scholarly journals Analysis of Deaths Occurred in Households during the Pandemic by COVID-19 in a Brazilian Amazon Region: An Epidemiological Approach

2021 ◽  
pp. 10-21
Author(s):  
Ana Lúcia da Silva Ferreira ◽  
Daniele Melo Sardinha ◽  
Phelipe da Silva Rodrigues ◽  
Adriana Pimentel Veras ◽  
Ricardo José de Paula Souza e Guimarães ◽  
...  
Keyword(s):  
Death Certificate ◽  
Brazilian Amazon ◽  
Male Gender ◽  
Metropolitan Region ◽  
Age Group ◽  
Brazilian Amazon Region ◽  
Proper Diagnosis ◽  
Epidemiological Profile ◽  
Epidemiological Approach ◽  
At Home

In the absence of an analysis of deaths at home from an epidemiological perspective, this study aims to analyze and describe the epidemiological profile of deaths at home assessed by the Death Ceremony Service (DCS) during the SARS-CoV-2 pandemic in the metropolitan region of the Brazilian Amazon, Belém do Pará. A descriptive, quantitative, secondary-based study based on the databases of the Mortality Information System (SIM), referring to the deaths that occurred from March 1 to March 27 June 2020. The variables worked were related to the profile and the causes in the death certificate. The causes of home deaths in 2019 were used to compare with 2020. In the indicated period, 1,203 deaths occurred, an increase of 454% in relation to 2019. The male gender (57.30%), the age group of 60+ (80.80%) and brown race (77.70%) were the most frequent. The main cause of death Acute myocardial infarction (15.05%) followed by COVID-19 (10.29%). During the pandemic, the majority of home deaths were not directly caused by COVID-19, however, they were influenced by it due to the need for social isolation, with the impossibility of obtaining the proper diagnosis or proper treatment, due to the impossibility of on-site care or lack of immediate response.

scholarly journals Risk factors associated with the severity of COVID-19 in a region of the Brazilian Amazon

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniele Melo Sardinha ◽  
Rosane do Socorro Pompeu de Loiola ◽  
Ana Lúcia da Silva Ferreira ◽  
Carmem Aliandra Freire de Sá ◽  
Yan Corrêa Rodrigues ◽  
...  
Keyword(s):  
Risk Factors ◽  
Brazilian Amazon ◽  
The State ◽  
Metropolitan Region ◽  
Epidemiological Surveillance ◽  
Cross Sectional ◽  
Factors Associated ◽  
Risk Of Death ◽  
Increased Risk ◽  
Brazilian Amazon Region

AbstractThe Brazilian Northern region registered a high incidence of COVID-19 cases, particularly in the state of Pará. The present study investigated the risk factors associated with the severity of COVID-19 in a Brazilian Amazon region of 100,819 cases. An epidemiological, cross-sectional, analytical and demographic study, analyzing data on confirmed cases for COVID-19 available at the Brazilian Ministry of Health's surveillance platform, was conducted. Variables such as, municipalities of residence, age, gender, signs and symptoms, comorbidities were included and associated with COVID-19 cases and outcomes. The spatial distribution was performed using the ArcGIS program. A total of 100,819 cases were evaluated. Overall, patients had the mean age of 42.3 years, were female (51.2%) and with lethality reaching 4.79% of cases. Main symptoms included fever (66.5%), cough (61.9%) and sore throat (39.8%). Regarding comorbidities, most of the patients presented cardiovascular disease (5.1%) and diabetes (4.2%). Neurological disease increased risk of death by nearly 15 times, followed by obesity (5.16 times) and immunodeficiency (5.09 time). The municipalities with the highest incidence rate were Parauapebas, Canaã dos Carajás and Jacareacanga. Similarity between the Lower Amazon, Marajó and Southwest mesoregions of Pará state were observed concerning the highest morbidity rates. The obtained data demonstrated that the majority of cases occurred among young adults, females, with the classic influenza symptoms and chronic diseases. Finally, data suggest that the highest incidences were no longer in the metropolitan region of the state. The higher lethality rate than in Brazil may be associated with the greater impacts of the disease in this Amazonian population, or factors associated with fragile epidemiological surveillance in the notification of cases of cure.

