Perinatal mortality in Brazil in 2018: an epidemiological analysis according to the modified Wigglesworth classification
Cad Saude Publica. 2022 Jan 12;38(1):e00003121. doi: 10.1590/0102-311X00003121. eCollection 2022.ABSTRACTPerinatal mortality includes fetal mortality and early neonatal mortality (0 to 6 days of life). The study described perinatal deaths in Brazil in 2018 according to the modified Wigglesworth classification. The data sources were the Brazilian Mortality Information System and the Brazilian Information System on Live Births. Fetal mortality and perinatal mortality rates were calculated per 1,000 total births (live births plus stillbirths) and the early neonatal mortality rate per 1,000 live births, compared using their re...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Aglaer Alves da Nobrega Yluska Myrna Meneses Brand ão E Mendes Marina Jorge de Miranda Augusto C ésar Cardoso Dos Santos Andr éa de Paula Lobo Denise Lopes Porto Giovanny Vin ícius Araújo de França Source Type: research

Factors associated with serious maternal morbidity in Ribeir ão Preto, São Paulo State, Brazil: a cross-sectional cohort study
This study investigated the factors associated with serious maternal morbidity (SMM) in women seen at public maternity hospitals in Ribeirão Preto, São Paulo State, Brazil. This was a cross-section analytical quantitative study. Participation included 1,098 postpartum women who had given birth at one of the four maternity hospitals in the municipality. Data were collected from August 3, 2015, to February 2, 2016, using face-to-face interviews and data obtained from patient records and prenatal cards. The dependent variable for data analysis was the serious maternal morbidity, that is, when the woman was class...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Magna Santos Andrade L ívia Pimenta Bonifácio Jazmin Andrea Cifuentes Sanchez L ívia Oliveira-Ciabati Fabiani Spessoto Zaratini Ana Carolina Arruda Franzon Vicky Nogueira Pileggi Giordana Campos Braga Mariana Fernandes Carolina Sales Vieira Jo ão Paul Source Type: research

Diagnostic accuracy of a SARS-CoV-2 rapid test and optimal time for seropositivity according to the onset of symptoms
Cad Saude Publica. 2022 Jan 12;38(1):e00069921. doi: 10.1590/0102-311X00069921. eCollection 2022.ABSTRACTPoint-of-care serological tests for SARS-CoV-2 have been used for COVID-19 diagnosis. However, their accuracy over time regarding the onset of symptoms is not fully understood. We aimed to assess the accuracy of a point-of-care lateral flow immunoassay (LFI). Subjects, aged over 18 years, presenting clinical symptoms suggestive of acute SARS-CoV-2 infection were tested once by both nasopharyngeal and oropharyngeal RT-PCR and LFI. The accuracy of LFI was assessed in periodic intervals of three days in relation to the ons...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Caroline Nespolo de David Fernanda Hammes Varela Ivaine Tais Sauthier Sartor M árcia Polese-Bonatto Ingrid Rodrigues Fernandes Gabriela Oliveira Zavaglia Luciane Beatriz Kern Charles Francisco Ferreira Gisele Alsina Nader Bastos Paulo M árcio Pitrez Wal Source Type: research

Sedentary behavior and association with multimorbidity and patterns of multimorbidity in elderly Brazilians: data from the Brazilian National Health Survey, 2019
This study thus aimed to assess the association between sedentary behavior and multimorbidity and its patterns in elderly Brazilians. This was a cross-sectional study of 43,554 elderly Brazilians in the Brazilian National Health Survey, 2019. Self-reported SB was categorized as 6 hours a day. The presence of multimorbidity and its patterns were analyzed by self-report of two or more chronic diseases, where the three established patterns considered the diseases with similar clinical characteristics: (1) cardiopulmonary; (2) vascular-metabolic; and (3) mental-musculoskeletal. The associations were measured by binary logistic...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Let ícia Martins Cândido K átia Jakovljevic Pudla Wagner Maria Eduarda da Costa Elo ísa Pavesi N úbia Carelli Pereira de Avelar Ana L úcia Danielewicz Source Type: research

Sampling bias in Brazilian studies on transgender and gender diverse populations: the two-step measure for assessing gender identity in surveys
This study aims to present the two-step measure as the best strategy for assessing gender identity in Brazilian surveys, thus we performed two separate analyses. Firstly, we conducted a systematic review concerning HIV-related care among Brazilian transgender and gender-diverse populations to assess the strategy used to identify participants' gender identity. Secondly, we re-analyzed data from a recent survey that included Brazilian transgender populations, comparing characteristics and health outcomes from the sample identified by single-item and by the two-step measure. Concerning the systematic review, from 6,585 refere...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Angelo Brandelli Costa Let ícia de Oliveira Rosa Anna Martha Vaitses Fontanari Source Type: research

The path of canine visceral leishmaniasis versus the path of Center for Zoonoses Control: contributions of spatial analysis to health
Cad Saude Publica. 2022 Jan 12;38(1):e00272020. doi: 10.1590/0102-311X00272020. eCollection 2022.ABSTRACTVisceral leishmaniasis (VL) is a public health problem in Brazilian municipalities. As much as there is a planning of public policies regards VL in São Paulo State, new cases have been reported and spread. This paper aims to discuss how the Center for Zoonoses Control conducts its actions spatially in endemic city of Presidente Prudente, São Paulo State. Data are from the Municipal Health Department of Presidente Prudente, Adolfo Lutz Institute, and Brazilian Institute of Geography and Statistics. We spati...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Patricia Sayuri Silvestre Matsumoto Edilson Ferreira Flores Jos é Seguinot Barbosa Umberto Catarino Pessoto Jos é Eduardo Tolezano Roberto Mitsuyoshi Hiramoto Helena Hilomi Taniguchi Raul Borges Guimar ães Source Type: research

