scholarly journals Clinical pharmacology profile of care in Hepatology clinic

2017 ◽  
Vol 63 (5) ◽  
pp. 401-406
Author(s):  
Talita Rocha Passos ◽  
Fabiana Silva Santos ◽  
Maria Cleusa Martins ◽  
Vanusa Barbosa Pinto ◽  
Flair José Carrilho ◽  
...  
Keyword(s):  
Elderly Population ◽  
Health Spending ◽  
Secondary Level ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Medical Specialties ◽  
The University ◽  
Basic Health Units

Summary Since 2010, the Clinical Gastroenterology and Hepatology Division of the Central Institute of Hospital das Clínicas of the University of São Paulo Medical School (HC-FMUSP, in the Portuguese acronym) has been developing specialized electives assistance activities in the Outpatient Specialty Clinic, Secondary Level, in São Paulo NGA-63 Várzea do Carmo. The objective of this study was to analyze the pharmacotherapeutic profile of patients. This is a cross-sectional and retrospective study in which patients were seen at the Hepatology sector and the results were submitted to descriptive statistics. During the study period, 492 patients were treated at the clinic, with a mean age of 58.9 years and frequency of 61.2% female and 74.8% living in São Paulo. This population was served by various other medical specialties (cardiology and endocrine among others) and the major liver diagnoses were: chronic hepatitis B and C and fatty liver. Comorbidities were also identified, such as diabetes, hypertension and dyslipidemia. Most patients took their medication in the Basic Health Units. We found that 30% of patients use of more than five medications and the most prescribed were omeprazole 208 (42.3%), metformin 132 (26.8%) and losartan 80 (16.3%). Because it is an adult/elderly population, with several comorbidities and polymedication, it is important to be aware of the rational use of medication. The multidisciplinary team is important in applying correct conducts for the safe use of medicines, to reduce the burden on health spending and improving the quality of life of patients.

scholarly journals Conhecimento e atitudes de estudantes da área da saúde sobre a doação de córneas

2020 ◽  
Vol 30 (1) ◽  
pp. 35854
Author(s):  
Isabela Mirandola Bartolomeu ◽  
Sidney Júlio Faria e Sousa ◽  
Miriane Lucindo Zucoloto ◽  
Edson Zangiacomi Martinez
Keyword(s):  
Speech Therapy ◽  
Corneal Transplantation ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Knowing That ◽  
Knowledge Questionnaire ◽  
Corneal Donation ◽  
The University

Aims: assess the knowledge and attitudes toward corneal donation among health sciences undergraduate students.Methods: this is an observational, descriptive, cross-sectional study, that included students enrolled in the undergraduate courses in Speech Therapy, Nutrition and Metabolism, Physical Therapy and Occupational Therapy, offered by the University of São Paulo at Ribeirão Preto Medical School (FMRP), University of São Paulo (USP), Ribeirão Preto campus. The students responded to a structured instrument in the classroom. A questionnaire containing 16 items regarding knowledge about corneal transplantation and questions about attitudes towards donation was applied. The questionnaire was based on instruments used in similar studies.Results: 335 students (83.1% female) participated in the research. Only 6.6% reported knowing how to proceed to be a corneal donor, and 55.5% reported knowing that corneal removal can only be performed after the donor’s death. Among the 16 items of the knowledge questionnaire, the students had a mean of only 5.6 correct answers, with a standard deviation of 3.1.Conclusions: the knowledge of the interviewed students about corneal donation is quite unsatisfactory. Given the known shortage of corneas for transplantation, educational actions are needed to make these future professionals able to spread the practice of corneal donation among their future patients and their families.

scholarly journals Perfil epidemiológico e análise do impacto na qualidade de vida dos homens portadores de condilomas anogenitais / Epidemiologic profile and analysis of the impact on the quality of life of male patients with anogenital condylomas

2019 ◽  
Vol 64 (1) ◽  
pp. 29
Author(s):  
John Verrinder Veasey ◽  
Adriana Bittencourt Campaner
Keyword(s):  
Quality Of Life ◽  
Condylomata Acuminata ◽  
Cross Sectional Study ◽  
Sao Paulo ◽  
Emotional Impact ◽  
São Paulo ◽  
Cross Sectional ◽  
Epidemiological Profile ◽  
The Impact

