Sexually transmitted infections in women deprived of liberty in Roraima, Brazil
CONCLUSION The population deprived of liberty is a group of highly vulnerable to STI. The high prevalence of these infections can be explained by knowledge deficits on the subject, distorted perceptions and conditions peculiar to imprisonment, which result in risky behavior. We emphasize the need to implement educational programs for preventing, diagnosing and treating STI for this population.RESUMO OBJETIVO Avaliar a preval ência de infecção por vírus da imunodeficiência humana (HIV), sífilis e hepatite B entre mulheres privadas de liberdade do estado de Roraima e sua correlação com percepções, conhecimento e f...
Source: Revista de Saude Publica - November 3, 2020 Category: International Medicine & Public Health Source Type: research
Notes for the study on health systems: multifaceted analysis and tracer indicators
CONCLUSIONS The multifaceted analytical model presented allows us to understand relevant aspects of the Unified Health System performance, paying attention to the singularities, heterogeneities and inequalities that characterize its implementation in Brazil and emphasizing the performance of local networks for the addressed health conditions.RESUMO OBJETIVO Apresentar a abordagem metodol ógica utilizada em pesquisa que analisou a utilização e o funcionamento da atenção especializada, partindo do acesso via atenção básica, em quatro grandes cidades brasileiras: Fortaleza (CE), Campinas (SP), São Paulo (SP) e Porto...
Source: Revista de Saude Publica - November 3, 2020 Category: International Medicine & Public Health Source Type: research
Intimate partner violence during pregnancy: prevalence and associated factors
CONCLUSIONS Psychological violence by an intimate partner was the most prevalent among pregnant women. Women that were younger, had lower income and less schooling, who started their sexual life before the age of 14 and who wished to interrupt pregnancy, experienced violence more frequently during pregnancy.RESUMO OBJETIVO Identificar a preval ência das violências durante a gestação e verificar a associação com as características socioeconômicas, comportamentais e clínicas da gestante. MÉTODOS Estudo transversal em uma maternidade de baixo risco do município de Cariacica, Espírito Santo. Foram entrevistadas 3...
Source: Revista de Saude Publica - November 3, 2020 Category: International Medicine & Public Health Source Type: research
Effect of implementation intention on walking in people with diabetes: an experimental approach
CONCLUSIONS Implementation intention was effective in promoting walking and improving clinical indicators in adults with T2DM. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - October 31, 2020 Category: International Medicine & Public Health Source Type: research
Nascer no Brasil: continuity of care during pregnancy and postpartum period for women and newborns
CONCLUSIONS The indicators evaluated indicate that almost all women and their children presented partial and disjointed care, showing that the coordination of care is still a challenge in the health care of women and children in the puerperal pregnancy period.RESUMO OBJETIVO Estimar a adequa ção da linha de cuidado da atenção à saúde durante a gestação e o pós-parto em puérperas e recém-natos usuários do Sistema Único de Saúde e verificar os fatores associados à maior adequação. MÉTODOS Foram utilizados os dados obtidos na entrevista hospitalar, no cartão de pré-nat al e na primeira entrevista telefô...
Source: Revista de Saude Publica - October 31, 2020 Category: International Medicine & Public Health Source Type: research
High-risk human papillomavirus infection and associated factors in the anal canal of HIV-positive patients in Medellín, 2017–2018
CONCLUSIONS The high incidence of high-risk HPV, along with the occurrence of coinfections by multiple types in the study population shows their susceptibility to develop some type of anal intra-epithelial neoplasia. It is important to establish sexual health programs focused on primary health care.RESUMEN OBJETIVO Estimar la prevalencia de la infecci ón anal por el virus del papiloma humano de alto riesgo y factores asociados en pacientes con el virus de inmunodeficiencia humana (VIH) de Medellín. MÉTODOS Estudio descriptivo transversal en 300 pacientes VIH positivos, adultos, con historia de relaciones sexuales anal...
Source: Revista de Saude Publica - October 31, 2020 Category: International Medicine & Public Health Source Type: research
Covid-19 telescreening in SUS users with risk conditions: case report
ABSTRACT This case report aims to describe the conception and preliminary data of the implementation of a telescreening and telemonitoring program of covid-19 for users of the Unified Health System with risk conditions. A system of telerscreening was implemented through which undergraduate students in the health area contact patients by telephone, according to periodicity and predefined criteria, to monitor the evolution of the condition. In eight weeks, 2,190 attempts at remote contact were made with individuals from five health units. The effective number of individuals monitored at the time this writing is 802.RESUMO O ...
