scholarly journals Judicial demand of medications through the Federal Justice of the State of Paraná

2017 ◽  
Vol 15 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Renato Mitsunori Nisihara ◽  
Ana Carolina Possebom ◽  
Luiza de Martino Cruvinel Borges ◽  
Ana Claudia Athanasio Shwetz ◽  
Fernanda Francis Benevides Bettes
Keyword(s):  
Cross Sectional Study ◽  
The State ◽  
Brand Name ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Public ◽  
Online System ◽  
Broad Variety ◽  
The Mean ◽  
Mean Time

ABSTRACT Objective To describe the profile of lawsuits related to drug requests filled at the Federal Justice of the State of Paraná. Methods A cross-sectional study, and the data were obtained through consulting the lawsuits at the online system of the Federal Justice of Paraná. Results Out of 347 lawsuits included in the study, 55% of plaintiffs were women, with a median age of 56 years. Oncology was the field with more requests (23.6%), and the highest mean costs. A wide variety of diseases and broad variety of requested drugs were found in the lawsuits. Approximately two-thirds of them were requested by the brand name, and the most often requested drugs were palivizumab and tiotropium bromide. Only 14.5% of the requested medicines were registered in the National Medication Register. The Public Defender’s Office filled actions in 89.6% of cases and all lawsuits had an interim relief. The mean time for approval was 35 days and 70% of requests were granted. Conclusion Oncology was the field with the highest demand for medicines at the Federal Justice of Paraná in 2014. A great variety of medications was requested. The Public Defender´s Office represented most lawsuits. All demands had an interim relief, and the majority of requests were granted, within an average of 35 days.

scholarly journals Evaluation of the knowledge of university students in the health area about sexually transmitted infections: A cross-sectional study

2021 ◽  
Vol 10 (5) ◽  
pp. e52710515370
Author(s):  
Carlos Izaias Sartorão Filho ◽  
Carlos Izaias Sartorão Neto ◽  
Carla Fabiana Souza Guazelli ◽  
Camila Rodrigues Avello ◽  
Ivana Geraldelli Neiva Rodrigues ◽  
...  
Keyword(s):  
University Students ◽  
Cross Sectional Study ◽  
Public Institution ◽  
Sectional Study ◽  
Private Institution ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
The Public ◽  
Health Area ◽  
The Mean

Introduction: Sexually transmitted infections (STI) have consequences that negatively affect the population's quality of life and health. Young adults are susceptible to low access to preventive measures and a greater behavior risk. The objective was to evaluate and compare STI' Knowledge in university students from health courses, a public institution, and a private institution of higher education in Brazil. Methods: a cross-sectional study conducted in 2019 in Brazil at the FEMA School of Medicine in Assis-SP and the University of the State of São Paulo (UNESP) in Marília in the courses of Physiotherapy, Speech Therapy, and Occupational Therapy, in undergraduate students, over 18 years of age, through a self-applied questionnaire translated and adapted to the Brazilian Portuguese from the STD-KQ – Transmitted Disease Knowledge Questionnaire.Results: 462/700 students participated (66.66%) 18-46 years of age (mean 21.46 years, +/- 3.61), 99 men and 363 women. In the private institution, 262/340 (77.06%), and in the public institution, 200/360 (55.55%). The mean age was 22.21 (+/- 4.21) years among men and 21.25 (+/- 3.41) years among women. The mean percentage of the 28 test questions' correct answers was 52.07%.  The average number of correct responses per student was 17.49 out of 28 possible, 62% (+/-4.97). The distribution between the groups was normal. In the multiple linear regression model for the percentage of correct answers, adjusted for the confounding variables, the intercept was 55.2. The students of the private institution answered 19,655 questions more than the public one (P<.001), and for each semester of graduation, the students answered 1,628 more questions (P<.001). There were no relevant differences regarding the gender and age of the students. Conclusion: there are gaps in STI knowledge among university students in the health area. The students of the first semesters of the courses, and, in particular, students from a public educational institution, had a significantly lower performance of the right in the questionnaire applied. Thus, actions to promote STI knowledge and preventive attitudes are necessary among university students.