Objetivo: Avaliar o perfil epidemiológico e impacto na qualidade de vida dos pacientes portadores de verrugas anogenitais. Métodos: Trata-se de estudo transversal prospectivo realizado no Ambulatório de Infecções Sexualmente Transmissíveis do Hospital da Santa Casa de São Paulo no período de janeiro de 2015 a dezembro de 2017. Para avaliação do impacto na qualidade de vida foi aplicado um questionário específico para condiloma acuminado, que analisa o impacto na esfera emocional e sexual, e comparou-se seus resultados ao número e tempo de lesões apresentadas pelos pacientes do sexo masculino. Resultados: Foram avaliados o perfil epidemiológico de 48 pacientes, destes 23 pacientes responderam o questionário e demonstraram terem sido afetados na dimensão emocional e/ou sexual pelas suas lesões. Ao se correlacionar o número de lesões de condilomas aos resultados de impacto emocional, impacto sexual e impacto geral não se observou relação estatisticamente significante (p= 0,298, p=0,297 e p=0,230 respectivamente). Ao se correlacionar o tempo de lesão apresentada pelos pacientes ao impacto nas esferas emocional, sexual e geral houve uma relação inversa significativa com p<0,05, apresentando correlação moderada pelo método de análise de Pearson com p=0,039 na esfera emocional, p=0,009 na esfera sexual e p=0,010 na esfera global. Conclusões: A presença de condilomas anogenitais interfere na qualidade de vida de seus portadores, afetando tanto a esfera emocional quanto sexual. Notou-se também que pacientes com impacto na qualidade de vida pela presença de condilomas tendem a buscar auxílio médico mais rapidamente, enquanto pacientes com baixo impacto nas esferas sexual e emocional demoram mais tempo a procurar tratamento médico.Descritores: Papillomaviridae, Condiloma acuminado, Perfil de impacto da doença, Indicadores de qualidade de vida Abstract Objective: To evaluate the epidemiological profile and impact on the quality of life of patients with anogenital warts. Methods: This is a prospective cross-sectional study conducted at the Ambulatory of Sexually Transmitted Infections at Santa Casa de São Paulo Hospital from January 2015 to December 2017. To evaluate the impact on quality of life, a specific questionnaire was used for condyloma acuminata, which analyzes the impact in the emotional and sexual sphere, and compared its results to the number and time of lesions presented by the patients. Results: The epidemiological profile of 48 patients was evaluated; 23 of these patients answered the questionnaire and were affected in the emotional and / or sexual dimension by their lesions. When correlating the number of condyloma lesions to the results of emotional impact, sexual impact and general impact, no statistically significant relationship was observed (p = 0.298, p = 0.297 and p = 0.230, respectively). When correlating the time of condyloma presented by the patients to the impact in the emotional, sexual and general spheres, there was a significant inverse relationship with p <0.05, presenting a moderate correlation with the Pearson analysis method with p = 0.039 in the emotional sphere, p = 0.009 in the sexual sphere and p = 0.010 in the global sphere. Conclusions: The presence of anogenital condylomas interferes in the quality of life of the patients, affecting both the emotional and sexual spheres. It was also noted that patients with impact on quality of life due to the presence of condylomata tend to seek medical help more quickly, while patients with low impact in the sexual and emotional spheres take more time to seek medical treatment.Key Words: Papillomaviridae, Condylomata acuminata, Sickness impact profile, Indicators of quality of life

scholarly journals Desafio na gestão hospitalar: diferenças entre o planejamento de consumo e o consumo efetivo de medicamentos

2020 ◽  
Vol 20 (81) ◽  
Author(s):  
Gídeon Depintor Duarte ◽  
Beatriz Aparecida Ozello Gutierrez ◽  
Rosana Alves Vieira ◽  
Teresa Mota Pereira ◽  
Thais Bento Lima Da Silva
Keyword(s):  
Inventory Management ◽  
Medication Management ◽  
Health Spending ◽  
Sao Paulo ◽  
University Hospital ◽  
Essential Medicines ◽  
São Paulo ◽  
Materials Management ◽  
Cross Sectional ◽  
Health Technologies

