Physicians' attitude towards tobacco dependence in a private hospital in the city of São Paulo, Brazil

OBJECTIVE: To investigate how often physicians identify and treat tobacco dependence and whether characteristics as gender, age, marital status, medical specialty and smoking status can influence their attitude towards this question. METHODS: A cross-sectional study was performed on 515 physicians working in a private hospital in São Paulo, Brazil, using a confidential voluntary questionnaire sent and answered electronically. RESULTS: We found that 89% of physicians who answered the research questionnaire often or always asked their patients about smoking habits, but only 39% often or always treated patients' tobacco dependence. In our sample, 5.8% of individuals were current smokers. Tobacco dependent physicians provided less treatment for smoking dependence compared with those who had never smoked, or were former smokers. Being a clinician was associated with higher probability to treat tobacco dependence. CONCLUSION: Physicians should not only address patients' smoking habits but also provide treatment whenever tobacco dependence is diagnosed. To understand physicians' attitude towards smoking may help to develop strategies to stimulate patients' treatment. The development of smoking cessation programs meant specifically for physicians may also be a strategy to enhance patients' treatment.

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A cross-sectional study assessing the pharyngeal carriage of Neisseria meningitidis in subjects aged 1–24 years in the city of Embu das Artes, São Paulo, Brazil

The Brazilian Journal of Infectious Diseases ◽

10.1016/j.bjid.2017.06.005 ◽

2017 ◽

Vol 21 (6) ◽

pp. 587-595 ◽

Cited By ~ 6

Author(s):

Lily Yin Weckx ◽

Rosana Fiorini Puccini ◽

Antónia Machado ◽

Maria Gisele Gonçalves ◽

Suely Tuboi ◽

...

Keyword(s):

Neisseria Meningitidis ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

The City

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Prevalence of depressive and anxiety symptoms in medical students in the city of Santos

Jornal Brasileiro de Psiquiatria ◽

10.1590/0047-2085000000081 ◽

2015 ◽

Vol 64 (3) ◽

pp. 213-220 ◽

Cited By ~ 8

Author(s):

Rosana Denobile Serra ◽

Sandra Lopes Mattos e Dinato ◽

Marcos Montani Caseiro

Keyword(s):

Depressive Symptoms ◽

Medical Students ◽

Emotional Disorders ◽

Female Gender ◽

Cross Sectional Study ◽

Sao Paulo ◽

Anxiety Symptoms ◽

São Paulo ◽

Cross Sectional ◽

The City

ABSTRACT Objective Ascertain the prevalence of depressive and anxiety symptoms in medical students, considering data in the literature that indicate higher vulnerability to emotional disorders in this population. Methods A descriptive cross-sectional study with a sample of 657 (98%) students. The instruments used were: questionnaire of socioeconomic-demographic characteristics, Beck Depression Inventory and Beck Anxiety Inventory. Results Predominance of the female gender (61%), aged between 17 and 30 years (98%), Catholic religion (64.2%) from the city of São Paulo (40.7%) and other cities in the state (35.7%); 30% presented depressive symptoms and 21% anxiety symptoms. Female students had higher scores both for depression (34.8%) and for anxiety (26.8%). As regards the course year, the highest rates were found in the 5th year (40.7%) for depression and in the 2nd year for anxiety (28.8%). Conclusion The data obtained in this study (30%) agreed with the literature regarding the prevalence of depressive symptoms in medical students, but this index was higher compared to the population in general (15.1% to 16.8%), and related to people in São Paulo city (18.5%). Concerning anxiety the rates found were slightly lower than those in specific literature but higher than those in literature for the population in general (8% to 18%) and in city São Paulo (16.8%). These indices indicate that the school of medicine may play a role as a predisposing and/or triggering factor in some students. The results suggest that more attention should be directed to 5th year students, who are beginning the internship period.

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Alcohol use and risk of vehicle accidents: cross-sectional study in the city of São Paulo, Brazil

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2019.0470.r1.27012020 ◽

2020 ◽

Vol 138 (3) ◽

pp. 208-215

Author(s):

Janaina Barbosa de Oliveira ◽

Florence Kerr-Corrêa ◽

Ícaro Caresia Lopes ◽

Walter Vitti Junior ◽

Hélio Rubens de Carvalho Nunes ◽

...

