scholarly journals The epidemiological profile of malaria in a municipality in the Brazilian Amazon

2018 ◽  
Vol 5 (10) ◽  
pp. 599-608
Author(s):  
Raquel Alves Fernandes ◽  
and Daniela Soares Leite

Malaria is a tropical disease caused by protozoa of the genus Plasmodium (Aconoidasida: Haemosporida: Plasmodiidae). The Brazilian Amazon is the area with the highest risk of malaria transmission in the country. The aim of this study was to trace the epidemiological profile of malaria patients between 2010 and 2015, in the Municipality of Marabá, State of Pará, North Brazil. Secondary data were used, of Sivep-malaria of the Municipal Health Department of the municipality. The variables analyzed were the incidence autochthonous or imported cases, genus, species of the causative parasite infection during pregnancy and parasitic annual index. Data analysis used the Chi-Square Test, in the Biostat 5.0. The annual parasitic index (IPA) of malaria cases in Marabá in 2010 was 3.7, followed by the year of 2011 with 2.7, from the year 2012 the IPA drops sharply to 0.68, followed by the years 2013, 2014 and 2015, which presented an IPA of 0.1, 0.07 and 0.01 respectively. Data on the contamination site revealed that 51% of the cases in the period studied were of imported origin and 49% were autochthonous, and there was no significant statistical difference between the years. Males were the most affected by the disease (67%). The most common parasitic species was Plasmodium vivax. Malaria cases have been reduced over the years, and this is due to several factors, such as better access to the diagnosis and treatment of the disease, to the control of the vectors, and to the constant work of epidemiological surveillance, although underreporting is still a great problem in the measurement of the actual numbers of cases.

Work ◽  
2021 ◽  
pp. 1-11
Author(s):  
Goris Nazari ◽  
Steve Lu ◽  
Tara Packham ◽  
Joy C. MacDermid

BACKGROUND: The Critical Incident Inventory (CII) was developed to assess stressful exposures in firefighters and emergency service workers. The CII includes six subscales: trauma to self, victims known to fire-emergency worker, multiple casualties, incidents involving children, unusual or problematic tactical operations, and exposure to severe medical trauma. OBJECTIVES: To examine the construct validity of all subscales of the Critical Incident Inventory (CII) by assessing the unidimensionality of the scales, and the interval properties of CII subscales by examining fit to the Rasch model and ordering of item thresholds. METHODS: This was a secondary data analysis based on survey data collected from a sample of 390 firefighters. RESULTS: Item 4 and Item 20 were removed with the confirmation of unacceptable fit residual. This revised version of the CII showed satisfactory fit to the Rasch model by non-significant Chi-square test and acceptable level of item fit. We rescored the CII original version and considered all items as only dichotomous response options where 0 represented the original no experience, and 1 presents the combination of experiencing 1, 2, 3 cases. CONCLUSION: The re-appraisal of the revised version CII indicated a satisfactory level of Rasch model fit.


2021 ◽  
Vol 10 (1) ◽  
pp. 72
Author(s):  
Melvanda Gisela Putri ◽  
Roedi Irawan ◽  
Indri Safitri Mukono

