scholarly journals Barriers to control syphilis and HIV vertical transmission in the health care system in the city of Sao Paulo

2014 ◽  
Vol 17 (4) ◽  
pp. 887-898 ◽  
Author(s):  
Valdete Maria Ramos ◽  
Elisabeth Niglio de Figueiredo ◽  
Regina Célia de Menezes Succi
Keyword(s):  
Health Care ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Hospital Discharge ◽  
Vertical Transmission ◽  
Health Care Professionals ◽  
Sao Paulo ◽  
University Hospital ◽  
Healthcare Personnel ◽  
São Paulo

OBJECTIVE: The objective of this study was to identify possible barriers to control vertical transmission of syphilis and HIV through the analysis of the orientation process of pregnant women from prenatal care to the obstetric center at an university hospital in Sao Paulo (Reference) and their return (with their exposed babies) for follow-up after hospital discharge (counter-reference). METHODS: It is a retrospective cross-sectional study including interviews with healthcare personnel. Pregnant women with syphilis and/or HIV-infection admitted for labor or miscarriage were identified from August 2006 to August 2007. Routine care for mothers and babies were analyzed. RESULTS: 56 pregnant women were identified: 43 were HIV-infected, 11 had syphilis and two were coinfected (syphilis/HIV); 22 health care professionals were interviewed. Prenatal care was identified in 91.1% of these women: 7/11 (63.6%) with syphilis; 44/45 (97.8%) HIV-infected or coinfected. The reference for delivery was satisfactory for 57.7% of the syphilis-infected women and 97.7% of the HIV-infected ones. The counter-reference was satisfactory for all babies and mothers at hospital discharge, besides the non-adherence to this recommendation. Interviews with health care professionals showed there are better routines for assisting and following-up pregnant women, puerperal women and HIV-infected or exposed babies than for those infected with syphilis. The epidemiological report and surveillance system are also better for HIV-infected patients. CONCLUSION: The difficulties in the reference and counter-reference system of these women and their babies are evident barriers to control the vertical transmission of these infectious diseases.

scholarly journals Building a "Smiling Brazil"? Implementation of the Brazilian National Oral Health Policy in a health region in the State of São Paulo

2015 ◽  
Vol 31 (1) ◽  
pp. 82-96 ◽  
Author(s):  
Aline Guerra Aquilante ◽  
Geovani Gurgel Aciole
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Health Care Professionals ◽  
Health Department ◽  
Work Conditions ◽  
Oral Health Care ◽  
Sao Paulo ◽  
São Paulo ◽  
Oral Health Policy

This paper is a case study on the implementation of the Brazilian National Oral Health Policy (PNSB), known as "Smiling Brazil", in the cities of the Regional Health Department of Araraquara (DRS III) in São Paulo State. A structured questionnaire was given to the municipal oral health coordinators, an interview with oral health care professionals and managers was conducted, and the official data provided by the Brazilian Ministry of Health were coded to assess the policy's scope: (i) expansion and qualification of actions; (ii) work conditions; (iii) care; (iv) access; and (v) planning and management. The quantitative and qualitative analyses were linked by methods triangulation. In terms of PNSB implementation, the majority of the cities (52.6%) were classified as "good", with 42.1% classified as "bad". Approximately 10 years after launching the PNSB, despite strides in oral health care and access to different levels of care, the cities still experience difficulties in implementing the policy's principles.

scholarly journals COVID-19 pandemic impact on dentists in Latin America’s epicenter: São-Paulo, Brazil

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256092
Author(s):  
Tatiane Fernandes Novaes ◽  
Maisa Camillo Jordão ◽  
Carlos Felipe Bonacina ◽  
André Oswaldo Veronezi ◽  
Carlos Ariel Rodrigues de Araujo ◽  
...  
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Professionals ◽  
Negative Impact ◽  
Sao Paulo ◽  
The State ◽  
Financial Impact ◽  
São Paulo ◽  
Ordinal Logistic Regression Analysis ◽  
The Impact

The state of São Paulo, Brazil, where more than 94.000 dentists are currently registered, has become the epicenter of COVID-19 in Latin America. The aim of this cross-sectional study was to evaluate the impact of COVID-19 pandemic on dentists in this state. A semi-structured questionnaire was sent via e-mail to 93.280 dentists with active registration in the Dental Council of São Paulo (CROSP). The impact of COVID-19 pandemic was assessed through questions related to demographic, socioeconomic, dental practice characteristics and personal protective equipment (PPE) use. Ordinal logistic regression analysis was performed to investigate the association between all the variables (p<0.05). Over 8 days, 2113 responses were received. Only 26.52% of the sample reported a low-income reduction (from 0–10%), while the majority of dentists reported a more negative financial impact, 35.6% with a reduction of more than 50% of their monthly income. Dentists who worked in the private sector and at the capital had a greater financial impact when compared to those of the public sector and countryside of the state (p<0.05). Furthermore, about 83% reported not having received any specific training to control the transmission of coronavirus in the health area. This study provides evidence of the negative impact of the COVID-19 pandemic on the routine of dentists in the state of São Paulo, Brazil. Hopefully, this study will help dental and other health care professionals to better understand the consequences of disease in dental settings and strengthen preparedness throughout the dental health care system.

