Seroprevalence of anti-SARS-CoV-2 among blood donors in Rio de Janeiro, Brazil
CONCLUSIONS Our findings comply with some basic premises: the increasing trend over time, as the epidemic curve in the state is still on the rise; and the higher prevalence among both the youngest, for moving around more than older age groups, and the less educated, for encountering more difficulties in following social distancing recommendations. Despite the study limitations, we may infer that Rio de Janeiro is far from reaching the required levels of herd immunity against SARS-CoV-2. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - July 6, 2020 Category: International Medicine & Public Health Source Type: research

Primum non nocere – Are chloroquine and hydroxychloroquine safe prophylactic/treatment options for SARS-CoV-2 (covid-19)?
ABSTRACT Chloroquine (CQ) and its analog hydroxychloroquine (HCQ) were recently included in several clinical trials as potential prophylactic and therapeutic options for SARS-COV-2 infection/covid-19. However, drug effectiveness in preventing, treating, or slowing the progression of the disease is still unknown. Despite some initial promising in vitro results, rigorous pre-clinical animal studies and randomized clinical trials have not been performed yet. On the other hand, while the potential effectiveness of CQ/HCQ is, at best, hypothetical, their side effects are factual and most worrisome, particularly when considering...
Source: Revista de Saude Publica - July 3, 2020 Category: International Medicine & Public Health Source Type: research

Interventions in overcrowding of emergency departments: an overview of systematic reviews
CONCLUSIONS Despite some limitations, the evidence presented on this overview can be considered the cutting edge of current scientific knowledge on the topic. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - July 3, 2020 Category: International Medicine & Public Health Source Type: research

Factors associated with tuberculosis in persons deprived of liberty in EspĂ­rito Santo
CONCLUSIONS The study highlighted the importance of knowing the TB treatment outcome in the PPL to implement measures to reduce failure, and the contribution of supervised treatment in this process.RESUMO OBJETIVOS Calcular a taxa de casos diagnosticados com tuberculose por unidades prisionais do Esp írito Santo, apresentar as características individuais, clínicas e institucionais dos casos na população privada de liberdade (PPL) do ES e analisar a associação entre essas características e o encerramento do tratamento da tuberculose nessa população. M&Eac...
Source: Revista de Saude Publica - July 3, 2020 Category: International Medicine & Public Health Source Type: research

Healthcare telemonitoring and business dynamics: challenges and opportunities for SUS
CONCLUSIONS The development of a major project to reduce HCDST using this technology has the potential to advance in a comprehensive network of primary care, contribute to a greater dynamism of the national productive and innovative base and induce innovations along the chain of this emerging industry.RESUMO OBJETIVO Apontar desafios e oportunidades para o Sistema Único de Saúde (SUS) com o uso do telemonitoramento para enfrentar o aumento crescente dos custos com as doenças crônicas não transmissíveis, a partir do seu panorama geral no Brasil, dinâmica empresarial e reaplica&...
Source: Revista de Saude Publica - June 26, 2020 Category: International Medicine & Public Health Source Type: research

Occupation and maternal mortality in Brazil
CONCLUSIONS Maternal mortality ratio differs by occupation, suggesting a work contribution, which requires further research focusing occupational risk factors. Socioeconomic factors are closely related to occupation, and their combination with work exposures and the poor access to health services need to be also addressed.RESUMO OBJETIVO Estimar a raz ão de mortalidade materna segundo a ocupação no Brasil. MÉTODOS Trata-se de estudo de mortalidade realizado com dados nacionais do Sistema de Informação sobre Mortalidade (SIM) e do Sistema de Informação sobre Nascidos V...
Source: Revista de Saude Publica - June 26, 2020 Category: International Medicine & Public Health Source Type: research

Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series
ABSTRACT OBJECTIVE To analyze mortality and associated factors in a series of gastroschisis at birth in the state of Rio de Janeiro in a 10-year period (2005 to 2014). METHOD A retrospective cohort study, which related the databases of the Live Births Information System and the Mortality Information System by probabilistic linkage. Final database was constructed in two stages: preparation of the two initial databases and establishment of relationships between them. RESULTS Preterm newborns and those with low birthweight had higher risk of death, with statistical significance (p = 0.03 and p = 0.006, respectively). Regardin...
Source: Revista de Saude Publica - June 13, 2020 Category: International Medicine & Public Health Source Type: research