ABSTRAKLatar Belakang: Stunting merupakan suatu istilah yang menggambarkan kondisi pertumbuhan tinggi badan kurang berdasarkan umur disesuaikan dengan Z-Score (<-2SD). Stunting pada balita dapat diakibatkan oleh kurangnya asupan zat gizi yang diperlukan bagi pertumbuhan anak. Penelitian dilakukan untuk mengetahui hubungan suplementasi vitamin A, pemberian imunisasi dan riwayat penyakit infeksi yakni diare dan ISPA terhadap kejadian stunting.Tujuan: Mengetahui hubungan suplementasi vitamin A, pemberian imunisasi, dan penyakit infeksi terhadap stunting pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya.Metode: Penelitian ini merupakan penelitian analitik observasional dengan metode cross sectional. Besar sampel adalah 107 anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. terdiri dari 25 anak kelompok stunting dan 82 anak kelompok non- stunting. Cara pengambilan data melalui data sekunder posyandu dan wawancara langsung orang tua anak dengan pengisian kuisioner. Data dianalisis menggunakan uji Chi-Square, Fisher Exact, dan Mann Whitney.Hasil: Penelitian ini menunjukkan hasil terdapat hubungan suplementasi vitamin A dengan stunting (p=0,000), tidak ada hubungan antara pemberian imunisasi terhadap stunting (p=0,332). Dalam riwayat penyakit infeksi, frekuensi diare dan ISPA ditemukan tidak ada hubungan dengan  stunting (p=0,053 dan p=0,082), begitu pula pada lama diare dan lama ISPA tidak berhubungan dengan stunting (p= 0,614 dan p=0,918).Kesimpulan: Suplementasi vitamin A berhubungan signifikan dengan stunting yang diamati pada anak usia 24-59 bulan di Puskesmas Mulyorejo, Surabaya. Kata kunci: kejadian stunting, vitamin A, imunisasi, penyakit infeksi, anak usia 24-59 bulanABSTRACTBackground: Stunting is a term that describes condition of lower height-for-age Z-Score (<-2SD). Stunting among children can be caused by a lack of nutrients needed for children's growth. This study was conducted to determine the relationship between vitamin A supplementation, immunization and a history of infectious diseases, namely diarrhea and ARI to the incidence of stunting.Objectives: To determine the relationship between vitamin A supplementation, immunization, and history of infectious disease with the incidence of stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.Methods: This study was an observational analytic study with cross sectional method. The sample size was 107 children aged 24-59 months at Puskesmas Mulyorejo, Surabaya. This study consisted of 25 children in the stunting group and 82 children in the non-stunting group. The method of data collection was through secondary data from posyandu and direct interviews with parents by filling out questionnaires. Data were analyzed using the chi-square test, fisher exact, and Mann Whitney.Results: The results of this study indicated that there was a relationship between vitamin A supplementation and with stunting (p = 0.000). There was no relationship between immunization and stunting (p = 0.332). In the history of infectious diseases, the frequency of diarrhea and ARI was found to have no relationship with stunting (p = 0.053 and p = 0.082), as well as the duration of diarrhea and duration of ARI there was no association with the stunting (p = 0.614 and p = 0.918).Conclusion: Vitamin A supplementation has significant relationship with stunting in children aged 24-59 months at Puskesmas Mulyorejo, Surabaya.


2017 ◽  
Vol 1 (3) ◽  
pp. 180
Author(s):  
Mahmudah Wati Sugito ◽  
Agus Sri Wardoyo ◽  
Trias Mahmudiono

Background: Underweight is a public health problem caused by many factors. The prevalence of underweight in East Java in 2016 was 17.3%, wich was higher than the program’s targetted (12.9%). Breast milk is the best food to support the growth and development of the baby. Coverage of Exclusive Breast Milk in East Java in 2015 decreased (68.8%), compared to 2014 (72.89%). Early supplementary feeding in infants under 6 months may affect nutritional status. Objectives: The purpose of this study was to analyze the relationship of Exclusive Breast milk with the incidence of underweight in infants aged 0-23 months in East Java Province in 2016. Method: This study is a secondary data analysis of Nutrition Status Monitoring in East Java Province. The study population was all babies in East Java. Total sample is 4738. The data were analyzed using Chi-square test and Logistic Regression, with 95% CI (α = 0.05). Results: The results showed there was a significant relationship between exclusive breastfeeding only from birth until before the last 24 hours in infants aged 0-23 months with the incidence of underweight, with (p=0.000010;OR=1.654;95%CI=1.319–2.052), there was a significant  relationship of first to provide a food other than breast milk in infants aged 0-23 months  with the occurrence of underweight, (p = 0.000;OR=0.272; 95%CI=0.217–0.341).Conclusion: In conclusion, breastfeeding only in infants from birth until before the last 24 hours and first provide food other than breast milk in infants aged 0-23 months associated with underweight. Because breast milk is sufficient nutritional needs of infants aged 0-6 months.ABSTRAK Latar Belakang: Masalah gizi kurang merupakan masalah kesehatan masyarakat yang disebabkan oleh banyak faktor. Prevalensi underweight di Jawa Timur tahun 2016 sebesar 17,3%, lebih tinggi dari target program Dinas Kesehatan Provinsi Jawa Timur sebesar 12,9%. ASI merupakan makanan terbaik untuk mendukung pertumbuhan dan perkembangan bayi. Cakupan ASI Eksklusif di Jawa Timur tahun 2015 menurun (68,8%), dibandingkan tahun 2014 (72,89%). Pemberian makanan pendamping ASI dini pada bayi di bawah 6 bulan dapat mempengaruhi status gizi. Tajuan: Tujuan penelitian untuk menganalisis hubungan ASI Ekslusif dengan kejadian underweight pada bayi usia 0-23 bulan di Provinsi Jawa Timur tahun 2016.Metode: Penelitian ini merupakan analisis data sekunder survei Pemantauan Status Gizi Provinsi Jawa Timur. Populasi penelitian adalah semua bayi berusia 0-59 bulan yang ada di Jawa Timur. Total sampel sebanyak 4738 bayi.  Analisis data dilakukan dengan menggunakan uji Chi-square dan Regresi Logistik.Hasil: Hasil penelitian menunjukkan ada hubungan antara pemberian ASI saja sejak lahir sampai sebelum 24 jam terakhir pada bayi usia 0-23 bulan dengan kejadian underweight (p=0,000010;OR=1,654;95%CI=1,319–2,052), ada hubungan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan dengan kejadian underweight,  (p = 0,000;OR=0,272; 95%CI=0,217–0,341).Kesimpulan: Simpulan yaitu pemberian ASI saja pada bayi sejak lahir sampai sebelum 24 jam terakhir dan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan berhubungan dengan kejadian underweight. Pemberian ASI saja sudah mencukupi kebutuhan nutrisi bayi usia 0-6 bulan.


