scholarly journals Spatiotemporal dynamics of syphilis in pregnant women and congenital syphilis in the state of São Paulo, Brazil

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Joelma Alexandra Ruberti Medeiros ◽  
Mellina Yamamura ◽  
Zilda Pereira da Silva ◽  
Carmen Silvia Bruniera Domingues ◽  
Eliseu Alves Waldman ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Teenage Pregnancy ◽  
Congenital Syphilis ◽  
Probability Distributions ◽  
Secondary Data ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
En Bloc ◽  
Continuous Increase

AbstractWe aimed to estimate the occurrence of syphilis in pregnant women (SPW) and congenital syphilis (CS) in the municipalities of the state of São Paulo (SP) and evaluate their relationship with socioeconomic, demographic, and health care variables. We developed an ecological study based on secondary data of SPW and CS with spatiotemporal components from 645 municipalities in SP including data from 2007 to 2018. We modeled the data in a Bayesian context, considered spatial and temporal random effects, and used binomial negative probability distributions. We found a continuous increase in the relative temporal risk of SPW, from 2007 to 2018, and CS, from 2007 to 2017, when their incidences increased by 8.6 and 6.6 times, respectively. This increase occurred en bloc in practically all municipalities of SP. The increase in SPW was associated with teenage pregnancy, municipalities with a large number of inhabitants, and acquired immunodeficiency syndrome (AIDS) incidence. The increase in CS was associated with municipalities with a large number of inhabitants, incomplete antenatal care, and AIDS incidence. Although actions to control these diseases are required in all municipalities of SP, the identification of high-risk areas points to priority regions for development.

scholarly journals Syphilis in Pregnant Women and Congenital Syphilis: Spatio-temporal Dynamics and Covariates in the Middle-income Country – São Paulo, Brazil

2021 ◽  
Author(s):  
Joelma Alexandra Ruberti ◽  
Mellina Yamamura ◽  
Zilda Pereira da Silva ◽  
Carmen Silvia Bruniera Domingues ◽  
Eliseu Alves Waldman ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Teenage Pregnancy ◽  
Temporal Dynamics ◽  
Congenital Syphilis ◽  
Secondary Data ◽  
Sao Paulo ◽  
São Paulo ◽  
En Bloc ◽  
Middle Income ◽  
Continuous Increase

Abstract We aimed to estimate the occurrence of syphilis in pregnant women (SPW) and congenital syphilis (CS) in the municipalities of the state of São Paulo (SP) and evaluate their relationship with socioeconomic, demographic, and health care variables. We developed an ecological study based on secondary data of SPW and CS with spatial and temporal components from 645 municipalities in SP and included data from 2007 to 2018. We modeled the data in a Bayesian context, considered spatial and temporal random effects, and used a binomial negative probability distribution. We found a continuous increase in the relative temporal risk of SPW, from 2007 to 2018, and CS, from 2007 to 2017, when their incidences increased by 8.7 and 6.6 times, respectively. Moreover, this increase occurred in en bloc in practically all municipalities of SP. The increase in SPW was associated with teenage pregnancy, municipalities with a large number of inhabitants, and aids incidence. The increase in CS was associated with municipalities with a large number of inhabitants, incomplete antenatal care, inadequate technology to perform deliveries in the municipality, and aids incidence. Interventions to control these diseases are needed in almost all the municipalities of the SP.

scholarly journals P745 The pregnancy syphilis cascade of care: “95–95–95” goals for reducing of congenital syphilis in the state of sao paulo, brazil

2019 ◽  
Author(s):  
Carmen Silvia Domingues ◽  
Mariza Tancredi ◽  
Valdir Pinto ◽  
Carla Luppi ◽  
Solange Gomes ◽  
...  
Keyword(s):  
Congenital Syphilis ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Cascade Of Care

scholarly journals Deaths in women during fertile years and pregnant women as confirmed for pandemic influenza A (H1N1) in the state of São Paulo

2010 ◽  
Vol 14 ◽  
pp. e96
Author(s):  
A. Ribeiro ◽  
G.D. Freitas ◽  
A.C.G. Pellini ◽  
T.R.M.P. Carvalhanas ◽  
A.L.F. Yu ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Pandemic Influenza ◽  
Influenza A ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Influenza A H1n1

scholarly journals Cancer care network: Structure analysis of enabled services

2017 ◽  
Vol 63 (10) ◽  
pp. 890-898
Author(s):  
Marisa Riscalla Madi ◽  
Giovanni Guido Cerri
Keyword(s):  
Cancer Care ◽  
Secondary Data ◽  
Sao Paulo ◽  
Cancer Surgery ◽  
The State ◽  
Primary Data ◽  
São Paulo ◽  
Unequal Distribution ◽  
Care Network ◽  
Comparison Results