Estima-se que de 35 a 45% do orçamento total do hospital é associado à administração de materiais, sendo a gestão de estoque um processo importante na gestão estratégica voltada para a otimização de gastos em saúde. Assim, a gestão de estoque é desafiadora, pois o seu controle demanda a melhoria contínua dos seus processos. O presente estudo objetivou analisar os processos de gestão de medicamentos em hospital universitário. Essa pesquisa quantitativa de caráter transversal e exploratório desenvolvida em hospital universitário do município de São Paulo, Brasil, analisou a previsão de consumo dos medicamentos, elaborada pelo setor do almoxarifado (excluindo-se soros e químicos), comparando com o consumo declarado pelas unidades. Os dados encontrados apontaram que existe a oportunidade de melhora no fluxo logístico em algumas unidades áreas em que a previsão de consumo é significativamente maior que o consumo efetivo e, por outro lado a previsão é insuficiente para atender a demanda em uma das unidades.  Contrapondo-se a esses desajustes, identificou-se que a previsão de consumo e consumo efetivo declarado estão equiparadas em outras unidades. A utilização do sistema de gerenciamento de materiais e a gestão dos setores envolvidos permitem que o hospital tenha êxito no planejamento demonstrado nas previsões de consumo que são equivalentes ao consumo efetivo.Palavras-chave: Acesso a Medicamentos Essenciais e Tecnologias em Saúde, Administração de Serviços de Saúde, Hospitais Universitários. ABSTRACTIt is estimated that 35 to 45% of the hospital's total budget is associated with materials management, with inventory management being an important process in strategic management aimed at optimizing health spending. Thus, inventory management is challenging, as its control demands the continuous improvement of its processes. The present study aimed to analyze the medication management processes in a university hospital. This cross-sectional and exploratory quantitative research carried out at a university hospital in the city of São Paulo, Brazil, analyzed the forecast for the consumption of medicines, prepared by the warehouse sector (excluding serums and chemicals), comparing with the consumption declared by the units. The data found pointed out that there is an opportunity for improvement in the logistical flow in some units in which the consumption forecast is significantly higher than the actual consumption and, on the other hand, the forecast is insufficient to meet the demand in one of the units. In contrast to these imbalances, it was identified that the consumption forecast and declared effective consumption are similar in other units. The use of the materials management system and the management of the sectors involved allow the hospital to be successful in the planning shown in the consumption forecasts that are equivalent to the actual consumption.Keywords: Access to Essential Medicines and Health Technologies, Health Services Administration, Hospitals University.

scholarly journals Transdisciplinarity in Evaluating the Health Conditions of Institutionalized Elderly Persons in Bauru, São Paulo, Brazil

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
José Roberto de Magalhães Bastos
Keyword(s):  
Elderly Population ◽  
Speech Therapy ◽  
Field Research ◽  
Sao Paulo ◽  
Health Conditions ◽  
Elderly Persons ◽  
São Paulo ◽  
Institutionalized Elderly ◽  
The Government

The main aim of the research developed and described here was to record and evaluate-in the light of the concept of transdisciplinarity-the conditions of health and functional capacity of institutionalized elderly persons in Bauru, a city with 400,000 inhabitants, situated close to the centre of the state of São Paulo, Brazil. A descriptive and exploratory field research was conducted with diverse objects of research and methodologies, considering the fields of Dentistry, Nursing, Physical Therapy, Biomedicine and Speech Therapy. The Government effort in Brazil must be placed on record to make it possible to understand therapid growth of its elderly population, its consequences and needs, with the aim of greatly enhancing attention to their quality of life, compatible with the expectations of the population and authorities in all fields of Brazilian health care.

scholarly journals Pain intensity, disability and depression in individuals with chronic back pain

