Aspectos clínicos e epidemiológicos relacionados ao transplante de córneas

RESUMOObjetivo: caracterizar epidemiologicamente os transplantes de córneas realizados no estado de Mato Grosso do Sul. Método: trata-se de estudo quantitativo, epidemiológico, de desenho transversal. Compor-se-á a amostra de estudo de forma censitária por todos os pacientes em fila de espera, os submetidos ao transplante de córneas e os doadores desse tipo de tecido no Estado de Mato Grosso do Sul. Realizar-se-á a coleta de dados por meio de três instrumentos elaborados para cada população distinta, com as variáveis de dados clínicos e epidemiológicos. Estabelecer-se-ão estatisticamente os padrões de distribuição e as frequências, bem como as medidas de tendência central, além da análise multivariada com aplicação de medidas de magnitude de efeito e associação, de acordo com a natureza de cada variável, a serem apresentados em forma de gráficos e tabelas. Resultados esperados: espera-se identificar as dificuldades encontradas no sistema estadual de transplante de córneas com foco no desenvolvimento de conceitos técnicos, de planejamento e organização do atendimento aos usuários em fila de espera, doadores e transplantados. Descritores: Transplante de Córnea; Doenças da Córnea; Retalhos de Tecido Biológico; Epidemiologia; Serviços de Saúde; Bancos de Olhos.ABSTRACTObjective: to make the clinical and epidemiological characterization of corneal transplants performed in the state of Mato Grosso do Sul. Method: this is a quantitative, epidemiological, cross-sectional study. A sample of the study will be collected in a census form for all patients in queue, those submitted to corneal transplantation and donors of this type of tissue in the State of Mato Grosso do Sul. Data collection will be performed by means of three instruments elaborated for each distinct population, with the variables of clinical and epidemiological data. Distribution patterns and frequencies as well as measures of central tendency will be statistically established, as well as multivariate analysis with application of magnitude of effect and association, according to the nature of each variable, to be presented in charts and tables. Expected results: it is hoped to identify the difficulties found in the state transplant system of corneal aimed at the development of technical concepts, planning and organization of care for waiting users, donors and transplanted patients. Keywords: Corneal Transplantation; Corneal Diseases; Biological Tissue Patchwork; Epidemiology; Health services; Eye Banks. Descriptors: Corneal Transplantation; Corneal Diseases; Free Tissue Flaps; Epidemiology; Health Services; Eye Banks.RESUMENObjetivo: caracterizar epidemiológicamente los trasplantes de córneas hechos en el estado de Mato Grosso do Sul. Método: trata-se de un estudio cuantitativo, epidemiológico, de diseño transversal. La muestra de estudio se compondrá de forma censal por todos los pacientes en cola de espera, los sometidos al trasplante de córneas y los donantes de ese tipo de tejido en el Estado de Mato Grosso do Sul. Se realizará la recolección de datos mediante tres instrumentos preparados para cada población distinta, con las variables de datos clínicos y epidemiológicos. Se establecerán estadísticamente los patrones de distribución y las frecuencias, así como las medidas de tendencia central, además del análisis multivariado con aplicación de medidas de magnitud de efecto y asociación, de acuerdo con la naturaleza de cada variable, que deberán presentarse en forma de gráficos y tablas. Resultados esperados: se espera identificar las dificultades encontradas en el sistema estatal de trasplante de córneas mirando el desarrollo de conceptos técnicos, de planificación y organización de la atención a los usuarios en cola de espera, los donantes y los trasplantados. Descriptores: Trasplante de Córnea; Enfermedades de Córnea; Colgajos Tisulares Libres; Epidemiología; Servicios de Salud; Bancos de Ojos.

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The Substance Abuse and Mental Health Services Administration Buprenorphine Practitioner Locator Misrepresents Access to Buprenorphine

10.31219/osf.io/vm87b ◽

2021 ◽

Author(s):

Precious Anyanwu ◽

Tyler J Varisco ◽

Matthew A. Wanat ◽

Shweta Bapat ◽

Kasey Claborn ◽

...