scholarly journals Prenatal follow-up of Haitian and Brazilian women in Mato Grosso

2018 ◽  
Vol 18 (2) ◽  
pp. 317-326
Author(s):  
Delma Riane Rebouças Batista ◽  
Silvia Angela Gugelmin ◽  
Ana Paula Muraro
Keyword(s):  
Cross Sectional Study ◽  
The State ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mato Grosso ◽  
The Public ◽  
Live Births ◽  
Birth Characteristics ◽  
Birth Records

Abstract Objectives: to analyze the prenatal follow-up performed by pregnant women in Haiti and Brazil in the state of Mato Grosso. Methods: a cross-sectional study of secondary database, with analysis of SINASC birth records in Mato Grosso between 2013 and 2015, of Brazilian children, born from both Brazilian and Haitian mothers. Variables related to the identification of the newborn and the woman, maternal data on gestational history, including information on prenatal follow-up of the last gestation were evaluated, besides the birth characteristics. Results: 167,820 live births were registered in the state in the period, of which 139 (0.08%) were children of Haitian women. Haitian mothers were older, however with lower schooling when compared to Brazilian mothers. The proportion of mothers of Haitian nationality who had at least 6 prenatal consultations was lower, and the proportion of vaginal births was higher, when compared to Brazilian women. The prevalence of low birth weight among live births of Haitian mothers was also higher. Conclusions: the results of this study point to the need to understand these differences, since some indicators have distanced from those advocated by WHO. These findings may contribute to the public policies development aimed at this population.

scholarly journals Pediatrician's knowledge on the management of the infant who cries excessively in the first months of life

2014 ◽  
Vol 32 (2) ◽  
pp. 187-192 ◽  
Author(s):  
Ana Carolina C. Marcon ◽  
Mário César Vieira ◽  
Mauro Batista de Morais
Keyword(s):  
Diagnostic Tests ◽  
Ph Monitoring ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Brazilian Society ◽  
Esophageal Ph ◽  
Infant Colic ◽  
The Mean ◽  
Mean Time

OBJECTIVE: To evaluate the attitude, the practice and the knowledge of pediatricians regarding the management of the infant who cries excessively in the first months of life.METHODS: Descriptive cross-sectional study that enrolled pediatricians (n=132) randomly interviewed at a Pediatric meeting in Brazil, in August 2012. The data were collected by a self-administered standardized form after reading the hypothetical case of an infant who cried excessively.RESULTS: The majority of the participants were females, the mean age was 39 years and the average mean time working in the specialty was 14 years; 52.2% were Board Certified by the Brazilian Society of Pediatrics. The diagnosis most often considered was gastroesophageal reflux disease (62.9%), followed by infant colic (23.5%) and cow's milk allergy (6.8%). The diagnostic test most frequently mentioned was 24-hour esophageal pH-monitoring (21.9%). The medications most frequently indicated were domperidone (30.3%), the combination of domperidone with ranitidine (12.1%) and paracetamol (6%).CONCLUSIONS: In the approach of the infant who cries excessively, diagnostic tests are frequently requested and unnecessary medical treatment is usually recommended.

scholarly journals Process of instrument sterilization in shops with manicure and pedicure services

2014 ◽  
Vol 27 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Cecília Harumi Yoshida ◽  
Rosane Aparecida de Oliveira ◽  
Patricia Granja Coelho ◽  
Fernando Luiz Affonso Fonseca ◽  
Rosangela Filipini
Keyword(s):  
Cross Sectional Study ◽  
Professional Experience ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Public ◽  
Hot Air ◽  
Objective Understanding ◽  
The Mean ◽  
Sterilization Process ◽  
Vocational Courses