Keyword(s):

Alcohol Use ◽

Cross Sectional Study ◽

Sao Paulo ◽

São Paulo ◽

Sectional Study ◽

Cross Sectional ◽

Vehicle Accidents ◽

The City

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1022 Association Between Homocysteine and Sleep in Postmenopausal Women

SLEEP ◽

10.1093/sleep/zsaa056.1018 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A388-A389

Author(s):

C V Banzoli ◽

A G Bezerra ◽

V D’Almeida ◽

M L Andersen ◽

S V Tufik ◽

...

Keyword(s):

Postmenopausal Women ◽

Population Based ◽

Cross Sectional Study ◽

Sao Paulo ◽

Hot Flushes ◽

São Paulo ◽

Cross Sectional ◽

Sleep Parameters ◽

Low Hdl ◽

The City

Abstract Introduction Homocysteine (Hcy) is a sulfur amino acid, considered an independent risk factor for cardiovascular disease. Excessive Hcy directly harms the endothelium and can lead to premature atherosclerosis, with progression to stroke and acute myocardial infarction. One of the causes of hyperhomocysteinemia (Hhcy) is known to be hypoestrogenism. Hypoestrogenism increases the cardiovascular risk as well as the occurrence of sleep disorders. Hhcy prevalence varies by population and its value in postmenopausal women in Brazil is unknown. Objective: To evaluate the prevalence of hyperhomocysteinemia in postmenopausal women in the city of São Paulo. Check if there is an association between the variables: Hcy and lipid profile; Hcy and hot flushes; Hcy and subjective sleep parameters Methods A population-based cross-sectional study was conducted that included a total of 1,042 volunteers living in the city of São Paulo in 2007. This research is part of the São Paulo Sleep Epidemiological Study (EPISONO). Study approved by the Ethics Committee (CEP # 0593/06) and registered with ClinicalTrials.gov (NCT00596713). Hcy, total cholesterol, HDL, LDL, triglycerides were measured. Sleep questionnaires PSQI, IGI, Epworth Sleepiness Scale were used. The GLzM (Generalized Linear Model) was used to verify the association between the different variables. Dependent variables were used in binominal and gama distribution when needed Results The sample consisted of 193 postmenopausal women, with a mean age of 58 years (SD ± 9). The prevalence of Hhcy in this sample was 4.7%, while 14.7% had dyslipidemia 22.8% with hypertriglyceridemia and 29% with low HDL levels. There was an association between Hcy and HDL. There was no association between Hcy and hot flushes, Hcy and LDL, nor with Hcy and sleep parameters. Conclusion The studied population presented low prevalence of Hhcy and there was no association between Hcy and sleep parameters. Support This research was support by fellowships from Associação Fundo de Incentivo à Pesquisa (AFIP) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) - Finance Code 001.

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Equity of access to Pap smears: population-based study in Campinas, São Paulo, Brazil

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400060012 ◽

2014 ◽

Vol 17 (suppl 2) ◽

pp. 136-149 ◽

Cited By ~ 2

Author(s):

Vivian Mae Schmidt Lima Amorim ◽

Marilisa Berti de Azevedo Barros

Keyword(s):

Population Based ◽

Cross Sectional Study ◽

Sao Paulo ◽

Pap Smears ◽

São Paulo ◽

Papanicolaou Test ◽

Cross Sectional ◽

Health Related ◽

Equity Of Access ◽

The City

OBJECTIVE: To determine the prevalence of the Papanicolaou exam among women aged 20 to 59 years in the city of Campinas (state of São Paulo, Brazil) and to analyze associations between this test and affiliation to private health insurance plans as well as socioeconomic/demographic variables and health-related behavior. METHOD: To do so, a population-based, cross-sectional study was carried out. Statistical analyses took the study design into account. RESULTS: Despite the significant socioeconomic differences between women with and without private health plans, no differences between these groups were found regarding having been submitted to the Papanicolaou test. In fact no differences were found as to socioeconomic and health variables analyzed. Among all variables analyzed, only marital status was significantly associated with having undergone the test. The Brazilian public health system accounted for 55.7% of the exams. CONCLUSION: The present findings indicate social equity in the city of Campinas regarding the preventive exam for cervical cancer in the age group studied.

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Effects of the social isolation generated by Covid-19 on the quality of life of the population in two Brazilian cities

Journal of Human Growth and Development ◽

10.36311/jhgd.v31.12609 ◽

2021 ◽

Vol 31 (3) ◽

pp. 405-413

Author(s):

Francisco Naildo Cardoso Leitão ◽

Carlos Roberto Teixeira Ferreira ◽

Katiuscia Larsen de Abreu ◽

Maura Bianca Barbary de Deus ◽

Hugo Macedo Junior ◽

...