Incidence, persistence and risk factors of fear of falling in older adults: cohort study (2008–2013) in Rio de Janeiro, Brazil
CONCLUSION Fear of falling is a frequent and persistent condition. Many factors related to persistent fear showed no association with the incidence of fear, emphasizing the need for focused strategies to reduce risk factors that may be associated with the chronification of fear of falling. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - June 13, 2020 Category: International Medicine & Public Health Source Type: research

Infrastructure and work process in primary health care: PMAQ in Ceará
CONCLUSIONS We identified that quality improvements related to infrastructure and work process occurred in the period of implementation of the program in the state of Ceará in an equitable manner, bei ng influenced by population size and regional health system, showing the influence of the context in the implementation of public policies of this nature.RESUMO OBJETIVO Analisar a qualidade da infraestrutura e do processo de trabalho da Estrat égia Saúde da Família nos municípios do Ceará entre 2012 e 2014. MÉTODOS Estudo transversal, utilizando dados secundários da ava...
Source: Revista de Saude Publica - June 10, 2020 Category: International Medicine & Public Health Source Type: research

Socioeconomic factors and inequality in the distribution of physicians and nurses in Mexico
CONCLUSIONS In Mexico, there is inequality in the distribution of human resources for health, with state differences. Government mechanisms could support the balance in the labor market of physicians and nurses through a human resources policy.RESUMEN OBJETIVO Describir los recursos humanos en salud y analizar la desigualdad en su distribuci ón en México. MÉTODOS Estudio transversal basado en la Encuesta Nacional de Ocupación y Empleo del cuarto trimestre de 2018 en México. Se consideraron como recursos humanos en salud médicos y enfermeras con licenciatura, y personal de enfermer&...
Source: Revista de Saude Publica - June 10, 2020 Category: International Medicine & Public Health Source Type: research

A brief-review of the risk factors for covid-19 severity
ABSTRACT The World Health Organization has emphasized that one of the most important questions to address regarding the covid-19 pandemic is to understand risk factors for disease severity. We conducted a brief review that synthesizes the available evidence and provides a judgment on the consistency of the association between risk factors and a composite end-point of severe-fatal covid-19. Additionally, we also conducted a comparability analysis of risk factors across 17 studies. We found evidence supporting a total of 60 predictors for disease severity, of which seven were deemed of high consistency, 40 of medium and 13 o...
Source: Revista de Saude Publica - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Does Vitamin D play a role in the management of Covid-19 in Brazil?
ABSTRACT The study discusses the possible role of adequate vitamin D status in plasma or serum for preventing acute respiratory infections during the Covid-19 pandemic. Our arguments respond to an article, published in Italy, that describes the high prevalence of hypovitaminosis D in older Italian women and raises the possible preventive and therapeutic role of optimal vitamin D levels. Based on literature review, we highlight the findings regarding the protective role of vitamin D for infectious diseases of the respiratory system. However, randomized controlled trials are currently lacking. Adequate vitamin D status is ob...
Source: Revista de Saude Publica - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Liberties, rights, public policies and water fluoridation
CONCLUSION We argued that, in a context in which negative and positive liberties are balanced, regulatory policies have double meaning. Thus, there should be a balance between the establishment of necessary rules for social protection and limits for them not to violate individuals ’ rights.RESUMO OBJETIVO Discutir os conceitos negativo e positivo de liberdade e postular sua rela ção de interdependência e complementariedade na avaliação da política pública intersetorial, tomando como caso a fluoretação da água. MÉTODO Descrevem-se os alcances ...
Source: Revista de Saude Publica - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Latin American interventions in children and adolescents’ sedentary behavior: a systematic review
CONCLUSIONS Latin America community-based interventions reduced children and adolescents ’ SB. Further studies should: define SB as a primary outcome and implement strategies to reduce such behaviour; focus in different SBs and settings, other than recreational screen time or at-home sitting time; and use objective tools together with questionnaires to measure sedentary behaviour in. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Neighborhood environmental factors associated with leisure walking in adolescents
CONCLUSION Environmental factors (objectively and subjectively measured) and leisure walking show association in boys and girls of different SES. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Illicit drug use among students of a university in Southern Brazil
CONCLUSION Results indicate that students are at greater risk of illicit drug-related health problems. Thus, a better understanding of this consumption should be pursued, as well as the development of a prevention plan. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Food advertisements on television and eating habits in adolescents: a school-based study
CONCLUSION Food advertisements were associated with greater consumption of fried foods, sweets, and snacks in adolescents, even after adjusting for confounding factors. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Validity studies of the scale of positive and negative perceptions about alcohol effects
CONCLUSION The data obtained show the validity of the instrument. In the discussion, the article presents considerations about the responsibility of higher educ ation institutions in the prevention and reduction in consumption rates among their students.RESUMO OBJETIVO Considerando a rela ção entre as taxas de uso de álcool e as percepções dos estudantes sobre os efeitos desse consumo, descrever o processo de elaboração e validação da Escala de Percepções sobre o Consumo de Álcool em Estudantes do Ensino Superior em uma amostra portuguesa. ...
Source: Revista de Saude Publica - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Diabetes and covid-19: more than the sum of two morbidities
ABSTRACT The coronavirus disease 2019 (covid-19) pandemic has caused a public health emergency worldwide. Risk, severity and mortality of the disease have been associated with non-communicable chronic diseases, such as diabetes mellitus. Accumulated evidence has caused great concern in countries with high prevalence of this morbidity, such as Brazil. This text shows the picture of diabetes in Brazil, followed by epidemiological data and explanatory hypothesis for the association between diabetes and covid-19. We emphasized how the burden of these two morbidities in a middle-income country has aggravated this pandemic scena...
Source: Revista de Saude Publica - May 29, 2020 Category: International Medicine & Public Health Source Type: research