Summary Introduction: Cancer has now become part of the agenda of health managers, prompting them to consider new models of system organization. Objective: To study the cancer care network of the Brazilian public health system (SUS, in the Portuguese acronym) in the state of São Paulo by analyzing the structure of the installed and enabled network for treatment and its characteristics. Method: A single, integrated case study. We used secondary data from the following sources: Datasus, Inca, RHC and CNES, and primary data from official documents from the Reference Committee on Oncology of the State of Sao Paulo. We used the official guidelines to able services from the National Health Department to make comparison. Results: According to the CNES, in April, 2013 there were 72 cancer care services authorized by SUS in the state of Sao Paulo. Using the population criterion, the state had one service enabled for every 581,961 inhabitants, in an unequal distribution throughout the 17 health care regions. In terms of available structure and services, 80% of the hospitals were compliant for cancer surgery, 31% for chemotherapy and 74% for radiotherapy. In terms of minimum production, only 13% of hospitals were compliant with cancer surgery, 42% with chemotherapy and 14% with radiotherapy. Conclusion: The installed network proved to have sufficient size and structure to meet the demand from new cancer cases. However, there were both regional differences, as well as a wide variation in productivity between services, which probably had an impact on patient access.

scholarly journals EXTREME EVENTS, CLIMATE CHANGE AND ADAPTATION IN THE STATE OF SÃO PAULO

2019 ◽  
Vol 22 ◽  
Author(s):  
Gabriela Marques Di Giulio ◽  
Roger Rodrigues Torres ◽  
Maria da Penha Vasconcellos ◽  
Diego R. G. C. Braga ◽  
Rosa Maria Mancini ◽  
...  
Keyword(s):  
Climate Change ◽  
Extreme Events ◽  
Local Governments ◽  
Climate Adaptation ◽  
Urban Climate ◽  
Secondary Data ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Extreme Climatic Events

Abstract In this paper, we analyze secondary data from surveys focusing on climate change and adaptation in Sao Paulo municipalities. The survey was completed by municipal actors who work in 332 of the 645 municipalities in the State. In this paper, we use a theoretical framework on urban climate governance, which highlights the role that local governments play in proposing strategies to deal with climate change, to present and discuss data related to: 1) the occurrence of extreme climatic events in these municipalities; 2) the impacts of these events; 3) local government actors’ perception about climate change; and 4) local actions and responses. Our analysis of these data significantly contributes to better understanding how cities in the most populous and economically developed state in Brazil perceive, respond and deal with climate change and what critical challenges hamper climate adaptation in these cities.

scholarly journals Epidemiological profile of patients with congenital and gestational syphilis in a city in the State of São Paulo, Brazil

2019 ◽  
Vol 19 (4) ◽  
pp. 865-872
Author(s):  
Taiza Maschio-Lima ◽  
Iara Lúcia de Lima Machado ◽  
João Paulo Zen Siqueira ◽  
Margarete Teresa Gottardo Almeida
Keyword(s):  
Pregnant Women ◽  
Ecological Study ◽  
Congenital Syphilis ◽  
Sao Paulo ◽  
World Health ◽  
São Paulo ◽  
Adequate Treatment ◽  
Live Births ◽  
Epidemiological Profile ◽  
Health Organization

Abstract Objectives: to assess the epidemiological profile of congenital and syphilis during pregnancy in residents of São José do Rio Preto in São Paulo State. Methods: ecological study of the epidemiological profile of patients with congenital and gestational syphilis, based on the Sistema de Informação de Agravos de Notificação (Information System for Notifiable Diseases) from 2007 to 2016. Results: there were 396 cases of syphilis reported in pregnant women and 290 of congenital syphilis. In 2016, the rate of detecting syphilis in pregnant women was 13.2 cases/1,000 live births, while congenital syphilis the incidence rate was 6.5 cases/1,000 live births. For gestational syphilis, 54% of the diagnosis was performed in 2nd or 3rd trimester and 85% were reported at the primary care. Adequate treatment for pregnant women occurred in 96% of the notifications with 52% of partners treated. In congenital syphilis, 82% of the mothers underwent prenatal care. However, 94% of the pregnant women were treated inadequately while 82% of the partners did not receive any treatment. Conclusions: there has been an increase in the number of cases of gestational syphilis in pregnant women and a decrease in the cases of congenital syphilis from 2014. These results showed that the goal of 0.5 case/1,000 live births proposed by World Health Organization is still far from being achieved in this city.

