Factors associated with high-risk pregnancy: role of environmental contaminants, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Martins ◽  
J Fernandes ◽  
Y Pamplona ◽  
C Barbieri ◽  
J Vaz ◽  
...  
Keyword(s):  
High Risk ◽  
Environmental Contaminants ◽  
Sao Paulo ◽  
The State ◽  
High Risk Pregnancy ◽  
São Paulo ◽  
Multiple Logistic Regression ◽  
Chi Square ◽  
Risk Pregnancy ◽  
Chi Square Test

Abstract Introduction The Região Metropolitana da Baixada Santista (RMBS) is considered as a region with the worst maternal and child mortality rates in the state of São Paulo, Brazil. Besides this, RMBS has the worst rates of environmental contamination. High-Risk Pregnancy is one of the factors that lead to a higher chance of morbidity and mortality of the mother and fetus binomial. Objective Evaluate the relationship between exposure to environmental contaminants and high-risk pregnancy. Methodology Case-control study, using a probabilistic sample composed of 402 pregnant women divided into with and without high-risk pregnancy. The instrument used was a self-administered questionnaire and secondary data on contaminated areas obtained from the Environmental Company of the State of São Paulo. Descriptive analysis, Chi-square test, univariate and multiple logistic regression analysis were performed. The participants were also georeferenced by place of residence. Results It was observed an association, by chi-square test between high-risk pregnancy and age over 35 years (p < 0.05), use of insecticide (p < 0.001), consumption of foods packed in plastics (p = 0.050) and manipulation with oil paint (p = 0.002). The final multiple logistic regression model demonstrated that those who live in contaminated areas are 2 times more likely to have a risk pregnancy (OR = 1.993; 95%CI: 1.02; 3.90), as well as identified as jointly important risk factors for pregnancy: working in health services (OR = 3.97 (95%CI: 1.00; 16.09)), use of insecticide (OR = 3.45 (95%CI: 1.66; 7.16)) and use of oil paint (OR = 6.96 (95%CI: 1.38; 35.09)). Conclusions Environmental contaminants play an important role in pregnancy, and mitigating measures are needed to improve the environment and reduce high-risk pregnancy in RMBS. Key messages Exposure to the environmental contaminants is an important rik factor in the pregnancy. The Região Metropolitana da Baixada Santista (RMBS) is considered as a region with the worst maternal and child mortality rates in the state of São Paulo, Brazil.

scholarly journals Hubungan Pemeriksaan Kehamilan K4 dengan Kejadian Kehamilan Resiko Tinggi pada Ibu Hamil Trimester III

2019 ◽  
Vol 4 (1) ◽  
pp. 199
Author(s):  
Rosmeri Bukit
Keyword(s):  
High Risk ◽  
Antenatal Care ◽  
Care Service ◽  
High Risk Pregnancy ◽  
P Value ◽  
Third Trimester ◽  
Chi Square ◽  
Cross Sectional ◽  
Risk Pregnancy ◽  
Chi Square Test

