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Perfil epidemiológico de um serviço ambulatorial de saúde mental - uma análise descritiva e analítica; Epidemiological profile of an outpatient mental health - a descriptive and analytical analysis.

Reis, Leonardo Naves dos
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 26/07/2012 PT
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Trata-se de um estudo quantitativo descritivo e exploratório, de natureza epidemiológica, de prevalência e correlacional realizado em um serviço ambulatorial de saúde mental (Núcleo de Saúde Mental), localizado no interior paulista. O trabalho teve dois objetivos, sendo o primeiro, descrever o perfil dos usuários atendidos no referido ambulatório com base no diagnóstico, informações sobre internação psiquiátrica e dados sociodemográficos; e o segundo, testar a associação entre a necessidade de internação psiquiátrica apresentada pelos usuários e seus diagnósticos, sexo e idade e com base nesta associação, determinar a probabilidade de necessidade de internação de novos usuários ingressantes no serviço de saúde, com base nas variáveis associadas. Os dados foram extraídos dos prontuários de todos os pacientes que atualmente realizam tratamento no Núcleo de Saúde Mental (NSM), totalizando 1281 prontuários. Os dados foram compilados diretamente em planilha elaborado no Microsoft Excel 2010 para posterior análise no software estatístico Stata 11. As variáveis utilizadas foram idade, sexo, escolaridade, diagnóstico e internação (se o paciente já foi submetido à internação psiquiátrica ao menos uma vez ao longo da vida). Na primeira etapa da análise de dados realizou- se a estatística descritiva exibindo o perfil geral do NSM e em seguida comparando- o com o perfil específico dos pacientes acometidos por cada um transtornos que apresentaram significância estatística (p<0...

Tetanus epidemiology in Santa Catarina, Brazil from 1998 to 2008; Epidemiología del tétanos en Santa Catarina, Brasil, entre 1998 y 2008

Mattos, Ana Carolina Squeff de; Hernandes Júnior, Clineu Gaspar; Fuentefria, Alexandre Meneghello
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
ENG
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Objetive: This work describes demographic and clinical characteristics of individuals with accidental tetanus in Santa Catarina, Brazil. Materials and Methods: 291 cases of accidental tetanus reported from 1998 to 2008 were analyzed retrospectively through a cross-sectional, descriptive and correlated study based on percentage and numeric frequency as well as on number and incidence rate (i.r.) found in compulsory notification forms. Results: Most cases (73,54%) occurred among men residing in Vale do Itajaí (30,24%). The age group with the highest incidence was within the 35 to 49 range (32,30%). Complete immunization history was reported in seven cases (2,40%), the perforating injury being the most observed and the lower limbs the most affected ones. Among the reported cases, 87,62% were confirmed; 114 (39,17%) patients died. Conclusions: Accidental tetanus in Santa Catarina affects the population in a significant way despite the fact that it is an immune preventable disease. The authorities and administrators must plan strategies to address changes in public policies related to immunization coverage of the susceptible population, mainly adults. Above all, it is important to warn society that the success of immunization programs depends on the application of three doses at set intervals...

Epidemiology of bacterial meningitis among children in Brazil, 1997-1998

Weiss,Débora PL; Coplan,Paul; Guess,Harry
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2001 EN
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OBJECTIVE: To document the incidence and the descriptive epidemiology of bacterial meningitis among individuals under age 20 in a geographically defined region in Brazil during the two-year period immediately preceding the introduction of Haemophilus influenzae type b (Hib) vaccines into the national immunization program of Brazil. METHODS: Population-based epidemiological study of all cases of bacterial meningitis reported among residents of Campinas, Brazil, under age 20 (n=316,570) during the period of 1997-98, using comprehensive surveillance records compiled by the Campinas Health Department from cases reported among hospital inpatients, outpatients, emergency room visits, death certificates, and autopsy reports. RESULTS: The incidence of bacterial meningitis (n=274) was 334.9, 115 and 43.5 cases/10(5) person-years (pys) for residents of Campinas under age 1, 5 and 20, respectively. All cases were hospitalized, with an average length of stay of 12 days. Documented prior antibiotic use was 4.0%. The case-fatality rate of bacterial meningitis in individuals under age 20 was 9% (24/274) with 75% of deaths occurring in children under the age of five. The incidence of Hib meningitis (n=26) was 62.8 and 17 cases/10(5) pys in children age <1 and <5...