Genetic, sociodemographic and lifestyle factors associated with serum 25-hydroxyvitamin D concentrations in Brazilian adults: the Pr ó-Saúde Study
This study aims to investigate factors associated with serum 25-hydroxyvitamin D [25(OH)D] concentration in Brazilian adults considering sociodemographic and lifestyle factors, as well as vitamin D-related single nucleotide polymorphisms (SNPs). This is a cross-sectional study (n = 491; 34-79y; 251 women), nested within a prospective cohort (Pró-Saúde Study). Associations between serum 25(OH)D and sociodemographic characteristics, diet, use of supplement, physical activity, season of blood collection, body fat, skin type, sun exposure index, and SNPs CYP2R1-rs10741657 and GC-rs2282679 were explored by multipl...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Fl ávia Fioruci Bezerra Paula Normando Ana Carolina P Fonseca Ver ônica Zembrzuski Mario Campos-Junior Pedro Hernan Cabello-Acero Eduardo Faerstein Source Type: research

Barriers and facilitators for access to PrEP by vulnerable populations in Brazil: the ImPrEP Stakeholders Study
Cad Saude Publica. 2022 Jan 12;38(1):e00290620. doi: 10.1590/0102-311X00290620. eCollection 2022.ABSTRACTHIV preexposure prophylaxis (PrEP) has been considered a fundamental strategy for controlling the HIV/AIDS epidemic, and since 2018 it has been the object of an implementation study (ImPrEP Stakeholders Study), conducted in Brazil, México, and Peru. A qualitative component of this study was developed with the objective of identifying the social and structural contexts that involve and organize the supply of PrEP services in Brazil, the stakeholders' subjectivities, and the different perceptions that can impact th...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Maria Cristina Pimenta Ximena Pamela Berm údez Alcinda Maria Machado Godoi Ivia Maksud Marcos Benedetti Bruno Kauss Thiago Silva Torres Brenda Hoagland Gerson Fernando Mendes Pereira Beatriz Grinsztejn Valdilea G Veloso Source Type: research

Access to colposcopy in the State of S ão Paulo, Brazil: probabilistic linkage study of administrative data
Cad Saude Publica. 2022 Jan 12;38(1):e00304820. doi: 10.1590/0102-311X00304820. eCollection 2022.ABSTRACTCervical cancer screening is a multistage process, therefore access to both the primary test and subsequent diagnostic procedures is essential. Considering women undergoing screening on the public health system in the State of São Paulo, Brazil, we aimed to estimate the proportion of women accessing colposcopy within six months of an abnormal smear result. We retrieved records from two administrative databases, the Information System on Uterine Cervical Cancer (SISCOLO) that contains smear results and the Outpati...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Lewis Fletcher Buss Lise Cury Caroline Madalena Ribeiro Gulnar Azevedo E Silva Jos é Eluf Neto Source Type: research

Analysis of financial resources for public health in Brazilian capitals: a time trend ecological study
This study aimed to analyze part of the financial resources used to fund public health actions in the 26-Brazilian capitals, from 2008 to 2018. This is a time-trend ecological study involving revenue and expenditure indicators provided by the Information System on Public Budget for Health (SIOPS). The values were deflated based on the Extended National Consumer Price Index of 2018 in Brazil to allow the comparison over the years. The mean annual variation of health investments, in Brazilian Reais (BRL) was assessed using linear regressions. Pearson's correlation coefficients were estimated between federal revenues and expe...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Vin ícius Henrique Ferreira Pereira de Oliveira Millena Barroso Oliveira Cauane Blumenberg Álex Moreira Herval Luiz Renato Paranhos Source Type: research

Who really counts in Iran's National Food Assistance Program? Lessons from multi-stakeholder processes in the wicked policy area of food security
This study aimed to identify and to categorize actual and potential stakeholders in NFAP using the stakeholder salience model. According to Mitchell's theory, stakeholders' attributes (power, legitimacy, and urgency) were assessed based on the nature of their interactions, roles, and level of engagement. Results revealed a number of significant but marginalized stakeholders, including Iranian Ministry of Health (office of community nutrition improvement), academia, center for food and nutrition research, target group, charities, and international organizations, who have not received any targeted organizational attention an...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Mona Pourghaderi Nasrin Omidvar Amirhossein Takian Arlette Saint Ville Hannaneh Mohammadi Kangarani Hassan Eini-Zinab Source Type: research

Perinatal mortality in Brazil in 2018: an epidemiological analysis according to the modified Wigglesworth classification
Cad Saude Publica. 2022 Jan 12;38(1):e00003121. doi: 10.1590/0102-311X00003121. eCollection 2022.ABSTRACTPerinatal mortality includes fetal mortality and early neonatal mortality (0 to 6 days of life). The study described perinatal deaths in Brazil in 2018 according to the modified Wigglesworth classification. The data sources were the Brazilian Mortality Information System and the Brazilian Information System on Live Births. Fetal mortality and perinatal mortality rates were calculated per 1,000 total births (live births plus stillbirths) and the early neonatal mortality rate per 1,000 live births, compared using their re...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Aglaer Alves da Nobrega Yluska Myrna Meneses Brand ão E Mendes Marina Jorge de Miranda Augusto C ésar Cardoso Dos Santos Andr éa de Paula Lobo Denise Lopes Porto Giovanny Vin ícius Araújo de França Source Type: research