OBJECTIVE: Understanding the sterilization process of critical items used in commercial establishments that offer the services of manicures and pedicure to the public.METHODS: Cross-sectional study with 90 employees exercising the function of manicure and pedicure in commercial establishments. The research instrument was a questionnaire with open and closed questions about the knowledge and procedures related to disinfection and sterilization of instruments.RESULTS: The mean age was 33.8 years, 72 % had taken vocational courses and had professional experience of more than five years. The use of hot air oven was prevalent in 84.3 % of establishments and 65.7 % reported opening the oven during sterilization. The relation between the higher cost of the service and the use of autoclave was statistically significant (p < 0.001).CONCLUSION: The sterilization process of the instruments used in the studied commercial establishments that offer services of manicures and pedicure to the public have significant deficiencies related to cleaning and sterilization of instruments.

scholarly journals Evaluation of the Knowledge of University Students in the Health Area About Sexually Transmitted Infections: A Cross-Sectional Study

2021 ◽  
Author(s):  
Carlos Izaias Sartorão Filho ◽  
Carlos Izaias Sartorão Neto ◽  
Carla Fabiana Souza Guazelli ◽  
Camila Rodrigues Avello ◽  
Ivana Geraldeli Neiva Rodrigues ◽  
...  
Keyword(s):  
University Students ◽  
Cross Sectional Study ◽  
Public Institution ◽  
Sectional Study ◽  
Private Institution ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
The Public ◽  
Health Area ◽  
The Mean

ABSTRACTIntroductionSexually transmitted infections (STI) have consequences that negatively affect the population’s quality of life and health. Young adults are susceptible to low access to preventive measures and a greater risk behavior risk. The objective was to evaluate and compare STI’ Knowledge in university students from health courses, a public institution, and a private institution of higher education in Brazil.Methodsa cross-sectional study conducted in 2019 in Brazil at the FEMA School of Medicine in Assis-SP and the University of the State of São Paulo (UNESP) in Marília in the courses of Physiotherapy, Speech Therapy, and Occupational Therapy, in undergraduate students, over 18 years of age, through a self-applied questionnaire translated and adapted to the Brazilian Portuguese from the STD-KQ – Transmitted Disease Knowledge Questionnaire.Results462/700 students participated (66.66%) 18-46 years of age (mean 21.46 years, +/− 3.61), 99 men and 363 women. In the private institution, 262/340 (77.06%), and in the public institution, 200/360 (55.55%). The mean age was 22.21 (+/− 4.21) years among men and 21.25 (+/− 3.41) years among women. The mean percentage of the 28 test questions’ correct answers was 52.07%. The average number of correct responses per student was 17.49 out of 28 possible, 62% (+/− 4.97). The distribution between the groups was normal. In the multiple linear regression model for the percentage of correct answers, adjusted for the confounding variables, the intercept was 55.2. The students of the private institution answered 19,655 questions more than the public one (P<.001), and for each semester of graduation, the students answered 1,628 more questions (P<.001). There were no relevant differences regarding the gender and age of the students.Conclusionthere are gaps in STI knowledge among university students in the health area. The students of the first semesters of the courses, and, in particular, students from a public educational institution, had a significantly lower performance of the right in the questionnaire applied. Thus, actions to promote STI knowledge and preventive attitudes are necessary among university students.

scholarly journals Tamsulosin in the management of distal ureteric calculi

2015 ◽  
Vol 1 (2) ◽  
pp. 19-22 ◽  
Author(s):  
Narayan Thapa ◽  
Bharat Bhandari ◽  
Bhairab Kumar Hamal
Keyword(s):  
Cross Sectional Study ◽  
Urinary Stone ◽  
Ureteral Stones ◽  
Sectional Study ◽  
Cross Sectional ◽  
X Ray ◽  
Group I ◽  
Ureteric Calculi ◽  
The Mean ◽  
Mean Time