An observational and descriptive study of the epidemiology of and therapeutic approach to onychomycosis in dermatology offices in Brazil

Chiacchio,Nilton Di; Suarez,Maria Victoria; Madeira,Celso Luís; Loureiro,Walter Refkalefsky
Fonte: Sociedade Brasileira de Dermatologia Publicador: Sociedade Brasileira de Dermatologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2013 EN
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BACKGROUND: Onychomycosis is a type of fungal infection that accounts for over 50% of all onycopathies. Some authors consider superficial mycosis the most difficult to be treated. Very few studies have been carried out in order to assess the epidemiology of onychomycosis in Brazil. OBJECTIVE: To describe the epidemiological profile of onychomycosis in Brazilian dermatology offices and to assess the etiology of the disease, how often mycosis exams are requested, and the treatment adopted. METHODS: A descriptive, observational study was carried out between May and July, 2010. Thirty-eight dermatologists from different Brazilian regions participated in the study, and 7,852 patients with any skin diseases who had all of their nails examined were included in the study. RESULTS: Of the 7,852 patients, 28.3% were clinically diagnosed as having onychomycosis. Women over 45 years old who practiced exercises or with a personal history of the disease showed greater likelihood of having onychomycosis. The disease was most seen in the feet, and the majority of cases involved the hallux. On the hands, the index finger was the most affected. Mycosis exams were not requested for all clinically suspected cases. When exams were done...

Presenting data in tables and charts

Duquia,Rodrigo Pereira; Bastos,João Luiz; Bonamigo,Renan Rangel; González-Chica,David Alejandro; Martínez-Mesa,Jeovany
Fonte: Sociedade Brasileira de Dermatologia Publicador: Sociedade Brasileira de Dermatologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2014 EN
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The present paper aims to provide basic guidelines to present epidemiological data using tables and graphs in Dermatology. Although simple, the preparation of tables and graphs should follow basic recommendations, which make it much easier to understand the data under analysis and to promote accurate communication in science. Additionally, this paper deals with other basic concepts in epidemiology, such as variable, observation, and data, which are useful both in the exchange of information between researchers and in the planning and conception of a research project.

Epidemiology of Clostridium difficile: a hospital-based descriptive study in Argentina and Mexico

Lopardo,Gustavo; Morfin-Otero,Rayo; Moran-Vazquez,Iliana Isabel; Noriega,Fernando; Zambrano,Betzana; Luxemburger,Christine; Foglia,Ginamarie; Rivas,Enrique Eduardo
Fonte: Brazilian Society of Infectious Diseases Publicador: Brazilian Society of Infectious Diseases
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2015 EN
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A prospective study was conducted in four tertiary hospitals in Argentina and Mexico in order to describe the occurrence of Clostridium difficile infection (CDI) in these settings. The objective was to evaluate the incidence of CDI in at-risk populations in Argentina (one center) and Mexico (three centers) and to further explore potential study sites for vaccine development in this region. A prospective, descriptive, CDI surveillance study was conducted among hospitalized patients aged ≥40 years who had received ≥48 h of antibiotic treatment. Stool samples were collected from those with diarrhea within 30 days after starting antibiotics and analyzed for toxins A and B by ELISA, and positive samples were further tested by toxinogenic culture and restriction endonuclease analysis type assay. Overall, 466 patients were enrolled (193 in Argentina and 273 in Mexico) of whom 414 completed the follow-up. Of these, 15/414 (3.6%) experienced CDI episodes occurring on average 18.1 days after admission to hospital and 15.9 days after the end of antibiotics treatment. The incidence rate of CDI was 3.1 (95% CI 1.7-5.2) per 1000 patient-days during hospitalization, and 1.1 (95% CI 0.6-1.8) per 1000 patient-days during the 30-day follow-up period. This study highlighted the need for further evaluation of the burden of CDI in both countries...

