O ensino da cl��nica ampliada na aten��ao prim��ria �� sa��de: percep����es e viv��ncias de alunos de gradua����o m��dica

P��s-gradua����o em Sa��de Coletiva - FMB

Estabilidade, polimorfismo, dissolu����o e correla����o in vivo-in vitro de Darunavir comprimidos

Funda����o de Amparo �� Pesquisa do Estado de S��o Paulo (FAPESP)

An��lise da rela����o entre a distribui����o espacial das morbidades por obesidade e hipertens��o arterial para o estado de S��o Paulo, Brasil, de 2000 a 2010

A expans��o da obesidade em diversos pa��ses do mundo na ��ltima d��cada tem resultado no aumento da morbidade e mortalidade por hipertens��o arterial e suas complica����es. O objetivo deste trabalho �� analisar a distribui����o espacial da obesidade e hipertens��o arterial no estado de S��o Paulo no per��odo de 2000 a 2010, a partir de registros hospitalares e interna����o do Sistema de Informa����es Hospitalares do Sistema ��nico de Sa��de (SIH - SUS). Foram utilizados coeficientes de preval��ncia das doen��as em cada munic��pio suavizadas pelo m��todo bayesiano emp��rico, permitindo uma visualiza����o do padr��o espacial dessas morbidades no Estado. Foi explorada a depend��ncia espacial destes padr��es verificando a autocorrela����o entre os indicadores por meio do c��lculo do ��ndice de Autocorrela����o Espacial de Moran. Al��m disso, estudou-se a correla����o positiva (Pearson) entre obesidade e hipertens��o. Os dados e os mapas mostraram clusters de 87 munic��pios onde h�� maior e menor preval��ncia de hipertens��o e obesidade no espa��o com forte autocorrela����o entre os munic��pios vizinhos. O coeficiente correla����o de Pearson encontrado para esses munic��pios foi de 0,404 e sugere associa����o entre as morbidades. As t��cnicas de an��lise espacial mostraram-se ��teis para o planejamento de a����es de sa��de p��blica.

Sexual abuse and alcohol use among women in metropolitan Sao Paulo, Brazil: a general population study

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 S��o 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.

Uso de aparelho de amplifica����o sonora individual por idosos: estudo SABE - sa��de, bem- estar e envelhecimento

PURPOSE: Describe hearing aid use by the elderly population in the city of S��o 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.