Plastic surgery professional misconduct: a cross-sectional study on cases between 2008 and 2017, filed before the São Paulo State Medical Board

ABSTRACT Purpose: The purpose is to compare the incidence and characteristics of injuries sustained in two consecutive seasons of the São Paulo State Football Championship. Methods: Prospective study performed using an electronic form previously developed by the Medical Committee of the São Paulo State Football Federation, sent to the physicians responsible for the tournament's series A1 and A2 teams, after each round. Results: 17.63 injuries sustained per 1000 hours of matches in the A1 series and 14.91 injuries sustained per 1000 hours of matches in the A2 series. Incidence of injuries per 1000 hours of matches decreased from 24.16 to 17.63 in the A1 series (p<0.037) and from 19.10 to 14.01 in the A2 series (p<0.064). External defenders suffered most injuries, while muscular injuries were most common and lower limbs, the most affected areas. Most injuries occurred between 30 and 45 minutes of the match and only 11.9% of the injuries required surgery. Conclusions: Prevalence and frequency of injuries decreased between seasons. Most injuries were sustained in the lower limbs; strains were the most common injuries, followed by strains and contusions; MRIs were the most frequently requested exams and most injuries were classified as moderate (8-28 days). Level of evidence III, Cross-Sectional Study.

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Social and racial inequalities in COVID-19 risk of hospitalisation and death across Sao Paulo state, Brazil

10.1101/2020.12.09.20246207 ◽

2020 ◽

Author(s):

Sabrina L. Li ◽

Rafael H. M. Pereira ◽

Carlos A. Prete ◽

Alexander E. Zarebski ◽

Lucas Emanuel ◽

...

Keyword(s):

Low Income ◽

Respiratory Infections ◽

Cross Sectional Study ◽

Sao Paulo ◽

Mobile Phone Data ◽

São Paulo ◽

Cross Sectional ◽

Paulo State ◽

Disadvantaged Population ◽

São Paulo State

Background: Little evidence exists on the differential health effects of COVID-19 on disadvantaged population groups. Here we characterise the differential risk of hospitalisation and death in Sao Paulo state, Brazil and show how vulnerability to COVID-19 is shaped by socioeconomic inequalities. Methods: We conducted a cross-sectional study using hospitalised severe acute respiratory infections (SARI) notified from March to August 2020, in the Sistema de Monitoramento Inteligente de Sao Paulo (SIMI-SP) database. We examined the risk of hospitalisation and death by race and socioeconomic status using multiple datasets for individual-level and spatio-temporal analyses. We explained these inequalities according to differences in daily mobility from mobile phone data, teleworking behaviour, and comorbidities. Findings: Throughout the study period, patients living in the 40% poorest areas were more likely to die when compared to patients living in the 5% wealthiest areas (OR: 1.60, 95% CI: 1.48 - 1.74) and were more likely to be hospitalised between April and July, 2020 (OR: 1.08, 95% CI: 1.04 - 1.12). Black and Pardo individuals were more likely to be hospitalised when compared to White individuals (OR: 1.37, 95% CI: 1.32 - 1.41; OR: 1.23, 95% CI: 1.21 - 1.25, respectively), and were more likely to die (OR: 1.14, 95% CI: 1.07 - 1.21; 1.09, 95% CI: 1.05 - 1.13, respectively). Interpretation: Low-income and Black and Pardo communities are more likely to die with COVID-19. This is associated with differential access to healthcare, adherence to social distancing, and the higher prevalence of comorbidities.

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Factors Associated to the Decision to Terminate or not an Unwanted Pregnancy among a Sample of Civil Servant in São Paulo State, Brazil.

Journal of Public Health International ◽

10.14302/issn.2641-4538.jphi-18-2545 ◽

2019 ◽

Vol 1 (3) ◽

pp. 1-9

Author(s):

Silvana Ferreira Bento ◽

Karla Simônia de Pádua ◽

Graciana Alves Duarte ◽

...