Factors associated with serious maternal morbidity in Ribeir ão Preto, São Paulo State, Brazil: a cross-sectional cohort study
This study investigated the factors associated with serious maternal morbidity (SMM) in women seen at public maternity hospitals in Ribeirão Preto, São Paulo State, Brazil. This was a cross-section analytical quantitative study. Participation included 1,098 postpartum women who had given birth at one of the four maternity hospitals in the municipality. Data were collected from August 3, 2015, to February 2, 2016, using face-to-face interviews and data obtained from patient records and prenatal cards. The dependent variable for data analysis was the serious maternal morbidity, that is, when the woman was class...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Magna Santos Andrade L ívia Pimenta Bonifácio Jazmin Andrea Cifuentes Sanchez L ívia Oliveira-Ciabati Fabiani Spessoto Zaratini Ana Carolina Arruda Franzon Vicky Nogueira Pileggi Giordana Campos Braga Mariana Fernandes Carolina Sales Vieira Jo ão Paul Source Type: research

Diagnostic accuracy of a SARS-CoV-2 rapid test and optimal time for seropositivity according to the onset of symptoms
Cad Saude Publica. 2022 Jan 12;38(1):e00069921. doi: 10.1590/0102-311X00069921. eCollection 2022.ABSTRACTPoint-of-care serological tests for SARS-CoV-2 have been used for COVID-19 diagnosis. However, their accuracy over time regarding the onset of symptoms is not fully understood. We aimed to assess the accuracy of a point-of-care lateral flow immunoassay (LFI). Subjects, aged over 18 years, presenting clinical symptoms suggestive of acute SARS-CoV-2 infection were tested once by both nasopharyngeal and oropharyngeal RT-PCR and LFI. The accuracy of LFI was assessed in periodic intervals of three days in relation to the ons...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Caroline Nespolo de David Fernanda Hammes Varela Ivaine Tais Sauthier Sartor M árcia Polese-Bonatto Ingrid Rodrigues Fernandes Gabriela Oliveira Zavaglia Luciane Beatriz Kern Charles Francisco Ferreira Gisele Alsina Nader Bastos Paulo M árcio Pitrez Wal Source Type: research

Sedentary behavior and association with multimorbidity and patterns of multimorbidity in elderly Brazilians: data from the Brazilian National Health Survey, 2019
This study thus aimed to assess the association between sedentary behavior and multimorbidity and its patterns in elderly Brazilians. This was a cross-sectional study of 43,554 elderly Brazilians in the Brazilian National Health Survey, 2019. Self-reported SB was categorized as 6 hours a day. The presence of multimorbidity and its patterns were analyzed by self-report of two or more chronic diseases, where the three established patterns considered the diseases with similar clinical characteristics: (1) cardiopulmonary; (2) vascular-metabolic; and (3) mental-musculoskeletal. The associations were measured by binary logistic...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Let ícia Martins Cândido K átia Jakovljevic Pudla Wagner Maria Eduarda da Costa Elo ísa Pavesi N úbia Carelli Pereira de Avelar Ana L úcia Danielewicz Source Type: research

Sampling bias in Brazilian studies on transgender and gender diverse populations: the two-step measure for assessing gender identity in surveys
This study aims to present the two-step measure as the best strategy for assessing gender identity in Brazilian surveys, thus we performed two separate analyses. Firstly, we conducted a systematic review concerning HIV-related care among Brazilian transgender and gender-diverse populations to assess the strategy used to identify participants' gender identity. Secondly, we re-analyzed data from a recent survey that included Brazilian transgender populations, comparing characteristics and health outcomes from the sample identified by single-item and by the two-step measure. Concerning the systematic review, from 6,585 refere...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Angelo Brandelli Costa Let ícia de Oliveira Rosa Anna Martha Vaitses Fontanari Source Type: research

The path of canine visceral leishmaniasis versus the path of Center for Zoonoses Control: contributions of spatial analysis to health
Cad Saude Publica. 2022 Jan 12;38(1):e00272020. doi: 10.1590/0102-311X00272020. eCollection 2022.ABSTRACTVisceral leishmaniasis (VL) is a public health problem in Brazilian municipalities. As much as there is a planning of public policies regards VL in São Paulo State, new cases have been reported and spread. This paper aims to discuss how the Center for Zoonoses Control conducts its actions spatially in endemic city of Presidente Prudente, São Paulo State. Data are from the Municipal Health Department of Presidente Prudente, Adolfo Lutz Institute, and Brazilian Institute of Geography and Statistics. We spati...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Patricia Sayuri Silvestre Matsumoto Edilson Ferreira Flores Jos é Seguinot Barbosa Umberto Catarino Pessoto Jos é Eduardo Tolezano Roberto Mitsuyoshi Hiramoto Helena Hilomi Taniguchi Raul Borges Guimar ães Source Type: research

Genetic, sociodemographic and lifestyle factors associated with serum 25-hydroxyvitamin D concentrations in Brazilian adults: the Pr ó-Saúde Study
This study aims to investigate factors associated with serum 25-hydroxyvitamin D [25(OH)D] concentration in Brazilian adults considering sociodemographic and lifestyle factors, as well as vitamin D-related single nucleotide polymorphisms (SNPs). This is a cross-sectional study (n = 491; 34-79y; 251 women), nested within a prospective cohort (Pró-Saúde Study). Associations between serum 25(OH)D and sociodemographic characteristics, diet, use of supplement, physical activity, season of blood collection, body fat, skin type, sun exposure index, and SNPs CYP2R1-rs10741657 and GC-rs2282679 were explored by multipl...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Fl ávia Fioruci Bezerra Paula Normando Ana Carolina P Fonseca Ver ônica Zembrzuski Mario Campos-Junior Pedro Hernan Cabello-Acero Eduardo Faerstein Source Type: research