Evaluating psychiatric case-control studies using the STROBE (STrengthening the Reporting of OBservational Studies in Epidemiology) statement

Goi,Pedro Domingues; Goi,Julia Domingues; Cordini,Kariny Larissa; Ceresér,Keila Mendes; Rocha,Neusa Sica da
Fonte: Associação Paulista de Medicina - APM Publicador: Associação Paulista de Medicina - APM
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
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CONTEXT AND OBJECTIVE: Case-control studies are important in developing clinical and public health knowledge. The STROBE statement (STrengthening the Reporting of OBservational Studies in Epidemiology) was developed to establish a checklist of items that should be included in articles reporting observational studies. Our aim was to analyze whether the psychiatric case-control articles published in Brazilian journals with CAPES Qualis rating B1/B2 in 2009 conformed with the STROBE statement. DESIGN AND SETTING: Descriptive study on psychiatric papers published in Brazilian journals, within the Postgraduate Medical Program on Psychiatry, at Universidade Federal do Rio Grande do Sul. METHODS: All psychiatric case-control studies from Brazilian Qualis B1/B2 journals of psychiatry, neurology and public health in 2009 were analyzed. The four most specific items of the STROBE statement were used to evaluate whether these studies fitted within the case-control parameters: 1) selection of cases and controls; 2) controlling for bias; 3) statistical analysis; and 4) presentation of results. RESULTS: Sixteen case-control studies were identified, of which eleven (68.75%) were in psychiatry-focused journals. From analysis using the STROBE statement...

Epidemiology of suicide in Brazil (1980 - 2000): characterization of age and gender rates of suicide

Mello-Santos,Carolina de; Bertolote,José Manuel; Wang,Yuan-Pang
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2005 EN
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OBJECTIVE: To describe the suicide rates in Brazil in recent decades, drawing comparisons with the worldwide epidemiological situation. METHODS: Descriptive analyses of Brazilian suicide data, relating to the 1980-2000 period and extracted from the DATASUS database. Brazilian suicide trends were examined by age and gender. RESULTS: The overall rate of suicide in Brazil increased 21% in 20 years. Men were found to be 2.3 to 4.0 times more likely to commit suicide than were women, and the highest suicide rates were found in the over-65 age group. The greatest increase in suicide rates (1900%) was seen in the 15-24 age range. CONCLUSION: Brazilian suicide rates, although low, are consistent with the global trend toward growth. Although the highest rates are still seen among the elderly, members of the younger population have been killing themselves with ever-increasing frequency.

Epidemiology of athletic injuries in classic ballet practitioners

Schweich,Laynna de Carvalho; Gimelli,Aline Margareth; Elosta,Mariane Braulio; Matos,Wania dos Santos Weingartner; Martinez,Paula Felippe; Oliveira Júnior,Silvio Assis de
Fonte: Universidade de São Paulo Publicador: Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 EN
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Specific overloads of ballet practice may represent risk factors for injuries. The objective of this study was to analyze the epidemiology of typical injuries of ballet, including factors associated with history of injury in ballet practitioners. Studied subjects integrated 124 dancers, of both genders, from nine ballet schools from Campo Grande, Mato Grosso do Sul State, Brazil. To obtain information about injuries, we used a morbidity survey. Participants were divided into two groups: G1 (with injuries) and G2 (without injuries). In relation to prevalence of injuries, 89 cases were registered, and 61 dancers (49%) reported damages incidence, with record of 1.48 cases per practitioner. Moreover, the G2 presented higher body weight (G1: 51±8 versus G2: 55±10 kg) and training time (G1: 4.0±2.0 versus G2: 5.0±4.1 years). With respect to injury type, joints (32%) and muscle affections (25%) were the main occurrences in the lower limbs (85%) due to specific exercises (30%). Weekly exposure time was the most important mechanism to injury installation. The more important causal circumstance to injury occurrence was constituted by specific training (49%) and choreographic performance (41%). In conclusion, evidences have showed that joint injuries in lower limbs are the main classical ballet injuries in ballet practitioners...