<p><em>A high-risk pregnancy is a pathological pregnancy that can affect the general state of the mother and baby. Early detection can be done on antenatal care service is by increasing coverage of antenatal care especially pregnancy examination ≥ 4 times or K4. The purpose of this study is to determine the relationship of pregnancy examination K4 with high risk of third trimester pregnancy at Harapan Raya Pekanbaru Health Center in 2014. The research quantitative type with analytical method, using cross sectional approach. Population of all pregnant women in the third trimester who conducted pregnancy checkup at the Puskesmas Harapan Raya total of 50 people. The sample size was 50 people with Total Sampling and statistical test using Chi square test. The results showed that obtained P value 0.001 where P value ≤ 0.005 Ho in rejection means there is a significant relationship. The conclusion of this study is that there is a relationship between the examination of pregnancy K4 with the incidence of high risk pregnancy trimester III.</em></p><p><em><br /></em></p><p><em>Kehamilan resiko tinggi merupakan kehamilan patologi yang dapat mempengaruhi keadaan umum ibu dan bayi. Cara deteksi dini dapat dilakukan pada pelayanan antenatal care yaitu dengan peningkatan cakupan pelayanan antenatal khususnya pemeriksaan kehamilan ≥4 kali atau K4. Tujuan penelitian ini adalah untuk mengetahui hubungan pemeriksaan kehamilan K4 dengan resiko tinggi kehamilan trimester III di Puskesmas Harapan  Raya Pekanbaru tahun 2014. </em><em>Jenis penelitian kuantitatif dengan metode analitik, menggunakan pendekatan cross sectional. Populasi seluruh ibu hamil trimester III yang  melakukan pemeriksaan kehamilan di Puskesmas Harapan Raya  jumlah 50 orang. Jumlah sampel  50 orang   dengan Total Sampling dan uji statistik menggunakan  uji Chi square. Hasil penelitian menunjukkan bahwa diperoleh P value 0,001 dimana P value ≤ 0,005 Ho di tolak artinya ada hubungan yang signifikan. Simpulan dari penelitian ini yaitu ada hubungan antara pemeriksaan kehamilan K4 dengan  kejadian kehamilan resiko tinggi trimester III.</em></p><p><em><br /></em></p>

scholarly journals Prevalence of weathering nodules of the ear in patients treated at the state civil servant's hospital of São Paulo, Brazil*

2013 ◽  
Vol 88 (1) ◽  
pp. 64-68
Author(s):  
Juliana Nunes Maciel Cilento ◽  
Neusa Yuriko Sakai Valente
Keyword(s):  
Sun Exposure ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Chi Square ◽  
Exposure Age ◽  
Number Of Patients ◽  
Chi Square Test ◽  
History Of ◽  
Thermal Injuries

BACKGROUND: Weathering nodules of the ear are pale yellow, asymptomatic lesions which predominate on the helices of the ears. Although their pathogenesis remains unknown, there is an association with chronic exposure to ultraviolet radiation, age and thermal injuries. Few studies have been conducted to date, and these involved a very small number of patients. OBJECTIVE: Study the prevalence of weathering nodules of the ear in patients treated in the Dermatology Service of the State Civil Servant's Hospital of São Paulo, and evaluate their probable relationship with sun exposure, age and phototypes I and II. METHODS: Four hundred patients older than 20 years of age were examined between July 2008 and December 2008. A questionnaire evaluating age, sex, place of birth, origin, occupation and history of sun exposure was applied. All patients were examined and evaluated for the presence of lesions by only one person. RESULTS: The data showed that 155 (38.8%) patients had a lesion in at least one of the ears. The Chi-Square Test was used for the comparative analysis between the groups of patients with and without lesions. In the group of patients with lesions, 29% were 70 to 79 years old, 78.1% had a history of sun exposure and 45.1% belonged to FITZPATRICK skin phototypes I and II (p<0.05%). CONCLUSION: The findings suggest relevant prevalence, probable association with chronic sun exposure, advanced age and phototypes I and II.

scholarly journals Profile of the orthodontist practicing in the state of São Paulo - Part 1

2012 ◽  
Vol 17 (6) ◽  
pp. 22e1-22e6
Author(s):  
Fabio Brandalise Rampon ◽  
Celestino Nóbrega ◽  
José Luiz Gonçalves Bretos ◽  
Franco Arsati ◽  
Sérgio Jakob ◽  
...  
Keyword(s):  
Daily Practice ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Chi Square ◽  
Significance Level ◽  
Wide Range ◽  
Qualitative Variables ◽  
Practice Methods ◽  
Regional Board