Keyword(s):

Higher Education ◽

Unwanted Pregnancy ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Barrier Method ◽

Cross Sectional ◽

Paulo State ◽

Unwanted Pregnancies ◽

São Paulo State

This is a cross sectional study of a sample of civil servants from the interior of São Paulo state, carried out with the purpose of evaluating the occurrence of unwanted pregnancies, the proportion which were terminated, the reason given for having or not having an abortion and which factors were associated to the decision whether or not to terminate an unwanted pregnancy. Just over one fifth declared to have experienced an unwanted pregnancy and over half of them were aborted. The reasons to abort concentrate on interferance with their life expectancy: “to continue studying or working” “being single”, “too young to get married” and “to become a father or mother”. Also important were fear of parents and rejection by the respondents'partner. Among those who did not terminate the unwanted pregnancy religion acted as a barrier among almost one third and the legal barrier for almost one fourth. Not having a permanent partner, being in use of behavioral or barrier method of contraception and higher education were associated with higher incidence of abortion of the unwanted pregnancy, but in multiple regression, only higher education remain significantly associated. Our results showed that once the unwanted pregnancy occur, more than half of them will be aborted, confirming the need to concentrate the efforts in reducing unwanted pregnancies if we want to prevent abortion.

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Profile of Hiperdia patients in the municipality of Barra Bonita, Sao Paulo state

Fisioterapia em Movimento ◽

10.1590/1980-5918.029.004.ao09 ◽

2016 ◽

Vol 29 (4) ◽

pp. 731-739

Author(s):

Camila Gimenes ◽

Thalita Maximo Lopes Tinoco ◽

Alberto de Vitta ◽

Eduardo Aguilar Arca ◽

Bruna Varanda Pessoa-Santos ◽

...

Keyword(s):

Risk Factors ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Cross Sectional ◽

Paulo State ◽

Control Of Diabetes ◽

São Paulo State ◽

Epidemiological Profile ◽

Epidemiological Characteristics

Abstract Introduction: The "Hiperdia System" sets goals and guidelines to expand prevention, diagnosis, treatment and control of Diabetes Mellitus and Hypertension. Knowing the epidemiological characteristics of the population is important to strengthen public health programs. Objective: The objective of the study was to describe the sociodemographic profile, risk factors and complications of hypertensive, diabetic and hypertensive diabetic people registered in the HiperDia system of the Ministry of Health of the Basic Health Units (Unidades Básicas de Saúde - UBS) in Barra Bonita, São Paulo State. Methods: This is a descriptive cross-sectional study, which used 113 medical records of diabetic and hypertensive patients as a data source for information about gender, age, race, education, marital status, body mass index (BMI), family history, smoking, sedentarism, acute myocardial infarction, stroke, kidney disease, amputation and diabetic foot. Descriptive statistics were used. Results: As a result, the epidemiological profile of patients registered in the HiperDia system was characterized by: a mean age of 57.3 years; 61.9% women, 82.1% Caucasians, 66.4% with education level up to incomplete primary education, 48.5% lived with partners and children, 19.5% were smokers, 51.4% were sedentary, 44.3% were overweight and obese and 69% had a diagnosis of hypertension and diabetes. Conclusion: The results were relevant allowing professionals and health managers to institute preventive programs to intervene in the risk factors involved in the genesis and complications of hypertension and diabetes.

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Nonnutritive sweeteners in Brazil: current use and associated factors

Journal of Human Growth and Development ◽

10.7322/jhgd.122760 ◽

2016 ◽

Vol 26 (3) ◽

pp. 297 ◽

Cited By ~ 2

Author(s):

Ana Paula Gines Geraldo ◽

Maria Elisabeth Machado Pinto-e-Silva

Keyword(s):

Body Weight ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Online Questionnaire ◽