Barriers and facilitators for access to PrEP by vulnerable populations in Brazil: the ImPrEP Stakeholders Study
Cad Saude Publica. 2022 Jan 12;38(1):e00290620. doi: 10.1590/0102-311X00290620. eCollection 2022.ABSTRACTHIV preexposure prophylaxis (PrEP) has been considered a fundamental strategy for controlling the HIV/AIDS epidemic, and since 2018 it has been the object of an implementation study (ImPrEP Stakeholders Study), conducted in Brazil, México, and Peru. A qualitative component of this study was developed with the objective of identifying the social and structural contexts that involve and organize the supply of PrEP services in Brazil, the stakeholders' subjectivities, and the different perceptions that can impact th...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Maria Cristina Pimenta Ximena Pamela Berm údez Alcinda Maria Machado Godoi Ivia Maksud Marcos Benedetti Bruno Kauss Thiago Silva Torres Brenda Hoagland Gerson Fernando Mendes Pereira Beatriz Grinsztejn Valdilea G Veloso Source Type: research

Access to colposcopy in the State of S ão Paulo, Brazil: probabilistic linkage study of administrative data
Cad Saude Publica. 2022 Jan 12;38(1):e00304820. doi: 10.1590/0102-311X00304820. eCollection 2022.ABSTRACTCervical cancer screening is a multistage process, therefore access to both the primary test and subsequent diagnostic procedures is essential. Considering women undergoing screening on the public health system in the State of São Paulo, Brazil, we aimed to estimate the proportion of women accessing colposcopy within six months of an abnormal smear result. We retrieved records from two administrative databases, the Information System on Uterine Cervical Cancer (SISCOLO) that contains smear results and the Outpati...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Lewis Fletcher Buss Lise Cury Caroline Madalena Ribeiro Gulnar Azevedo E Silva Jos é Eluf Neto Source Type: research

Analysis of financial resources for public health in Brazilian capitals: a time trend ecological study
This study aimed to analyze part of the financial resources used to fund public health actions in the 26-Brazilian capitals, from 2008 to 2018. This is a time-trend ecological study involving revenue and expenditure indicators provided by the Information System on Public Budget for Health (SIOPS). The values were deflated based on the Extended National Consumer Price Index of 2018 in Brazil to allow the comparison over the years. The mean annual variation of health investments, in Brazilian Reais (BRL) was assessed using linear regressions. Pearson's correlation coefficients were estimated between federal revenues and expe...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Vin ícius Henrique Ferreira Pereira de Oliveira Millena Barroso Oliveira Cauane Blumenberg Álex Moreira Herval Luiz Renato Paranhos Source Type: research

Who really counts in Iran's National Food Assistance Program? Lessons from multi-stakeholder processes in the wicked policy area of food security
This study aimed to identify and to categorize actual and potential stakeholders in NFAP using the stakeholder salience model. According to Mitchell's theory, stakeholders' attributes (power, legitimacy, and urgency) were assessed based on the nature of their interactions, roles, and level of engagement. Results revealed a number of significant but marginalized stakeholders, including Iranian Ministry of Health (office of community nutrition improvement), academia, center for food and nutrition research, target group, charities, and international organizations, who have not received any targeted organizational attention an...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Mona Pourghaderi Nasrin Omidvar Amirhossein Takian Arlette Saint Ville Hannaneh Mohammadi Kangarani Hassan Eini-Zinab Source Type: research

Perinatal mortality in Brazil in 2018: an epidemiological analysis according to the modified Wigglesworth classification
Cad Saude Publica. 2022 Jan 12;38(1):e00003121. doi: 10.1590/0102-311X00003121. eCollection 2022.ABSTRACTPerinatal mortality includes fetal mortality and early neonatal mortality (0 to 6 days of life). The study described perinatal deaths in Brazil in 2018 according to the modified Wigglesworth classification. The data sources were the Brazilian Mortality Information System and the Brazilian Information System on Live Births. Fetal mortality and perinatal mortality rates were calculated per 1,000 total births (live births plus stillbirths) and the early neonatal mortality rate per 1,000 live births, compared using their re...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Aglaer Alves da Nobrega Yluska Myrna Meneses Brand ão E Mendes Marina Jorge de Miranda Augusto C ésar Cardoso Dos Santos Andr éa de Paula Lobo Denise Lopes Porto Giovanny Vin ícius Araújo de França Source Type: research

Factors associated with serious maternal morbidity in Ribeir ão Preto, São Paulo State, Brazil: a cross-sectional cohort study
This study investigated the factors associated with serious maternal morbidity (SMM) in women seen at public maternity hospitals in Ribeirão Preto, São Paulo State, Brazil. This was a cross-section analytical quantitative study. Participation included 1,098 postpartum women who had given birth at one of the four maternity hospitals in the municipality. Data were collected from August 3, 2015, to February 2, 2016, using face-to-face interviews and data obtained from patient records and prenatal cards. The dependent variable for data analysis was the serious maternal morbidity, that is, when the woman was class...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Magna Santos Andrade L ívia Pimenta Bonifácio Jazmin Andrea Cifuentes Sanchez L ívia Oliveira-Ciabati Fabiani Spessoto Zaratini Ana Carolina Arruda Franzon Vicky Nogueira Pileggi Giordana Campos Braga Mariana Fernandes Carolina Sales Vieira Jo ão Paul Source Type: research

Diagnostic accuracy of a SARS-CoV-2 rapid test and optimal time for seropositivity according to the onset of symptoms
Cad Saude Publica. 2022 Jan 12;38(1):e00069921. doi: 10.1590/0102-311X00069921. eCollection 2022.ABSTRACTPoint-of-care serological tests for SARS-CoV-2 have been used for COVID-19 diagnosis. However, their accuracy over time regarding the onset of symptoms is not fully understood. We aimed to assess the accuracy of a point-of-care lateral flow immunoassay (LFI). Subjects, aged over 18 years, presenting clinical symptoms suggestive of acute SARS-CoV-2 infection were tested once by both nasopharyngeal and oropharyngeal RT-PCR and LFI. The accuracy of LFI was assessed in periodic intervals of three days in relation to the ons...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Caroline Nespolo de David Fernanda Hammes Varela Ivaine Tais Sauthier Sartor M árcia Polese-Bonatto Ingrid Rodrigues Fernandes Gabriela Oliveira Zavaglia Luciane Beatriz Kern Charles Francisco Ferreira Gisele Alsina Nader Bastos Paulo M árcio Pitrez Wal Source Type: research