scholarly journals Impact on human health of particulate matter emitted from burnings in the Brazilian Amazon region

2010 ◽  
Vol 44 (1) ◽  
pp. 121-130 ◽  
Author(s):  
Eliane Ignotti ◽  
Joaquim Gonçalves Valente ◽  
Karla Maria Longo ◽  
Saulo Ribeiro Freitas ◽  
Sandra de Souza Hacon ◽  
...  
Keyword(s):  
Particulate Matter ◽  
Human Health ◽  
Age Groups ◽  
The Elderly ◽  
Brazilian Amazon ◽  
Amazon Region ◽  
Age Group ◽  
Exposure Indicator ◽  
Brazilian Amazon Region ◽  
Complete Blood Counts

OBJECTIVE: To analyze the impact on human health of exposure to particulate matter emitted from burnings in the Brazilian Amazon region. METHODS: This was an ecological study using an environmental exposure indicator presented as the percentage of annual hours (AH%) of PM2.5 above 80 μg/m3. The outcome variables were the rates of hospitalization due to respiratory disease among children, the elderly and the intermediate age group, and due to childbirth. Data were obtained from the National Space Research Institute and the Ministry of Health for all of the microregions of the Brazilian Amazon region, for the years 2004 and 2005. Multiple regression models for the outcome variables in relation to the predictive variable AH% of PM2.5 above 80 μg/m3 were analyzed. The Human Development Index (HDI) and mean number of complete blood counts per 100 inhabitants in the Brazilian Amazon region were the control variables in the regression analyses. RESULTS: The association of the exposure indicator (AH%) was higher for the elderly than for other age groups (β = 0.10). For each 1% increase in the exposure indicator there was an increase of 8% in child hospitalization, 10% in hospitalization of the elderly, and 5% for the intermediate age group, even after controlling for HDI and mean number of complete blood counts. No association was found between the AH% and hospitalization due to childbirth. CONCLUSIONS: The indicator of atmospheric pollution showed an association with occurrences of respiratory diseases in the Brazilian Amazon region, especially in the more vulnerable age groups. This indicator may be used to assess the effects of forest burning on human health.

scholarly journals Elderly patients with facial trauma: a 10 year review

2017 ◽  
Vol 20 (5) ◽  
pp. 618-623
Author(s):  
Mateus Giacomin ◽  
Ferdinando De Conto ◽  
Simone Pinheiro Siqueira ◽  
Pedro Henrique Signori ◽  
João Matheus Scherbaum Eidt ◽  
...  
Keyword(s):  
Medical Records ◽  
Geriatric Patients ◽  
Maxillofacial Surgery ◽  
Male Gender ◽  
Facial Trauma ◽  
Age Group ◽  
Physiological Changes ◽  
Southern Brazil ◽  
Epidemiological Profile ◽  
Surgery Department

Abstract Objective: to analyze the epidemiological profile of geriatric patients with facial trauma treated at a Maxillofacial Surgery Department in southern Brazil over a period of 10 years. Methods: a retrospective analysis of the medical records of patients aged over 60 years treated for facial trauma in the period from January 2001 to December 2010 was performed. Result: of a total of 1,385 analyzed medical records of patients with facial trauma, 86 (6.2%) belonged to the group aged 60-89 years. The male gender was the most affected and the age group 60-69 years was the most frequently involved. The middle third was the most affected, and the zygomatic bone was the most commonly fractured. Conclusion: special attention should be given to the 60-69 age group, as while such patients present physiological changes inherent to aging, they remain active in society and exposed to risk factors for facial trauma.

scholarly journals Clinical-epidemiological profile of children and adolescents with COVID-19 in Ceará

2021 ◽  
Vol 21 (suppl 2) ◽  
pp. 429-435
Author(s):  
Ana Nery Melo Cavalcante ◽  
Lohanna Valeska de Sousa Tavares ◽  
Maria Luiza Almeida Bastos ◽  
Rosa Lívia Freitas de Almeida
Keyword(s):  
Data Analysis ◽  
Children And Adolescents ◽  
State Government ◽  
School Children ◽  
Open Data ◽  
Male Gender ◽  
Age Group ◽  
Data Repositories ◽  
Robust Variance ◽  
Epidemiological Profile