Chi Square ◽

Cross Sectional ◽

Paulo State ◽

São Paulo State

Introduction: The consumption of added sugars has increased worldwide. To guide and encourage the implementation of public policies on the consumption of nonnutritive sweetener (NNS), it is necessary not only to identify the amount consumed of these products, but also the factors associated with their consumption. Objective: This study aimed to identify the variables related to NNS consumption in São Paulo state, Brazil. Method: A cross-sectional study involving adult employees of two public Universities in São Paulo state, Brazil, was conducted. An online questionnaire was applied containing questions on the use of NNSs and information about demographic, socioeconomic, anthropometric and health characteristics. The statistical analyses performed included: the Chi-square test to determine association between explanatory and dependent variables, adopting a level of significance of p<0.05, and binary logistic regression calculating the Odds-Ratio (OR) (α = 0.05). Results: A total of 1323 individuals took part in the study. The prevalence of NNS use was 53.3%, proving higher among individuals between 30 and 60 years of age (83.3. The Chi-squared test revealed that the variables gender (p = 0.000), Diabetes Mellitus (DM) (p = 0.000), arterial hypertension (p = 0.008), diffi culty controlling weight (p = 0.000), BMI (p = 0.000), income (p = 0.002) and age (p = .000) had a direct and signifi cant association with NNS consumption. On the logistics regression model, the variables signifi cantly associated with NNS consumption were gender (OR 1.3), age (OR = 2.59), DM (OR = 3.32), difficulty controlling weight (OR = 2.29) and consumption of diet foods (OR = 3.87). These results revealed that women are 30% more likely to consume NNS than men and that being aged between 50 and 60 years increases the likelihood of consuming these products by 2.59 times. In addition, being diabetic, having diffi culty controlling body weight, and consuming diet foods increase the likelihood of NNS consumption by 3.32; 2.29 and 3.97 times, respectively. Conclusion: The majority of the population studied were consumers of NNSs. The variables gender, age, DM, diffi culty controlling body weight, and consuming diet foods were all associated with the consumption of NNSs.

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Seroprevalence of Helicobacter pylori infection among children of low socioeconomic level in São Paulo

Sao Paulo Medical Journal ◽

10.1590/s1516-31802010000400002 ◽

2010 ◽

Vol 128 (4) ◽

pp. 187-191 ◽

Cited By ~ 13

Author(s):

Aurea Cristina Portorreal Miranda ◽

Rodrigo Strehl Machado ◽

Edina Mariko Koga da Silva ◽

Elisabete Kawakami

Keyword(s):

Helicobacter Pylori ◽

Cross Sectional Study ◽

Sao Paulo ◽

Helicobacter Pylori Infection ◽

Socioeconomic Level ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

Low Socioeconomic ◽

H Pylori

CONTEXT AND OBJECTIVE: Helicobacter pylori infection is mainly acquired during childhood, and is associated with significant morbidity in adults. The aim here was to evaluate the seroprevalence and risk factors of H. pylori infection among children of low socioeconomic level attended at a public hospital in São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study, among patients attended at an outpatient clinic. METHODS: 326 children were evaluated (150 boys and 176 girls; mean age 6.82 ± 4.07 years) in a cross-sectional study. Patients with chronic diseases or previous H. pylori treatment, and those whose participation was not permitted by the adult responsible for the child, were excluded. The adults answered a demographic questionnaire and blood samples were collected. The serological test used was Cobas Core II, a second-generation test. Titers > 5 U/ml were considered positive. RESULTS: H. pylori infection was diagnosed in 116 children (35.6%). Infected children were older than uninfected children (7.77 ± 4.08 years versus 5.59 ± 3.86 years; p < 0.0001). The seroprevalence increased from 20.8% among children aged two to four years, to 58.3% among those older than 12 years. There were no significant relationships between seropositivity and gender, color, breastfeeding, number of people in the home, number of rooms, bed sharing, living in a shantytown, maternal educational level, family income or nutritional status. In multivariate analysis, the only variable significantly associated with H. pylori seropositivity was age. CONCLUSION: Infection had intermediate prevalence in the study population, and age was associated with higher prevalence.

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