Erratum: Scoping review of studies on food marketing in Latin America: Summary of existing evidence and research gaps
ABSTRACT In February 2020, a Chinese cargo ship docked at the Port of Santos with reports of crew members with a feverish and respiratory condition. A team was gathered to verify the existence of suspected cases of COVID-19 inside the vessel and define its clearance. All 25 crew members were interviewed, and no suspected cases were found. The vessel was then cleared for port activities. The investigation resulted from the implementation of the contingency plan to face a public health emergency of international importance and several surveillance entities cooperated.RESUMO Em fevereiro de 2020, um navio de carga vindo da Ch...
Source: Revista de Saude Publica - May 21, 2020 Category: International Medicine & Public Health Source Type: research

Covid-19 and the pandemic of fear: reflections on mental health
ABSTRACT In February 2020, a Chinese cargo ship docked at the Port of Santos with reports of crew members with a feverish and respiratory condition. A team was gathered to verify the existence of suspected cases of COVID-19 inside the vessel and define its clearance. All 25 crew members were interviewed, and no suspected cases were found. The vessel was then cleared for port activities. The investigation resulted from the implementation of the contingency plan to face a public health emergency of international importance and several surveillance entities cooperated.RESUMO Em fevereiro de 2020, um navio de carga vindo da Ch...
Source: Revista de Saude Publica - May 21, 2020 Category: International Medicine & Public Health Source Type: research

Systematic review: Symptoms of parental depression and anxiety and offspring overweight
CONCLUSIONS We conclude there is evidence of a positive relationship between the occurrence of maternal symptoms of depression and anxiety and childhood obesity. It is emphasized the need for a better understanding on the effect of depressive symptoms and the contextual factors involved in this relationship so that effective intervention strategies can be implemented.RESUMO OBJETIVO Avaliar a literatura existente acerca da associa ção entre depressão e ansiedade dos pais e sua influência no excesso de peso dos filhos durante a infância, identificando possíveis mecanismos envolvidos n...
Source: Revista de Saude Publica - May 21, 2020 Category: International Medicine & Public Health Source Type: research