Abstract Objectives: to describe the clinical-epidemiological profile of children and adolescents notified by COVID-19 in Ceará. Methods: descriptive epidemiological study from open data repositories of the State Government of Ceará, about cases of OVID-19 in children and adolescents, from 03/15/2020 to 07/31/2020. For data analysis the tests χ2 Pearson, Fisher's exact and Poisson's regression with robust variance were used. Results: 48,002 cases of children and adolescents suspected of COVID-19 were reported, of which 18,180 (8.9%) were confirmed. The median of confirmed cases was 12 years old, 10.5% were newborns/lactants, 10.7% were pre-school children, 21.2% were school children and 57.7% were adolescents. They evolved to death 0.3% of the cases, of which 15% had comorbidities. They needed hospitalization 1.8% of the cases. The highest probability of hospitalization was found in newborns/lactants, male and with comorbidities. Conclusions: most of the confirmed cases occurred in adolescents, however, the evolution of the disease was more severe and with greater need for hospitalization in the age group of newborns/lactants, being the male gender and the presence of comorbidities additional factors for the need for hospitalization.

scholarly journals Reduction of incidence and relapse or recrudescence cases of malaria in the western region of the Brazilian Amazon

2014 ◽  
Vol 8 (09) ◽  
pp. 1181-1187 ◽  
Author(s):  
Gabriel de Deus Vieira ◽  
Karla Nayma Mundt Gim ◽  
Guilherme Mendes Zaqueo ◽  
Thaianne da Cunha Alves ◽  
Tony Hiroshi Katsuragawa ◽  
...  
Keyword(s):  
Health System ◽  
Epidemiological Data ◽  
Brazilian Amazon ◽  
The State ◽  
Environmental Data ◽  
Age Group ◽  
Socioeconomic Indicators ◽  
Unified Health System ◽  
Main Activity ◽  
Epidemiological Profile

Introduction: Malaria is one of the major parasitic diseases in the State of Rondônia, located in the western Brazilian Amazon. The basic treatment scheme for this disease is chloroquine and primaquine. This study evaluated the epidemiological profile of malaria in Rondônia between 2008 and 2012. Methodology: The epidemiological data were provided by the Health Surveillance Agency from the State of Rondônia, and socioeconomic indicators were obtained from the Brazilian Institute of Geography and Statistics, Department of Informatics of the Unified Health System, and from the National Institute for Space Research. The analyzed variables included year of diagnosis, gender, age group, main activity performed in the 15 days previous to the diagnosis, parasite species, level of parasitemia, number of relapse/recrudescence cases, and socioeconomic and environmental data for Rondônia. Results: A total of 238,626 cases of malaria were recorded in Rondônia during the study period. Of this total, 65.6% were men and the most prevalent age group was 20–39 years. Plasmodium vivax was the most common parasite (89.8%), followed by Plasmodium   falciparum (9.4%). An average of 30.9% of the individuals who were tested presented with relapse/recrudescence malaria. The API value was highest in 2008 and lowest in 2012, corresponding to 42.3 cases and 19.2 cases per 1,000 inhabitants, respectively. Conclusions: A 58% reduction in the number of malaria cases and a 36.2% reduction in the number of relapse/recrudescence malaria cases were observed, due to increases in the economy, improvements in the health system, and reduction of deforestation in this region.

scholarly journals Perfil epidemiológico dos óbitos neonatais da unidade de terapia intensiva

2018 ◽  
Vol 12 (9) ◽  
pp. 2393
Author(s):  
David Wesley Ribeiro Muniz ◽  
Matheus Gaspar Miranda ◽  
Glaydyson Wesley Freire Lima ◽  
Andrea Pinto Costa ◽  
Edison Araújo Vale
Keyword(s):  
Neonatal Mortality ◽  
Gestational Age ◽  
Death Rate ◽  
Death Certificate ◽  
Research Report ◽  
Age Group ◽  
Terapia Intensiva ◽  
Epidemiological Profile ◽  
Health Situation ◽  
And Training

