Purchases from family agriculture for school feeding in Brazilian capitals
CONCLUSIONS The implementation of this public policy occurs unequally in Brazilian capitals, with greater difficulty in those supposedly with better institutional structure and higher volume of resources destined to the National School Feeding Program. The program, however, maintains its potential for the promotion of adequate and healthy food in schools, due to the quality of food included in public calls.RESUMO OBJETIVO Analisar como o perfil de compra de alimentos da agricultura familiar no âmbito do Programa Nacional de Alimentação Escolar se relaciona com indicadores socioeconômicos e demográficos nas capitais...
Source: Revista de Saude Publica - July 25, 2020 Category: International Medicine & Public Health Source Type: research
Factors associated with low birthweight: a case-control study in a city of Minas Gerais
CONCLUSIONS The variables “ water consumed during pregnancy, ” “ previous pregnancies ” and “ maternal smoking ” were associated with low birthweight in the population studied. The importance of epidemiological studies that assess water quality and its adverse health effects is reinforced, as well as greater prenatal control of first-time pregnant women and greater support of policies against smoking, especially during pregnancy.RESUMO OBJETIVO Analisar os fatores socioecon ômicos, demográficos, ambientais, reprodutivos, comportamentais, de assistência à saúde, doenças maternas e, sobretudo, o possív...
Source: Revista de Saude Publica - July 20, 2020 Category: International Medicine & Public Health Source Type: research
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 Espírito 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. MÉTODOS A população de estudo fo ram os casos de tubercul...
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 reaplicação de dados de estudos americanos. ...
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 Vivos (Sinasc) no ano de 2015. Foram estimad...
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
CONCLUSION This study foments the discussion of two possible strategies in the treatment of gastroschisis in newborns. First, the centralization of care in tertiary units, enabling malformation care to be analyzed in a more detailed and standardized manner. Second, and perhaps more feasible, the elaboration of clinical guidelines to standardize immediate care for gastroschisis in babies born outside tertiary centers, as well as the standardization of their transportation until arrival at the tertiary center.RESUMO OBJETIVO Analisar a mortalidade e fatores associados em uma s érie de nascimentos com gastrosquise no esta...
Source: Revista de Saude Publica - June 12, 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 12, 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 avaliação externa do 1º (2012) e 2º (2014)...
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 enfermería auxiliar/técnica con estudi...
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 e limites relativos à distinção formulada por Isaiah Berlin no...
Source: Revista de Saude Publica - June 1, 2020 Category: International Medicine & Public Health Source Type: research