Brazilian cohorts with potential for life-course studies: a scoping review
CONCLUSIONS We recommend the continuity of these cohorts, the approach to different social contexts and the performance of follow-ups with participants in different phases of the life cycle for the strengthening and expansion of life course epidemiology analyses in Brazil.RESUMO OBJETIVO Identificar as coortes brasileiras iniciadas no per íodo pré-natal ou no nascimento, descrever suas características e as variáveis exploradas, além de mapear as coortes com potencial para se estudar os determinantes precoces de saúde e doença e o risco de adoecer em etapas posteriores do cic...
Source: Revista de Saude Publica - May 21, 2020 Category: International Medicine & Public Health Source Type: research

International Classification of Functioning in professional rehabilitation: instruments for assessing work disability
CONCLUSIONS The association of several instruments requires time and makes it difficult to use the classification. The development of instruments with direct association with its categories is essential to operationalize it.RESUMO OBJETIVO Revisar os principais instrumentos de avalia ção funcional e situação de saúde citados na literatura para avaliar trabalhadores brasileiros e verificar a compatibilidade de seus itens com o core set para reabilitação profissional. MÉTODOS Foi realizada uma revisão da literatura nas principais bases de dados em busca de artigo...
Source: Revista de Saude Publica - May 21, 2020 Category: International Medicine & Public Health Source Type: research

Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil
CONCLUSIONS Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. T hese findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - May 21, 2020 Category: International Medicine & Public Health Source Type: research

Health belief model for coronavirus infection risk determinants
CONCLUSION Our health belief model-based questionnaire using quantitative measures enabled the confirmation of popular beliefs about covid-19 infection risks. The advantage in our approach lays in the possibility of quickly, directly and quantitatively identifying individual belief profiles for each dimension in the questionnaire, serving as a great ally for communication processes and public health education.RESUMO OBJETIVO Neste estudo buscamos utilizar as vantagens de uma escala de raz ão por ancoragem verbal para medidas da percepção de risco de contágio pelo novo coronavírus, causado...
Source: Revista de Saude Publica - May 21, 2020 Category: International Medicine & Public Health Source Type: research

Evaluation of newborn hearing screening program
CONCLUSION Regarding the percentage of referral for diagnosis, the program reached indexes recommended by the Joint Committee on Infant Hearing and Multiprofessional Committee on Auditory Health. The most prevalent risk factor within the population was prematurity.RESUMO OBJETIVO Avaliar o Programa de Triagem Auditiva Neonatal do Hospital Regional de Sobradinho, no per íodo de janeiro de 2016 a dezembro de 2017, segundo os parâmetros do Comitê Multiprofissional em Saúde Auditiva e as recomendações do Joint Committee on Infant Hearing (JCIH), bem como descrever a prevalência dos...
Source: Revista de Saude Publica - May 1, 2020 Category: International Medicine & Public Health Source Type: research

Consequences of Chronic Non-Cancer Pain in adulthood. Scoping Review.
CONCLUSIONS This review shows that limitations in the ability to perform activities of daily living, sleep, psychological health, social and work resources and family functioning are lines of interest in published articles. However, knowledge gaps are detected in areas such as the influence of having suffered pain in childhood or adolescence, the consequences of non-fulfillment of working hours and gender inequalities.RESUMEN OBJETIVO Examinar y mapear las consecuencias del dolor cr ónico en la edad adulta. MÉTODO Se incluyeron documentos que abordaban las repercusiones del dolor crónico en las esferas...
Source: Revista de Saude Publica - April 17, 2020 Category: International Medicine & Public Health Source Type: research

Are laws restricting soft drinks sales in Brazilian schools able to lower their availability?
CONCLUSION Laws restricting soft drinks in schools were associated with fewer sales in more developed regions. Private schools were less compliant with the law than public schools. A broadly enforced national law could reduce the availability of soft drinks in schools. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 17, 2020 Category: International Medicine & Public Health Source Type: research

Risky sexual behavior and associated factors in undergraduate students in a city in Southern Brazil
CONCLUSION Although undergraduate students are expected to be an informed population, the prevalence of risky sexual behavior was important, indicating the need to expand public investment in sexual education and awareness actions.RESUMO OBJETIVO Descrever o comportamento sexual de ingressantes universit ários de acordo com características demográficas, econômicas, psicossociais e comportamentais, e avaliar a prevalência de comportamento sexual de risco e seus fatores associados. MÉTODOS Estudo de delineamento transversal, do tipo censo, com universitários maiores de 18 anos, ...
Source: Revista de Saude Publica - April 17, 2020 Category: International Medicine & Public Health Source Type: research