Sedentary behavior and association with multimorbidity and patterns of multimorbidity in elderly Brazilians: data from the Brazilian National Health Survey, 2019
This study thus aimed to assess the association between sedentary behavior and multimorbidity and its patterns in elderly Brazilians. This was a cross-sectional study of 43,554 elderly Brazilians in the Brazilian National Health Survey, 2019. Self-reported SB was categorized as 6 hours a day. The presence of multimorbidity and its patterns were analyzed by self-report of two or more chronic diseases, where the three established patterns considered the diseases with similar clinical characteristics: (1) cardiopulmonary; (2) vascular-metabolic; and (3) mental-musculoskeletal. The associations were measured by binary logistic...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Let ícia Martins Cândido K átia Jakovljevic Pudla Wagner Maria Eduarda da Costa Elo ísa Pavesi N úbia Carelli Pereira de Avelar Ana L úcia Danielewicz Source Type: research

Sampling bias in Brazilian studies on transgender and gender diverse populations: the two-step measure for assessing gender identity in surveys
This study aims to present the two-step measure as the best strategy for assessing gender identity in Brazilian surveys, thus we performed two separate analyses. Firstly, we conducted a systematic review concerning HIV-related care among Brazilian transgender and gender-diverse populations to assess the strategy used to identify participants' gender identity. Secondly, we re-analyzed data from a recent survey that included Brazilian transgender populations, comparing characteristics and health outcomes from the sample identified by single-item and by the two-step measure. Concerning the systematic review, from 6,585 refere...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Angelo Brandelli Costa Let ícia de Oliveira Rosa Anna Martha Vaitses Fontanari Source Type: research

The path of canine visceral leishmaniasis versus the path of Center for Zoonoses Control: contributions of spatial analysis to health
Cad Saude Publica. 2022 Jan 12;38(1):e00272020. doi: 10.1590/0102-311X00272020. eCollection 2022.ABSTRACTVisceral leishmaniasis (VL) is a public health problem in Brazilian municipalities. As much as there is a planning of public policies regards VL in São Paulo State, new cases have been reported and spread. This paper aims to discuss how the Center for Zoonoses Control conducts its actions spatially in endemic city of Presidente Prudente, São Paulo State. Data are from the Municipal Health Department of Presidente Prudente, Adolfo Lutz Institute, and Brazilian Institute of Geography and Statistics. We spati...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Patricia Sayuri Silvestre Matsumoto Edilson Ferreira Flores Jos é Seguinot Barbosa Umberto Catarino Pessoto Jos é Eduardo Tolezano Roberto Mitsuyoshi Hiramoto Helena Hilomi Taniguchi Raul Borges Guimar ães Source Type: research

Genetic, sociodemographic and lifestyle factors associated with serum 25-hydroxyvitamin D concentrations in Brazilian adults: the Pr ó-Saúde Study
This study aims to investigate factors associated with serum 25-hydroxyvitamin D [25(OH)D] concentration in Brazilian adults considering sociodemographic and lifestyle factors, as well as vitamin D-related single nucleotide polymorphisms (SNPs). This is a cross-sectional study (n = 491; 34-79y; 251 women), nested within a prospective cohort (Pró-Saúde Study). Associations between serum 25(OH)D and sociodemographic characteristics, diet, use of supplement, physical activity, season of blood collection, body fat, skin type, sun exposure index, and SNPs CYP2R1-rs10741657 and GC-rs2282679 were explored by multipl...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Fl ávia Fioruci Bezerra Paula Normando Ana Carolina P Fonseca Ver ônica Zembrzuski Mario Campos-Junior Pedro Hernan Cabello-Acero Eduardo Faerstein Source Type: research

Barriers and facilitators for access to PrEP by vulnerable populations in Brazil: the ImPrEP Stakeholders Study
Cad Saude Publica. 2022 Jan 12;38(1):e00290620. doi: 10.1590/0102-311X00290620. eCollection 2022.ABSTRACTHIV preexposure prophylaxis (PrEP) has been considered a fundamental strategy for controlling the HIV/AIDS epidemic, and since 2018 it has been the object of an implementation study (ImPrEP Stakeholders Study), conducted in Brazil, México, and Peru. A qualitative component of this study was developed with the objective of identifying the social and structural contexts that involve and organize the supply of PrEP services in Brazil, the stakeholders' subjectivities, and the different perceptions that can impact th...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Maria Cristina Pimenta Ximena Pamela Berm údez Alcinda Maria Machado Godoi Ivia Maksud Marcos Benedetti Bruno Kauss Thiago Silva Torres Brenda Hoagland Gerson Fernando Mendes Pereira Beatriz Grinsztejn Valdilea G Veloso Source Type: research

Access to colposcopy in the State of S ão Paulo, Brazil: probabilistic linkage study of administrative data
Cad Saude Publica. 2022 Jan 12;38(1):e00304820. doi: 10.1590/0102-311X00304820. eCollection 2022.ABSTRACTCervical cancer screening is a multistage process, therefore access to both the primary test and subsequent diagnostic procedures is essential. Considering women undergoing screening on the public health system in the State of São Paulo, Brazil, we aimed to estimate the proportion of women accessing colposcopy within six months of an abnormal smear result. We retrieved records from two administrative databases, the Information System on Uterine Cervical Cancer (SISCOLO) that contains smear results and the Outpati...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Lewis Fletcher Buss Lise Cury Caroline Madalena Ribeiro Gulnar Azevedo E Silva Jos é Eluf Neto Source Type: research

