803 resultados para Agência Nacional de Saúde Suplementar


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The study aimed to investigate social representations of the terms diabetes and diabetic foot in different populations. Participants were divided into groups: diabetics (GD); non- diabetics (GN); and non-diabetic healthcare professionals (GP). Personal data were collected, and subjects answered two questions that were expected to evoke five words that came to mind when they thought of diabetes and then diabetic foot. The evoked material was analyzed with the software Ensemble de Programmes Permettant l'Analyse dês Èvocations. A total of 161 subjects participated, including GD (n = 72) with a mean age of 56.12 ± 5.49 years; GN (n = 38) with a mean age of 54.29 ± 7.91 years; and GP (n = 51) with 34.95 ± 7.52 years. The term diabetes evoked 297 words in GD, 172 in GN, and 235 words in GP. The term diabetic foot evoked 180 words in GD, 90 in GN, and 236 in GP. The groups proved to be anxious for more information, thus confirming the need for awareness-raising and educational programs on diabetes, covering comprehensive issues concerning the disease.

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This study presents the results of a cost-effectiveness analysis in a controlled clinical trial on the effectiveness of a modified glass ionomer resin sealant ( Vitremer, 3M ESPE) and the application of fluoride varnish (Duraphat, Colgate) on occlusal surfaces of first permanent molars in children 6-8 years of age (N = 268), according to caries risk (high versus low). Children were examined semiannually by the same calibrated dentist for 24 months after allocation in six groups: high and low risk controls (oral health education every three months); high and low risk with varnish (oral health education every three months + varnish biannually); and high and low risk with sealant (oral health education every three months + a single application of sealant). Economic analysis showed that sealing permanent first molars of high-risk schoolchildren showed a C/E ratio of US$ 119.80 per saved occlusal surface and an incremental C/E ratio of US$ 108.36 per additional saved occlusal surface. The study concluded that sealing permanent first molars of high-risk schoolchildren was the most cost-effective intervention.

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O objetivo deste estudo foi analisar os fatores associados à prática esportiva e participação nas aulas de educação física. A amostra foi composta por 827 jovens, selecionados em dois estágios e estratificados por região da cidade de Londrina, Paraná, Brasil. Foram analisadas a prática esportiva, participação nas aulas de educação física e variáveis sociodemográficas, comportamentais e ambientais. Os fatores associados à participação nas aulas de educação física foram: sexo masculino, idade (10-13 anos), percepção de atividade física igual ou elevada, prática esportiva, movimentação durante as aulas e realizar aulas na quadra. Para a prática esportiva, os fatores associados foram o sexo masculino, idade (10-13 anos), percepção de atividade física igual/elevada, atividade física (≥ 7horas/semana), participação nas aulas de educação física, possuir ≥ 10 amigos, prática de esportes com amigos e frequência de utilização de lugares para a prática. Esses fatores devem ser considerados nos programas de incentivo à prática esportiva e à participação nas aulas de educação física.

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The aim of this study was to analyze the prevalence of hypertension and control practices among the elderly. The survey analyzed data from 872 elderly people in São Paulo, Brazil, through a cluster sampling, stratified according to education and income. A Poisson multiple regression model checked for the existence of factors associated with hypertension. The prevalence of self-reported hypertension among the elderly was 46.9%. Variables associated with hypertension were self-rated health, alcohol consumption, gender, and hospitalization in the last year, regardless of age. The three most common measures taken to control hypertension, but only rarely, are oral medication, routine salt-free diet and physical activity. Lifestyle and socioeconomic status did not affect the practice of control, but knowledge about the importance of physical activity was higher among those older people with higher education and greater income. The research suggests that health policies that focus on primary care to encourage lifestyle changes among the elderly are necessary.

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This study aimed to analyze the spatial distribution of dengue risk and its association with socio-environmental conditions. This was an ecological study of the counts of autochthonous dengue cases in the municipality of Campinas, São Paulo State, Brazil, in the year 2007, aggregated according to 47 coverage areas of municipal health centers. Spatial models for mapping diseases were constructed with Bayesian hierarchical models, based on Integrated Nested Laplace Approximation (INLA). The analyses were stratified according to two age groups, 0 to 14 years and above 14 years. The results indicate that the spatial distribution of dengue risk is not associated with socio-environmental conditions in the 0 to 14 year age group. In the age group older than 14 years, the relative risk of dengue increases significantly as the level of socio-environmental deprivation increases. Mapping of socio-environmental deprivation and dengue cases proved to be a useful tool for data analysis in dengue surveillance systems.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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A área de estudo deste trabalho engloba as bacias hidrográficas dos rios Aguapeí e Peixe, localizadas a Oeste do Estado de São Paulo. Estas por sua vez estão vinculadas aos Comitês de Bacias Hidrográficas Aguapeí e Peixe (CBH-AP). Diante da iminência da implementação da política de cobrança pelo uso dos recursos hídricos nessa área, o presente trabalho apresenta em linhas gerais o estudo da vazão específica de forma que os resultados possam contribuir com os órgãos públicos de gestão a fim de que se execute uma gestão mais efetiva dos recursos hídricos. Com base em dados hidrológicos das estações fluviométricas inventariadas através do Sistema Integrado de Gestão de Recursos Hídricos do Estado de São Paulo (SIGRH) e da Agência Nacional de Águas (ANA) nas duas bacias hidrográficas, procedeu-se o estudo da vazão específica. Os resultados desses estudos apontam para uma maior variabilidade da vazão específica média na bacia hidrográfica do rio do Peixe, uma vez que ao longo da série histórica essa bacia apresenta maiores valores de vazão, foi possível também observar as mudanças no comportamento da vazão hidrológica nas duas bacias hidrográficas, ou seja, através dos três períodos hidrológicos identificados foi possível depreender que a vazão específica média em um período se mostra bem distribuída em ambas as bacias hidrográficas, em outro período hidrológico essa distribuição já se apresenta mais desigual. Tais informações possibilitam aos órgãos de gestão um planejamento mais refinado e eficiente

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Due to the high value of the bill that the Brazilian has been paying, one of the most expensive in the world, is becoming increasingly attractive the option for renewable energy in form of distributed micro and minigeneration. In other words, the renewable energy sources are becoming attractive not only because of environmental concerns, but also due to economic issues. This has become even more relevant and concrete after approval of rules by National Agency of Electric Energy (ANEEL) on 4/17/2012 (Normative Resolution n ° 482/2012 of 04/17/2012) aimed at reducing barriers to installation of small distributed generation, including microgeneration, with up to 100 kW of power, and minigeneration, 100 kW to 1 MW. The Normative Resolution n ° 482/2012 creates the Energy Clearing System, which allows consumers to install small generators in its consumer unit and exchange energy with the local distributor. The rule applies to generators that use renewable sources of energy (hydro, solar, biomass, wind and cogeneration qualified). In this context, this paper presents a technical and economic analysis of installing a residential microgenerating plant composed of photovoltaic cells, solar panels and small wind turbines