scholarly journals Mortalidade Geral no Sudoeste do Pará: uma análise de Cluster entre sexos

2020 ◽  
Vol 10 (1) ◽  
pp. 75
Author(s):  
Gabriel Brito Procópio ◽  
Álvaro Ferreira da Silva ◽  
Ana Cristina Viana Campos
Keyword(s):  
Health Center ◽  
Regional Differences ◽  
Secondary Data ◽  
Regional Health ◽  
Male Mortality ◽  
Public Health Policies ◽  
Historical Series ◽  
Epidemiological Profile ◽  
General Mortality

Introdução: O acompanhamento precípuo da mortalidade geral viabiliza a identificação do perfil epidemiológico sobre as diferenças regionais que interferem na realidade da população. Objetivo: O estudo tevecomo objetivo identificar a razão de mortalidade geral por ano e por sexo, elencando as diferenças nos municípios pertencentes a um centro regional de saúde no sudeste do estado do Pará. Método: Trata-se de um estudo ecológico de série histórica, entre os anos 2000 a 2015, com dados secundários de todos os municípios pertencentes ao 11º Centro Regional de Saúde do estado do Pará. Resultados: Dos 23 municípios da regional de saúde, os municípios de Curionópolis, Jacundá, Marabá e Rondon do Pará, apresentaram elevada taxa de mortalidade para ambos os sexos. O maior percentual de óbitos masculinos ocorreu no ano de 2010 (67,9%), com razão igual a 5,40 por mil habitantes. Estima-se um aumentode até 55,1% (R2=0,55) da mortalidade para o sexo masculino nos próximos anos. Conclusões: A implementação e o aperfeiçoamento de políticas públicas em saúde voltadas para a redução dos índices de mortalidade que acometem principalmente os homens é fundamental e substancial nas ações para identificação dos fatores de risco e, principalmente, no monitoramento dos óbitos. GENERAL MORTALITY IN SOUTHEASTERN PARÁ: A CLUSTER ANALYSIS BETWEEN SEXES Introduction: The primary follow-up of general mortality enables the identification of the epidemiological profile on regional differences that interfere in the reality of the population. Objective: The study aimed to identify the ratio of general mortality per year and sex, electing the differences in municipalities belonging to a regional health center in the Southeast of Pará state. Method: This is an ecological study of historical series between the years 2000 to 2015, with secondary data from all municipalities belonging to the 11th Regional Health Center of the state of Pará. Results: Of the 23 municipalities of the regional health, the municipalities of Curionópolis, Jacundá, Marabá and Rondon do Pará presented a high mortality rate for both sexes. The highest percentage of male deaths occurred in 2010 (67.9%) with a ratio equal to 5.40 per thous and in habitants. An increase of up to 55.1% (R2=0.55) in male mortality is estimated for the coming years. Conclusions: The implementation and improvement of public health policies aimed at reducing mortality rates that mainly affect men, is fundamental and substantial in actions to identify risk factors and monitoring of deaths.

scholarly journals Clinical-epidemiological profile of the oncogeriatric patient served in high complexity public hospitals in the State of Pará in the historical series 2014-2018

2020 ◽  
Vol 9 (9) ◽  
pp. e189996821
Author(s):  
Dayara de Nazaré Rosa de Carvalho ◽  
Viviane Ferraz Ferreira de Aguiar ◽  
Lorena Nayara Alves Neves ◽  
Celice Ruanda Oliveira Sobrinho ◽  
Dandara de Fátima Ribeiro Bendelaque ◽  
...  
Keyword(s):  
Secondary Data ◽  
The Elderly ◽  
The State ◽  
Public Hospitals ◽  
Cell Aging ◽  
High Complexity ◽  
Male Population ◽  
Historical Series ◽  
Epidemiological Profile ◽  
Associated Risk Factors

