881 resultados para Single Health System
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Ps-graduao em Sade Coletiva - FMB
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Ps-graduao em Servio Social - FCHS
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Ps-graduao em Cincias Sociais - FCLAR
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Ps-graduao em Sade Coletiva - FMB
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Ps-graduao em Cirurgia Veterinria - FCAV
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Ps-graduao em Sade Coletiva - FMB
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Fundao de Amparo Pesquisa do Estado de So Paulo (FAPESP)
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A expanso da obesidade em diversos pases do mundo na ltima dcada tem resultado no aumento da morbidade e mortalidade por hipertenso arterial e suas complicaes. O objetivo deste trabalho analisar a distribuio espacial da obesidade e hipertenso arterial no estado de So Paulo no perodo de 2000 a 2010, a partir de registros hospitalares e internao do Sistema de Informaes Hospitalares do Sistema nico de Sade (SIH - SUS). Foram utilizados coeficientes de prevalncia das doenas em cada municpio suavizadas pelo mtodo bayesiano emprico, permitindo uma visualizao do padro espacial dessas morbidades no Estado. Foi explorada a dependncia espacial destes padres verificando a autocorrelao entre os indicadores por meio do clculo do ndice de Autocorrelao Espacial de Moran. Alm disso, estudou-se a correlao positiva (Pearson) entre obesidade e hipertenso. Os dados e os mapas mostraram clusters de 87 municpios onde h maior e menor prevalncia de hipertenso e obesidade no espao com forte autocorrelao entre os municpios vizinhos. O coeficiente correlao de Pearson encontrado para esses municpios foi de 0,404 e sugere associao entre as morbidades. As tcnicas de anlise espacial mostraram-se teis para o planejamento de aes de sade pblica.
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OBJECTIVE:The present study aimed at estimating the prevalence of lifetime sexual abuse among women and at investigating its association with alcohol consumption.METHOD:Population-based survey conducted through a representative and stratified cluster sample of metropolitan So Paulo. GENACIS questionnaire was used. Sample unit was the home, and all residents aged 18 years and over were interviewed. The outcome was lifetime sexual abuse. The univariate statistical analysis used the Rao-Scott test. Logistic regression was used for the multivariate analysis.RESULTS:The final sample totalized 1,216 women aged 18 years and over; the response rate was 75.0%. Most women were married (56.6%) and had less than 12 years of formal education (59.0%); 46.2% were aged between 25 and 44 years, and 44.4% had a low income. Of the respondents, 7.5% reported having suffered lifetime sexual abuse. Multiple logistic regression model showed an association between lifetime sexual abuse and being a heavy drinker (OR = 4.97) and being a former drinker (OR = 2.04).CONCLUSIONS:There are few population studies in Brazil investigating sexual abuse and its relation to alcohol use. Although the prevalence of lifetime sexual abuse in the present study was smaller than that observed in other studies, it is a highly expressive percentage on account of its social and economic impact, as well as its potential effect on the health system.
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PURPOSE: Describe hearing aid use by the elderly population in the city of So Paulo and identify associated factors. METHODS: A cross-sectional, descriptive, quantitative study integrated with the SABE (health, well-being and aging) project developed in 2006. A total of 1.115 individuals aged 65 or over were interviewed. Sample selection occurred in two stages, with replacement and probabilities proportional to the population to complement those aged 75 or over. Structured questionnaires and validated instruments were used. The data were weighted, the Rao-Scott test was used for univariate analysis and backward stepwise logistic regression was used for multivariate analysis, performed on Stata 10 software. RESULTS: Three hundred and seventy-seven subjects (30.4%) were classified as hearing impaired and 10.1% of these reported using hearing aids. To acquire the devices, 78.8% used their own resources and 16.9% acquired them through the Brazilian public health system (SUS). Among non-users of hearing aids, 16.6% reported prior indication; however, 8.6% were unable to adapt to the device and 8.0% could not afford to acquire one. Hearing aid use was associated with lower prevalence of probable dementia. CONCLUSION: The low number of hearing aid users indicates the difficulties elderly people face in acquiring them and/or that the health services face in effectively helping them to adapt. These findings may influence the quality of life of elderly with hearing impairment, given the association with probable dementia revealed by this study.
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Brazilian biodiversity is a colossal source of secondary metabolites with remarkable structural features, which are valuable in further biodiscovery studies. In order to fully understand the relations and interactions of a living system with its surroundings, efforts in natural product chemistry are directed toward the challenge of detecting and identifying all the molecular components present in complex samples. It is plausible that this endeavor was born out of recent technological sophistication in secondary metabolite identification with sensitive spectroscopic instruments (MS and NMR) and higher resolving power of chromatographic systems, which allow a decrease in the amount of required sample and time to acquire data. Nevertheless, the escalation of data acquired in these analyses must be sorted with statistical and multi-way tools in order to select key information. Chromatography is also of paramount importance, more so when selected compounds need to be isolated for further investigation. However, in the course of pursuing a greener environment, new policies, with an aim to decrease the use of energy and solvents, are being developed and incorporated into analytical methods. Metabolomics could be an effective tool to answer questions on how living organisms in our huge biodiversity work and interact with their surroundings while also being strategic to the development of high value bio-derived products, such as phytotherapeutics and nutraceuticals. The incorporation of proper phytotherapeutics in the so-called Brazilian Unified Health System is considered an important factor for the urgent improvement and expansion of the Brazilian national health system. Furthermore, this approach could have a positive impact on the international interest toward scientific research developed in Brazil as well as the development of high value bio-derived products, which appear as an interesting economic opportunity in national and global markets. Thus, this study attempts to highlight the recent advances in analytical tools used in detection of secondary metabolites, which can be useful as bioproducts. It also emphasizes the potential avenues to be explored in Brazilian biodiversity, known for its rich chemical diversity.
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This article offers theoretical and practical elements for an analysis of the Worker's Health Care Program developed by the Brazilian Unified Health System (SUS). From a determined locus, the region of Franca, State of So Paulo, it aims at identifying the challenges for implementation of the National Occupational Health Policy, due to the particularities of the work/health relationship within the sugarcane agro-industry. It is based on group interviews involving health workers, specifically sanitary inspectors and the worker's health interlocutors. The results showed that health care professionals must be better prepared, from the technical point of view, to be able to perform actions related to workers' health. These results also indicated the need for a greater integration between health services, particularly when damage notification and workers' health surveillance are concerned.
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Ps-graduao em Enfermagem (mestrado profissional) - FMB
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Ps-graduao em Enfermagem (mestrado profissional) - FMB
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Ps-graduao em Psicologia - FCLAS