Analysis of financial resources for public health in Brazilian capitals: a time trend ecological study
This study aimed to analyze part of the financial resources used to fund public health actions in the 26-Brazilian capitals, from 2008 to 2018. This is a time-trend ecological study involving revenue and expenditure indicators provided by the Information System on Public Budget for Health (SIOPS). The values were deflated based on the Extended National Consumer Price Index of 2018 in Brazil to allow the comparison over the years. The mean annual variation of health investments, in Brazilian Reais (BRL) was assessed using linear regressions. Pearson's correlation coefficients were estimated between federal revenues and expe...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Vin ícius Henrique Ferreira Pereira de Oliveira Millena Barroso Oliveira Cauane Blumenberg Álex Moreira Herval Luiz Renato Paranhos Source Type: research

Who really counts in Iran's National Food Assistance Program? Lessons from multi-stakeholder processes in the wicked policy area of food security
This study aimed to identify and to categorize actual and potential stakeholders in NFAP using the stakeholder salience model. According to Mitchell's theory, stakeholders' attributes (power, legitimacy, and urgency) were assessed based on the nature of their interactions, roles, and level of engagement. Results revealed a number of significant but marginalized stakeholders, including Iranian Ministry of Health (office of community nutrition improvement), academia, center for food and nutrition research, target group, charities, and international organizations, who have not received any targeted organizational attention an...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Mona Pourghaderi Nasrin Omidvar Amirhossein Takian Arlette Saint Ville Hannaneh Mohammadi Kangarani Hassan Eini-Zinab Source Type: research

Perinatal mortality in Brazil in 2018: an epidemiological analysis according to the modified Wigglesworth classification
Cad Saude Publica. 2022 Jan 12;38(1):e00003121. doi: 10.1590/0102-311X00003121. eCollection 2022.ABSTRACTPerinatal mortality includes fetal mortality and early neonatal mortality (0 to 6 days of life). The study described perinatal deaths in Brazil in 2018 according to the modified Wigglesworth classification. The data sources were the Brazilian Mortality Information System and the Brazilian Information System on Live Births. Fetal mortality and perinatal mortality rates were calculated per 1,000 total births (live births plus stillbirths) and the early neonatal mortality rate per 1,000 live births, compared using their re...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Aglaer Alves da Nobrega Yluska Myrna Meneses Brand ão E Mendes Marina Jorge de Miranda Augusto C ésar Cardoso Dos Santos Andr éa de Paula Lobo Denise Lopes Porto Giovanny Vin ícius Araújo de França Source Type: research

Factors associated with serious maternal morbidity in Ribeir ão Preto, São Paulo State, Brazil: a cross-sectional cohort study
This study investigated the factors associated with serious maternal morbidity (SMM) in women seen at public maternity hospitals in Ribeirão Preto, São Paulo State, Brazil. This was a cross-section analytical quantitative study. Participation included 1,098 postpartum women who had given birth at one of the four maternity hospitals in the municipality. Data were collected from August 3, 2015, to February 2, 2016, using face-to-face interviews and data obtained from patient records and prenatal cards. The dependent variable for data analysis was the serious maternal morbidity, that is, when the woman was class...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Magna Santos Andrade L ívia Pimenta Bonifácio Jazmin Andrea Cifuentes Sanchez L ívia Oliveira-Ciabati Fabiani Spessoto Zaratini Ana Carolina Arruda Franzon Vicky Nogueira Pileggi Giordana Campos Braga Mariana Fernandes Carolina Sales Vieira Jo ão Paul Source Type: research

Diagnostic accuracy of a SARS-CoV-2 rapid test and optimal time for seropositivity according to the onset of symptoms
Cad Saude Publica. 2022 Jan 12;38(1):e00069921. doi: 10.1590/0102-311X00069921. eCollection 2022.ABSTRACTPoint-of-care serological tests for SARS-CoV-2 have been used for COVID-19 diagnosis. However, their accuracy over time regarding the onset of symptoms is not fully understood. We aimed to assess the accuracy of a point-of-care lateral flow immunoassay (LFI). Subjects, aged over 18 years, presenting clinical symptoms suggestive of acute SARS-CoV-2 infection were tested once by both nasopharyngeal and oropharyngeal RT-PCR and LFI. The accuracy of LFI was assessed in periodic intervals of three days in relation to the ons...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Caroline Nespolo de David Fernanda Hammes Varela Ivaine Tais Sauthier Sartor M árcia Polese-Bonatto Ingrid Rodrigues Fernandes Gabriela Oliveira Zavaglia Luciane Beatriz Kern Charles Francisco Ferreira Gisele Alsina Nader Bastos Paulo M árcio Pitrez Wal Source Type: research

Sedentary behavior and association with multimorbidity and patterns of multimorbidity in elderly Brazilians: data from the Brazilian National Health Survey, 2019
This study thus aimed to assess the association between sedentary behavior and multimorbidity and its patterns in elderly Brazilians. This was a cross-sectional study of 43,554 elderly Brazilians in the Brazilian National Health Survey, 2019. Self-reported SB was categorized as 6 hours a day. The presence of multimorbidity and its patterns were analyzed by self-report of two or more chronic diseases, where the three established patterns considered the diseases with similar clinical characteristics: (1) cardiopulmonary; (2) vascular-metabolic; and (3) mental-musculoskeletal. The associations were measured by binary logistic...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Let ícia Martins Cândido K átia Jakovljevic Pudla Wagner Maria Eduarda da Costa Elo ísa Pavesi N úbia Carelli Pereira de Avelar Ana L úcia Danielewicz Source Type: research

Sampling bias in Brazilian studies on transgender and gender diverse populations: the two-step measure for assessing gender identity in surveys
This study aims to present the two-step measure as the best strategy for assessing gender identity in Brazilian surveys, thus we performed two separate analyses. Firstly, we conducted a systematic review concerning HIV-related care among Brazilian transgender and gender-diverse populations to assess the strategy used to identify participants' gender identity. Secondly, we re-analyzed data from a recent survey that included Brazilian transgender populations, comparing characteristics and health outcomes from the sample identified by single-item and by the two-step measure. Concerning the systematic review, from 6,585 refere...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Angelo Brandelli Costa Let ícia de Oliveira Rosa Anna Martha Vaitses Fontanari Source Type: research