2017 ◽  
Vol 74 (4) ◽  
pp. 272
Author(s):  
Pedro Diniz Rebouças Rebouças ◽  
Levy Sombra de Oliveira ◽  
Henrique Matos Costa Lima ◽  
Lorena Walesca Macedo Rodrigues ◽  
Regina Glaucia Lucena Aguiar Ferreira

Objective: this quantitative descriptive study aimed to evaluate the presence of deleterious oral habits and associated factors in children attending the Amadeu Barros Leal day care in Fortaleza, CE, Brazil. Material and Methods: the sample consisted of 75 children (51% of girls) aged 0 to 5 years. Data were collected through the application of a structured questionnaire to the parents or guardians and analyzed statistically with Fisher’s exact or Chi-square test, considering a 95% confidence interval. The results were expressed as absolute frequency and percentage. Results: 89% of the children participating in the study were breastfed, and 43.5% of them were breastfed at least until the first year of age. As much as 19% of the children slept with their mouths open and 39% used a pacifier, 56.7% of which used it constantly during the day and at night. About 91% of children used a feeding bottle, and most of bottles (79%) did not have an orthodontic nipple. In addition, 60% of children aged 24-36 months had the deleterious habit of grinding their teeth. Conclusion: in the present study, we investigated children from 0 to 5 years old and observed that this age group is predisposed to deleterious oral habits. In this way, more studies that trace a safe epidemiological profile aiming to reduce these harmful habits are extremely necessary.


2018 ◽  
Vol 5 (9) ◽  
pp. 183-193
Author(s):  
Caroline Mendes Santos ◽  
Daniela Soares Leite

Congenital syphilis (CS) is a systemic infect contagious disease, sexually transmitted, easily diagnosed, with effective and low cost treatment. Thus, the existence of a paradox is detached, once infectious diseases of greater complexity have already been controlled. In its congenital form, syphilis in Brazil constitutes a sentry event of high magnitude that presents unfavorable indicators in terms of its control. In the State of Pará, Marabá is the municipality with the highest number of cases in the past years. The aimed of this study was describing a clinical-epidemiological profile of congenital syphilis in Marabá, from 2006 to 2015. This was a descriptive, retrospective and documental study which analyzed secondary data from SINAN/SMS/SVS/DATASUS/Marabá/PA. Between 2006 and 2015, 323 cases of CS were notified in Marabá. The incidence of congenital syphilis of 6.5 cases per 1,000 live births from 2006-2015 is 6.5 the Ministry of Health goal; from 2012 to 2015 the rates were 8, 9.8, 26.3 and 11.3/1,000, respectively. Most pregnant women performed prenatal (88.6%), was between 20 and 24 years old (62.2%), 26.6% did not finish Middle School. Most partners, 67.5%, of the pregnants diagnosed with did not perform treatment; in 55% of cases, the maternal syphilis diagnosis happened during labor/curettage. Congenital syphilis in Marabá overcame the highest incidence in 2014, with 26.3 cases per 1,000 live births. This great value in 2014 may be a result of the campaign "It's possible to born without syphilis in Pará", released by the Secretary of State for Health of Pará at the end of 2013, since in periods of huge campaigns there is an increase of notifications, due to easier access to the diagnosis of the disease. In the year of 2015, an incidence of 11.3 cases per 1,000 live births was observed, this abrupt decrease, compared to 2014, corroborates with the influence of the campaigns in the detection of new cases. The cases of congenital syphilis notified in the Municipality of Marabá demonstrated failures in the prenatal service, particularly in the time of verification of gestational syphilis and in the treatment of the partners. However, most cases had a positive outcome, with a low number of pre and perinatal deaths due to CS. According to the section of Epidemiological Surveillance of Marabá, many factors are responsible for the high incidence of congenital syphilis in the municipality, among them the lack of clarification of the pregnants/mothers about syphilis, a low demand by the prenatal care and the low attendance of partners, what unfeasible the effective control of this disease, as well as the precarious training of health professionals, who give little importance to the disease and show difficulty to interpret lab results. The correct notification (if there is a higher quality in the reports, the number will be closer to the real), investigation of cases, appropriate treatment and implementation of measures to prevent new cases of congenital syphilis will contribute to the reduction of cases in Marabá.