Keyword(s):

Mental Health ◽

Substance Abuse ◽

Mental Health Services ◽

Health Services ◽

Poverty Line ◽

Cross Sectional Study ◽

The State ◽

County Level ◽

Cross Sectional ◽

Health Services Administration

Abstract: Aims: To compare county-level differences in the number of buprenorphine prescribers listed in the publicly available Substance Abuse and Mental Health Services Administration (SAMHSA) Buprenorphine Practitioner Locator and in the Drug Enforcement Administration’s (DEA) Controlled Substance Act (CSA) database and to determine if disparities in access exist in poorer areas with more non-white residents. Design: Cross-sectional study Setting: TexasMeasurements: County-level counts of buprenorphine prescribers were calculated from both the publicly available SAMHSA buprenorphine practitioner locator list and the DEA CSA database. These were then used to estimate the number of providers per 100,000 residents in each county. Regional variation in access to buprenorphine was compared descriptively across the state using poverty data from the US Census and county-level demography from the Texas Demographic Center. Results: This study found 68.8% more X-waivered providers on the DEA CSA database (n=2,622) with at least one provider reported in 125 of 144 counties in the state (49.2%) compared to the SAMHSA Buprenorphine Practitioner Locator (n=1,553) with at least one provider reported in 103 counties (40.5%). This difference was magnified in Texas Public Health Region 11. This is the poorest region of the state (23.7% of residents below the federal poverty line) and contains the most non-white residents 87.4% vs 54.9% (SD: 13.6%). This region had the lowest number of buprenorphine prescribers with 3.8 providers per 100,000 on the DEA CSA database and 2.5 providers per 100,000 in the SAMHSA Buprenorphine Practitioner Locator.Conclusions: The lack of a complete, public registry of buprenorphine prescribers makes it difficult for patients to identify a convenient buprenorphine prescriber and for referring physicians to help their patients access care. This may be especially true in poorer and more diverse areas with fewer buprenorphine prescribers.

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Incomplete vaccination for conjugated meningococcal C and hepatitis B at municipal, state and federal level: 2015 a 2019

Scientific Electronic Archives ◽

10.36560/141120211463 ◽

2021 ◽

Vol 14 (11) ◽

Author(s):

Mariana Dias de Borba ◽

Carlos Eduardo da Cunha Nascimento ◽

Gabriel Mael Sussuarana Silva Lobo ◽

Lucca Gonçalo de Castro Lima ◽

Camila Lays Winter ◽

...

Keyword(s):

Hepatitis B ◽

Vaccination Coverage ◽

Vaccine Coverage ◽

Cross Sectional Study ◽

The State ◽

National Immunization Program ◽

Immunization Program ◽

Cross Sectional ◽

Mato Grosso ◽

National Immunization

Brazil has the National Immunization Program for disease prevention that offers nineteen vaccines, yet it is known that vaccination coverage according to age is not always reached. Thus, this study aimed to evaluate the vaccination coverage in the municipality of Sinop, in the Mato Grosso state and in the Brazil for meningococcal C conjugate vaccines and Hepatitis B in the period from 2015 to 2019. Method: This is a descriptive, retrospective and cross-sectional study, with data available in the Information System of the National Immunization Program. Results: Vaccination coverage for mingococcal C in children under one year in Sinop was above the target in 2015 and 2018, Mato Grosso was above only in 2015, for the booster dose only Sinop was above the target in 2016. Coverage for hepatitis B in children under 30 days of life demonstrated that Sinop had coverage above the state of Mato Grosso, which in turn was above Brazil. For children under 1 year old, only in 2016 and 2019 the state presented greater vaccination coverage at the expense of Sinop and Brazil. Conclusion: The results demonstrate that there is hesitation on the part of the population regarding vaccination, being greater in vaccines such as meningococcal C. Strengthening childcare is the key to improving the panorama of vaccine coverage.