INTRODUCTION: Orthodontics is no different from other sciences to the extent that it is a field in constant evolution and development. Nowadays, given the availability of a wide range of materials and biomechanical resources, as well as the development of new diagnostic capabilities, new methods to manage orthodontic treatment have emerged. Furthermore, due to the proliferation of postgraduate programs, it is increasingly important to gain insight into the profile of these specialists and the resources they use. OBJECTIVE: Examine the profile of orthodontists practicing in the State of São Paulo. The questions were prepared to evaluate different aspects of orthodontic practice. METHODS: A questionnaire was sent to 2.414 specialists in Orthodontics and Dentofacial Orthopedics registered with the Regional Board of Dentistry of São Paulo State (CRO-SP). To assess the association between qualitative variables, the Chi-square association test was employed at 5% significance level. RESULTS: Five hundred ninety-three (24.65%) questionnaires were completed and returned. The sample profile consisted of males (54.3%), aged between 41 and 50 (40.5%), who had been registered with the São Paulo Regional Board of Dentistry (CRO-SP) for 6 to 10 years (29.3%). The three most widely mentioned cephalometric analyses were standard USP (71.5%), McNamara (59.2%) and Ricketts (52.8%). CONCLUSIONS: Based on a statistical analysis of the data one can conclude that the Straight-Wire technique was used most often (74.5%), and this technique is associated with orthodontists who have been specialists for less than 10 years. Most people surveyed (52.4%) routinely make use of functional orthopedic resources in their daily practice.

scholarly journals Anti-hepatitis A virus frequency in adolescents at an outpatient clinic in São Paulo, Brazil

2006 ◽  
Vol 48 (1) ◽  
pp. 43-44 ◽  
Author(s):  
Maria Isabel Saraiva Dinelli ◽  
Mauro Fisberg ◽  
Maria Isabel de Moraes-Pinto
Keyword(s):  
At Risk ◽  
Outpatient Clinic ◽  
Hepatitis A ◽  
Hepatitis A Virus ◽  
Age Groups ◽  
Sao Paulo ◽  
São Paulo ◽  
Chi Square ◽  
Chi Square Test ◽  
Two Age Groups

The prevalence of hepatitis A virus (HAV) antibodies was assessed in adolescents (age ranging from 10.4 to 19.9 years) at an Adolescent Outpatient Clinic in São Paulo, Brazil. Anti-HAV was detected in 137 (54.2%) out of 253 individuals. When separated into two age groups, anti-HAV frequency was higher in the 15 to 19 year-old group (64%) in comparison to the 10 to 14 year-old group (46%) (Chi-square test: p = 0.004). These results suggest that adolescents in São Paulo are at risk of hepatitis A infection and are probably contracting HAV infection during this age period.

scholarly journals AVALIAÇÃO DA ADESÃO AO TRATAMENTO MEDICAMENTOSO DE PACIENTES COM DISTÚRBIOS PSIQUIÁTRICOS NO SERVIÇO DE EMERGÊNCIA

2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Maria Carolina Barbosa Teixeira Lopes ◽  
Gabriela Parizzi Bianche ◽  
Andréa Fachini Da Costa ◽  
Meiry Fernanda Pinto Okuno ◽  
Ruth Ester Assayag Batista ◽  
...  
Keyword(s):  
Drug Treatment ◽  
Psychiatric Disorders ◽  
Drug Users ◽  
Sao Paulo ◽  
São Paulo ◽  
Chi Square ◽  
Cross Sectional ◽  
Medicinal Treatment ◽  
High Adherence ◽  
Chi Square Test