The path of canine visceral leishmaniasis versus the path of Center for Zoonoses Control: contributions of spatial analysis to health
Cad Saude Publica. 2022 Jan 12;38(1):e00272020. doi: 10.1590/0102-311X00272020. eCollection 2022.ABSTRACTVisceral leishmaniasis (VL) is a public health problem in Brazilian municipalities. As much as there is a planning of public policies regards VL in São Paulo State, new cases have been reported and spread. This paper aims to discuss how the Center for Zoonoses Control conducts its actions spatially in endemic city of Presidente Prudente, São Paulo State. Data are from the Municipal Health Department of Presidente Prudente, Adolfo Lutz Institute, and Brazilian Institute of Geography and Statistics. We spati...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Patricia Sayuri Silvestre Matsumoto Edilson Ferreira Flores Jos é Seguinot Barbosa Umberto Catarino Pessoto Jos é Eduardo Tolezano Roberto Mitsuyoshi Hiramoto Helena Hilomi Taniguchi Raul Borges Guimar ães Source Type: research

Genetic, sociodemographic and lifestyle factors associated with serum 25-hydroxyvitamin D concentrations in Brazilian adults: the Pr ó-Saúde Study
This study aims to investigate factors associated with serum 25-hydroxyvitamin D [25(OH)D] concentration in Brazilian adults considering sociodemographic and lifestyle factors, as well as vitamin D-related single nucleotide polymorphisms (SNPs). This is a cross-sectional study (n = 491; 34-79y; 251 women), nested within a prospective cohort (Pró-Saúde Study). Associations between serum 25(OH)D and sociodemographic characteristics, diet, use of supplement, physical activity, season of blood collection, body fat, skin type, sun exposure index, and SNPs CYP2R1-rs10741657 and GC-rs2282679 were explored by multipl...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Fl ávia Fioruci Bezerra Paula Normando Ana Carolina P Fonseca Ver ônica Zembrzuski Mario Campos-Junior Pedro Hernan Cabello-Acero Eduardo Faerstein Source Type: research

Barriers and facilitators for access to PrEP by vulnerable populations in Brazil: the ImPrEP Stakeholders Study
Cad Saude Publica. 2022 Jan 12;38(1):e00290620. doi: 10.1590/0102-311X00290620. eCollection 2022.ABSTRACTHIV preexposure prophylaxis (PrEP) has been considered a fundamental strategy for controlling the HIV/AIDS epidemic, and since 2018 it has been the object of an implementation study (ImPrEP Stakeholders Study), conducted in Brazil, México, and Peru. A qualitative component of this study was developed with the objective of identifying the social and structural contexts that involve and organize the supply of PrEP services in Brazil, the stakeholders' subjectivities, and the different perceptions that can impact th...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Maria Cristina Pimenta Ximena Pamela Berm údez Alcinda Maria Machado Godoi Ivia Maksud Marcos Benedetti Bruno Kauss Thiago Silva Torres Brenda Hoagland Gerson Fernando Mendes Pereira Beatriz Grinsztejn Valdilea G Veloso Source Type: research

Access to colposcopy in the State of S ão Paulo, Brazil: probabilistic linkage study of administrative data
Cad Saude Publica. 2022 Jan 12;38(1):e00304820. doi: 10.1590/0102-311X00304820. eCollection 2022.ABSTRACTCervical cancer screening is a multistage process, therefore access to both the primary test and subsequent diagnostic procedures is essential. Considering women undergoing screening on the public health system in the State of São Paulo, Brazil, we aimed to estimate the proportion of women accessing colposcopy within six months of an abnormal smear result. We retrieved records from two administrative databases, the Information System on Uterine Cervical Cancer (SISCOLO) that contains smear results and the Outpati...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Lewis Fletcher Buss Lise Cury Caroline Madalena Ribeiro Gulnar Azevedo E Silva Jos é Eluf Neto Source Type: research

Analysis of financial resources for public health in Brazilian capitals: a time trend ecological study
This study aimed to analyze part of the financial resources used to fund public health actions in the 26-Brazilian capitals, from 2008 to 2018. This is a time-trend ecological study involving revenue and expenditure indicators provided by the Information System on Public Budget for Health (SIOPS). The values were deflated based on the Extended National Consumer Price Index of 2018 in Brazil to allow the comparison over the years. The mean annual variation of health investments, in Brazilian Reais (BRL) was assessed using linear regressions. Pearson's correlation coefficients were estimated between federal revenues and expe...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Vin ícius Henrique Ferreira Pereira de Oliveira Millena Barroso Oliveira Cauane Blumenberg Álex Moreira Herval Luiz Renato Paranhos Source Type: research

Who really counts in Iran's National Food Assistance Program? Lessons from multi-stakeholder processes in the wicked policy area of food security
This study aimed to identify and to categorize actual and potential stakeholders in NFAP using the stakeholder salience model. According to Mitchell's theory, stakeholders' attributes (power, legitimacy, and urgency) were assessed based on the nature of their interactions, roles, and level of engagement. Results revealed a number of significant but marginalized stakeholders, including Iranian Ministry of Health (office of community nutrition improvement), academia, center for food and nutrition research, target group, charities, and international organizations, who have not received any targeted organizational attention an...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Mona Pourghaderi Nasrin Omidvar Amirhossein Takian Arlette Saint Ville Hannaneh Mohammadi Kangarani Hassan Eini-Zinab Source Type: research