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

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042018000200005 ◽

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.

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Vulnerabilidade à sífilis gestacional e congênita: uma análise de 11 anos [Vulnerability to gestational and congenital syphilis: a 11-year analysis] [Vulnerabilidad a la sífilis gestacional y congénita: un análisis de 11 años]

Revista Enfermagem UERJ ◽

10.12957/reuerj.2020.50487 ◽

2020 ◽

Vol 28 ◽

pp. e50487

Author(s):

Joice Élica Espindola Paes Ozelame ◽

Oleci Pereira Frota ◽

Marcos Antonio Ferreira Júnior ◽

Elen Ferraz Teston

Keyword(s):

Skin Color ◽

Congenital Syphilis ◽

Secondary Data ◽

Cross Sectional Study ◽

Vulnerable Groups ◽

Related Factors ◽

Cross Sectional ◽

Mato Grosso ◽

Disease Information ◽

Mato Grosso Do Sul

Objetivo: analisar a ocorrência de sífilis gestacional e congênita à luz da vulnerabilidade, no período de 2008 a 2018, no Mato Grosso do Sul. Método: estudo transversal, retrospectivo, de caráter analítico e abordagem quantitativa, com base em dados secundários coletados no Sistema de Informações e Agravos de Notificação. Resultados: houve aumento progressivo de sífilis gestacional e congênita ao longo dos 11 anos, com predomínio em populações vulneráveis e associação (p<0,05) da ocorrência de sífilis congênita com as variáveis “escolaridade”, “faixa etária” e “cor da pele”. Verificou-se a influência de fatores comportamentais e relacionados aos serviços de saúde, dentre eles o diagnóstico tardio da sífilis e a baixa adesão do tratamento entre estas gestantes e seus parceiros sexuais. Conclusão: a sífilis gestacional e congênita tiveram causas multifatoriais e podem ser combatidas com ações em saúde que considerem os aspectos que potencializam a vulnerabilidade social, individual e programática da população.ABSTRACTObjective: to examine the occurrence of gestational and congenital syphilis in the light of vulnerability in Mato Grosso do Sul, from 2008 to 2018. Method: this retrospective, analytical, quantitative, cross-sectional study was based on secondary data collected from Brazil’s Notifiable Disease Information System. Results: gestational and congenital syphilis increased steadily over the eleven years, predominantly in vulnerable groups. The occurrence of congenital syphilis was found to associate (p < 0.05) with the variables “education”, “age group” and “skin color”. Behavioral and health service-related factors – among them, late diagnosis of syphilis and poor treatment adherence by pregnant women and their sexual partners – were found to influence the association. Conclusion: gestational and congenital syphilis had multifactorial causes and can be combated with health measures that address aspects that heighten this population’s social, individual and programmatic vulnerability.RESUMENObjetivo: examinar la ocurrencia de sífilis gestacional y congénita a la luz de la vulnerabilidad en Mato Grosso do Sul, de 2008 a 2018. Método: este estudio retrospectivo, analítico, cuantitativo y transversal se basó en datos secundarios recopilados del Sistema de Información de Enfermedades Notificables de Brasil. Resultados: la sífilis gestacional y congénita aumentó de manera sostenida durante los once años, predominantemente en grupos vulnerables. Se encontró que la ocurrencia de sífilis congénita se asocia (p <0.05) con las variables "educación", "grupo de edad" y "color de piel". Se encontró que factores relacionados con el comportamiento y los servicios de salud, entre ellos, el diagnóstico tardío de la sífilis y la mala adherencia al tratamiento por parte de las mujeres embarazadas y sus parejas sexuales, influyen en la asociación. Conclusión: la sífilis gestacional y congénita tuvo causas multifactoriales y se puede combatir con medidas de salud que aborden aspectos que aumentan la vulnerabilidad social, individual y programática de esta población.

