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This page shows you the most recent publications within this specialty of the MedWorm directory.

Epidemiology and public policies
Este ensaio trata das relações entre a epidemiologia e as políticas públicas, destacando inicialmente a posição da disciplina no campo da saúde coletiva, analisando os impactos de políticas públicas sobre o perfil epidemiológico e as contribuições da epidemiologia para a formulação, implementação e avaliação de políticas públicas de saúde. No primeiro tópico são discutidos os vínculos da disciplina com o campo da saúde coletiva, o modelo de determinantes sociais e de ação política formulados pela Comissão de Determinantes Sociais em Saúde da OMS, e diferentes enfoques de políticas de saúde. ...
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Spontaneous and voluntary fetal losses in Brazil in 1999-2000: a study of associated factors
This study used data from a cross-sectional representative sample of 3,047 puerperal women, in 1999-2000, part of a national multicenter study on the prevalence of syphilis in Brazil. Of these, 1,838 women with at least one previous pregnancy before the reference pregnancy were included in the analysis. The outcomes studied were voluntary prior fetal loss, spontaneous prior fetal loss, and no prior fetal loss. The analysis was carried out using multinomial logistic regression. The results indicated a high number of fetal losses per woman (up to six); and 31% of the losses were voluntary. The absence of prenatal care, histo...
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Ten years of HIV-AIDS epidemic in more than 60 years in Federal District - Brazil
CONCLUSION: The HIV/AIDS epidemic among the elderly can be seen stable on the Distrito Federal. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Detection of high risk human papillomavirus by hybrid capture II(r) according cytological findings in women treated for squamous intraepithelial lesions of the cervix, period 2006/2010
CONCLUSION: La detección de HR-HPV por CH II(r), así como los valores de carga viral relativa altos, en especial en mujeres con NSIL podrían ayudar a identificar mujeres tratadas con riesgo a desarrollar recidivas, contribuyendo así a fortalecer el programa de prevención de cáncer de cuello uterino. OBJECTIVE: To determinate the frequency of high risk human papillomavirus (HR-HPV) by hybrid capture II (r) (CH II(r)), according cytology results in women treated for squamous intraepithelial lesions of the cervix (SIL). MATERIAL AND METHODS: A descriptive cross-sectional study ...
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Alcohol consumption pattern and Coronary Heart Disease risk in Metropolitan São Paulo: analyses of GENACIS Project
CONCLUSIONS: Our findings suggest a lower risk for CHD among moderate drinkers. It is important, in studies which were investigating cardiac risk, assess heavy alcohol use, since it can change that risk. Also, effective public policies are needed to reduce harmful drinking and related morbidity in Brazil. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Bolsa-Família Program: Diet quality of adult population in Curitiba, Paraná
This study evaluated the quality of diet of the population receiving the Bolsa Familia Program in Curitiba, state of Parana, Brazil. It was a population-based cross-sectional study, conducted from July 2006 to July 2007. 747 beneficiaries were interviewed from 19 years of age, of both genders. A 24 hour-recall was implemented in order to assess the quality of the diet and the Healthy Eating Index (HEI) was used as a parameter for the classification of the group in consumption levels. Descriptive statistics were used to describe the diet quality of the studied population. Wald test and ANOVA test were performed to compare t...
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Falls and fractures among older adults living in long-term care
CONCLUSION: The high prevalence of falls and fractures highlights the fragility of the individuals living in long-term care. Special attention should be paid to older adults and those with hospital admissions in the last year. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Notification of healthcare associated infections based on international criteria performed in a reference neonatal progressive care unity in Belo Horizonte, MG
CONCLUSION: The use of standardized criteria for reporting infections is necessary for the construction of indicators in neonatology, which are scarce in the country and highlight the need for evaluation of national criteria proposed by National Agency of Sanitary Surveillance (ANVISA). (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Male mortality in three Brazilian State Capitals, 1979-2007
CONCLUSION: These capitals show features of a developing city, with reduced fertility, increased longevity and consequent trend to an aging population. Estimates of the men high risk of dying make clear their vulnerability. The intensity with these events occur demand actions that will reduce the mortality rates of preventable diseases and the men's risky behaviors. It is necessary that men adopt healthier lifestyles habits, thus increasing life expectancy and reducing the gender differences in mortalities. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Knowledge, attitudes and practices on tuberculosis in prisons and public health services
CONCLUSION: KAP revealed efficient for data collection of general knowledge items but was limited on practices and attitudes and so its use as the only tool for data collection about knowledge, attitudes and practices on TB is not advisable. It is suggested its regular use to aid educational activities and considering the high prevalence of TB among prisoners, it is noted the need to involve the Departments of Health in the supervision of educational activities in the prison system. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Factors that influence outpatient service user satisfaction in a low-income population: a population-based study