2014 ◽  
Vol 22 (4) ◽  
pp. 569-575 ◽  
Author(s):  
Márcia de Oliveira Sakamoto Silva Garbi ◽  
Priscilla Hortense ◽  
Rodrigo Ramon Falconi Gomez ◽  
Talita de Cássia Raminelli da Silva ◽  
Ana Carolina Ferreira Castanho ◽  
...  
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Chronic Back Pain ◽  
Pain Treatment ◽  
Sao Paulo ◽  
São Paulo ◽  
Arithmetic Means ◽  
Cross Sectional ◽  
Pain Disability ◽  
The University

OBJECTIVES: to measure the pain intensity, identify the disability and depression levels in people with chronic back pain and to correlate these variables. A cross-sectional, descriptive and exploratory study was undertaken at the Pain Treatment Clinic of the University of São Paulo at Ribeirão Preto Hospital das Clínicas, between February and June 2012, after receiving approval from the Ethics Committee at the University of São Paulo at Ribeirão Preto College of Nursing.METHOD: sixty subjects with chronic back pain participated. The instruments used were: the 11-point Numerical Category Scale, the Roland-Morris Disability Questionnaire and the Beck Depression Inventory. To analyze the data, the arithmetic means, standard deviations and Spearman's correlation coefficient were calculated.RESULTS: the findings show that the participants presented high pain, disability and depression levels. The correlation between pain intensity and disability and between pain intensity and depression was positive and weak and, between disability and depression, positive and moderate.CONCLUSION: the study variables showed moderate and weak indices and the mutual correlations were positive.

scholarly journals Changes in quality of life: the experience of elderly persons at a university of the third age

2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Rita de Cassia Cabral de Campos Martins ◽  
Sidnei José Casetto ◽  
Ricardo Luís Fernandes Guerra
Keyword(s):  
Quality Of Life ◽  
Social Interaction ◽  
Sao Paulo ◽  
Elderly Persons ◽  
São Paulo ◽  
Structured Interviews ◽  
Third Age ◽  
The Third ◽  
The University

Abstract Objectives: The aim of the present qualitative and quantitative study was to investigate whether the participation of elderly persons in the University of the Third Age (U3A) of the Federal University of São Paulo, Baixada Santista (Unifesp/BS) led to a perceived improvement in quality of life; the meaning of the term quality of life for the participants; and whether education and social interaction are considered relevant in any such perceived improvement. Method: Data were collected through the SF-36 questionnaire and semi-structured interviews at the beginning and end of the academic year. Results: The quantitative data did not differ significantly between the beginning and end of the research period, except for the variable Vitality (V). The qualitative results, however, signaled a perception of change in terms of education, social interaction and quality of life. Conclusion: The data indicated that participation in the University of the Third Age at the Federal University of São Paulo, Baixada Santista (Unifesp/BS) was associated with a perception of positive changes in the quality of life of the elderly persons, who considered social interaction and education to be an important part of these improvements.

scholarly journals Associations Among Quality of Diet, Anxiety and Depression, and Absenteeism in Adults: A Population Base Study in Sao Paulo Municipality, Brazil

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1417-1417
Author(s):  
Thaís Hypólito ◽  
Aline Mello ◽  
Flavia Sarti ◽  
Regina Fisberg
Keyword(s):  
Sao Paulo ◽  
Healthy Eating Index ◽  
Anxiety And Depression ◽  
Lower Probability ◽  
Sociodemographic Characteristics ◽  
São Paulo ◽  
High Quality ◽  
Significant Positive Association ◽  
Cross Sectional