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Magnitude of tuberculosis on the Bioceanic Route: an epidemiological description

Interações (Campo Grande) ◽

10.20435/inter.v22i4.3475 ◽

2021 ◽

pp. 1385-1395

Author(s):

João Pedro Arantes da Cunha ◽

Rafael Vilela de Campos ◽

Ruberval Franco Maciel ◽

Ana Maria Campos Marques

Keyword(s):

Incidence Rate ◽

General Health ◽

Positive Culture ◽

Secondary Data ◽

Descriptive Study ◽

The State ◽

Cross Sectional ◽

Mato Grosso ◽

Mato Grosso Do Sul ◽

Epidemiological Situation

This study aims to assess the epidemiological situation of five municipalities that are part of the bioceanic route in order to analyze the descriptors and general health aspect of the population through a retrospective, quantitative and cross-sectional descriptive study with a documentary approach, from secondary data reported to the National System of Notifiable Diseases in the municipalities of Guia Lopes da Laguna, Jardim, Nioaque, Porto Murtinho, Sidrolândia and Campo Grande, in the state of Mato Grosso do Sul, in the period from January 2015 to December 2020. The incidence rate ranged between 32.23 and 79.4 cases/100,000 inhabitants. There was a predominance of individuals aged between 30-39 years (26.05%) and males (67.5%). The most important injuries were alcoholism (19.15%) and smoking (18%). In the exams, 52.3% had positive bacilloscopy and 32.03% had a positive culture. The incidence of tuberculosis in the evaluated municipalities was higher than the Brazilian average and that of the state of Mato Grosso do Sul. These evaluated municipalities do not have a favorable epidemiological situation with regard to tuberculosis and the construction of the biocenic route may further aggravate the situation.

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Temporal analysis of the clinical evolution of confirmed cases of COVID-19 in the state of Mato Grosso do Sul - Brazil

10.1101/2020.09.21.20198812 ◽

2020 ◽

Author(s):

Carolina Pompeo ◽

Marcos Antonio Ferreira Junior ◽

Andreia Insabralde de Queiroz Cardoso ◽

Luciana Scarlazzari Costa ◽

Mercy da Costa Souza ◽

...

Keyword(s):

Time Series ◽

Polynomial Regression ◽

Temporal Analysis ◽

The State ◽

Cross Sectional ◽

Mato Grosso ◽

Significance Level ◽

Health Authorities ◽

Polynomial Regression Models ◽

Mato Grosso Do Sul

The objective was to analyze the evolution of confirmed cases of COVID-19 in the first four months of the pandemic in Mato Grosso do Sul, a state in the Center-West region of Brazil, as well as the factors related to the prevalence of deaths. This was an observational study with a cross-sectional and time series design based on data from the information system of the State Department of Health of Mato Grosso do Sul, Brazil. The microdata from the epidemiological bulletin is open and in the public domain; consultation was carried out from March to July 2020. The incidences were stratified per 100,000 inhabitants. The cross-section study was conducted to describe COVID-19 cases, and the trend analysis was performed using polynomial regression models for time series, with R-Studio software and a significance level of 5%. There was a predominance of women among the cases, and of men in terms of deaths. The presence of comorbidities was statistically related to mortality, particularly lung disease and diabetes, and the mean age of the deaths was 67.7 years. Even though the macro-region of the state capital, Campo Grande, had a higher number of cases, the most fatalities were in the macro-region of Corumba. The trend curve demonstrated discreet growth in the incidence of cases between epidemiological weeks 11 and 19, with a significant increase in week 20 throughout the state. The trend for COVID-19 in the state of Mato Grosso do Sul was upward and regular, but there was an important and alarming exponential increase. The health authorities should adopt the necessary measures to enforce health precautions and encourage social distancing of the population so that health services will be able to care for those afflicted by the disease, especially older people, those with comorbidities, and vulnerable sectors of the population. Keywords: Pandemics; Coronavirus; Respiratory tract diseases.

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Manifestations of the flu syndrome in medical students during the COVID-19 pandemic.