Are Network-Based Interventions a Useful Antiobesity Strategy? An Application of Simulation Models for Causal Inference in Epidemiology

El-Sayed, Abdulrahman M.; Seemann, Lars; Scarborough, Peter; Galea, Sandro
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
EN
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Recent research suggests that social networks may present an avenue for intervention against obesity. By using a simulation model in which artificial individuals were nested in a social network, we assessed whether interventions targeting highly networked individuals could help reduce population obesity. We compared the effects of targeting antiobesity interventions at the most connected individuals in a network with those targeting individuals at random. We tested 2 interventions, the first “preventing” obesity among 10% of the population at simulation outset and the second “treating” obesity among 10% of the obese population yearly, each in 2 separate simulations. One simulation featured a literature-based parameter for the network spread of obesity, and the other featured an artificially high parameter. Interventions that targeted highly networked individuals did not outperform at-random interventions in simulations featuring the literature-based parameter. However, in simulations featuring the artificially high parameter, the targeted prevention intervention outperformed the at-random intervention, whereas the treatment intervention implemented at random outperformed the targeted treatment intervention. Results were qualitatively similar across network topologies and intervention scales. Although descriptive studies suggest that social networks influence the spread of obesity...

Facteurs de risque de ventilation mécanique prolongée aux soins intensifs pédiatriques : étude épidémiologique descriptive

Payen, valérie
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
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Rationnelle. La ventilation mécanique invasive (VI) s’accompagne lorsqu’elle se prolonge, d’une augmentation de la morbimortalité. Jusqu’à 64% des enfants hospitalisés aux soins intensifs sont ventilés et peu de données épidémiologiques existent afin d’estimer précocement la durée du support ventilatoire. Objectifs. Déterminer l’incidence et les facteurs de risque précoces de ventilation mécanique invasive prolongée aux soins intensifs pédiatriques. Méthode. Nous avons conduit une étude descriptive rétroélective sur un an. Tous les épisodes de VI aux soins intensifs du Centre hospitalier universitaire Sainte Justine de Montréal ont été inclus. Les facteurs de risque de VI prolongée (≥ 96 heures) ont été déterminés par régression logistique. Résultats. Parmi les 360 épisodes de VI, 36% ont duré ≥ 96 heures. Les facteurs de risques de ventilation prolongée en analyse multivariée sont : âge <12 mois, score de PRISM ≥ 15 à l’admission, pression moyenne dans les voies aériennes ≥13 cm H2O au jour 1 de ventilation, utilisation de la sédation intraveineuse continue au jour 1 de ventilation et ventilation non invasive avant intubation. Conclusion. La VI prolongée survient chez environ un tiers des patients ventilés. Les patients de moins de 12 mois semblent être plus à risque que les enfants plus âgés et devraient bénéficier de stratégies différentes pour diminuer leur durée de ventilation mécanique. La sévérité de la maladie...

Étude de cohorte rétrospective analytique et descriptive des résultats échocardiographiques et cliniques de la chirurgie valvulaire tricuspidienne

Marquis Gravel, Guillaume
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
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Résumé - Les données concernant la prise en charge chirurgicale de la maladie tricuspidienne reposent sur des études de cohortes à petite échelle et peu d’entre elles se sont intéressées aux résultats échocardiographiques et aux facteurs de risque de mortalité et de morbidité. Une étude de cohorte rétrospective descriptive et analytique fut effectuée pour analyser l’expérience de l’Institut de Cardiologie de Montréal concernant la chirurgie de la VT. Les données ont été récoltées à l’aide des dossiers médicaux. Durant la période 1977-2008, 792 PVT et 134 RVT furent effectués (âge médian : 62 ans). La mortalité opératoire était de 13,8%. Les taux de survie actuarielle à 5, à 10 et à 15 ans étaient respectivement de 67±2%, de 47±2% et de 29±2%. Au dernier suivi, de l’IT ≥3/4 était présente chez 31% des patients du groupe PVT et chez 12% des patients du groupe RVT (p<0,001). La classe fonctionnelle NYHA s’est améliorée significativement au dernier suivi par rapport à la période pré-opératoire (p<0,001). L’analyse de propension montre que par rapport à une PVT, un RVT est associé significativement à des taux de mortalité opératoire et tardive accrus, mais à moins d’IT ≥2/4 ou ≥3/4 lors du suivi. Cette étude montre que malgré le risque chirurgical substantiel associé à la chirurgie de la VT...