Keyword(s):

Quality Of Life ◽

Social Isolation ◽

Cross Sectional Study ◽

Sao Paulo ◽

Three Dimensions ◽

São Paulo ◽

Cross Sectional ◽

The Social ◽

The City

Introduction: COVID-19 is a highly transmissible virus that is causing very serious problems in the health of the world, generating major political and financial problems. There are numerous risk factors related to this disease, ranging from morbidities to social and family issues. Objective: to evaluate the effects of the social isolation generated by Covid-19 on the quality of life in the population of two Brazilian cities. Methods: cross-sectional study. The research was carried out in two different cities of the Brazilian confederation. One in Santo André, São Paulo and the other in Rio Branco, Acre, both in Brazil. This is a survey with an online platform, using the drive’s Google Forms tool to assess the population’s quality of life through the SF-36 protocol. The selection was carried out randomly in both groups (Acre and São Paulo), having respectively 109 and 62 participants in this first moment. Results: regarding gender, women are in greater numbers participating in the city of Santo André, São Paulo than in Rio Branco, Acre, both in Brazil, with (80.6% and 48.6%), respectively. Likewise, in relation to the age group Santo André has an average age younger than in Rio Branco. When we compared the dimensions between the two states, performing a Mann-Whitney statistical analysis, statistical differences appeared in three dimensions, which were functional capacity, pain, and vitality, with better quality of life in these three domains for the city of Rio Branco. Conclusion: the city of Rio Branco, Acre, Brazil, has a positive score when compared to the city of Santo André, São Paulo, Brazil, in most of the domains analyzed.

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Population-based Cross-sectional Analysis of the Epidemiology of the Surgical Correction of Hyperhidrosis in 1216 Patients over 11 years

10.1101/2021.09.14.21263594 ◽

2021 ◽

Author(s):

Marcelo Fiorelli Alexandrino da Silva ◽

Andressa Cristina Sposato Louzada ◽

Marcelo Passos Teivelis ◽

Nickolas Stabellini ◽

Dafne Braga Diamante Leiderman ◽

...

Keyword(s):

Intensive Care ◽

Population Based ◽

Cross Sectional Study ◽

Sao Paulo ◽

Public Hospitals ◽

Hospital Death ◽

São Paulo ◽

Cross Sectional ◽

Thoracic Sympathectomy ◽

The City

AbstractBackgroundEndoscopic thoracic sympathectomy is the definitive surgical treatment for hyperhidrosis, and a nationwide study suggested that it has been performed in a higher rate than which could have been expected due to climate characteristics, comparing to the national statistics.ObjectivesTo study the epidemiology of sympathectomy to treat hyperhidrosis in São Paulo, the largest city in the Southeast.Design and settingpopulation-based cross-sectional study.Methodsdata on sympathectomies to treat hyperhidrosis between 2008 and 2018 were assessed from the database of the Municipal Health Secretary of São Paulo, Brazil.Results65.29% of the patients were female, 66.2% aged between 20 and 39 years and 37.59% had addresses registered outside São Paulo. 1216 procedures were performed in the city of São Paulo from 2008 to 2018, 78.45% of which in only two public hospitals. The number of procedures significantly declined over the years (p = 0.001). 71.63% of the procedures were associated with 2 to 3 days of hospital stay, only 78 intensive care unit days were billed and we did not observe any intra-hospital death.Conclusionssympathectomies for the treatment of HH were widely performed in the city of São Paulo (1216 procedures), mainly in young (20 -39 years) and female patients, with more than one third of the patients having addresses registered outside the city. This is a very safe surgery, with low need for intensive care units and no mortality in our series. There was a decreasing trend in the number of surgeries over the years.

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Mix of destinations and sedentary behavior among Brazilian adults: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-020-10123-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alex Antonio Florindo ◽

Gavin Turrell ◽

Leandro Martin Totaro Garcia ◽

João Paulo dos Anjos Souza Barbosa ◽

Michele Santos Cruz ◽

...