2019 ◽  
Vol 28 ◽  
Author(s):  
Lidieine Gonçalves Kataguiri ◽  
Lúcia Marina Scatena ◽  
Leiner Resende Rodrigues ◽  
Sybelle de Souza Castro

ABSTRACT Objective: to verify the association between victims of sexual violence and the sociodemographic aspects related to exposure in the state of Minas Gerais, Brazil. Method: an ecological study, where the database of the Sistema de Informação de Agravos de Notificação, SINAN provided by the Minas Gerais State Health Department was used. Data were analyzed using descriptive statistics, the chi-square test, and Multiple Correspondence Factor Analysis (p≤0.05). Results: stepfathers were the predominant offenders, associated with schooling from 0 to 4th grade, brown-skinned ethnicity, and the residence as place of occurrence. When the offender was the father, there was association with an unknown place of occurrence, followed by the residence, abuse of male children between 0 and 9 years old, and living in municipalities from 200 to 500 thousand inhabitants. Stranger aggressors were associated with white female victims aged 15 years old or over, schooling between 5th grade and higher education, single act of sexual violence, in which physical violence was used and occurrence on public roads. Conclusion: sexual violence affects mainly women and children, the former being attacked on public roads and the latter in their own home environment by a known offender.


2012 ◽  
Vol 48 (1) ◽  
pp. 61-68
Author(s):  
Rosario Megret Despaigne ◽  
Carlos Manuel Dutok Sánchez ◽  
Alam Sarfraz

A transverse descriptive study was carried out, according to the classification of therapeutic compliance, to evaluate adherence in 250 patients with a diagnosis of Heart Failure, registered with the health department of the municipality of Santiago de Cuba in 2009. The sample characterization was studied, with an assessment of adherence level and possible associated factors for sex, age and toxic habits. As an instrument for the work, data extraction was scheduled and the interview was carried out at patients' homes; the results were expressed in percentage and level of influence for associated factors. This was determined using the chi-square test. In the investigated population, adherence was greater for females, for age group 67-82 years, and toxic habits were found to have prevalence. Prevailing pharmacoterapies were digoxin, chlortalidone, captopril and isosorbide dinitrate, and a high level of adherence was found, both for the pharmacological and non-pharmacological treatments, in the studied sample. A good level of therapeutic adherence was found for 63.6% of the patients, regular level of adherence was found for 32% and only 4.4% or patients presented with poor adherence. Influencing factors were: knowledge of the treatment, number of medications, frequency of administration, and satisfaction with the service of pharmaceutical care.


2020 ◽  
Vol 19 (2) ◽  
pp. 21-67
Author(s):  
Sonia Regina Aguiar Souza Springer ◽  
Maria Tereza dos Santos Guedes ◽  
Osnir Claudiano da Silva Júnior ◽  
Mônica de Almeida Carreiro ◽  
Alexandre Silva

