Near miss materno e iniquidades em saúde: análise de determinantes contextuais no Rio Grande do Norte, Brasil

The scope of this study was to identify socioeconomic contextual and health care factors in primary care associated with maternal near misses and their marker conditions. This is an ecological study that used aggregated data of 63 clusters formed by the municipalities of State of Rio Grande do Norte, Brazil, using the Skater method of area regionalization, as the unit of analysis. The ratio of maternal near misses and their marker conditions were obtained from the Hospital Information System of the Brazilian Unified Health System. In multiple linear regression analysis, there was a significant association between maternal near misses and variables of poverty and poor primary health care. Hypertensive disorders were also associated with poverty and poor primary care and the occurrence of hemorrhaging was associated with infant mortality. It was observed that the occurrence of maternal near misses is linked to unfavorable socioeconomic conditions and poor quality health care that are a reflection of public policies that accentuate health inequalities.

Near miss materno e iniquidades em saúde: análise de determinantes contextuais no Rio Grande do Norte, Brasil

The scope of this study was to identify socioeconomic contextual and health care factors in primary care associated with maternal near misses and their marker conditions. This is an ecological study that used aggregated data of 63 clusters formed by the municipalities of State of Rio Grande do Norte, Brazil, using the Skater method of area regionalization, as the unit of analysis. The ratio of maternal near misses and their marker conditions were obtained from the Hospital Information System of the Brazilian Unified Health System. In multiple linear regression analysis, there was a significant association between maternal near misses and variables of poverty and poor primary health care. Hypertensive disorders were also associated with poverty and poor primary care and the occurrence of hemorrhaging was associated with infant mortality. It was observed that the occurrence of maternal near misses is linked to unfavorable socioeconomic conditions and poor quality health care that are a reflection of public policies that accentuate health inequalities.

Estratégias distribuídas para a coexistência de redes de banda larga sem fio em bandas não-licensiadas

The increasing demand for Internet data traffic in wireless broadband access networks requires both the development of efficient, novel wireless broadband access technologies and the allocation of new spectrum bands for that purpose. The introduction of a great number of small cells in cellular networks allied to the complimentary adoption of Wireless Local Area Network (WLAN) technologies in unlicensed spectrum is one of the most promising concepts to attend this demand. One alternative is the aggregation of Industrial, Science and Medical (ISM) unlicensed spectrum to licensed bands, using wireless networks defined by Institute of Electrical and Electronics Engineers (IEEE) and Third Generation Partnership Project (3GPP). While IEEE 802.11 (Wi-Fi) networks are aggregated to Long Term Evolution (LTE) small cells via LTE / WLAN Aggregation (LWA), in proposals like Unlicensed LTE (LTE-U) and LWA the LTE air interface itself is used for transmission on the unlicensed band. Wi-Fi technology is widespread and operates in the same 5 GHz ISM spectrum bands as the LTE proposals, which may bring performance decrease due to the coexistence of both technologies in the same spectrum bands. Besides, there is the need to improve Wi-Fi operation to support scenarios with a large number of neighbor Overlapping Basic Subscriber Set (OBSS) networks, with a large number of Wi-Fi nodes (i.e. dense deployments). It is long known that the overall Wi-Fi performance falls sharply with the increase of Wi-Fi nodes sharing the channel, therefore there is the need for introducing mechanisms to increase its spectral efficiency. This work is dedicated to the study of coexistence between different wireless broadband access systems operating in the same unlicensed spectrum bands, and how to solve the coexistence problems via distributed coordination mechanisms. The problem of coexistence between different networks (i.e. LTE and Wi-Fi) and the problem of coexistence between different networks of the same technology (i.e. multiple Wi-Fi OBSSs) is analyzed both qualitatively and quantitatively via system-level simulations, and the main issues to be faced are identified from these results. From that, distributed coordination mechanisms are proposed and evaluated via system-level simulations, both for the inter-technology coexistence problem and intra-technology coexistence problem. Results indicate that the proposed solutions provide significant gains when compare to the situation without distributed coordination.