Introductions: Ureteral stones account for 20% urinary stone. Two third of ureteral stones are seen in lower third of ureter. Medical expulsive therapy is effective for such stones. This study was designed to observe the efficacy of ‘tamsulosin’ a selective alpha-1 adrenoreceptor antagonist in the management of lower ureteric stone.Methods: A cross sectional study of 70 cases of distal ureteral stones of sizes 5 to 10 mm was taken in the Department of Surgery of Shree Birendra Hospital, Nepalese Army Institute of Health Sciences (NAIHS) from January 2011 to 2013. Patients were randomly divided into tamsulosin and analgesic only groups. Stone expulsion at the end of three weeks was confirmed by X-ray or Ultrasonography.Results: Out of 70 patients, stone clearance rate in tamsulosin group was 28 in 35 cases (80%) and 21 in 35 cases (60%) in group II with analgesic only. The mean time of stone expulsion was 8.3 days in group I and 13.5 days in group II.Conclusions: In this study the use of tamsulosin in treatment of lower ureteral stones less than 10 mm was safe and effective.

Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study

2020 ◽  
Vol 22 (7) ◽  
Author(s):  
Pir-Hossein Kolivand ◽  
Hassanali Faraji Sabokbar ◽  
Peyman Saberian ◽  
Mahdi Bahmanabadi ◽  
Parisa Hasani-Sharamin ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Cross Sectional Study ◽  
Time Of Arrival ◽  
Sectional Study ◽  
Stroke Patients ◽  
The West ◽  
Cross Sectional ◽  
The Mean ◽  
Stroke Center ◽  
Mean Time

Objectives: We intended to map the geographical distribution of patients with acute stroke who called the Tehran EMS center based on the geographic information of the incident location on a map. The distributions of these centers and patients’ access within a standard period were evaluated. Methods: A cross-sectional study based on the registered data was conducted on suspected acute stroke patients > 18 years of age that were transferred by EMS. The analysis was performed based on pointing the patients’ locations and locating the hospitals in ArcGIS software plus a review of the polygons and focal points. Results: Totally, 1,606 patients suspected to stroke with a mean age of 64.89 ± 17.48 years were evaluated, of whom 947 (58.6%) were male. The mean time of arrival of an ambulance in the patient’s location from the EMS station was 11.94 ± 6.67 minutes, and the longest time was 69.32 minutes. The mean time from the patient’s location to the stroke center was 17.79 ± 11.42 minutes (range 2.4 - 83.70 minutes). Stroke centers in Tehran are not distributed in a balanced manner, and they are concentrated on the central and northern parts of Tehran, limiting access to hospital services. Conclusions: The multiplicity of hospitals in the west and center of Tehran led to an increase in access times in eastern Tehran. It emphasizes the necessity of revision of service locating, especially because the east of Tehran has a denser texture than the west.

scholarly journals Results of a PREM to measure the rare disease patients’ caregivers experience: A Spanish cross-sectional study

2020 ◽  
Author(s):  
Mercedes Guilabert Mora ◽  
Alba Martínez-García ◽  
Marina Sala-González ◽  
Olga Solas ◽  
José Joaquín Mira
Keyword(s):  
Rare Disease ◽  
Rare Diseases ◽  
Response Rate ◽  
Paediatric Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Optimal Care ◽  
Cross Sectional ◽  
The Mean ◽  
Mean Time

Abstract Objective To measure the experience of the person suffering from a rare disease in order to identify objectives for optimal care in the health care received by these patients. Methods. A cross-sectional study was conducted in Spain involving patients associated with the Spanish Rare Diseases Federation [Federación Española de Enfermedades Raras] (FEDER). A modified version of the PREM IEXPAC instrument was used (IEXPAC-rare-diseases). Scores ranged between 0 (worst experience) and 10 (best experience).Results A total of 261 caregivers (in the case of paediatric population) and patients with rare diseases (response rate 54.4%) replied. Most males, 227 (87%), with an average age of 38 (SD 13.6) years. The mean time since confirmation of diagnosis was 7.8 (SD 8.0) years. The score in this PREM was 3.5 points out to 10 (95%CI 3.2-3.8, SD 2.0). Caregivers of paediatric patients scored higher, except for coordination of social and healthcare services.Conclusions There are wide and important areas for improvement in the care of patients with rare diseases. This study involves a first assesment of the experience of patients with rare diseases in Spain.