Introduction: Cancer is classified as a set of cells that have a disordered growth and without specific functions, in which they affect the systems, being that the main population affected is the elderly, due to the associated risk factors, being highlighted the process of cell aging. Objective: to trace the clinical-epidemiological profile of the oncogeriatric patient seen in public hospitals of high complexity in the State of Pará, in the 2014-2018 historical series. Methodology: This is an epidemiological, descriptive retrospective study with a quantitative approach. The study was carried out in the month of June 2020 with information from secondary data, coming from the Hospital Cancer Registry Computerization System for oncogeriatric patients seen in high complexity hospitals in the state of Pará in the period from 2014 to 2018. Results: if the total of 8,184 oncogeriatrics patients seen in hospitals in Pará and the distribution of sociodemographic data found the predominance of the male population, in the age group between 60 and 69 years old, brown race, most have only incomplete fundamental level. Conclusion: It is necessary for professionals to carry out health education practices for this public, in order to raise awareness and encourage self-care, so that these rates are overcome and they can age with a better quality of life.

Pengaruh Umur Ibu Hamil Dan Dukungan Keluarga Terhadap Kepatuhan Mengkonsumsi Tablet Besi (Fe) Dan Anemia Pada Ibu Hamil Di Puskesmas Kota Wilayah Selatan Kota Kediri

2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Dina Dewi Anggraini
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Family Support ◽  
Random Sampling ◽  
Maternal Age ◽  
Sampling Technique ◽  
Deficiency Anemia ◽  
Third Trimester ◽  
Regional Health ◽  
Cross Sectional

ABSTRAKPerdarahan merupakan prosentase tertinggi penyebab terjadinya kematian ibu. Dan anemia zat besi merupakan penyebab utama terjadinya perdarahan. Pencegahan anemia gizi besi dilakukan melalui pemberian tablet besi dengan dosis pemberian sebanyak 1 tablet berturut-turut minimal selama 90 hari selama kehamilan. Pada kecamatan dan Puskesmas Kota Kediri 2014, cakupan Fe1 dan Fe3 yang terendah adalah pada Kecamatan Kota, yaitu Puskesmas Kota Wilayah Selatan, dengan Fe1 sebesar 69,81% dan Fe3 sebesar 66,29%. Penelitian dilakukan untuk menganalisis pengaruh umur ibu hamil dan dukungan keluarga terhadap kepatuhan mengkonsumsi tablet besi dan anemia pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri 2016. Metode pada penelitian ini dengan observasi analitik dan rancang bangun cross sectional. Populasi pada penelitian ini 63 orang ibu hamil trimester III dan sampelnya 34 orang ibu hamil trimester III yang telah mendapatkan 90 tablet besi (Fe), dengan teknik simpel random sampling. Data diperoleh dari kuesioner, buku Kesehatan Ibu dan Anak, dan wawancara yang mendalam. Analisis data yang dilakukan dengan menggunakan regresi ordinal dan regresi logistik. Hasil uji didapatkan nilai p = 0,000 0,05 untuk variabel umur ibu hamil 20 tahun terhadap kepatuhan mengkonsumsi tablet besi (Fe), nilai p = 0,238 0,05 untuk variabel dukungan keluarga terhadap kepatuhan mengkonsumsi tablet besi (Fe), dan nilai p = 0,012 0,05 untuk variabel kepatuhan yang cukup dalam mengkonsumsi tablet besi (Fe) terhadap anemia pada ibu hamil. Semakin tinggi faktor risiko umur pada ibu hamil, maka semakin cenderung ibu hamil untuk patuh mengkonsumsi tablet besi (Fe) pada masa kehamilan. Semakin tinggi tingkat kepatuhan ibu hamil dalam mengkonsumsi tablet besi (Fe), maka semakin tinggi pula kecenderungan ibu hamil untuk tidak terkena anemia pada masa kehamilan. Kata kunci: Umur, Dukungan Keluarga, Kepatuhan, Anemia.   ABSTRACTBleeding is the highest percentage of the causes of maternal mortality. And iron anemia is a major cause of bleeding. Prevention of iron deficiency anemia is done through the provision of iron tablets with doses as much as 1 tablet in a row for a minimum of 90 days during pregnancy. In the town of Kediri district and health center in 2014, Fe1 and Fe3 coverage is lowest in the City District, the Southern Regional Health Center, with Fe1 amounted to 69,81% and amounted to 66,29% Fe3. The study was conducted to analyze the effect of maternal age and family support for adherence to consume iron tablets and anemia in pregnant women in the South Regional Health Center of Kediri, 2016. The method in this study with analytic observation and cross sectional design. The population in this study 63 third trimester pregnant women and the sample 34 third trimester pregnant women who have received 90 tablets of iron (Fe), with a simple random sampling technique. Data obtained from questionnaires, books Maternal and Child Health, and in-depth interviews. Data analysis was performed using ordinal regression and logistic regression. The test results obtained value of p = 0,000 0,05 for the variable maternal age 20 years of adherence to consume tablets of iron (Fe), p = 0,238 0,05 for the variable of family support for adherence to consume tablets of iron (Fe), and p = 0,012 0,05 for the variable adherence sufficient to consume iron tablet (Fe) against anemia in pregnant women. The higher the risk factors of age in pregnant women, pregnant women, the more it tends to stick to consume tablets of iron (Fe) during pregnancy. The higher the level of adherence of pregnant women consume iron tablet (Fe), the higher the tendency of pregnant women not exposed to anemia during pregnancy. Keywords: Age, Family Support, Adherence, Anemia.