Battling tuberculosis in an island context with a high burden of communicable and non-communicable diseases: epidemiology, progress, and lessons learned in Kiribati, 2000 to 2012

Hoy, Damian; Kienene, Takeieta; Reiher, Bereka; Roth, Adam; Tira, Teatoa; McKenzie, Jeanie; Merilles, Onofre Edwin A.; Viney, Kerri
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
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OBJECTIVES: To examine the epidemiology of tuberculosis (TB) in Kiribati from 2000 to 2012, document lessons learned, and recommend ways to mitigate the burden of TB in Kiribati. METHODS: A descriptive study was performed using data on TB case notifications, prevalence, incidence, mortality, and treatment outcomes from global reports and data files. Progress towards meeting the Millennium Development Goal TB target (to reduce TB incidence by 2015) and the Regional Strategy to Stop Tuberculosis in the Western Pacific 2011-2015 targets (to reduce TB prevalence and mortality by half by 2015 relative to the level in 2000) was examined. RESULTS: TB case notifications and the estimated incidence and prevalence have increased in Kiribati since 2000. From 2000 to 2012, Kiribati reported a total of 3863 TB notifications; in 2012, the case notification rate was 343/100 000 population. The majority (89%) of TB patients complete treatment and/or are cured, and the estimated TB mortality rate has remained relatively stable at around 16/100 000 population. HIV testing of TB patients has increased over recent years from 8% of notifications tested in 2003 to 43% tested in 2012. Of all 818 tests, only four (0.5%) patients were confirmed HIV-positive. Drug-resistant TB has been detected in a small number of cases. CONCLUSIONS: TB rates continue to increase in Kiribati and the 2015 goals for TB control are unlikely to be met. This is probably due to the complex mix of risk factors present in Kiribati...

Epidemiologia dos acidentes de trabalho registrados na previdencia social no municipio de Amparo-SP, no periodo de 2005 a 2007; Epidemiology of work accidents registered in social security in the city of Amparo-SP, from 2005 to 2007

Anaraci Leme Galassi Guarizo
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 11/02/2009 PT
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Trata-se de um estudo epidemiológico descritivo de acidentes do trabalho (acidente típico, de trajeto e doença do trabalho) na população inserida no mercado formal de trabalho, do município de Amparo-SP, ocorridos de janeiro de 2005 a dezembro de 2007, elaborado a partir de informações contidas nos documentos de notificação desses eventos que são as Comunicações de Acidentes de Trabalho (CAT). Foram analisadas todas as CAT que geraram período de afastamento do trabalho superior a 15 dias. Os documentos analisados neste estudo pertencem ao Centro de Referência de Saúde do Trabalhador (CEREST) de Amparo. No período de estudo foram registrados 387 acidentes do trabalho: 64 casos de acidentes de trajeto (16,5%), 120 casos de doenças do trabalho (31,0%) e 203 casos (52,5%) de acidentes de trabalho típicos. O período médio de afastamento do trabalho foi de 61,3 dias. Dentre os 64 casos de acidentes de trajeto, em 56 houve a participação de meio de transporte. Nestes, houve o envolvimento de motocicletas em 41 casos e de bicicletas em 10 casos. Dentre os 120 casos de doenças do trabalho, 96,7% eram de doenças osteomusculares relacionadas ao trabalho. As doenças tiveram um predomínio em mulheres (62,5%), maior ocorrência na faixa etária entre 20 e 29 anos (40...