Abstract Objectives To assess associations among healthy behaviors, anxiety and depression, and absenteeism in adults living in Sao Paulo municipality (Brazil) in 2015, according to sociodemographic characteristics. Methods Observational study based on cross-sectional individual-level data representative at population level in Sao Paulo, Brazil. Information on 637 adult individuals interviewed in Health Survey of Sao Paulo (ISA-Capital) conducted in 2015 were assessed to identify association among quality of diet, anxiety and depression, and absenteeism. Quality of diet was based on Revised Brazilian Healthy Eating Index of 24-hour recall (moderate to high quality of diet BHEI-R ≥60). Anxiety and depression were identified using International Classification of Diseases (ICD-10). Absenteeism was self-reported by individuals referring to proportion of days of absence of usual activities within last two weeks previous to interview. Probabilistic regressions were estimated to identify associations among target variables in relation to absenteeism (dependent variable), and controlling for sociodemographic characteristics. Statistical analyses were performed using Stata software version 11. Results Individuals interviewed were predominantly men (51.7%), aged approximately 38 years-old with average household income per capita of US$414. Approximately 44.2% men and 42.1% women were eutrophic (18.5 ≤ BMI &lt; 25), and 0.6% of men and women had diagnosis of anxiety and depression. In terms of quality of diet, 49.8% of men and 44.6% of women has moderate to high quality. Approximately 4.7% men and 9.6% women had at least one day of absence at work due to health problems in the two weeks previous to the interview. In probabilistic regression, eutrophic individuals (b = −0.71; P = 0.000) and individuals with moderate to high diet quality (b = −0.60; P = 0.000) had lower probability of absenteeism, whilst individuals with diagnosis of anxiety and depression (b = 1.35; P = 0.000) had higher probability of absenteeism, controlling for sex, age and marital status. Conclusions Anxiety and depression showed significant positive association with proportion of productive days lost in Brazilian adults, whilst eutrophic body weight and healthier diet had negative relation with absenteeism. Funding Sources CAPES; FAPESP; Sao Paulo Municipal Health Department; CNPq.

scholarly journals Evaluation of prenatal care at basic health units in the city of Sao Paulo

2008 ◽  
Vol 16 (6) ◽  
pp. 986-992 ◽  
Author(s):  
Regina Célia de Menezes Succi ◽  
Elisabeth Niglio Figueiredo ◽  
Letícia de Carvalho Zanatta ◽  
Marina Biffani Peixe ◽  
Marina Bertelli Rossi ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Sao Paulo ◽  
São Paulo ◽  
The Public ◽  
Basic Health ◽  
Medical Visits ◽  
Before And After ◽  
The City ◽  
Basic Health Units

The aim of this study was to evaluate the quality of prenatal care offered in 12 Basic Health Units (BHU) in the city of Sao Paulo, Brazil, through a review of medical and nurse charts, before and after the municipalization of the public health system. The indicator used considered excellence in care as: starting prenatal care in the first quarter of pregnancy; at least six medical visits; at least two results of blood screening for syphilis and one for HIV; returning to BHU up to 42 days after delivery. This indicator was not present in any care delivered in 2000, and only 7.7% of the care delivered in 2004 obtained it (1.1% to 30% of the care per unit assessed). Although there was an evident improvement in care during the period, the low proportion of excellent prenatal care shows an urgent need to improve this care in the BHU of São Paulo city.

scholarly journals Expansion of morbidity: trends in healthy life expectancy of the elderly population

2014 ◽  
Vol 60 (5) ◽  
pp. 434-441 ◽  
Author(s):  
Alessandro Gonçalves Campolina ◽  
Fernando Adami ◽  
Jair Licio Ferreira Santos ◽  
Maria Lucia Lebrão
Keyword(s):  
Life Expectancy ◽  
Elderly Population ◽  
Functional Disability ◽  
Well Being ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Basic Activity ◽  
Expansion Of Morbidity

Objective: to analyze the changes in life expectancy (LE) and disability-free life expectancy (DFLE) in São Paulo's elderly population to assess the occurrence of compression or expansion of morbidity, between 2000 and 2010. Methods: cross-sectional and population survey, based on official data for the city of São Paulo, Brazil, and data obtained from the Health, Well-Being and Aging Survey (SABE). Functional disability was defined as difficulty in performing at least one basic activity of daily living. The Sullivan method was used to calculate LE and DFLE for the years 2000 to 2010. Results: from 2000 to 2010, there was an increase in disabled life expectancy (DLE) in all age groups and both sexes. The proportion of years of life free of disability, at 60 years of age, decreased from 57.94% to 46.23% in women, and from 75.34% to 63.65% in men. At 75 years of age, this ratio decreased from 47.55% to 34.54% in women, and from 61.31% to 56.01% in men. Conclusion: the expansion of morbidity is an ongoing process in the elderly population of the municipality of São Paulo, in the period of 2000-2010. These results can contribute to the development of preventive strategies and planning of adequate health services to future generations of seniors.

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