Keyword(s):

Built Environment ◽

Sedentary Behavior ◽

Latin American ◽

Cross Sectional Study ◽

Sao Paulo ◽

Sitting Time ◽

São Paulo ◽

Related Factors ◽

Cross Sectional ◽

Economies In Transition

Abstract Background Sedentary behavior is influenced by contextual, social, and individual factors, including the built environment. However, associations between the built environment and sitting time have not been extensively investigated in countries with economies in transition such as Brazil. The objective of this study is to examine the relationship between sitting-time and access to a mix of destinations for adults from Sao Paulo city, Brazil. Methods This study uses data from the Health Survey of Sao Paulo. Sedentary behavior was assessed by a questionnaire using two questions: total sitting time in minutes on a usual weekday; and on a usual weekend day. The mix of destinations was measured by summing the number of facilities (comprising bus stops, train/subway stations, parks, squares, public recreation centres, bike paths, primary health care units, supermarkets, food stores, bakeries, and coffee-shops) within 500 m of each participant’s residence. Minutes of sitting time in a typical weekday and weekend day were the outcomes and the mix of destinations score in 500 m buffers was the exposure variable. Associations between the mix of destinations and sitting time were examined using multilevel linear regression: these models accounted for clustering within census tracts and households and adjusted for environmental, sociodemographic, and health-related factors. Results After adjustment for covariates, the mix of destinations was inversely associated with minutes of sitting time on a weekday (β=− 8.8, p=0.001) and weekend day (β=− 6.1, p=0.022). People who lived in areas with a greater mix of destinations had shorter average sitting times. Conclusion Greater mix of destinations within 500 m of peoples’ residences was inversely associated with sitting time on a typical weekday and weekend day. In Latin American cities like Sao Paulo built environments more favorable for walking may contribute to reducing sedentary behavior and prevent associated chronic disease.

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ORTHOPEDIC INJURIES IN MEN'S PROFESSIONAL SOCCER IN BRAZIL: PROSPECTIVE COMPARISON OF TWO CONSECUTIVE SEASONS 2017/2016

Acta Ortopédica Brasileira ◽

10.1590/1413-785220182605194940 ◽

2018 ◽

Vol 26 (5) ◽

pp. 338-341 ◽

Cited By ~ 1

Author(s):

Eduardo Ramalho de Moraes ◽

Gustavo Gonçalves Arliani ◽

Paulo Henrique Schmidt Lara ◽

Eli Henrique Rodrigues da Silva ◽

Jorge Roberto Pagura ◽

...

Keyword(s):

Cross Sectional Study ◽

Sao Paulo ◽

Lower Limbs ◽

São Paulo ◽

Level Of Evidence ◽

Cross Sectional ◽

Paulo State ◽

Professional Soccer ◽

Prospective Comparison ◽

São Paulo State

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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Cerebrovascular diseases mortality in the elderly in the state of São Paulo

10.5327/1516-3180.417 ◽

2021 ◽

Author(s):

Isaac Rêgo Purificação ◽

Allêh Kauãn Santos Nogueira ◽

Matheus Araújo de Souza ◽

Camila de Almeida Costa Alencar ◽

Sancha Mohana Brito Goes Rios

Keyword(s):

Age Groups ◽

The Elderly ◽

Cross Sectional Study ◽

Cerebrovascular Diseases ◽

Sao Paulo ◽

Primary Objective ◽

The State ◽

São Paulo ◽

Cross Sectional ◽

Lack Of Information

Background: Cerebrovascular disease (CVD) is the world 2nd death cause and the main cause of disability. Nevertheless, there is a lack of information regarding the mortality profile for this etiology in the last decade. Objective and Methods: Using prospectively collected data available in TabNet (DataSUS) platform, a descriptive and cross-sectional study was conducted. The primary objective is to access the demographic information most associated with DCV mortality in individuals older than 50 years-old, in São Paulo (SP), from 2010 to 2019. Results: The highest mortality in the state of SP was in 2019 (16,945 deaths), according to the growing trend; in the 2010-2019 period, the annual mean by city of deaths (± standard deviation [SD]) was 14,885 (± 1,341). During these years, the number of deaths was higher in the municipality of São Paulo (57,013; 31%). The annual mean deaths (± SD) in the capital and in the interior cities were, respectively: 4,684 (± 269) and 31 (± 58). The age groups from 70 to 79 years and over 80 years were the most affected. Caucasian race represents 71% of deaths. Individuals with 1 to 3 years of school were more affected (38%). The ratio of male deaths to female deaths was 1.02. Conclusion: In the last decade, there was an increasing mortality by CVD among the elderly population, and the city of São Paulo leads the number of cases.

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