Evaluation of prenatal care according to indicators for the Prenatal and Birth Humanization Program

Abstract Objectives: to evaluate prenatal care provided to low-risk pregnant women users of the Sistema Único de Saúde (SUS) (Public Health System) in the city of Joinville, SC. Methods: this is a cross-sectional observational study carried out from March 2018 to February 2019, through interview and analysis of the Pregnant Card of puerperal over 18 years old, from Joinville, who underwent prenatal care at SUS, excluding recent given up puerperal. Prenatal care was evaluated according to the recommended criteria by the Prenatal and Birth Humanization Program. Results: 683 mothers were interviewed. The criteria with the highest levels of adequacy were accessibility (99.6%), early initiation on prenatal care (92.7%) and 6 or more consultations (87.1%) and the criteria with the lowest rates of adequacy were the set of guidelines (17.7%) and the third and first trimester exams (42.5% and 63.5% respectively). Conclusion: it is concluded that the prenatal care provided by SUS in the city of Joinville, despite the almost universal accessibility, the early onset and the prevalence of puerperal women with more than 6 consultations, showed a sharp decline in the analysis of the recommended indicators.

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Vaccination knowledge, attitudes and practices in patients with HIV: a cross-sectional survey

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.824 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Rousset ◽

G Voglino ◽

E Boietti ◽

A Corradi ◽

M R Gualano ◽

...

Keyword(s):

Public Health ◽

Infectious Diseases ◽

Health System ◽

Vaccination Coverage ◽

Public Health System ◽

Cross Sectional Survey ◽

Hiv Patients ◽

Cross Sectional ◽

Contagion Risk ◽

High Level

Abstract Background Infectious diseases are more common and severe in patients with HIV, which show different response to vaccines and a diminished protection. It is therefore very important to assess knowledge and attitudes towards vaccination in people with HIV, since precise vaccination coverage and vaccine hesitancy are not well established in this subgroup of patients. Methods A sample of 119 patients with HIV completed a cross-sectional survey. Patients were recruited during their routine medical examination at the infectious diseases clinic in Turin. The survey explored these main areas: demographics and history of HIV infection, vaccination history, attitudes towards vaccination, confidence in the public health system, contagion risk and disease seriousness perception. In this preliminary phase descriptive analysis were conducted. Results Preliminary data show that mean age of the participants was 49.51 years, 80% were males. The median of HIV infection duration was 10 years, while the median of the lymphocyte count was 762.50 cells/mm3. The disease with the highest vaccination coverage was tetanus (88.7%), considered a serious or very serious disease by 85.6% of the participants, despite low or very low contagion risk perception (84.1%). The disease with the lowest vaccination coverage was Herpes Zoster (7.3%), despite high or very high seriousness perception (70%). Furthermore, 99.1% of the participants showed high or very high confidence toward public health system professionals, and the majority of them (59.5%) stated that vaccines are more useful for the community than for the single person. Conclusions Vaccination coverage is still not fully satisfactory regarding diseases considered infrequent or mild. Considering the high level of confidence toward the public health system that has emerged, it is necessary to implement informative and operative strategies about vaccination for European HIV patients, which are particularly at risk regarding infectious diseases. Key messages Vaccination coverage and risk perception in HIV patients is not satisfactory for many diseases and an effort to implement informative strategies in Europe is needed. The role of vaccination in preventing infectious diseases in HIV patients should be recognized and strengthened by relying on the high level of confidence toward European public health systems.

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Knowledge of healthcare professionals about rights of patient’s images

Einstein (São Paulo) ◽

10.1590/s1679-45082015ao3207 ◽

2015 ◽

Vol 13 (2) ◽

pp. 255-259 ◽

Cited By ~ 3

Author(s):

Bianca Rodrigues Caires ◽

Maria Carolina Barbosa Teixeira Lopes ◽

Meiry Fernanda Pinto Okuno ◽

Cássia Regina Vancini-Campanharo ◽

Ruth Ester Assayag Batista

Keyword(s):

Observational Study ◽

Teaching Hospital ◽

Nursing Staff ◽

Healthcare Professionals ◽

Physical Therapists ◽

Hospital Setting ◽

Penal Code ◽

Healthcare Organizations ◽

Cross Sectional ◽

The City

Objective To assess knowledge of healthcare professionals about capture and reproduction of images of patients in a hospital setting. Methods A cross-sectional and observational study among 360 healthcare professionals (nursing staff, physical therapists, and physicians), working at a teaching hospital in the city of São Paulo (SP). A questionnaire with sociodemographic information was distributed and data were correlated to capture and reproduction of images at hospitals. Results Of the 360 respondents, 142 had captured images of patients in the last year, and 312 reported seeing other professionals taking photographs of patients. Of the participants who captured images, 61 said they used them for studies and presentation of clinical cases, and 168 professionals reported not knowing of any legislation in the Brazilian Penal Code regarding collection and use of images. Conclusion There is a gap in the training of healthcare professionals regarding the use of patient´s images. It is necessary to include subjects that address this theme in the syllabus of undergraduate courses, and the healthcare organizations should regulate this issue.