Objetivo: Identificar o perfil sociodemográfico e clínico e avaliar a adesão ao tratamento medicamentoso domiciliar e, os fatores associados, de pacientes com distúrbios psiquiátricos atendidos no Serviço de Emergência. Metodologia: Estudo transversal e analítico, realizado no Serviço de Emergência do Hospital São Paulo (HSP), de maio a dezembro de 2015. Foram incluídos 98 adultos com transtorno psiquiátrico agudo ou crônico agudizado. A adesão medicamentosa foi avaliada pelo Teste de Morisky-Green. Para verificar os fatores associados à adesão, utilizou-se o teste Qui-Quadrado (p< 0,05). Resultados: Houve predomínio de homens, adultos, que procuraram o serviço para contenção de comportamento por psicose não orgânica não especificada. Os pacientes com abstinência alcoólica e que não eram usuários de drogas apresentaram maior percentual de alta adesão ao tratamento medicamentoso. Conclusões: A adesão foi baixa e associada ao uso de psicotrópicos e drogas ilícitas.Descritores: Adesão à Medicação; Pacientes; Transtornos Mentais; Serviços Médicos de Emergência; Enfermagem.EVALUATION OF ACCESSION TO THE MEDICINAL TREATMENT OF PATIENTS WITH PSYCHIATRIC DISORDERS IN THE EMERGENCY SERVICEObjective: To identify the socio-demographic and clinical profile and to evaluate the adherence to home drug treatment and, the associated factors, of patients with psychiatric disorders attended at the Emergency Department. Methodology: A cross-sectional and analytical study carried out at the Emergency Service of the São Paulo Hospital (HSP), from May to December, 2015. 98 adults with acute or chronic psychiatric disorders were included. Drug adherence was assessed by the Morisky-Green Test. The chi-square test was used to verify the factors associated with adherence (p <0.05). Results: There was a predominance of men, adults, attending the service to contain behavior by unspecified nonorganic psychosis. Patients with alcohol withdrawal and who were not drug users had a higher percentage of high adherence to drug treatment. Conclusions: Adherence was low and associated with the use of psychotropic drugs and illicit drugs.Descriptors: Medication Adherence; Patients; Mental Disorders; Emergency Medical Services; Nursing.EVALUACIÓN DE LA ADHESIÓN AL TRATAMIENTO MEDICAMENTOSO DE PACIENTES CON DISTURBIOS PSIQUIÁTRICOS EN EL SERVICIO DE EMERGENCIAObjetivo: Identificar el perfil sociodemográfico y clínico y evaluar la adhesión al tratamiento medicamentoso domiciliar y, los factores asociados, de pacientes con disturbios psiquiátricos atendidos en el Servicio de Emergencia. Metodología: Estudio transversal y analítico, realizado en el Servicio de Emergencia del Hospital São Paulo (HSP), de mayo a diciembre de 2015. Se incluyeron 98 adultos con trastorno psiquiátrico agudo o crónico agudizado. La adhesión medicamentosa fue evaluada por la prueba de Morisky-Green. Para verificar los factores asociados a la adhesión se utilizó la prueba Qui-Cuadrado (p <0,05). Resultados: Hubo predominio de hombres, adultos, que buscaban el servicio para contención de comportamiento por psicosis no orgánica no especificada. Los pacientes con abstinencia alcohólica y que no eran usuarios de drogas presentaron mayor porcentaje de alta adhesión al tratamiento medicamentoso. Conclusiones: La adhesión fue baja y asociada al uso de psicotrópicos y drogas ilícitas.Descriptores: Cumplimiento de la Medicación; Pacientes, Trastornos Mentales; Servicios Médicos de Urgencia; Enfermería.

scholarly journals PLATINO, a nine-year follow-up study of COPD in the city of São Paulo, Brazil: the problem of underdiagnosis

2014 ◽  
Vol 40 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Graciane Laender Moreira ◽  
Beatriz Martins Manzano ◽  
Mariana Rodrigues Gazzotti ◽  
Oliver Augusto Nascimento ◽  
Rogelio Perez-Padilla ◽  
...  
Keyword(s):  
Latin American ◽  
Initial Phase ◽  
Severe Disease ◽  
Sao Paulo ◽  
São Paulo ◽  
Chi Square ◽  
Chi Square Test ◽  
Study Population ◽  
The City