Objetivo: Levantar y analizar el perfil de los pacientes con cáncer gástrico matriculados en el Instituto Nacional del Cáncer José de Alencar Gomes da Silva (INCA), y los diagnósticos de Enfermería más prevalentes.Metodología: Estudio seccional desarrollado en el Hospital de Cáncer I - INCA aprobado por el CEP-INCA, con muestra de datos secundarios de 649 pacientes admitidos entre el 1 de octubre de 2015 al 18 de abril de 2018. Los datos fueron analizados por el software R® - versión 3.4.4. En las pruebas Chi-cuadrado, Kruskal-Wallis y Wilcoxon. Se adoptó el nivel de significancia del 5%.Resultados: El promedio de edad fue de 62.74 años, variando de 21 años hasta 96 años. 35.29% de los pacientes presentaban enfermedad avanzada. El adenocarcinoma poco diferenciado fue el más prevalente (42.52%). Había células en anillo de sello en el 32.05% de los pacientes. Se destacó el tipo difuso (17.72%). Hubo predominio del compromiso del tercio medio del estómago (29.74%). Las pruebas de hipótesis demostraron que las variables de estadificación frente a la muerte y el color frente a la defunción mantienen una relación de dependencia. Las variables edad versus óbito y edad versus presencia de anillo de Sinete tienen distribución diferente entre sí, lo que significa que la primera variable puede influenciar la segunda. Los diagnósticos de enfermería más prevalentes estuvieron presentes en el 100% de la muestra y se encontraban en congruencia con el perfil de la clientela identificada.Conclusión: El perfil epidemiológico de una población es de gran valor para orientar las políticas de salud de un país, para la planificación interna institucional y para orientar las acciones asistenciales de los equipos multiprofesionales. Objective: Search and analyze the profile of patients with gastric cancer enrolled in the National Cancer Institute, José de Alencar Gomes da Silva (INCA), and the most prevalent nursing diagnoses.Methodology: A sectional study developed at the Cancer Hospital I - INCA, approved by CEP-INCA, with a sample of secondary data from 649 patients admitted from October 1, 2015 to April 18, 2018. Data were analyzed by R® software - version 3.4 .4. In the Chi-square, Kruskal-Wallis and Wilcoxon tests. The level of significance of 5% was adopted.Results: The average age was 62.74 years, ranging from 21 years to 96 years. 35.29% of patients had advanced disease. Low adenocarcinoma was the most prevalent (42.52%). Signal ring cells were present in 32.05% of the patients. The diffuse type was highlighted (17.72%). There was predominance of involvement of the middle third of the stomach (29.74%). Hypothesis tests have shown that the staging versus death and color versus death variables maintain a relationship of dependence. The variables age versus death and age versus the presence of the Sinete ring present a distinct distribution among them, which means that the first variable can influence the second. The most prevalent nursing diagnoses were present in 100% of the sample and were in congruence with the profile of the clientele identified.Conclusion: The epidemiological profile of a population is of great value to guide the health policies of a country, to the internal institutional planning and to guide the assistance actions of the multiprofessional teams.


2019 ◽  
Vol 7 (2) ◽  
pp. 69
Author(s):  
Yuliyanik Yuliyanik

This study aimed at examining the occurrence of postpartum blues in postpartum mothers. Post partum blues is categorized as a mild mental disorder syndrome for it is often ignored so that it is undiagnosed and not treated as it should, which finally leads to a difficult and unpleasant problem that may create feelings of discomfort for women who experience it. The study is intended to prevent the occurrence of Post partum blues in postpartum mothers. Post Partum Blues can be prevented by doing ANC and Post Natal Treatment routinely. Post Natal Treatment is a series of treatments performed specifically for postpartum mothers, which include massage, breast care, oxytocin massage, postpartum spa and full-blooded face. The research employed observational methods. The population of all puerperal mothers was 20 people, using total sampling. Data is obtained from primary data and secondary data, then the data is processed using SPSS 16 with chi square test. The conclusion of the value of p = 0.01 is that there is a relationship between the characteristics of postpartum mothers and PNT with the occurrence of postpartum blues. Age, education and occupation of postpartum mothers are associated with the insidence of postpartum blues. PNT that had been received by postpartum mothers was also related to the insidence of postpartum blues. Researcher's suggestion is for postpartum mothers to carry out ANC and PNT routinely to prevent the occurrence of post partum blues.


2019 ◽  
Vol 7 (1) ◽  
pp. 34
Author(s):  
Debby Daviani Prawati

Background: Diarrhea is an illness which characterized by changed in shape, consistency of the stool and with excessive bowel frequency (more than 3 times within a day). Diarrhea disease is the third contributor of children’s morbidity and mortality rate around the world. Purpose: This study aims to analyzing factors that caused diarrhea’s cases. This research were an observational analytic type. Sampling technique were used random sampling / probability sampling. Methods: Data were analyzed by chi-square test. Data collection techniques were divided into primary data (direct observation and questionnaire) and secondary data (journals and articles). Results: On this research showed theres no significant correlation between sex, age, education, income, hand washing behavior using soap, clean water facility and trashbin condition with diarrhea occurrence during last 3 months in RW.VI Kelurahan Rangkah Buntu, Surabaya. There were a significant relation between cleaning up the environment, making and consuming oralit, and the behavior of handwashing with soap before meals at the rate of diarrhea cases during the last 3 months in RW VI Kelurahan Rangkah Buntu, Surabaya. Conclusion: theres no significant correlation between social demography, behavior using soap, clean water facility and trasbin and a significant relation between clean up the environtment, behavior handwashing, making and consuming oralit during the last 3 month in RW VI Kelurahan Rangkah Buntu, Surabaya.


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