CONCLUSION: The present study revealed a high prevalence of satisfaction with medical consultations and a significant positive association between satisfaction and the location of consultation (health plan-affiliated or private services). (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Television viewing and abdominal obesity in women according to smoking status: results from a large cross-sectional population-based study in Brazil
CONCLUSIONS: Television viewing ≥ 5 times/week may increase the prevalence of AO among women who smoke. More detailed information on media use, as hours per day, may offer better estimates. OBJETIVO: Investigar a associação entre a frequência assistindo televisão e obesidade abdominal (OA) entre mulheres brasileiras, segundo o hábito de fumar. MÉTODOS: Foram analisados os dados de 13.262 mulheres adultas (18-49 anos) estudadas na Pesquisa Nacional de Demografia e Saúde (PNDS-2006), um estudo transversal, com amostragem probabilística complexa, de representatividade nacio...
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Prevalence and factors associated to malnutrition and excess weight among under five year-olds in the six largest cities of Maranhão
Prevalências de desnutrição e excesso de peso em menores de cinco anos e sua associação com fatores socioeconômicos, sanitários e demográficos foram estimadas nos seis maiores municípios do Maranhão, em 2006/2007. Por meio de inquérito domiciliar por amostragem 1.214 crianças menores de cinco anos foram aleatoriamente selecionadas. Foi utilizada amostragem por conglomerados em dois estágios, representativa dos seis municípios maranhenses com mais de cem mil habitantes. Foram aplicados questionários padronizados para as mães ou responsáveis pelas crianças e aferidos peso e estatura. Para classificação da...
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Validity of self-reported height, weight and body mass index in the adult population of Brasilia, Brazil
CONCLUSION: In Brasilia, self-reported height can be used for subgroups of women with more than 12y of study and men under 60y of age. Men with adequate BMI over estimate their weight when compared to overweight and obese men. Self-reported measures can be used for excess weight population follow-up. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Within-person variance of the energy and nutrient intake in adolescents: data adjustment in epidemiological studies
CONCLUSION: These results can be used to estimate habitual energy and nutrient intake for adolescent population when it is only a single dietary measurement. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Factors associated with breastfeeding in two municipalities with low human development index in Northeast Brazil
CONCLUSIONS: Breastfeeding duration was lower than the recommendation. Despite the families precarious living conditions, a better socioeconomic status and prenatal care were protective factors for exclusive/ predominant breastfeeding duration in these areas. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Ecological aspects of phlebotomine fauna (Diptera, Psychodidae) of Serra da Cantareira, Greater São Paulo Metropolitan region, state of São Paulo, Brazil
Human cases of American cutaneous leishmaniasis (ACL) have been recorded in Serra da Cantareira, in the Greater São Paulo Metropolitan Region, where two conservation units are situated, the Parque Estadual da Cantareira and the Parque Estadual Alberto Löfgren. The present study aimed to identify the sandfly fauna and some of its ecological aspects in these two parks and their surrounding area to investigate Leishmania sp. vectors. The captures were undertaken monthly from January to December 2009, from 6:00 p.m. to 6:00 a.m., with automatic light traps installed in forests and peridomicile areas and with modified black/w...
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Test-retest reliability of the Work Ability Index (WAI) in nursing workers
Este artigo avalia a confiabilidade teste-reteste do Índice de Capacidade para o Trabalho (ICT) em trabalhadores de enfermagem. Foi aplicado questionário autopreenchível duas vezes a um grupo de 80 trabalhadores de enfermagem (enfermeiros, técnicos e auxiliares de enfermagem) de um hospital público no Município do Rio de Janeiro, com intervalo entre sete e quinze dias. A confiabilidade foi estimada pela estatística kappa ponderada quadrática, pelo coeficiente de correlação intraclasse (CCI) e pelo gráfico de Bland e Altman. Dos participantes, 81% eram mulheres e com idade variando de 22 a 67 anos (média = 39,1;...
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Health Index applied to the city of Araraquara, SP: an instrument to accompaniment the Primary Care
O aprimoramento do processo de avaliação da Atenção Básica, compreendida como organizadora de todo o sistema de saúde e não apenas como um nível assistencial, vem sendo almejado pelos gestores do Sistema Único de Saúde. O presente trabalho buscou identificar aspectos da assistência à saúde no município de Araraquara/SP, valorizando as características particulares presentes na área de adscrição de cada unidade de saúde. Adotando um indicador composto aplicado a cada unidade de saúde, o estudo visou contemplar a emergência de fenômenos favorecendo uma visão mais abrangente de cada unidade e distrito sa...
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Situation of the municipalities of São Paulo state in relation to the purchase of products directly from family farms for the National School Feeding Program (PNAE)
CONCLUSION: The results show that approximately 50% of the municipalities evaluated are in a positive situation in relation to the local procurement for PNAE. However, the number of municipalities that did not publish the public call or not signed the contract is still important and deserves attention of the sectors involved. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - May 16, 2013 Category: Epidemiology Source Type: research