scholarly journals Normative Values for Londrina ADL Protocol in Healthy Individuals in Age Group of 40–60 Years among Indian Population: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Uttanoor Sreedevi ◽  
Gopala Krishna Alaparthi ◽  
Shyam krishnan ◽  
Kalyana Chakravarthy Bairapareddy ◽  
R. Anand ◽  
...  
Keyword(s):  
Indian Population ◽  
Cross Sectional Study ◽  
Normative Values ◽  
Age Group ◽  
Healthy Individuals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reference Equation ◽  
The Mean ◽  
Mean Time

Background. Due to increase in the life expectancy and changes related to aging, it is important to assess ADL (activities of daily living) in older adults. However, there is no standardized protocol available to assess ADLs. Considering the limitations of the available tools, a new protocol named Londrina ADL protocol was developed for which normative values are unavailable in different ethnic groups. Objective. To develop the normative value and reference equation for the Londrina ADL protocol on the basis of anthropometric and demographic variables in healthy individuals in the age group of 40–60 years among the Indian population. Methods. This cross-sectional study was conducted with 282 healthy individuals of both the genders between the age group of 40 and 60 and they were divided into 2 groups: 40–49 and 50–60. Each subject was made to perform the Londrina ADL protocol twice with a 30 min interval between the two protocols. The protocol is composed of 5 activities and the best out of the 2 performances were recorded. Results. The mean time taken among 40–49 years by females is 3.50 ± 0.50 min and by males is 3.73 ± 0.43 min. The mean time taken among 50–60 years by females is 4.25 ± 0.20 min and by males is 4.36 ± 0.18 min. The reference equation to predict reference values for the Londrina ADL protocol was as follows: equation (1): Londrina ADL predicted = 1.205 + (0.054 × age (years)) + (0.001 × height (cm)); equation (2): Londrina ADL predicted = 1.374 + (0.054 × age (years)) + (−0.003 × BMI). Conclusion. The reference equation for the time to complete the Londrina ADL protocol was based on age and BMI as independent variables and can be useful for predicting the performance of healthy individuals.

scholarly journals Professionalism among medical residents in a young second-level university in Iran: a cross-sectional study

2020 ◽  
Author(s):  
Elaheh Mianehsaz ◽  
Seyed Mohammad Reza Tabatabaee ◽  
Mohammad Reza Sharif ◽  
Hamid Reza Gilasi ◽  
Hamid Reza Shojaee Far ◽  
...  
Keyword(s):  
Personal Characteristics ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
The Public ◽  
Significant Relationships ◽  
The Mean ◽  
And Gender ◽  
Trust In Physicians

Professionalism is a set of behaviors that build trust in physicians’ relationships with patients and the public. The aim of this study was to assess professionalism among residents inKashan University of Medical Sciences, Kashan, Iran. This cross-sectional study was conducted on 139 residents recruited through the census method. Data were collected usingthe American Board of Internal Medicine Professionalism Questionnaire. The first part of the questionnaire was on residents’ personal characteristics, and the second part containedfifteen items in the three domains of professionalism, namely excellence, honor/integrity, and altruism/respect. The mean scores of the questionnaire and its domains were calculated and their relationships with residents’ personal characteristics were evaluated. The mean scores (± SD) of professionalism and its excellence, honor/integrity, and altruism/respect domains were 4.93 ± 2.4, 5.92 ± 1.85, 4.94 ± 3.39, and 4.35 ± 3.27, respectively (in a range of 0-10). Professionalism had significant relationships only with residents’ specialty and gender. The level of professionalism in residents was low, which requires the attention of educational authorities. Moreover, the mean score of professionalism among residents in surgical specialties was significantly lower than non-surgical specialties. Various factors can be considered in this regard and it cannot be concluded that the lower score means worse professionalbehavior.

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