OBJECTIVE: To determine the underdiagnosis rate in new COPD cases at the end of a nine-year follow-up period-in the study designated "Projeto Latino-Americano de Investigação em Obstrução Pulmonar" (PLATINO, Latin-American Pulmonary Obstruction Investigation Project)-and compare that with the underdiagnosis rate during the initial phase of the study, as well as to identify the clinical features exhibited by the subjects who were not diagnosed until the end of the follow-up phase. METHODS: The study population comprised the 1,000 residents of the city of São Paulo, Brazil, who took part in the PLATINO study. Of those, 613 participated in the follow-up phase, during which the subjects were assessed with the same instruments and equipment employed in the initial phase of the study. We used the chi-square test or the independent sample t-test to analyze the underdiagnosis rate and to identify the characteristics of the subjects who were not diagnosed until the end of the follow-up phase. RESULTS: The underdiagnosis rate for new COPD cases at the end of the nine-year follow-up period was 70.0%. The underdiagnosis rate during the follow-up phase was 17.5% lower than that reported for the initial phase of the study. The subjects who were not diagnosed until the end of the follow-up phase presented with fewer respiratory symptoms, better pulmonary function, and less severe disease than did those previously diagnosed with COPD. CONCLUSIONS: The underdiagnosis rate for new COPD cases was lower in the follow-up phase of the study than in the initial phase. The subjects who were not diagnosed until the end of the follow-up phase of the PLATINO study presented with the same clinical profile as did those who were not diagnosed in the initial phase. These findings underscore the need for spirometry in order to confirm the diagnosis of COPD and provide early intervention.

scholarly journals Oral Cancer Knowledge Assessment: Newly Graduated versus Senior Dental Clinicians

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Gisele Pavão Spaulonci ◽  
Ricardo Salgado de Souza ◽  
Vanessa Gallego Arias Pecorari ◽  
Luciano Lauria Dib
Keyword(s):  
Oral Cancer ◽  
Sao Paulo ◽  
Knowledge Assessment ◽  
São Paulo ◽  
Cancer Knowledge ◽  
Chi Square ◽  
Chi Square Test ◽  
Level Of Knowledge ◽  
The Subject ◽  
The City

The present study assessed the level of dentists’ knowledge regarding oral cancer in the city of São Paulo, Brazil. A questionnaire was used to compare the level of knowledge among newly graduated and senior clinicians. A total of 20,154 e-mails were correctly delivered to the dentists registered in the database of the Regional Dentistry Council of São Paulo, and 477 (2.36%) responses were received. This sample consisted of 84 newly graduated clinicians and 105 senior clinicians. For the statistical analysis, the chi-square test and the logistic regression analysis were performed withα = 0.05, and the results were described herein. According to their knowledge level, the results were statistically different between the groups, since 19% of the newly graduated clinicians were evaluated with knowledge grade A (excellent) in comparison to 6.7% of the senior clinicians. In spite of the results indicated that newly graduated clinicians’ knowledge regarding oral cancer was 2.1 times higher, 34.5% of the professionals in this group had regular or poor knowledge on the subject, and several questions relating to clinical characteristics and risk factors indicated that there still exist some knowledge gaps, demonstrating that there is a need for further studies and information activities addressing oral cancer.

Association between high-risk pregnancy and environmental contaminants in the Metropolitan Region of Baixada Santista, Brazil

2021 ◽  
Author(s):  
Joice Maria Pacheco Antonio Fernandes ◽  
Ysabely de Aguiar Pontes Pamplona ◽  
Jhonnes Alberto Vaz ◽  
Amanda Rodrigues Pereira ◽  
Carolina Luísa Alves Barbieri ◽  
...  
Keyword(s):  
High Risk ◽  
Environmental Contaminants ◽  
High Risk Pregnancy ◽  
Metropolitan Region ◽  
Risk Pregnancy

scholarly journals Bruxism in children and transverse plane of occlusion: Is there a relationship or not?

