods: Usability data extracted from Google Analytics from 2019 to 2022 were analyzed, including productivity indicators, number and location of users, and engagement. An overview of the application's main features was also provided. Results: The application is an important work tool used by these professionals, who stopped using printed sheets to record their activities and began recording them in a digital, unified, asynchronous way anywhere in Brazil, regardless of internet connectivity. The application had 425,000 active users in 2022, reaching 141,000 monthly active users in June of the same year, representing 54.8% of all community health workers in Brazil. Conclusion: This study demonstrates the wide and exponential adherence of the e-SUS Território application over the years and the increase in the productivity of professionals who use it, facilitating and encouraging the recording of health information.


Assuntos
Agentes Comunitários de Saúde , Aplicativos Móveis , Humanos , Agentes Comunitários de Saúde/estatística & dados numéricos , Brasil , Aplicativos Móveis/estatística & dados numéricos , Aplicativos Móveis/tendências , Aplicativos Móveis/normas
20.
J Dev Orig Health Dis ; 15: e17, 2024 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-39308323

RESUMO

Over the last few years, during the pandemic, the Brazilian population has suffered several problems, ranging from health to socioeconomic impacts. When we consider Brazilian science, there has been an undeniable scientific delay generated by the pandemic, especially in areas that are not related to the coronavirus. In this context, with the aim of fostering collaboration among researchers in the field of Developmental Origins of Health and Diseases (DOHaD) and enhancing the potential for implementing public health strategies to prevent noncommunicable chronic diseases, the Brazilian Association of Developmental Origins of Health and Diseases (DOHaD Brazil) was established in 2020. In this narrative, we explore the effects of the COVID-19 pandemic in Brazil, focusing on its impacts on scientific research conducted in universities. Additionally, we underscore the significance of the DOHaD Brazil Association, particularly from the perspective of young researchers engaged in DOHaD research in Brazil.


Assuntos
COVID-19 , SARS-CoV-2 , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Brasil/epidemiologia , Pandemias , Saúde Pública/métodos , Pesquisa Biomédica/tendências
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