Journal of Health Sciences ◽

10.17921/2447-8938.2020v22n4p286-294 ◽

2020 ◽

Vol 22 (4) ◽

pp. 289-294

Author(s):

Tânia Gisela Biberg-Salum ◽

José Luis Quelho Filho ◽

Gabriela Freitas Sorrilha ◽

Pietro Delgado Rezende ◽

Eduarda Oliveira Celeri ◽

...

Keyword(s):

Medical Students ◽

Cross Sectional Study ◽

Ministry Of Education ◽

Disease Notification ◽

Cross Sectional ◽

Mato Grosso ◽

Runny Nose ◽

Academic Activities ◽

Mato Grosso Do Sul ◽

De Medicina

Abstract Infection caused by the new Coronavirus (SARS-COV-2) causes a variable clinical picture. Due to its high transmissibility, Covid-19 was declared a pandemic. In view of this, in Brazil, the Ministry of Education (MEC) published an ordinance that temporarily suspended face-to-face activities at Higher Education Institutions (HEIs). Despite this and other measures, the number of cases and deaths in Brazil has, so far, increased exponentially, a fact that impacts the health and educational authorities, due to the exceptionality imposed on the development of teaching activities. In view of this context, the present study aimed to measure the frequency of the Flu Syndrome in medical students from Mato Grosso do Sul during the Covid-19 pandemic period, in order to propose resolutions for conducting academic activities. A descriptive, observational and cross-sectional study carried out among students enrolled in medical courses in the state of Mato Grosso do Sul. The data were obtained through a semi-structured questionnaire, online and based on the Google Forms platform. Descriptive results were prepared automatically, from the platform itself. Result: 371 responses were computed. Approximately 50% had flu-like symptoms, the most common of which were runny nose, nasal obstruction and cough. Among the diagnoses reported, the most described was rhinosinusitis, with 7 participants presenting Covid-19. It was possible to measure the condition of flu-like syndrome among medical students in this state, seeking to provide support and possible basis for decision-making by the coordinators of medical courses in Mato Grosso do Sul regarding the referral of academic activities. Keywords: Coronavirus; SARS-CoV-2; Students, Medical; Disease Notification; Prevalence. Resumo A infecção causada pelo novo Coronavírus (SARS-COV-2) causa quadro clínico variável. Devido à sua alta transmissibilidade, decretou-se estado de pandemia pela Covid-19. Diante disto, no Brasil, o Ministério da Educação (MEC) publicou portaria que suspendeu, temporariamente, as atividades presenciais nas Instituições de Ensino Superior (IES). Apesar desta e de outras medidas, o número de casos e óbitos no Brasil continua, até o momento, aumentando de forma exponencial, fato que impacta as autoridades sanitárias e educacionais, pela excepcionalidade imposta no desenvolvimento das atividades de ensino. Em face deste contexto, o presente trabalho teve como objetivo mensurar a frequência da Síndrome Gripal em acadêmicos de medicina do Mato Grosso do Sul durante o período da pandemia da Covid-19, para assim, propor resoluções para condução das atividades acadêmicas. Um estudo descritivo, observacional e transversal, realizado entre estudantes matriculados nos cursos de medicina do estado de Mato Grosso do Sul. Os dados foram obtidos por questionário semiestruturado, online e assentado na plataforma Google Forms. Os resultados descritivos foram elaborados automaticamente, a partir da própria plataforma. Computou-se 371 respostas. Aproximadamente 50% apresentaram algum sintoma gripal, sendo os mais comuns: coriza, obstrução nasal e tosse. Entre os diagnósticos informados, o mais descrito foi rinossinusite, sendo que 7 participantes apresentaram Covid-19. Foi possível mensurar o quadro de síndrome gripal, entre estudantes de medicina neste estado, buscando proporcionar apoio e eventual embasamento para a tomada de decisões das coordenações dos cursos de medicina do Mato Grosso do Sul quanto aos encaminhamentos das atividades acadêmicas. Palavras-chave: Coronavirus; SARS-CoV-2; Estudantes de medicina; Notificação de Doenças; Prevalência.