Source: Revista de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Source Type: research
Zika virus syndrome, lack of environmental policies and risks of worsening by cyanobacteria proliferation in a climate change scenario
ABSTRACT Almost half of the Brazilian population has no access to sewage collection and treatment. Untreated effluents discharged in waters of reservoirs for human supply favor the flowering of cyanobacteria – and these microorganisms produce toxins, such as saxitoxin, which is a very potent neurotoxin present in reservoirs in the Northeast region. A recent study confirmed that chronic ingestion of neurotoxin-infected water associated with Zika virus infection could lead to a microcephaly-like outcome in pregnant mice. Cyanobacteria benefit from hot weather and organic matter in water, a condition that has been intensif...
Source: Revista de Saude Publica - October 23, 2020 Category: International Medicine & Public Health Source Type: research
Erratum
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 - September 30, 2020 Category: International Medicine & Public Health Source Type: research
Cost-benefit analysis of pharmacist interventions over 36 months in a university hospital
CONCLUSIONS: The CP service was not directly cost-benefit at the hospital perspective, but it presented savings for forecast cost related to the occurrence of preventable morbidities, measuring a good cost-benefit for the PHS. (Source: Revista de Saude Publica)
Source: Revista de Saude Publica - September 30, 2020 Category: International Medicine & Public Health Source Type: research
Factors associated with diarrheal disease in the rural Caribbean region of Colombia
CONCLUSION: Water supply, hygiene and basic sanitation conditions have been associated with the diarrheal disease, affecting almost a quarter of the population under five years old. There is an urge for the design of effective policies that improve environmental and sanitation conditions in rural areas.RESUMEN OBJETIVO: Analizar factores asociados con enfermedad diarreica en área rural del Caribe colombiano. MÉTODO: Estudio transversal en área rural dispersa del departamento del Cesar, Colombia, entre noviembre de 2017 y junio de 2018. Se indagó sobre morbilidad auto-reportada de enfermedad diarreica y se recolectaro...
Source: Revista de Saude Publica - September 30, 2020 Category: International Medicine & Public Health Source Type: research
Factors associated with self-reported exposure to chemical substances at work in Brazil: results from the National Health Survey, 2013
CONCLUSIONS The unprecedented results cover the entire workforce. Positive associations with hearing loss, smoking and history of work accidents are consistent, as well as the inverse association with education level and gender differences. The absence of association with asthma was surprising. To fill gaps in investigations on chronic non-communicable diseases, we suggested improving the PNS collection instrument in the occupational dimension.RESUMO OBJETIVO Descrever os fatores associados e a preval ência de exposição autorrelatada a substâncias químicas no trabalho em uma amostra de adultos brasileiros que parti...
Source: Revista de Saude Publica - September 4, 2020 Category: International Medicine & Public Health Source Type: research
Dietary changes in the NutriNet Brasil cohort during the covid-19 pandemic
CONCLUSIONS If confirmed, the trend of increased consumption of ultra-processed foods in underdeveloped regions and by people with less schooling is concerning, as eating these foods increases the risk of obesity, hypertension and diabetes, whose presence increases the severity and lethality of covid-19.RESUMO OBJETIVO Descrever caracter ísticas da alimentação dos participantes da coorte NutriNet Brasil imediatamente antes e na vigência da pandemia de covid-19. MÉTODOS Os dados deste estudo provêm de coorte de adultos criada para investigar prospectivamente a relação entre alimentação e morbimortalidade por doe...
Source: Revista de Saude Publica - September 4, 2020 Category: International Medicine & Public Health Source Type: research
Nutritional profile of ultra-processed foods consumed by children in Rio de Janeiro
CONCLUSIONS The ultra-processed foods analyzed presented unbalanced nutritional profile, and two thirds presented excess of at least one critical nutrient. Educational actions and regulatory measures are necessary to better inform the population and to discourage its consumption.RESUMO OBJETIVO Analisar a composi ção nutricional dos alimentos ultraprocessados consumidos por crianças usuárias de unidades básicas de saúde. MÉTODOS Trata-se de estudo seccional com amostra probabilística representativa de 536 crianças de 6 a 59 meses de idade atendidas em uma unidade de saúde no município do Rio de Janeiro. Inf...
Source: Revista de Saude Publica - September 4, 2020 Category: International Medicine & Public Health Source Type: research
Potential pregnancy days lost: an innovative measure of gestational age
ABSTRACT In Brazil, the excess of interventions that anticipate childbirth, such as cesarean sections and labor inductions, has resulted in the shortening of pregnancy, with negative consequences on maternal-infant outcomes. This commentary presents a novel way to measure gestational age: the continuous variable “ Potential pregnancy days lost. ” Using data from the Live Birth Information System (SINASC), we counted the missing days between the period until childbirth and the average duration of pregnancy (280 days), or the lost weeks. This measure can be used as an outcome variable (socioeconomic-demographic characte...
Source: Revista de Saude Publica - August 28, 2020 Category: International Medicine & Public Health Source Type: research