scholarly journals The importance of maternal pregnancy vitamin D for offspring bone health: learnings from the MAVIDOS trial

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110069
Author(s):  
Rebecca J. Moon ◽  
Elizabeth M. Curtis ◽  
Stephen J. Woolford ◽  
Shanze Ashai ◽  
Cyrus Cooper ◽  
...  
Keyword(s):  
Vitamin D ◽  
Bone Development ◽  
Controlled Trial ◽  
Clinical Care ◽  
Later Life ◽  
Vitamin D Supplementation ◽  
Public Health Policies ◽  
Positive Effects

Optimisation of skeletal mineralisation in childhood is important to reduce childhood fracture and the long-term risk of osteoporosis and fracture in later life. One approach to achieving this is antenatal vitamin D supplementation. The Maternal Vitamin D Osteoporosis Study is a randomised placebo-controlled trial, the aim of which was to assess the effect of antenatal vitamin D supplementation (1000 IU/day cholecalciferol) on offspring bone mass at birth. The study has since extended the follow up into childhood and diversified to assess demographic, lifestyle and genetic factors that determine the biochemical response to antenatal vitamin D supplementation, and to understand the mechanisms underpinning the effects of vitamin D supplementation on offspring bone development, including epigenetics. The demonstration of positive effects of maternal pregnancy vitamin D supplementation on offspring bone development and the delineation of underlying biological mechanisms inform clinical care and future public-health policies.

scholarly journals Integrating Genomic Screening into Primary Care: Provider Experiences Caring for Latino Patients at a Community-Based Health Center

2021 ◽  
Vol 12 ◽  
pp. 215013272110002
Author(s):  
Tarika Srinivasan ◽  
Erica J. Sutton ◽  
Annika T. Beck ◽  
Idali Cuellar ◽  
Valentina Hernandez ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Care ◽  
Health Center ◽  
Care Provider ◽  
Primary Care Provider ◽  
Genomic Sequencing ◽  
Community Based ◽  
Genomic Screening

Introduction: Minority communities have had limited access to advances in genomic medicine. Mayo Clinic and Mountain Park Health Center, a Federally Qualified Health Center in Phoenix, Arizona, partnered to assess the feasibility of offering genomic screening to Latino patients receiving care at a community-based health center. We examined primary care provider (PCP) experiences reporting genomic screening results and integrating those results into patient care. Methods: We conducted open-ended, semi-structured interviews with PCPs and other members of the health care team charged with supporting patients who received positive genomic screening results. Interviews were recorded, transcribed, and analyzed thematically. Results: Of the 500 patients who pursued genomic screening, 10 received results indicating a genetic variant that warranted clinical management. PCPs felt genomic screening was valuable to patients and their families, and that genomic research should strive to include underrepresented minorities. Providers identified multiple challenges integrating genomic sequencing into patient care, including difficulties maintaining patient contact over time; arranging follow-up medical care; and managing results in an environment with limited genetics expertise. Providers also reflected on the ethics of offering genomic sequencing to patients who may not be able to pursue diagnostic testing or follow-up care due to financial constraints. Conclusions: Our results highlight the potential benefits and challenges of bringing advances in precision medicine to community-based health centers serving under-resourced populations. By proactively considering patient support needs, and identifying financial assistance programs and patient-referral mechanisms to support patients who may need specialized medical care, PCPs and other health care providers can help to ensure that precision medicine lives up to its full potential as a tool for improving patient care.