RESUMOObjetivo: caracterizar o perfil epidemiológico da mortalidade neonatal na UTIN. Método: trata-se de um estudo quantitativo, de levantamento de situação de saúde, retrospectivo, utilizando-se a ficha de investigação e a declaração de óbito do recém-nascido (RN), de janeiro de 2015 a dezembro de 2015, realizado em uma maternidade de referência. Resultados: a faixa etária materna com maior frequência foi entre 16 e 25 anos. A taxa de óbitos foi maior entre mulheres com escolaridade até o ensino médio submetidas ao parto cesáreo. Além disso, houve maior mortalidade entre RN com Apgar igual ou menor que sete, tanto no primeiro minuto, quanto no quinto, com baixo peso ao nascer e com idade gestacional menor do que 37 semanas. Em relação às causas de óbito neonatal, o diagnóstico de maior prevalência foi a prematuridade seguida por anomalias e infecções perinatais. Conclusão: os resultados mostraram que persiste a necessidade de medidas que visem a melhorar a assistência prestada à gestante no pré-natal, parto e puerpério, como, também, à melhoria na estrutura hospitalar e na capacitação dos profissionais da área da saúde para auxiliar a redução da mortalidade neonatal. Descritores: Aplicações da Epidemiologia; Mortalidade Infantil; Unidades de Terapia Intensiva Neonatal; Idade Gestacional; Complicações na gravidez; Índice de Apgar.ABSTRACT Objective: to characterize the epidemiological profile of neonatal mortality in the NICU. Method: This is a retrospective quantitative study of the health situation, using the research report and the death certificate of the Newborn (NB) from January 2015 to December 2015, carried out in a Maternity of reference. Results: the maternal age group with the highest frequency was between 16 and 25 years; the death rate was higher among women with schooling until high school and between the type of cesarean delivery. In addition, there was a higher mortality among NB with Apgar equal to or lower than seven, both in the first minute and in the fifth, with low birth weight and with gestational age less than 37 weeks. Regarding the causes of neonatal death, the most prevalent diagnosis was prematurity, followed by perinatal anomalies and infections. Conclusion: the results showed that there is still a need for measures aimed at improving the care provided to pregnant women in prenatal, childbirth and puerperium, as well as improving the hospital structure and training of health professionals to help reduce neonatal mortality. Descritores: Epidemiology; Infant Mortality; Intensive Care Units, Neonatal; Gestational Age; Pregnancy Complications; Apgar Score.  RESUMENObjetivo: caracterizar el perfil epidemiológico de la mortalidad neonatal en la UTIN. Método: se trata de un estudio cuantitativo, de levantamiento de situación de salud, retrospectiva, utilizando la ficha de investigación y la declaración de muerte del Recién Nacido (RN) de enero de 2015 a diciembre de 2015, realizado en una Maternidad de referencia. Resultados: el grupo de edad materna con mayor frecuencia fue entre 16 y 25 años; la tasa de muertes fue mayor entre mujeres con escolaridad hasta la enseñanza media y entre el tipo de parto cesáreo. Además, hubo mayor mortalidad entre RN con Apgar igual o menor que siete, tanto en el primer minuto y en el quinto, con bajo peso al nacer y con edad gestacional menor de 37 semanas. En relación a las causas de muerte neonatal, el diagnóstico de mayor prevalencia fue a la prematuridad, seguido por anomalías e infecciones perinatales. Conclusión: los resultados mostraron que persiste la necesidad de medidas encaminadas a mejorar la asistencia prestada a la gestante en el prenatal, parto y puerperio, así como la mejora en la estructura hospitalaria y en la capacitación de los profesionales del área de la salud para auxiliar la reducción de la salud mortalidad neonatal. Descriptores: Usos de la Epidemiologia; Mortalidad Infantil; Unidades de Cuidado Intensivo Neonatal; Edad Gestacional; Complicaciones del Embarazo; Puntaje de Apgar. 

scholarly journals PERFIL AGROSSOCIOECONÔMICO DE PRODUTORES RURAIS NA REGIÃO METROPOLITANA DO CARIRI CEARENSE

2020 ◽  
Vol 11 (38) ◽  
pp. 186-199
Author(s):  
Anny Kariny Feitosa ◽  
◽  
Carlos Wagner de Oliveira ◽  
Keyword(s):  
Technical Assistance ◽  
Family Income ◽  
Male Gender ◽  
Government Policies ◽  
Metropolitan Region ◽  
Agricultural Activity ◽  
Age Group ◽  
Stable Relationship ◽  
Rural Producers