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Frequency and Severity of Adverse Drug Reactions to Medications Prescribed for Alzheimer’s Disease in a Brazilian City: Cross-Sectional Study

Frontiers in Pharmacology ◽

10.3389/fphar.2020.538095 ◽

2020 ◽

Vol 11 ◽

Author(s):

Tânia Regina Ferreira ◽

Luciane Cruz Lopes ◽

Cristiane de Càssia Bergamaschi

Keyword(s):

Public Health ◽

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Health System ◽

Psychiatric Disorders ◽

Public Health System ◽

Cross Sectional Study ◽

Sectional Study ◽

Drug Reactions ◽

Cross Sectional

Background: There is lack of national studies that assess the risks associated with the drugs provided under the Brazilian public health system for treating Alzheimer’s disease. Then, this study determined the prevalence and severity of self-reported adverse drug reactions (ADRs) prescribed to patients with Alzheimer’s disease in the Brazilian public health system.Methods: A cross-sectional study was carried out based on public data from the MEDEX system (information on dispensing data, known as exceptional dispensing medications) and interviews with patients and/or caregivers who get access to Alzheimer’s drugs at a public pharmacy in a large Brazilian city, between July and September 2017, inquiring about ADRs and serious adverse events (SAEs).Results: The subjects were asked about ADRs and SAEs related to the use of donepezil, galantamine, rivastigmine and memantine. Out of 285 patients enrolled on the database, 250 participated in the study (87.7%). Among the participants, approximately 63.0% were female, 70.3% aged ≥75 years and 70.3% had comorbidities. Overall, 209 patients (83.6%) reported at least one ADR (total 1,149 ADRs) and rivastigmine was associated with the largest number of ADRs per patient (7.9 ADRs/patient). The predominant adverse effects were psychiatric disorders with common frequency (57.1%) and mild severity (89.0%). Six patients (2.4%) had SAEs that required hospitalization. The use of antipsychotics was the variable associated with ADR (OR = 4.95; 95% CI: 1.45–16.93; p = 0.011).Conclusion: There was a large number of reported ADRs and most of them were of common frequency and mild severity, being mainly related to psychiatric disorders. Considering the fragility of these patients, it is important to improve safety-related care in the use of drugs for treating this disease.

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A cross-sectional study on dental surgeons’ immune status against hepatitis B virus in the Public Health System

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s1678-9946202062018 ◽

2020 ◽

Vol 62 ◽

Author(s):

Clea Adas Saliba Garbin ◽

Bruno Wakayama ◽

Tânia Adas Saliba ◽

Orlando Adas Saliba Junior ◽

Artênio José Ísper Garbin

Keyword(s):

Public Health ◽

Hepatitis B Virus ◽

Hepatitis B ◽

Immune Status ◽

Public Health System ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

The Public ◽

B Virus

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Characteristics of citizens and their use of teleconsultation in Primary Care in the Catalan public health system before and during COVID: Retrospective Descriptive Cross-Sectional Study (Preprint)

Journal of Medical Internet Research ◽

10.2196/28629 ◽

2021 ◽

Author(s):

Oscar Solans ◽

Josep Vidal-Alaball ◽

Pasqual Roig Cabo ◽

Núria Mora ◽

Ermengol Coma ◽

...

Keyword(s):

Public Health ◽

Primary Care ◽

Health System ◽

Public Health System ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Prevalence of multiple sclerosis in Goiânia, Goiás, Brazil

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20190032 ◽

2019 ◽

Vol 77 (5) ◽

pp. 352-356

Author(s):

Taysa Alexandrino Gonsalves Jubé Ribeiro ◽

Aline Leite Duarte ◽

Delson José da Silva ◽

Fernando Elias Borges ◽

Vanessa Maia da Costa ◽

...

Keyword(s):

Multiple Sclerosis ◽

Great Increase ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Accurate Evaluation ◽

True Prevalence ◽

The Third ◽

Midwest Region ◽

The City

ABSTRACT Multiple sclerosis (MS) prevalence, in some cities in Brazil, was estimated and was found to range from 0.75 to 30.7/100,000. The reasons for such a large variation in rates of prevalence are not clear, but environment and genetics help to explain this phenomenon. Methods: A cross-sectional study using three sources of case ascertainment to estimate the prevalence of MS in the city of Goiânia in December, 2015. Results: A total of 318 MS patients was found after removing overlapping sources. The prevalence of MS was 22.4/100,000 population. Conclusion: Our study was the first in Goiás and the third in the midwest region, and we found a great increase in the prevalence of MS in the region. It is necessary to perform other studies using the same methodology for a more accurate evaluation of the true prevalence of MS in Brazil.