Perinatal mortality in Brazil in 2018: an epidemiological analysis according to the modified Wigglesworth classification
Cad Saude Publica. 2022 Jan 12;38(1):e00003121. doi: 10.1590/0102-311X00003121. eCollection 2022.ABSTRACTPerinatal mortality includes fetal mortality and early neonatal mortality (0 to 6 days of life). The study described perinatal deaths in Brazil in 2018 according to the modified Wigglesworth classification. The data sources were the Brazilian Mortality Information System and the Brazilian Information System on Live Births. Fetal mortality and perinatal mortality rates were calculated per 1,000 total births (live births plus stillbirths) and the early neonatal mortality rate per 1,000 live births, compared using their re...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Aglaer Alves da Nobrega Yluska Myrna Meneses Brand ão E Mendes Marina Jorge de Miranda Augusto C ésar Cardoso Dos Santos Andr éa de Paula Lobo Denise Lopes Porto Giovanny Vin ícius Araújo de França Source Type: research

Factors associated with serious maternal morbidity in Ribeir ão Preto, São Paulo State, Brazil: a cross-sectional cohort study
This study investigated the factors associated with serious maternal morbidity (SMM) in women seen at public maternity hospitals in Ribeirão Preto, São Paulo State, Brazil. This was a cross-section analytical quantitative study. Participation included 1,098 postpartum women who had given birth at one of the four maternity hospitals in the municipality. Data were collected from August 3, 2015, to February 2, 2016, using face-to-face interviews and data obtained from patient records and prenatal cards. The dependent variable for data analysis was the serious maternal morbidity, that is, when the woman was class...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Magna Santos Andrade L ívia Pimenta Bonifácio Jazmin Andrea Cifuentes Sanchez L ívia Oliveira-Ciabati Fabiani Spessoto Zaratini Ana Carolina Arruda Franzon Vicky Nogueira Pileggi Giordana Campos Braga Mariana Fernandes Carolina Sales Vieira Jo ão Paul Source Type: research

Diagnostic accuracy of a SARS-CoV-2 rapid test and optimal time for seropositivity according to the onset of symptoms
Cad Saude Publica. 2022 Jan 12;38(1):e00069921. doi: 10.1590/0102-311X00069921. eCollection 2022.ABSTRACTPoint-of-care serological tests for SARS-CoV-2 have been used for COVID-19 diagnosis. However, their accuracy over time regarding the onset of symptoms is not fully understood. We aimed to assess the accuracy of a point-of-care lateral flow immunoassay (LFI). Subjects, aged over 18 years, presenting clinical symptoms suggestive of acute SARS-CoV-2 infection were tested once by both nasopharyngeal and oropharyngeal RT-PCR and LFI. The accuracy of LFI was assessed in periodic intervals of three days in relation to the ons...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Caroline Nespolo de David Fernanda Hammes Varela Ivaine Tais Sauthier Sartor M árcia Polese-Bonatto Ingrid Rodrigues Fernandes Gabriela Oliveira Zavaglia Luciane Beatriz Kern Charles Francisco Ferreira Gisele Alsina Nader Bastos Paulo M árcio Pitrez Wal Source Type: research

Sedentary behavior and association with multimorbidity and patterns of multimorbidity in elderly Brazilians: data from the Brazilian National Health Survey, 2019
This study thus aimed to assess the association between sedentary behavior and multimorbidity and its patterns in elderly Brazilians. This was a cross-sectional study of 43,554 elderly Brazilians in the Brazilian National Health Survey, 2019. Self-reported SB was categorized as 6 hours a day. The presence of multimorbidity and its patterns were analyzed by self-report of two or more chronic diseases, where the three established patterns considered the diseases with similar clinical characteristics: (1) cardiopulmonary; (2) vascular-metabolic; and (3) mental-musculoskeletal. The associations were measured by binary logistic...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Let ícia Martins Cândido K átia Jakovljevic Pudla Wagner Maria Eduarda da Costa Elo ísa Pavesi N úbia Carelli Pereira de Avelar Ana L úcia Danielewicz Source Type: research

Sampling bias in Brazilian studies on transgender and gender diverse populations: the two-step measure for assessing gender identity in surveys
This study aims to present the two-step measure as the best strategy for assessing gender identity in Brazilian surveys, thus we performed two separate analyses. Firstly, we conducted a systematic review concerning HIV-related care among Brazilian transgender and gender-diverse populations to assess the strategy used to identify participants' gender identity. Secondly, we re-analyzed data from a recent survey that included Brazilian transgender populations, comparing characteristics and health outcomes from the sample identified by single-item and by the two-step measure. Concerning the systematic review, from 6,585 refere...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Angelo Brandelli Costa Let ícia de Oliveira Rosa Anna Martha Vaitses Fontanari Source Type: research

The path of canine visceral leishmaniasis versus the path of Center for Zoonoses Control: contributions of spatial analysis to health
Cad Saude Publica. 2022 Jan 12;38(1):e00272020. doi: 10.1590/0102-311X00272020. eCollection 2022.ABSTRACTVisceral leishmaniasis (VL) is a public health problem in Brazilian municipalities. As much as there is a planning of public policies regards VL in São Paulo State, new cases have been reported and spread. This paper aims to discuss how the Center for Zoonoses Control conducts its actions spatially in endemic city of Presidente Prudente, São Paulo State. Data are from the Municipal Health Department of Presidente Prudente, Adolfo Lutz Institute, and Brazilian Institute of Geography and Statistics. We spati...
Source: Cadernos de Saude Publica - January 19, 2022 Category: International Medicine & Public Health Authors: Patricia Sayuri Silvestre Matsumoto Edilson Ferreira Flores Jos é Seguinot Barbosa Umberto Catarino Pessoto Jos é Eduardo Tolezano Roberto Mitsuyoshi Hiramoto Helena Hilomi Taniguchi Raul Borges Guimar ães Source Type: research