Drug Use by Pregnant Women

2017 ◽  
Author(s):  
Linda C. Fentiman
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Drug Use ◽  
Prenatal Care ◽  
Drug Treatment ◽  
Pregnant Women ◽  
Health Care Professionals ◽  
Drug Users ◽  
Substance Use And Abuse ◽  
Weak Evidence

This chapter examines the use of drugs—both legal and illegal–by pregnant women, noting increased medical and legal supervision of pregnancy and women’s substance use and abuse. Many states require health care professionals to report pregnant women who admit to, or are suspected of, using alcohol or other drugs. The result can be involuntary detention commitment for “treatment.” Women have been prosecuted for homicide after they suffer a stillbirth despite weak evidence that the stillbirth was caused by drug use. Prosecution of these women is counterproductive, because it drives pregnant drug users underground, away from both prenatal care and drug treatment.

Prenatal Care among Low-Income Women

1994 ◽  
Vol 75 (3) ◽  
pp. 152-159 ◽  
Author(s):  
Marjorie A. Schaffer ◽  
Betty Lia-Hoagberg
Keyword(s):  
Health Care ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Low Income ◽  
Healthcare Personnel ◽  
Care Providers ◽  
Healthy Baby ◽  
Low Income Women ◽  
High Level

Forty low-income pregnant women were interviewed about the personal, family, and provider rewards and costs they experienced in obtaining prenatal care. The women identified important rewards as the health of their babies, their own health, partner's desire for a healthy baby, monitoring of the pregnancy by qualified healthcare personnel, and the evaluation of problems by health-care providers. The authors suggest strategies to strengthen personal, family, and provider rewards aimed at achieving a high level of prenatal care for low-income women.

scholarly journals Regional variation in toxoplasmosis seronegativity in the São Paulo metropolitan region

1993 ◽  
Vol 35 (6) ◽  
pp. 479-483 ◽  
Author(s):  
A.C.S. Guimarães ◽  
M. Kawarabayashi ◽  
M.M. Borges ◽  
J.E. Tolezano ◽  
H.F. Andrade Jr.
Keyword(s):  
Public Health ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Age Groups ◽  
Sao Paulo ◽  
Human Infection ◽  
Metropolitan Region ◽  
Socioeconomic Background ◽  
São Paulo ◽  
Public Health Services

Toxoplasmosis is a highly prevalent zoonotic human infection caused by the Apicomplexa protozoon Toxoplasma gondii. The acute disease is usually mild or asymptomatic, except for foetal infection transmitted by acutely infected pregnant women, which courses as a devastating disease. In order to determine possible regional variations in risk factors, we studied the frequency of seronegativity in areas of the São Paulo Metropolitan Region, comparing liters and age groups. The prevalence of seronegativity was determined retrospectively in 1286 pregnant women receiving prenatal care at public health services in four selected areas of the São Paulo Metropolitan Region of similar socioeconomic background. The São Paulo City area had the higher frequency of seronegativity (41.1%), followed by the Northwest (31.5%) and Southwest (29.9%) areas, with similar intermediate levels, and by the Northeast (22.5%) area with the lowest frequency (p<0.001). A rough estimate disclosed about 280 infected infants/year in the São Paulo Metropolitan Region. Serological titers analyzed by age group suggested a decline in antibody levels with age, as shown by a lower frequency of higher titers in older groups. Our study emphasizes the importance of determining the regional prevalence of toxoplasmosis for proper planning of public health prenatal care.

scholarly journals The challenge of the reference and counter-reference system in the prenatal assistance to pregnant women with infectious diseases

2009 ◽  
Vol 81 (3) ◽  
pp. 551-558 ◽  
Author(s):  
Elisabeth N. Figueiredo ◽  
Lucila A. C. Vianna ◽  
Marina B. Peixe ◽  
Valdete M. Ramos ◽  
Regina C. M. Succi
Keyword(s):  
Hepatitis B ◽  
Infectious Diseases ◽  
Pregnant Women ◽  
Vertical Transmission ◽  
Reference System ◽  
Sao Paulo ◽  
São Paulo ◽  
Transmission Rates ◽  
Basic Health ◽  
Basic Health Units

The objective of this study was to determine the prevalence of infectious diseases, such as syphilis, acquired immune deficiency syndrome (AIDS) and hepatitis B and C, in pregnant women who undertook their prenatal care in thirteen basic health units (BHU) in São Paulo city. The efficiency of the reference and counter-reference system in such prenatal infectious diseases was evaluated considering the medical recordings of the final result of the pregnancy and the vertical transmission rates of these diseases. It consists of an epidemiologic study whose observations were based on the notes of the prenatal medical and nurse records of pregnant women who had infectious diseases susceptible to vertical transmission and final infectious status registers of their concepts. Women's syphilis prevalence was 0. 86%, HIV and Hepatitis B was 0. 22% and Hepatitis C was 0. 36%. It's possible to conclude that there is no register of the reference and counter-reference system of these infectious diseases analyzed at the thirteen basic health units of the south-east region of São Paulo city evaluated in 2005. This lack of register makes it impossible to know the preventive measures taken and the vertical transmission rates. Making the professionals and the Health Coordination authorities aware of the importance of the dynamic of the prenatal attendance is necessary.