Translating transmissibility measures into recommendations for coronavirus prevention
ABSTRACT The rapid increase in clinical cases of the new coronavirus disease, COVID-19, suggests high transmissibility. However, the estimates of the basic reproductive number reported in the literature vary widely. Considering this, we drew the function of contact-rate reduction required to control the transmission from both detectable and undetectable sources. Based on this, we offer a set of recommendations for symptomatic and asymptomatic populations during the current pandemic. Understanding the dynamics of transmission is essential to support government decisions and improve the community ’ s adherence to preve...
Source: Revista de Saude Publica - April 10, 2020 Category: International Medicine & Public Health Source Type: research

Pattern evolution of antidepressants and benzodiazepines use in a cohort
CONCLUSION In this population, the increase in the use of AD was not accompanied by a decrease in the use of BDZ, showing the prescriptions for psychotropic medication do not follow the currently recommended guidelines for treatment of common mental health disorders. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - April 10, 2020 Category: International Medicine & Public Health Source Type: research

Community-Based Rehabilitation (CBR) in primary care centers in Chile
CONCLUSION The implementation of Community-Based Rehabilitation is mainly based on the Health component. The level implementation of the other components of the matrix needs to be increased, as well as interdisciplinary and intersectoral strategies to achieve greater social inclusion of people with disabilities.RESUMEN OBJETIVO Describir el estado de implementaci ón de la Rehabilitación Basada en la Comunidad en Chile. MÉTODOS Estudio cuantitativo, transversal y descriptivo. El universo estuvo conformado por los 66 centros comunitarios de rehabilitación de la Región Metropolitana de Chile...
Source: Revista de Saude Publica - April 7, 2020 Category: International Medicine & Public Health Source Type: research

Regular dental care in preschoolers in rural Southern Brazil
CONCLUSION When mothers receive previous information on child dental health care and children attend schools or daycare centers, the likelihood of regular dental appointments in preschoolers living in rural locations increases.RESUMO OBJETIVO Avaliar se fatores relacionados à orientação prévia da mãe sobre saúde bucal dos seus filhos e a frequência escolar das crianças influenciam o atendimento odontológico regular de pré-escolares moradores da área rural de um município do Sul do Brasil. MÉTODOS Um estudo de base populacional foi con...
Source: Revista de Saude Publica - April 7, 2020 Category: International Medicine & Public Health Source Type: research

Adolescent Friendly Services: quality assessment with simulated users
CONCLUSION Although the service is accessible in most of the clinics visited, it is still far from being friendly according to international recommendations. The exclusive clinic for adolescents stood out for having better structured mechanisms that can be implemented in nonexclusive clinics to improve the care process.RESUMEN OBJETIVO Evaluar la calidad de los servicios de salud amigables para adolescentes. M ÉTODOS Evaluación cualitativa utilizando la técnica de usuario simulado en clínicas de primer nivel de los Servicios de Salud de Morelos, México durante 2018. Se seleccionaron aleat...
Source: Revista de Saude Publica - April 7, 2020 Category: International Medicine & Public Health Source Type: research

Robust older adults in primary care: factors associated with successful aging
CONCLUSION The prevalence of robust older adults in primary care is considered satisfactory for the older population in general but decreases with age and is associated with the absence of diseases and disabilities. These results denote the need to redesign the health care system, focusing on promoting and preventing clinical-functional vulnerability.RESUMO OBJETIVO Estimar a preval ência de robustez entre idosos assistidos na atenção primária à saúde e identificar fatores de envelhecimento bem-sucedido. MÉTODOS Trata-se de pesquisa transversal, realizada com idosos no norte ...
Source: Revista de Saude Publica - April 7, 2020 Category: International Medicine & Public Health Source Type: research