2014 ◽  
Vol 19 (5) ◽  
pp. 67-73 ◽  
Author(s):  
Ana Carla Raphaelli Nahás-Scocate ◽  
Fernando Vusberg Coelho ◽  
Viviane Chaves de Almeida
Keyword(s):  
School Environment ◽  
Primary Schools ◽  
Sao Paulo ◽  
Transverse Plane ◽  
São Paulo ◽  
Chi Square ◽  
Significance Level ◽  
Posterior Crossbite ◽  
Potential Association ◽  
Chi Square Test

OBJECTIVE: To assess the occurrence of bruxism in deciduous dentition and a potential association between the habit and the presence or absence of posterior crossbite. METHODS: A total of 940 patient files were assessed. They were gathered from the archives of University of São Paulo City - UNICID; however, 67 patient files were dismissed for not meeting the inclusion criteria. Therefore, 873 children, males and females, comprised the study sample. They were aged between 2-6 years old and came from six different public primary schools from the east of the city of São Paulo. Data were collected through questionnaires answered by parents/guardians and by clinical examinations carried out in the school environment in order to obtain the occlusal characteristics in the transverse direction. First, a descriptive statistical analysis of all variables was performed (age, sex, race, posterior crossbite, bruxism, headache and restless sleep); then, the samples were tested by means of chi-square test with significance level set at 0.05%. A logistic regression model was applied to identify the presence of bruxism. RESULTS: The prevalence of this parafunctional habit was of 28.8%, with 84.5% of patients showing no posterior crossbite. Regarding the association of bruxism with crossbite, significant results were not found. Children with restless sleep have 2.1 times more chances of developing bruxism, whereas children with headache have 1.5 more chances. CONCLUSION: Transverse plane of occlusion was not associated with the habit of bruxism.

scholarly journals Profile of the orthodontist practicing in the State of São Paulo - Part 2

2013 ◽  
Vol 18 (1) ◽  
pp. 32e1-32e6 ◽  
Author(s):  
Fabio Brandalise Rampon ◽  
Celestino Nóbrega ◽  
José Luiz Gonçalves Bretos ◽  
Franco Arsati ◽  
Sérgio Jakob ◽  
...  
Keyword(s):  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Orthodontic Wires ◽  
Chi Square ◽  
Significance Level ◽  
Use Of Resources ◽  
Qualitative Variables ◽  
Conventional Brackets ◽  
Materials Used

INTRODUCTION: The choice of brackets, bands and wires is a very important aspect of orthodontic treatment. Stainless steel prevailed for a long time, but new alloys and resources have emerged to diversify the orthodontic wire mechanics. OBJECTIVE: This study aimed to investigate the profile and materials used by orthodontists practicing in the State of São Paulo, Brazil. METHODS: A questionnaire was sent to 2,414 specialists in Orthodontics and Dentofacial Orthopedics registered with the Regional Board of Dentistry of São Paulo State (CRO-SP). To assess the association between qualitative variables, the Chi-square association test was employed at 5% significance level. RESULTS: Five hundred and ninety-three (24.65%) questionnaires were completed and sent back. Efficiency was the key reason given by the professionals for choosing a particular material. The majority showed a preference for metal brackets (98%), followed by ceramics (32%) and polycarbonate (7.8%). The most widely used brackets had 0.022 x 0.028-in slots (73.2%). Regarding orthodontic wires, 88.2% employed round steel wires and conventional round NiTi wires, while 52.6% used round heat-activated NiTi and 46.5% rectangular TMA wires. Elastics (92.9%) were the most widely used method to tie the orthodontic archwire to the bracket. CONCLUSIONS: In this survey, the orthodontists claimed that efficiency was the major motivator for choosing orthodontic materials. Conventional brackets tied with conventional elastic ligatures are still the most used by the professionals. Among steel and conventional Nitinol wires, round wires ranked first. The use of resources recently available to Brazilian orthodontists, such as self-ligating brackets and mini-implants, was not significant.

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