A Descriptive Epidemiology Study of Oral Cleft in Sergipe, Brazil

Luiza,Andrea; Gois,Diego Noronha de; Santos,Jadson Alipio Santana de Sousa; Oliveira,Rosany Larissa Brito de; Silva,Luiz Carlos Ferreira da
Fonte: Fundação Otorrinolaringologia Publicador: Fundação Otorrinolaringologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 EN
Relevância na Pesquisa
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Introduction  The nonsyndromic orofacial cleft is the fourth most common birth defect, but in Brazil, data about the cleft epidemiology are not accurate. Objective  This study aimed to describe the epidemiologic characteristics of oral cleft cases at Specialized Society Attending Cleft Patient in Sergipe State. Methods  Data were obtained from patients' medical records in relation to the following characteristics: age; gender; race; origin; cleft type; additional malformations and/or complications; prenatal accomplishment; treatment applied. For diagnosis analysis, it was noted if mothers had received prenatal care and if they had ultrasonography performed and if the cleft was viewed in it. Results  We observed a prevalence of male gender (54%). Age between 0 and 4 years old was most prevalent (53%), and pheoderma race was observed in 47%. Transincisive foramen cleft was found in 52.3% of the individuals. The prevalence of pre- and transincisive foramen cleft was higher in men (66.3 and 55.7%), women accounted for 65.0% of postincisive foramen, and atypical facial cleft (0.3%) occurred in one case. Associated malformations and complications were present in 12% of patients. Prenatal care was reported by 48% of the mothers. Conclusion  In this study male gender was the most affected...

Intoxicações por agrotóxicos entre trabalhadores rurais de fruticultura, Bento Gonçalves, RS; Intoxicaciones por agrotóxicos entre trabajadores rurales de fruticultura, Bento Gonçalves, Sur de Brasil; Poisoning by pesticides among family fruit farmers, Bento Gonçalves, Southern Brazil

Faria, Neice Müller Xavier; Rosa, José Antônio Rodrigues da; Facchini, Luiz Augusto
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/04/2009 POR; ENG
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OBJETIVO: Descrever a exposição ocupacional e a incidência de intoxicações agudas por agrotóxicos, especialmente os organofosforados. MÉTODOS: Estudo descritivo com 290 agricultores da fruticultura do município Bento Gonçalves, RS, conduzido em duas etapas, no ano 2006. Ambas etapas foram completadas por 241 trabalhadores: no período de baixo uso e de intenso uso dos agrotóxicos. Foram coletados dados sobre a propriedade, exposição ocupacional aos agrotóxicos, dados sociodemográficos e freqüência de problemas de saúde utilizando-se questionário padronizado. As intoxicações foram caracterizadas por relato de episódios, sintomas relacionados aos agrotóxicos e exames de colinesterase plasmática. Os casos foram classificados segundo a matriz proposta pela Organização Mundial de Saúde (OMS). RESULTADOS: Em média foram usados 12 tipos de agrotóxicos em cada propriedade, principalmente glifosato e organofosforados. A maioria usava trator durante a aplicação de pesticidas (87%), entregava as embalagens para a coleta seletiva (86%) e usava equipamentos de proteção durante as atividades com agrotóxicos (>;94%). Dentre os trabalhadores, 4% relataram intoxicações por agrotóxicos nos 12 meses anteriores à pesquisa e 19% em algum momento da vida. Segundo o critério proposto pela OMS...

Violência entre usuárias de unidades de saúde: prevalência, perspectiva e conduta de gestores e profissionais; Violencia entre usuarias de unidades de salud: prevalencia, perspectiva y conducta de gestores y profesionales; Violence among female users of healthcare units: prevalence, perspective and conduct of managers and professionals

Osis, Maria José Duarte; Duarte, Graciana Alves; Faúndes, Aníbal
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/04/2012 POR; ENG
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OBJETIVO: Estimar a prevalência de violência em mulheres usuárias da atenção primária em saúde, se essas situações eram detectadas e como eram tratadas pelos profissionais desses serviços. MÉTODOS: Estudo descritivo, de corte transversal, com 14 coordenadores municipais de saúde da mulher, 2.379 usuárias de unidades básicas de saúde, 75 gestores e 375 profissionais, em 15 municípios do estado de São Paulo, realizado entre agosto de 2008 e maio de 2009. Os dados foram coletados por questionários estruturados e realizou-se análise descritiva. RESULTADOS: Protocolo de atendimento específico para as mulheres em situação de violência foi mencionado em cinco municípios. A maioria dos coordenadores disse que situações de violência entre as usuárias eram detectadas, embora 74% dissessem que isso não era investigado rotineiramente, o que foi confirmado por 72,3% dos profissionais. Entre as mulheres, 76,5% referiram ter sofrido algum tipo de violência ao longo da vida e 56,4% relataram violência por parceiro íntimo; cerca de 30% mencionaram pelo menos um episódio nos últimos 12 meses; 6,5% disseram ter procurado ajuda em Unidade Básica de Saúde. CONCLUSÕES: Relevante proporção de usuárias vivenciava violência em seu cotidiano...