This article aims to diagnose the agrosocioeconomic profile of rural producers in the Metropolitan Region of Cariri, through a case study applied in the municipalities of Crato, Juazeiro do Norte and Barbalha. To this end, an interview was conducted with sixty farmers, twenty from each municipality, containing questions about family composition; gender, age, marital status, education level; exercise of other economic activity besides agriculture; family income; technical assistance; cultivation type; total area of the property and cultivated area; agricultural implements used on the property; the destination of production; among other aspects. The results found highlight the predominance of the male gender (61.7%), with the age group of 46 to 65 years (48.3%), elementary school (46.6%), with 70% of the interviewees among those without schooling and with fundamental level, 76.7% interviewees married or in a stable relationship, with exclusive income from agricultural activity of up to 1 (one) minimum wage, working in small properties, with an area of less than 5 (five) hectares. Among the products, poultry, corn and beans cultivation stand out, mainly family consumption (91.7%), with the surplus sold atlocal fairs (51.7%), delivered to school meals (30%) and sold, in 25% of cases, at the property's headquarters. The importance of strengthening the sector is reinforced through the creation of government policies to support and guarantee production and marketing in the region.

Pterygium in adults from the Brazilian Amazon Region: prevalence, visual status and refractive errors

2019 ◽  
Vol 104 (6) ◽  
pp. 757-763
Author(s):  
Arthur G Fernandes ◽  
Solange R Salomão ◽  
Nívea N Ferraz ◽  
Márcia H Mitsuhiro ◽  
Joao M Furtado ◽  
...  
Keyword(s):  
Higher Education ◽  
Visual Impairment ◽  
Rural Areas ◽  
Protective Factor ◽  
Brazilian Amazon ◽  
Amazon Region ◽  
Male Gender ◽  
Cluster Sampling ◽  
Refractive Errors ◽  
Brazilian Amazon Region

AimsTo determine prevalence of pterygium, its role as main cause of unilateral and bilateral visual impairment and blindness and its impact on refractive errors from adults living in a high ultraviolet exposure area in the Brazilian Amazon Region.MethodsCluster sampling was used in randomly selecting subjects ≥45 years of age from urban and rural areas of Parintins city. Eligible subjects were enumerated through a door-to-door household survey and invited for an eye exam including refraction. Pterygium was assessed considering location (nasal, temporal or both) and size (<3 mm or ≥3 mm reaching or not pupillary margin).ResultsA total of 2384 persons were enumerated and 2041 (85.6%) were examined. Prevalence of pterygium was 58.8% (95% CI 53.8% to 63.7%) and associated with male gender (OR=1.63; 95% CI 1.37 to 1.94; p=0.001), while higher education was a protective factor (OR=0.63; 95% CI 0.44 to 0.92; p=0.018). Older age and rural residence were associated with pterygium ≥3 mm reaching or not pupillary margin, while higher education was a protective factor for pterygium ≥3 mm reaching pupillary margin. Prevalence of pterygium as cause of visual impairment and blindness was 14.3% and 3.9%, respectively. Significantly higher hyperopic refractive errors were found in eyes with pterygium ≥3 mm reaching or not pupillary margin.ConclusionsPterygium was highly prevalent and the second cause of visual impairment and blindness after provision of refractive correction. Risk factors for pterygium were male gender, advanced age, lower education and rural residency. Strategies to provide pterygium early detection and proper management should be considered by healthcare authorities in this population.

Perfil Epidemiológico de Pacientes Renais Crônicos em Tratamento Conservador em um Hospital Escola do Sul de Minas/ Epidemiological Profile of Chronic Renal Failure Patients on Conservative Treatment in a Hospital in Southern School of Minas

1970 ◽  
Vol 4 (4) ◽  
pp. 49-60
Author(s):  
Camila Dorilêo Negretti ◽  
Pablo Girardeli Mendonça Mesquita ◽  
Nilo César do Vale Baracho
Keyword(s):  
Diabetes Mellitus ◽  
Conservative Treatment ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Control Programs ◽  
Keywords Epidemiology ◽  
Epidemiological Profile ◽  
Grade Iii