Outbreak investigation in cargo ship in times of COVID-19 crisis, Port of Santos, Brazil
ABSTRACT In February 2020, a Chinese cargo ship docked at the Port of Santos with reports of crew members with a feverish and respiratory condition. A team was gathered to verify the existence of suspected cases of COVID-19 inside the vessel and define its clearance. All 25 crew members were interviewed, and no suspected cases were found. The vessel was then cleared for port activities. The investigation resulted from the implementation of the contingency plan to face a public health emergency of international importance and several surveillance entities cooperated.RESUMO Em fevereiro de 2020, um navio de carga vindo da Ch...
Source: Revista de Saude Publica - March 30, 2020 Category: International Medicine & Public Health Source Type: research

Suicidal ideation and associated factors among high school adolescents
ABSTRACT OBJECTIVE To analyze the prevalence of suicidal ideation and its associated factors in school adolescents. METHODS Cross-sectional school-based study with 674 students from public and private schools in Teresina, Piau í, in 2016. Bivariate analysis was performed with the chi-square test and multiple analysis by the Poisson regression model to estimate prevalence ratios (PR) and 95% confidence intervals (95%CI). RESULTS The study participants were mostly female (56.7%), black (77.4%), who lived with their paren ts (85%), whose mothers had schooling greater than or equal to 8 years of schooling (68.8%), with ...
Source: Revista de Saude Publica - March 30, 2020 Category: International Medicine & Public Health Source Type: research

Characteristics of primary care and rates of pediatric hospitalizations in Brazil
CONCLUSION Infrastructural adequacy of PHCC was associated with less PCSC hospitalizations, while availability medical professional and medications were associated with higher PCSC hospitalizations. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - March 30, 2020 Category: International Medicine & Public Health Source Type: research

Association between cigarette use and adolescents’ behavior
CONCLUSIONS Cigarette use among adolescents from Olinda was high, being considered higher than the national prevalence. Possible factors associated with cigarette use were drug use (alcohol, marijuana, and cocaine) and behaviors related to sexual experience, feelings of sadness and suicidal ideation. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - March 27, 2020 Category: International Medicine & Public Health Source Type: research

Socioeconomic status and family functioning influence oral health literacy among adolescents
CONCLUSION Family functioning and socio-demographic factors influence the level of oral health literacy among adolescents. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - March 20, 2020 Category: International Medicine & Public Health Source Type: research

Development of an instrument to measure the cultural competence of health care workers
CONCLUSION The scale for measuring the level of cultural competence in health care workers (EMCC-14) is a reliable instrument, with initial support for its validity, which can be used in the Chilean context. Additionally, the results of this study could guide some possible interventions in the health sector to strengthen the level of cultural competence.RESUMEN OBJETIVO Validar un instrumento de medici ón de competencia cultural en trabajadores de salud de Chile. MÉTODOS Utilizando el modelo teórico de Sue y Sue, se diseñó un instrumento de medición el cual fue evaluado por trabaja...
Source: Revista de Saude Publica - March 20, 2020 Category: International Medicine & Public Health Source Type: research

Years of life lost by CNCD attributed to occupational hazards in Brazil: GBD 2016 study
CONCLUSIONS The global burden of chronic noncommunicable diseases attributed to occupational hazard factors has become increasingly important. We suggest the strengthening of the approach of occupational hazard factors in the agendas for tackling these diseases in Brazil.RESUMO OBJETIVO Avaliar anos de vida perdidos por morte prematura e por incapacidade ( disability-adjusted life years – DALY) em decorr ência de doenças crônicas não transmissíveis atribuíveis a fatores de risco ocupacionais e comparar a posição desses fatores no ranking dos riscos para doen&ccedi...
Source: Revista de Saude Publica - March 20, 2020 Category: International Medicine & Public Health Source Type: research

Efficacy and safety of cryotherapy, cold cone or thermocoagulation compared to LEEP as a therapy for cervical intraepithelial neoplasia: Systematic review.
ABSTRACT OBJECTIVES To determine the efficacy and safety of the use of cryotherapy, cold knife or thermocoagulation compared to Loop Electrosurgical Excision Procedure (LEEP) for the treatment of cervical intraepithelial neoplasia. METHODS Systematic review with meta-analysis of randomized controlled trials in women with cervical intraepithelial neoplasia undergoing treatment with cryotherapy, cold knife, or thermo-coagulation compared with LEEP, to estimate its efficacy and safety. The search was conducted on MEDLINE/PUBMED, Cochrane Central Register of Controlled Trials (CENTRAL) and Scopus, until September 2018. RESULTS...
Source: Revista de Saude Publica - March 17, 2020 Category: International Medicine & Public Health Source Type: research