O desafio das doenças emergentes e a revalorização da epidemiologia descritiva; The challenge of emergent disease and the return to descriptive epidemiology

Barata, Rita de Cássia Barradas
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/10/1997 POR
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Este artigo trata das doenças emergentes e re-emergentes apresentando seu conceito, as principais ocorrências nos últimos 25 anos, e os determinantes dessas ocorrências. Trata também da epidemiologia descritiva e sua utilização na investigação desses problemas de saúde apontando a importância de sua recuperação pelos epidemiologistas. Finalmente, são mencionados os desafios que as doenças emergentes colocam para a prática em saúde coletiva e também para o desenvolvimento metodológico da epidemiologia descritiva.; The definition of emergent and re-emergent diseases, patterns of ocurrence during the last 25 years, and the determinants of this occurrence are presented. The importance of descriptive epidemiology and its use in the investigation of these health problems, especially in view of epidemiologists' tendency to give less attention to it, finally, is emphasized the challenges that the emergent diseases pose for public health practice and for the methodological development of descriptive epidemiology are also set out. These challenges are considered in three fields: biosecurity, surveillance systems and descriptive epidemiology techniques.

Psychiatric epidemiology: selected recent advances and future directions

Kessler,Ronald C.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2000 EN
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36.15%
Reviewed in this article are selected recent advances and future challenges for psychiatric epidemiology. Major advances in descriptive psychiatric epidemiology in recent years include the development of reliable and valid fully structured diagnostic interviews, the implementation of parallel cross-national surveys of the prevalences and correlates of mental disorders, and the initiation of research in clinical epidemiology. Remaining challenges include the refinement of diagnostic categories and criteria, recognition and evaluation of systematic underreporting bias in surveys of mental disorders, creation and use of accurate assessment tools for studying disorders of children, adolescents, the elderly, and people in less developed countries, and setting up systems to carry out small area estimations for needs assessment and programme planning. Advances in analytical and experimental epidemiology have been more modest. A major challenge is for psychiatric epidemiologists to increase the relevance of their analytical research to their colleagues in preventative psychiatry as well as to social policy analysts. Another challenge is to develop interventions aimed at increasing the proportion of people with mental disorders who receive treatment. Despite encouraging advances...

Epidemiology of bacterial meningitis among children in Brazil, 1997-1998

Weiss,Débora PL; Coplan,Paul; Guess,Harry
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2001 EN
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36.02%
OBJECTIVE: To document the incidence and the descriptive epidemiology of bacterial meningitis among individuals under age 20 in a geographically defined region in Brazil during the two-year period immediately preceding the introduction of Haemophilus influenzae type b (Hib) vaccines into the national immunization program of Brazil. METHODS: Population-based epidemiological study of all cases of bacterial meningitis reported among residents of Campinas, Brazil, under age 20 (n=316,570) during the period of 1997-98, using comprehensive surveillance records compiled by the Campinas Health Department from cases reported among hospital inpatients, outpatients, emergency room visits, death certificates, and autopsy reports. RESULTS: The incidence of bacterial meningitis (n=274) was 334.9, 115 and 43.5 cases/10(5) person-years (pys) for residents of Campinas under age 1, 5 and 20, respectively. All cases were hospitalized, with an average length of stay of 12 days. Documented prior antibiotic use was 4.0%. The case-fatality rate of bacterial meningitis in individuals under age 20 was 9% (24/274) with 75% of deaths occurring in children under the age of five. The incidence of Hib meningitis (n=26) was 62.8 and 17 cases/10(5) pys in children age <1 and <5...