Objetivo: Determinar o perfil epidemiológico dos pacientes com Doença Renal Crônica em tratamento conservador no ambulatório do Hospital Escola de Itajubá. Materiais e Métodos: Estudo descritivo, de corte transversal, de abordagem quantitativa. Realizado com 171 pacientes atendidos em tratamento conservador no ambulatório de nefrologia no período de janeiro de 2012 a dezembro de 2013. A coleta objetivou caracterizar idade, sexo, raça, estado civil e procedência. Também foram avaliados dados do primeiro atendimento como: valores de ureia e creatinina, o grau de DRC, a etiologia e o número de retorno. Resultados: Dos doentes renais crônicos avaliados, 50,3% eram do sexo masculino, 88% da raça branca, 54,4% casados e a maioria (70,8%) possuía faixa etária prevalente >60 anos. A maioria dos atendidos, 98,5% pertence a microrregião de referência. Quanto a dados de primeira consulta, o diabetes mellitus foi a principal etiologia (38%). Os valores de ureia e creatinina acima da referência preconizada foi observado na maioria dos pacientes e o grau III de DRC em 31% dos casos. O número médio de retornos após a primeira consulta foi de três retornos em 25,13% dos pacientes. Conclusão: A pesquisa permitiu o conhecimento do perfil epidemiológico dos portadores de DRC em tratamento conservador. Os achados reforçam a necessidade de implementação de políticas voltadas para promoção e prevenção à saúde com divulgação de mais programas de controle para minimizar o surgimento de novos casos da DRC. Palavras-chave: Epidemiologia. Doença Renal Crônica. Tratamento. ABSTRACT.Objective: Determine the epidemiological profile of patients with Chronic Kidney Disease (CKD) on conservative treatment at the Hospital Escola de Itajubá. Materials and Methods: A retrospective, descriptive, cross-sectional study of quantitative approach. It was conducted with 171 patients who were treated in conservative treatment at the nephrology clinic from January 2012 to December 2013. The collection aimed to characterize age, sex, race, marital status and origin. We also evaluated data from the first service as: urea and creatinine values, the degree of CKD the etiology and the number of return. Results: Among the chronic renal patients evaluated, 50.3% were male, 88% Caucasian, 54.4% were married and the majority (70.8%) was the most prevalent age group> 60 years. Most of the patients 98.5% belong to micro region of reference. As the first appointment data, diabetes mellitus was the major cause (38%). The urea and creatinine values above the recommended reference was observed in the majority of patients and the DRC grade III in 31% of cases. The average number of returns after the fisrt visit was three return in 25.13% of patients. Conclusion: The research gave us the knowledge of the epidemiological profile of patients with CKD on dialysis. The findings reinforce the need to implement policies for health promotion and prevention with more disclosure of control programs to minimize the appearance of new cases of CKD. Keywords: Epidemiology. Chronic Kidney Disease.Treatment.

scholarly journals Reducing Loneliness: The Impact of Mindfulness, Social Cognitions, and Coping

2021 ◽  
pp. 003329412199777
Author(s):  
Robin Besse ◽  
Whitney K. Whitaker ◽  
Laura A. Brannon
Keyword(s):  
Young Adults ◽  
Social Cognitions ◽  
Age Group ◽  
Coping Behaviors ◽  
Current Health ◽  
Current State ◽  
And Coping ◽  
Study Participants ◽  
The Impact ◽  
At Home

While many facets of loneliness have been explored, research examining the efficacy of loneliness interventions has been overlooked among young adults. The study of loneliness among young adults has become increasingly important considering the current state of isolation and stay-at-home orders issued to prevent the spread of COVID-19. Preliminary reports suggest an increase in loneliness as a result of the current health pandemic, especially among young adults, who have reported feeling lonelier than any other age group. Such findings warrant the study of ways to help reduce loneliness among young adults. The current study examined the efficacy of strategies that might be used to help young adults manage feelings of loneliness. Two hundred and seventy-eight young adults completed the study. Participants read one of four messages: mindfulness, social cognitions, coping behaviors, or a control. Participants in the mindfulness condition felt better equipped to manage future instances of loneliness and held better attitudes toward this intervention. The current research helps to advance understanding of effective ways of helping young adults cope with loneliness.

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