scholarly journals P753 Monitoring the evaluation of congenital syphilis cases in the state of são paulo, 2007 to 2017

2019 ◽  
Author(s):  
Carla Gianna Luppi ◽  
Solange Gomes ◽  
Angela Tayra ◽  
Mariza Tancredi ◽  
Carmen Silvia Domingues
Keyword(s):  
Congenital Syphilis ◽  
Sao Paulo ◽  
The State ◽  
São Paulo

scholarly journals Iodine insufficiency in pregnant women from the State of São Paulo

2014 ◽  
Vol 58 (3) ◽  
pp. 282-287 ◽  
Author(s):  
Sabrina Maria Saueia Ferreira ◽  
Anderson Marliere Navarro ◽  
Patrícia Künzle Ribeiro Magalhães ◽  
Léa Maria Zanini Maciel
Keyword(s):  
Pregnant Women ◽  
Urinary Iodine ◽  
Sao Paulo ◽  
The State ◽  
World Health ◽  
Nutrition Status ◽  
Urinary Iodine Concentration ◽  
São Paulo ◽  
Iodine Nutrition ◽  
Iodine Supply

Objective : The intake of adequate amounts of iodine during pregnancy is essential for the neurological development of the fetus. The aim of this study was to assess iodine nutrition status in pregnant women from the state of São Paulo, Brazil.Material and methods : We analyzed urinary iodine concentration (UIC) in 191 pregnant and 58 non-pregnant women matched by age. We used the World Health Organization criteria to define sufficient iodine supply (median UIC: 150-249 µg/L among pregnant women, and 100-199 µg/L for non-pregnant women).Results : Median UIC of the pregnant women studied was lower than the recommended value (median = 137.7 µg/L, 95% CI = 132.9 – 155.9), while non-pregnant women had UIC levels within the appropriate range (median = 190 μg/L; 95% IC = 159.3-200.1). UIC was below 150 µg/L in 57% of the pregnant women.Conclusions : Although a larger sample is needed to consolidate these findings, these results raise concerns about the adequacy of the iodine supply of pregnant women in Brazil, especially considering the new determinations of the Brazilian government, which have recently reduced the concentrations of iodine in table salt to 15-45 mg/kg of salt. Arq Bras Endocrinol Metab. 2014;58(3):282-7

scholarly journals Court Caseload Management: The Role of Judges and Administrative Assistants

2017 ◽  
Vol 21 (5) ◽  
pp. 648-665 ◽  
Author(s):  
Adalmir Oliveira Gomes ◽  
Tomas Aquino Guimaraes ◽  
Luiz Akutsu
Keyword(s):  
Justice System ◽  
Positive Relationship ◽  
Secondary Data ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Trial Courts ◽  
Administrative Assistants

Abstract Court caseload management is of key importance for guaranteeing the adjudication of cases and depends on how judges and administrative assistants deal with their workload. Results from several studies indicate that an increase in court caseload tends to generate an increase in the judge’s production. However, some authors argue that this relationship is far more complex. To develop a fuller understanding of this relationship we tested an array of direct and moderating hypotheses. We used secondary data from 566 judges working in first trial courts in the State Justice System of Sao Paulo, Brazil. The results indicate a direct and positive relationship between court caseload and judge production, but the strength of this relationship depends on court specialty. The findings also indicate that the number of administrative assistants, judge experience and the number of places a judge works all moderate the caseload-production relationship. The results contribute to the development of strategies to address the delays and congestion of courts, two of the main Brazilian Judiciary problems.

scholarly journals P3.34 Congenital syphilis in the state of são paulo: “a problem that concerns us all”

2017 ◽  
Author(s):  
Carmen Silvia Bruniera Domingues ◽  
Carmen Carla Gianna Luppi ◽  
Carmen Solange Chabu Gomes ◽  
Carmen Mariza Vono Tancredi ◽  
Carmen Maria Clara Gianna
Keyword(s):  
Congenital Syphilis ◽  
Sao Paulo ◽  
The State ◽  
São Paulo
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