scholarly journals Factors Associated with Patients’ Connection to Referred Social Needs Resources at a Federally Qualified Health Center

2021 ◽  
Vol 12 ◽  
pp. 215013272110243
Author(s):  
Tyler Lian ◽  
Kate Kutzer ◽  
Diwas Gautam ◽  
Howard Eisenson ◽  
Jane C. Crowder ◽  
...  
Keyword(s):  
Health Center ◽  
Social Services ◽  
Social Needs ◽  
Phone Call ◽  
Community Based ◽  
Factors Associated ◽  
Federally Qualified Health Center ◽  
Or Applications ◽  
Improve Health

Introduction: In an effort to improve health outcomes and promote health equity, healthcare systems have increasingly begun to screen patients for unmet social needs and refer them to relevant social services and community-based organizations. This study aimed to identify factors associated with the successful connection (ie, services started) to social needs resources, as well as factors associated with an attempt to connect as a secondary, intermediate outcome. Methods: This retrospective cohort study included patients who had been screened, referred, and subsequently reached for follow-up navigation from March 2019 to December 2020, as part of a social needs intervention at a federally qualified health center (FQHC). Measures included demographic and social needs covariates collected during screening, as well as resource-related covariates that characterized the referred resources, including service domain (area of need addressed), service site (integration relative to the FQHC), and access modality (means of accessing services). Results: Of the 501 patients in the analytic sample, 32.7% had started services with 1 or more of their referred resources within 4 weeks of the initial referral, and 63.3% had at least attempted to contact 1 referred resource, whether or not they were able to start services. Receiving a referral to resources that patients could access via phone call or drop-in visit, as opposed to resources that required additional appointments or applications prior to accessing services, was associated with increased odds (aOR 1.95, 95% CI 1.05, 3.61) of connection success, after adjusting for age, sex, race, ethnicity, education, number of social needs, and resource-related characteristics. This study did not find statistically significant associations between connection attempt and any variable included in adjusted analyses. Conclusion: These findings suggest that referral pathways may influence the success of patients’ connection to social needs resources, highlighting opportunities for more accessible solutions to addressing patients’ unmet social needs.

Clinico‐epidemiological profile and long term follow up in Melasma

2021 ◽  
Author(s):  
Muthu Sendhil Kumaran ◽  
R. Vignesh Narayan ◽  
Akanksha Kaushik ◽  
Anuradha Bishnoi ◽  
Keshavamurthy Vinay ◽  
...  
Keyword(s):  
Long Term Follow Up ◽  
Epidemiological Profile

scholarly journals Spatial analysis of deaths from pulmonary tuberculosis in the city of São Luís, Brazil

2014 ◽  
Vol 40 (5) ◽  
pp. 543-551 ◽  
Author(s):  
Marcelino Santos-Neto ◽  
Mellina Yamamura ◽  
Maria Concebida da Cunha Garcia ◽  
Marcela Paschoal Popolin ◽  
Tatiane Ramos dos Santos Silveira ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Pulmonary Tuberculosis ◽  
Secondary Data ◽  
Positive Association ◽  
Significant Positive Association ◽  
Public Health Policies ◽  
Operational Characteristics ◽  
Operational Variables ◽  
The City ◽  
Selection Of

