Comparação de gastos com serviços de atenção básica à saúde de homens e mulheres em Bauru, São Paulo, 2010

OBJECTIVE: to compare expenditure on primary health care services for men and women in Bauru-SP, Brazil. METHODS: cross-sectional study with a sample composed of randomly selected health service users' aged ≥50 years. Healthcare expenditure over the last 12 months was analyzed and stratified into: medical consultations, exams, medication and overall expenditure. RESULTS: 707 women and 256 men were assessed. Women had higher overall expenditures than men (median: R$128.1 versus R$108.6; p-value=0.027). Comparing females and males, being female was associated with higher medical consultation expenditure (27.6% versus 18.4%, respectively p-value=0.005) and exams (27.1% versus 19.5%, respectively p-value=0.022). After statistical adjustments (smoking, socioeconomic status, physical activity and overweight), being female was still associated with higher exam-related expenditure (Odds Ratio= 1.47; 95% confidence interval: 1.01-2.14). CONCLUSION: women have higher expenditure related to exams than men. Female obesity was associated with medical consultation higher expenditure.

Educação permanente em saúde em unidades críticas de um hospital de ensino: elaboração de material de apoio

Pós-graduação em Enfermagem (mestrado profissional) - FMB

O uso do acervo do Programa Nacional Biblioteca da Escola em uma perspectiva inclusiva

Pós-graduação em Educação - FCT

Farmácia magistral: sua importância e seu perfil de qualidade

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

Os antecedentes e a luta atual em torno da Conferência Nacional de Comunicação

The ancient struggle for a National Conference on Communication in Brazil, truly representative and with clear opportunities to define new rules to the sector of communication, has been waged for years and was conducted in late 2009. It is proposed to identify the background of the historic struggle for CNC can be perceived in the defense of press freedom and freedom of expression in seventeenth and eighteenth centuries, most recently in the movements of democratization policy in the 80s and 90s. The research was done by analyzing the direct and indirect official document concerning the establishment of guidelines and the convening of the Conference, and manifestation of civil society and business. 


A saúde mental do trabalhador: estudo sobre os afastamentos por transtornos mentais

Pós-graduação em Planejamento e Análise de Políticas Públicas - FCHS

O setor de telefonia móvel: aspectos da regulação e da concorrência na tutela e participação do usuário do serviço de telefonia móvel

Pós-graduação em Direito - FCHS

Produção de biomassa e teor de cumarina em folhas de guaco (Mikania laevigata Sch. Bip. ex Baker) em diferentes idades da planta

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Geoquímica das águas da bacia hidrográfica do Rio Descoberto, Brasília/DF - Brasil

The objective of this paper is to investigate the physical and chemical quality of the water of the Descoberto River during the dry and rainy seasons by measuring pH, temperature, electric conductivity, total dissolved solids, turbidity, color, alkalinity and NO₃^-, SO₄^2-, PO₄^3-, NH₄⁺, Cl^- and HCO₃^-, and the elements Sr, Mo, Cd, Y, Ti, Ca, V, Mg, Fe, Si, Ni, Zr, Cu, Al, Cr, Mn, Ba, Co, Zn, P, Na and K. The results showed high concentrations in both seasons, with dilution along the course of the river, minimizing for a while problems that compromise the quality of the water of this source. However, a progressive deterioration can occur due to an increase in the discharge of pollutants, resulting from population growth, agricultural activities and other factors.

Produção de biomassa e teor de cumarina em folhas de guaco (Mikania laevigata Sch. Bip. ex Baker) em diferentes idades da planta

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Cadeia de valor da saúde: um modelo para o sistema de saúde brasileiro

Este artigo apresenta um modelo de cadeia de valor da saúde que representa, de maneira esquemática, o sistema de saúde do Brasil. O modelo proposto tem como intuito apresentar uma adequação à realidade brasileira, bem como abrangência e flexibilidade para utilização em atividades acadêmicas e análises do setor de saúde do Brasil. O modelo coloca ênfase em três componentes: principais atividades dessa cadeia, agrupadas em elos verticais e horizontais; missão de cada um desses elos; e principais fluxos da cadeia. A cadeia proposta é formada por seis elos verticais e três horizontais, perfazendo um total de nove: desenvolvimento de conhecimento em saúde; fornecimento de produtos e tecnologias; serviços de saúde; intermediação financeira; financiamento da saúde; consumo de saúde; regulação; distribuição de produtos de saúde; e serviços de apoio e complementares. A análise da cadeia proposta pode ser realizada por meio de quatro fluxos: inovação e conhecimento; produtos e serviços; financeiro; e de informação.

Space-time cluster analysis of American visceral leishmaniasis in Bauru, Sao Paulo State, Brazil

A space-time analysis of American visceral leishmaniasis (AVL) in humans in the city of Bauru, Sao Paulo State, Brazil was carried out based on 239 cases diagnosed between June 2003 and October 2008. Spatial analysis of the disease showed that cases occurred especially in the city's urban areas. AVL annual incidence rates were calculated, demonstrating that the highest rate occurred in 2006 (19.55/100,000 inhabitants). This finding was confirmed by the time series analysis, which also showed a positive tendency over the period analyzed. The present study allows us to conclude that the disease was clustered in the Southwest side of the city in 2006, suggesting that this area may require special attention with regard to control and prevention measures.

Contributions from the systematic review of economic evaluations: the case of childhood hepatitis A vaccination in Brazil

The aim of this study was to present the contributions of the systematic review of economic evaluations to the development of a national study on childhood hepatitis A vaccination. A literature review was performed in EMBASE, MEDLINE, WOPEC, HealthSTAR, SciELO and LILACS from 1995 to 2010. Most of the studies (8 of 10) showed favorable cost-effectiveness results. Sensitivity analysis indicated that the most important parameters for the results were cost of the vaccine, hepatitis A incidence, and medical costs of the disease. Variability was observed in methodological characteristics and estimates of key variables among the 10 studies reviewed. It is not possible to generalize results or transfer epidemiological estimates of resource utilization and costs associated with hepatitis A to the local context. Systematic review of economic evaluation studies of hepatitis A vaccine demonstrated the need for a national analysis and provided input for the development of a new decision-making model for Brazil.