Prevalence of Colonization and Infection with Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococcus and of Clostridium difficile Infection in Canadian Hospitals
Andrew E. Simor, MD, Victoria Williams, MPH, Allison McGeer, MD, Janet Raboud, PhD, Oscar Larios, MD, Karl Weiss, MD, Zahir Hirji, CIC, Felicia Laing, MSc, Christine Moore, ART, Denise Gravel, MSc and Community and Hospital Infection Control Association–Canada Infection Control and Hospital Epidemiology, Volume 0, Issue 0, Page 000, Ahead of Print. (Source: Infect Control Hosp Epidemiol Latest Issue)
Source: Infect Control Hosp Epidemiol Latest Issue - May 16, 2013 Category: Epidemiology Tags: article Source Type: research

Provider-initiated HIV testing and counseling among tuberculosis patients in a hospital in the Oromia region of Ethiopia
Conclusion: The acceptance rate for HIV counseling and testing services among TB patients was very high. However, there were missed cases in which the test was not offered. The prevalence of HIV was very high, and the infection was more prevalent among urban residents, females, young people and pulmonary-negative TB patients; thus, these patients need attention from all concerned parties. (Source: Journal of Infection and Public Health)
Source: Journal of Infection and Public Health - May 16, 2013 Category: Global & Universal Authors: Damtew Yadeta, Fisehaye Alemseged, Sibhatu Biadgilign Tags: Original Papers Source Type: research

Prevalence of multidrug-resistant Acinetobacter baumannii and Pseudomonas aeruginosa in an Italian hospital
Summary: The severity and extent of disease caused by multidrug-resistant organisms (MDROs) varies by the population(s) affected and the institution(s) at which these organisms are found; therefore, preventing and controlling MDROs are extremely important.A retrospective study of patients who were infected with Acinetobacter baumannii or Pseudomonas aeruginosa was performed at the Spedali Civili Hospital in Brescia, Italy, from 2007 to 2010.A total of 167 (0.52%) A. baumannii isolates and 2797 P. aeruginosa (8.7%) isolates were identified among 31,850 isolates.Amikacin and colistin were the most active agents against A. ba...
Source: Journal of Infection and Public Health - May 16, 2013 Category: Global & Universal Authors: M.A. De Francesco, G. Ravizzola, L. Peroni, C. Bonfanti, N. Manca Tags: Original Papers Source Type: research

Nasal carriage and antimicrobial susceptibility of Staphylococcus aureus among medical students at the HRH Princess Maha Chakri Sirindhorn Medical Center, Thailand: A cross sectional study
Conclusions: The prevalence of asymptomatic nasal carriage of S. aureus was higher than reported by previous literature in Thailand, and S. aureus isolates exhibited relatively high resistance to erythromycin and clindamycin. (Source: Journal of Infection and Public Health)
Source: Journal of Infection and Public Health - May 16, 2013 Category: Global & Universal Authors: Arucha Treesirichod, Sumalee Hantagool, Olarn Prommalikit Tags: Original Papers Source Type: research

Accidents between motorcycles: analysis of cases that occurred in the state of Paraná between July 2010 and June 2011 - Golias AR, Caetano R.
This study sought to conduct an epidemiological analysis into accidents between two motorcycles co... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - May 16, 2013 Category: Global & Universal Tags: Research Methods, Surveillance and Codes, Models Source Type: news

Foreword
Thyroid cancer is increasing in frequency more rapidly than any other malignancy. Although the reasons for this change have not been fully elucidated, at least some of it may be related to earlier detection and this has stimulated some rethinking of the aggressiveness of our approaches. In this issue of Current Problems in Surgery, Drs Judy Jin, Roy Phitayakorn, Scott M. Wilhelm, and Christopher R. McHenry, all with important ties to the Case Western Reserve University School of Medicine in Cleveland, provide a masterful perspective on this topic entitled, “Advances in Management of Thyroid Cancer.” They begin with the...
Source: Current Problems in Surgery - May 16, 2013 Category: Surgery Authors: Stanley W. Ashley Source Type: research

[Video] Malawi: A Clearer Picture of the AIDS Epidemic
(Source: MSF Multimedia)
Source: MSF Multimedia - May 15, 2013 Category: Global & Universal Source Type: news

Cement augmentation of the proximal femoral nail antirotation for the treatment of osteoporotic pertrochanteric fractures—A biomechanical cadaver study
Abstract: Introduction: Proximal femoral fractures will gain increasing importance in the future due to the epidemiological development. Osteoporosis is often a limiting factor in the achievement of implant stability. New nailing systems offer the possibility of augmentation of the femoral neck component with cement. The aim of this study was to perform a biomechanical comparison of implant stability in osteoporotic pertrochanteric fractures using the proximal femoral nail antirotation (PFNA, Synthes GmbH, Umkirch, Germany) with cement augmented and non-augmented blades.Materials and methods: Bone mineral density (BMD) was...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: F. Fensky, J.V. Nüchtern, J.P. Kolb, S. Huber, M. Rupprecht, S.Y. Jauch, K. Sellenschloh, K. Püschel, M.M. Morlock, J.M. Rueger, W. Lehmann Tags: Experimental Studies Source Type: research

Malnutrition in the Twenty-First Century: An Epidemic Affecting Surgical Outcome
Surgical Infections , Vol. 0, No. 0. (Source: Surgical Infections)
Source: Surgical Infections - May 15, 2013 Category: Surgery Tags: article Source Type: research