Cross-cultural adaptation of the Clear Communication Index to Brazilian Portuguese
CONCLUSION The process of cross-cultural adaptation of the Clear Communication Index provided an adapted version to the Brazilian Portuguese language. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - March 17, 2020 Category: International Medicine & Public Health Source Type: research

Relationship between anthropometric indicators and risk factors for cardiovascular disease in adults and older adults of Rio Branco, Acre
ABSTRACT OBJECTIVE To analyze the association between anthropometric variables and cardiovascular risk factors in adults and older adults of Rio Branco, Acre. METHODS A population-based cross-sectional study with 641 adults and 957 older adults was conducted. The statistical analyses consisted of the distribution of anthropometric variables according to the cardiovascular risk factors by frequency and dispersion measures. Pearson ’ s correlation coefficient and prevalence ratios (PR) were estimated with their respective 95% confidence intervals (95%CI) using the SPSS ® version 20.0. RESULTS Moderate correlations ...
Source: Revista de Saude Publica - March 17, 2020 Category: International Medicine & Public Health Source Type: research

The case of eculizumab: litigation and purchases by the Brazilian Ministry of Health
CONCLUSION Eculizumab represented extremely significant expenditures for the Brazilian Ministry of Health during the period. All purchases were made to meet demands from lawsuits, outside the competitive environment. The market approval of eculizumab promoted an important price reduction. This study indicates the relevance of licensing and the need for permanent monitoring and auditing of drug purchases to meet legal demands.RESUMO OBJETIVOS O estudo examinou as aquisi ções de eculizumabe, um anticorpo monoclonal de alto custo utilizado no tratamento de doenças raras, pelos órgãos federai...
Source: Revista de Saude Publica - March 2, 2020 Category: International Medicine & Public Health Source Type: research

Practices and challenges on coordinating the Brazilian Unified Health System
CONCLUSION The limiting factors of coordination show the need to promote actions that offer all SUS users full access to health services.RESUMO OBJETIVO Analisar os entraves e desafios enfrentados pelos gestores e profissionais de regula ção em suas práticas nas centrais reguladoras municipais. MÉTODOS Estudo descritivo exploratório com enfoque qualitativo, aplicado em quarenta gestores e profissionais de regulação, no período de setembro de 2017 e novembro de 2018, por meio de entrevista semiestruturada, resultando em duas categorias de análise: fatores limita...
Source: Revista de Saude Publica - February 17, 2020 Category: International Medicine & Public Health Source Type: research

Health access to immigrants: identifying gaps for social protection in health
CONCLUSIONS Disadvantages persist regarding the access to and use of health services by immigrants as opposed to Chileans compared with information from previous years. It is necessary to reduce the gaps between immigrants and people born in Chile, especially in terms of health system access. This is the first barrier to effective use of services. The generation of concrete strategies and health policies that consider an approach of social participation of the immigrant community is suggested to bring the health system closer to this population.RESUMEN OBJETIVO Comparar el acceso y uso efectivo de servicios de salud dispon...
Source: Revista de Saude Publica - February 17, 2020 Category: International Medicine & Public Health Source Type: research

Structure and practices in hospitals of the Apice ON Project: a baseline study
CONCLUSION The study strengthens the relevance of the Apice ON project as an inducer of change of the care model in teaching hospitals and, therefore, as a strategy for the implementation of the national public policy represented by the Stork Network.RESUMO OBJETIVO Este artigo descreve algumas caracter ísticas dos 97 hospitais de ensino participantes do Projeto de Aprimoramento e Inovação no Cuidado e Ensino em Obstetrícia e Neonatologia (Apice ON). MÉTODOS Foi adotado como linha de base o semestre anterior ao lançamento do programa, para permitir avaliar as mudanças estrut...
Source: Revista de Saude Publica - February 11, 2020 Category: International Medicine & Public Health Source Type: research