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Profile of patients with rheumatic diseases undergoing treatment with anti-TNF agents in the Brazilian Public Health System (SUS), Belo Horizonte - MG

Brazilian Journal of Pharmaceutical Sciences ◽

10.1590/s1984-82502015000300023 ◽

2015 ◽

Vol 51 (3) ◽

pp. 709-719 ◽

Cited By ~ 1

Author(s):

Haliton Alves de Oliveira Junior ◽

Alessandra Maciel Almeida ◽

Francisco Assis Acurcio ◽

Jéssica Barreto dos Santos ◽

Adriana Maria Kakehasi ◽

...

Keyword(s):

Public Health ◽

Health System ◽

Rheumatic Diseases ◽

Public Health System ◽

Standard Form ◽

Female Gender ◽

Well Being ◽

Cross Sectional ◽

The Mean ◽

Belo Horizonte

The aim of this study was to describe the baseline demographic and clinical characteristics as well as the functional status of a prospective cohort of patients with rheumatic diseases assisted by the Brazilian Public Health System (SUS). Data for 302 patients receiving tumor necrosis factor α inhibitors (anti-TNF agents) was collected through a standard form. Among patients, 229 (75.8%) were female and 155 (51.3%) were Caucasian; the mean age was 50.3 ± 12.8 years, and the mean disease duration was 9.9 ± 8.7 years. Among them 214 patients (70.9%) received adalimumab, 72 (23.8%) etanercept, and 16 (5.3%) infliximab. Mean Health Assessment Questionnaire-Disability Index (HAQ-DI) was 1.37 ± 0.67 for all participants. Poor functional response was associated with female gender, married patients and with a score of < 0.6 on the EuroQoL-5 dimensions (EQ-5D). Significant correlation was found between the HAQ-DI values, disease activity and quality of life (QOL). The results obtained in this study contribute to a better understanding of the clinical and demographic characteristics of patients with rheumatic diseases at the beginning of anti-TNF-agent treatment by SUS. Furthermore, our findings are consistent with another Brazilian and foreign cross-sectional investigations. This knowledge can be of great importance for further studies evaluating the effectiveness of biological agents, as well as, to contribute to improve the well-being of the patients with rheumatic diseases.

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Cost Effectiveness Analysis Of Varenicline Use For Smoking Cessation In The City Of São Paulo From The Public Health System Perspective

Value in Health ◽

10.1016/j.jval.2014.03.1029 ◽

2014 ◽

Vol 17 (3) ◽

pp. A176

Author(s):

L.D. Portela ◽

J.S. Issa ◽

V.G. Santos ◽

P.C.J.D.L. Santos ◽

A.D.C. Pereira ◽

...

Keyword(s):

Public Health ◽

Smoking Cessation ◽

Cost Effectiveness ◽

Health System ◽

Public Health System ◽

System Perspective ◽

The Public ◽

Effectiveness Analysis ◽

The City ◽

Health System Perspective

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Trends in fruit, vegetable and salad intakes in 9–10-year-old schoolchildren living in Liverpool, 2000–2005

Public Health Nutrition ◽

10.1017/s1368980007352506 ◽

2007 ◽

Vol 10 (3) ◽

pp. 252-255 ◽

Cited By ~ 16

Author(s):

B Johnson ◽

AF Hackett

Keyword(s):

Observational Study ◽

Outcome Measures ◽

Primary Schools ◽

Vegetable Intake ◽

Upward Trend ◽

Cross Sectional ◽

Eating Fruit ◽

Specific Factors ◽

The City

AbstractObjectiveTo report on the fruit, vegetable and salad intakes of Liverpool schoolchildren aged 9–10 years over a 5-year period (2000–2005).DesignCross-sectional observational study.SettingBetween 75 and 100 Liverpool primary schools took part in each survey year.SubjectsSubjects consisted of five separate cohorts of 9–10-year-old children from all areas of the city.Main outcome measuresNumber and proportion of boys and girls who reported eating fruit, vegetables and salad on the previous day.ResultsThere was an upward trend in the reported intake of fruit between 2002 and 2005. Girls were more likely than boys to report eating fruit (P < 0.001). The trend in salad intake was positive. Between 2000 and 2005 there were significant increases in the number of boys (χ2 = 17.57, P = 0.001) and girls (χ2 = 80.56, P = 0.001) eating salad. Girls were significantly more likely to eat salad than boys in all years (χ2 = 58.75, P = 0.001). Trends in vegetable intake were similar to those for salad, with both sexes reporting yearly increases over the 5-year period. The increase in the number of boys who reported eating vegetables between 2000 and 2005 was 23.5% (χ2 = 32.9, P = 0.000). In girls there was a 44.8% increase over the same period (χ2 = 110.3, P < 0.000).ConclusionsThe data reveal positive trends in the fruit, vegetable and salad intakes of Liverpool schoolchildren between 2000 and 2005. Further research is needed to elucidate the specific factors that have enabled the changes to take place.

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