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Factors associated with delays in the search for care in neonatal and child deaths in Yucatan, Mexico, 2015–2016

10.21203/rs.2.13671/v1 ◽

2019 ◽

Author(s):

Bernardo Hernandez ◽

Elsa Rodríguez Angulo ◽

Erin B Palmisano ◽

Ricardo Ojeda ◽

Rafael Ojeda ◽

...

Keyword(s):

Health Services ◽

Health Problem ◽

Complete Information ◽

Cross Sectional Study ◽

The State ◽

Care Process ◽

Public Facility ◽

Timely Manner ◽

Cross Sectional ◽

Quality Health

Abstract Background Reducing neonatal and child mortality is a top priority for global health agendas and relies in part on the degree to which the population can access quality health services in a timely manner. This study explores the delays faced during the search for care by caregivers of children under the age of 5 who died in the State of Yucatan, Mexico, during 2015–2016 using the three delays framework as a way to identify bottlenecks and areas susceptible to intervention to reduce these deaths.Methods Cross-sectional study of all children under 5 years of age who died in the State of Yucatan, Mexico, during 2015 – 2016. Information on delays was obtained through household interviews with the caregiver of the child.Results Among 298 cases of children who experienced a health problem and searched for care, 252 had complete information for the study. Over 61% of those children visited more than one facility to seek care and had long times to start seeking care. The beginning of the search for care process was shorter when mothers or caregivers sought care initially at a public facility, and when some symptoms like coughing, lethargy, or rash were detected in the child. The second delay, travel time to facilities, was longer in children enrolled in Seguro Popular as compared to children covered by other forms of social security. Finally, the third delay, waiting time to be seen in the facility, was more common in public facilities that are not hospitals, and more common among children who also experienced a long travel time.Conclusions The results suggest that health promotion actions to reduce the time to search for care when facing a health problem and providing resources to mothers and caregivers to access health services in a timely manner may reduce these delays. This information can help in the planning of health services and improve their impact on population health.

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Clinical and epidemiological profile of multiple sclerosis in a reference center in the State of Bahia, Brazil

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2006000500005 ◽

2006 ◽

Vol 64 (3b) ◽

pp. 727-730 ◽

Cited By ~ 16

Author(s):

Eduardo Cardoso ◽

Thiago Fukuda ◽

Júlio Pereira ◽

Jamile Seixas ◽

Rafael Miranda ◽

...

Keyword(s):

Multiple Sclerosis ◽

Epidemiological Data ◽

Cross Sectional Study ◽

The State ◽

Clinical Aspects ◽

Cross Sectional ◽

Relapsing Remitting ◽

The Central Nervous System ◽

Epidemiological Profile ◽

Worse Prognosis

Multiple sclerosis (MS) is an autoimmune, demyelinating and degenerative disease that affects the central nervous system. Its prevalence and clinical aspects vary according to the continent considered, being more frequent in Caucasians and young individuals aged 20 to 40 years. Epidemiological data from Brazil show that prevalence is variable, being more frequent in the Southern and Southeastern areas of the country, rather than in the Northern and Northeastern areas. The purpose of this paper is to describe MS clinical and epidemiological features in the State of Bahia, in the Brazilian Northeastern region. Thus, we held a cross-sectional study over the period from February to May, 2005, in the Multiple Sclerosis Patient Support Center ("Núcleo de Apoio aos Pacientes com Esclerose Múltipla") of Bahia, which included all patients with a diagnosis of MS seen over this period of time. A total of 121 patients were investigated, being 80.2% females (female:male ratio=4:1), with higher frequency in mulatto individuals (64%), and the relapsing-remitting type (91.3%). Most patients (68.7%) had mild MS, and blacks were prone to worse prognosis compared to other patients.

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