OBJECTIVE: To characterize deaths from pulmonary tuberculosis, according to sociodemographic and operational variables, in the city of São Luís, Brazil, and to describe their spatial distribution. METHODS: This was an exploratory ecological study based on secondary data from death certificates, obtained from the Brazilian Mortality Database, related to deaths from pulmonary tuberculosis. We included all deaths attributed to pulmonary tuberculosis that occurred in the urban area of São Luís between 2008 and 2012. We performed univariate and bivariate analyses of the sociodemographic and operational variables of the deaths investigated, as well as evaluating the spatial distribution of the events by kernel density estimation. RESULTS: During the study period, there were 193 deaths from pulmonary tuberculosis in São Luís. The median age of the affected individuals was 52 years. Of the 193 individuals who died, 142 (73.60%) were male, 133 (68.91%) were Mulatto, 102 (53.13%) were single, and 64 (33.16%) had completed middle school. There was a significant positive association between not having received medical care prior to death and an autopsy having been performed (p = 0.001). A thematic map by density of points showed that the spatial distribution of those deaths was heterogeneous and that the density was as high as 8.12 deaths/km2. CONCLUSIONS: The sociodemographic and operational characteristics of the deaths from pulmonary tuberculosis evaluated in this study, as well as the identification of priority areas for control and surveillance of the disease, could promote public health policies aimed at reducing health inequities, allowing the optimization of resources, as well as informing decisions regarding the selection of strategies and specific interventions targeting the most vulnerable populations.

scholarly journals Long-Term Ultrasonography Follow-Up of Thyroid Colloid Cysts at the Health Center: A Single-Center Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Myung Ho Rho ◽  
Dong Wook Kim
Keyword(s):  
Health Center ◽  
Gradual Increase ◽  
Interval Change ◽  
Single Center Study ◽  
Long Term Follow Up ◽  
Colloid Cysts ◽  
Thyroid Colloid ◽  
Center Study

Objective. No previous study has employed long-term follow-up ultrasonography (US) examinations for evaluating thyroid colloid cysts (TCCs) in the general population. This study aimed to assess the interval changes of TCCs at the health center by evaluating long-term US follow-up examinations.Methods. For evaluation of the thyroid gland at our health center from 2006 to 2010, 3692 individuals underwent 4 or more thyroid US examinations at an interval of 1 year or 2 years. We assessed the interval changes of TCCs ≥ 5 mm on US follow-up examinations.Results. Of the 3692 subjects, only 115 (3.1%) showed TCCs ≥ 5 mm on one or more thyroid US examinations. The interval changes in TCCs, as shown by the thyroid US examinations performed during the study period, were classified as follows: no interval change (n=60), gradual increase (n=37), gradual decrease (n=6), positive fluctuation (n=10), negative fluctuation (n=0), and disappearance (n=2). No subject reported any relevant symptom pertaining to TCCs.Conclusions. Overall, follow-up US examinations showed various interval changes in TCCs, but a majority of TCCs showed no interval change or a gradual increase in size.

scholarly journals BEBERAPA FAKTOR TERJADINYA TINDAK PENCABULAN OLEH ANAK (Studi pada Kepolisian Resort Banggai)

2020 ◽  
Vol 4 (1) ◽  
pp. 82
Author(s):  
H.M. Ikhwan Rays
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Preventive Measures ◽  
Secondary Data ◽  
Primary Data ◽  
Child Molestation ◽  
Legal Research ◽  
Technological Factors ◽  
Alcoholic Drinks

This research is intended to study what factors are causing the follow-up of child molestation in Banggai Regency and what efforts have been made by the Banggai Resort Police in an effort to overcome the crime of sexual abuse by children in the District. Be proud To find out the objectives needed, this study uses empirical juridical where the method or method used in this legal research is to use primary data, that is the data obtained by the author from the research location and use secondary data obtained from data / existing library materials. Outcome factors, factors that cause child abuse in Banggai Regency are: educational factors, environmental factors, alcoholic drinks factors and technological factors. Whereas the efforts carried out by the Banggai Regional Police consist of: pre-emptive efforts, preventive measures and repressive efforts

Sign in / Sign up

Export Citation Format

Share Document