scholarly journals COVID-19 in health care workers in a university hospital during the quarantine in São Paulo city

2020 ◽  
Vol 24 (5) ◽  
pp. 462-465 ◽  
Author(s):  
Klinger Soares Faíco-Filho ◽  
Joseane Mayara Almeida Carvalho ◽  
Danielle Dias Conte ◽  
Luciano Kleber de Souza Luna ◽  
Nancy Bellei
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Sao Paulo ◽  
University Hospital ◽  
São Paulo ◽  
Care Workers

scholarly journals Evaluation of hospitalization costs for diabetic pregnant women in a University Hospital in the interior of São Paulo State

2012 ◽  
Vol 34 (0) ◽  
Author(s):  
Silvana Andrea Molina Lima ◽  
Ana Claudia Molina Cavassini ◽  
Ligia Nogueira Manso ◽  
Marilza Vieira Cunha Rudge
Keyword(s):  
Pregnant Women ◽  
Sao Paulo ◽  
University Hospital ◽  
São Paulo ◽  
Paulo State ◽  
Hospitalization Costs ◽  
São Paulo State

scholarly journals PTSD and Burnout are Related to Lifetime Mood Spectrum in Emergency Healthcare Operator

2020 ◽  
Vol 16 (1) ◽  
pp. 165-173 ◽  
Author(s):  
Claudia Carmassi ◽  
Carlo Antonio Bertelloni ◽  
Maria Teresa Avella ◽  
Ivan Cremone ◽  
Enrico Massimetti ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
University Hospital ◽  
Healthcare Personnel ◽  
Work Related ◽  
Dsm 5 ◽  
Real Nature ◽  
The Relationship ◽  
High Comorbidity ◽  
Specific Scale

Background: PTSD and burnout are frequent conditions among emergency healthcare personnel because exposed to repeated traumatic working experiences. Increasing evidence suggests high comorbidity between PTSD and mood symptoms, particularly depression, although the real nature of this relationship still remains unclear. The purpose of this study was to investigate the relationship between PTSD, burnout and lifetime mood spectrum, assessed by a specific scale, among health-care professionals of a major University Hospital in Italy. Methods: N=110 Emergency Unit workers of the Azienda Ospedaliero-Universitaria Pisana (Pisa, Italy) were assessed by the TALS-SR, MOODS-SR lifetime version and the ProQOL R-IV. Results: Approximately 60% of participants met at least one PTSD symptom criterion (criterion B, 63.4%; criterion C, 40.2%; criterion D 29.3%; criterion E, 26.8%), according to DSM-5 diagnosis. Almost sixteen percent of the sample reported a full symptomatic DSM-5 PTSD (work-related) diagnosis, and these showed significantly higher scores in all MOODS-SR depressive domains, as well as in the rhythmicity domain, compared with workers without PTSD. Further, mood-depressive and cognition-depressive MOODS-SR domains resulted to be predictive for PTSD. Significant correlations emerged between either PTSD diagnosis and criteria or ProQOL subscales and all the MOOD-SR domains. Conclusion: A significant association emerged among PTSD, burnout and lifetime MOOD Spectrum, particularly the depressive component, in emergency health care operators, suggesting this population should be considered at-risk and undergo regular screenings for depression and PTSD.

scholarly journals Syphilis in Pregnancy: Profile and Associated Factors in the Northwest Region of São Paulo State

2021 ◽  
Vol 14 (3) ◽  
pp. 1-10
Author(s):  
Cléa Adas Saliba Garbin ◽  
Lia Borges de Mattos Custódio ◽  
Orlando Adas Saliba Júnior ◽  
Artênio José Ísper Garbin ◽  
Suzely Adas Saliba Moimaz
Keyword(s):  
Pregnant Women ◽  
Vertical Transmission ◽  
Congenital Syphilis ◽  
Transmission Rate ◽  
Public Health Problem ◽  
Sao Paulo ◽  
São Paulo ◽  
Significance Level ◽  
Vertical Transmission Rate ◽  
Northwest Region

Brazil is undergoing an epidemic of syphilis. In the pregnancy-puerperal cycle, syphilis has a high incidence and is considered a public health problem. This study aimed to perform the temporal and incidence analysis of gestational and congenital syphilis cases in 28 municipalities in the northwest region of the state of São Paulo. This was an observational, epidemiological, ecological study carried out with secondary data collected between 2010 and 2017 in public databases of SINAN and SINASC. The reported cases of gestational/congenital syphilis were described according to sociodemographic variables and chi-square association tests were applied at a significance level of 5%. There were 350 cases of gestational syphilis and 164 cases of congenital syphilis; the average vertical transmission rate was 44.09%; partners had low adherence to treatment; and 86.59% pregnant women attended prenatal care. It can be concluded that vertical transmission rate of syphilis is high, and few partners of pregnant women adhere to the treatment.

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