AbstractThescopeofthisarticleistoanalyzethe Brazilian School Nutrition Program from the standpoint of students attending state schools in Minas Gerais. It is a qualitative and quantitative cross-sectional study with a sample of 1500 stu- dents, representing the population ofthe state schools of Minas Gerais, involving the adminis- tration of a semi-structured questionnaire. The data were analyzed using simple frequency, mean, standard deviation, Fisher’s exact test, the chi- square test and logistic regression (p < 0.05, CI 95%). The effective acceptance ofthe program was 28.8% and the effective adhesion tothe program was 45.1%. Program acceptance was significantly higher among males and students who consumed less extra-institutional food. Acceptance and ad- hesion tothe program was significantly higher among the older students and those who reported participating in activities related to nutritional education. In total, 73.5% ofthe students suggest- ed improvements in school food. Many ofthe pro- gram’s norms and guidelines are not being imple- mented. The acceptance of school food was nega- tively influenced by the consumption of extra-in- stitutional foods and positively influenced by food and nutritional education activities.
AbstractThescopeofthisarticleistoanalyzethe accreditation criteria ofthe studies that eval- uated actions of health promotion and risk factor prevention of Health Promoting Schools (HPS). A systematic review was conducted based on the recommendations proposed in the “Preferred Re- porting Items for Systematic Reviews and Me- ta-Analyses (Prisma)” protocol of articles that assessed HPS in the following databases: SciELO, Lilacs, Medline, PubMed and Portal Capes. From the analysis ofthe three pillars for accreditation of HPS, three ofthe studies analyzed did not in- clude all the criteria for certification as HPS on the “Planning Process” and “Health Promotion Activities Developed” pillars. The schools cited in these studies perform health education, preven- tion and/or health promotion activities, howev- er, it is misleading to refer to themselves as HPS. The main challenges for implementation, devel- opment and continuity of HPS were identified as being intersectionality and insufficient financial and qualified human resources. HPS need to be certified and submitted to an ongoing evaluation process. It is also suggested the topic of health pro- motion be included in the syllabuses of training courses of health education teachers and other health education professionals.
AbstractThescopeofthisarticleistoanalyzethe quality of work life ofthe physical therapy course teachers in the city of Goiânia in the state of Goiás. It involved a cross-sectional study of 65 physical therapy teachers in Goiânia. The partic- ipants who had worked for less than six months in the profession and those who failed to fill out the questionnaire in full were excluded from the research. A socio-demographic and the Total Quality of Work Life (TQWL-42) questionnaire were used to assess the quality of work life. It was established that the teachers who taught in grad- uate courses and who held management positions presented significantly better averages than those who only taught in undergraduate courses. Sat- isfaction with income and with the teaching ac- tivity also showed significant results influencing the quality of work life ofthe participants. Work in positions and locations that allow greater au- tonomy, status and remuneration, as well as sub- jective evaluation of satisfaction with income and teaching work, influenced the quality of work life of physical therapy teachers.
AbstractThescopeofthisarticleistoanalyzethe digital preference for the "age" variable in the database of cases of adverse drug events reported between 2008 and 2013 in the pharmacovigilance system in Brazil. The database was analyzed in three stages: 1) Initial exploration; 2) standard- ization of variables; and 3) duplicate records management. The digital preference for the "age" variable according to sex and grouped regions ofthe country, was determined using the Whipple and Myers methods and also measured by the adhesion test based on statistical χ 2 at 5% signif-
Fick D, Mion L, Beers M, Waller JL. Health outcomes associated with potentially inappropriate medication use in older adults. Res Nurs Health 2008; 31(1):42-51. Chrischilles EA, Foley DJ, Wallace RB, Lemcke JH, Semla TP, Hanlon JT, Glynn RJ, Ostfeld AM, Guralnik JM. Use of medications by persons 65 and over: Data from the established populations for epidemiologic studies ofthe elderly. J Gerontol 1992; 47(5):137-144.
AbstractThis paper aims toanalyzethe narra- tives about abortion experiences available in an online community to discuss the methods and strategies to which women resort, facing the legal impossibility of voluntarily interrupting a pre- gnancy and the effects ofthe criminalization of induced abortion. The methodology used was vir- tual ethnography, observing the platform Women on Web, collection and analysis of 18 narratives publicly available without restrictions, selected between November 2016 and January 2017. The narratives report mixed methods to perform an abortion, with widespread use of Cytotec. Some cases include hospitals and medical clinics in the paths, whether to conduct examinations or attend to intercurrences. The internet appears as a po- pular tool to gather information, negotiate and even purchase abortive drugs, as well as a plat- form to share experiences. We concluded that the narratives point to insecurities, risks, and violence to which women are submitted in clandestine set- ting; they show the relevance of debate on decri- minalizing abortion in Brazil, and also reinforce the existence of a shared abortion culture, as stated in other studies.
tives about abortion experiences available in an online community to discuss the methods and strategies to which women resort, facing the legal impossibility of voluntarily interrupting a pre- gnancy and the effects ofthe criminalization of induced abortion. The methodology used was vir- tual ethnography, observing the platform Women on Web, collection and analysis of 18 narratives publicly available without restrictions, selected between November 2016 and January 2017. The narratives report mixed methods to perform an abortion, with widespread use of Cytotec. Some cases include hospitals and medical clinics in the paths, whether to conduct examinations or attend to intercurrences. The internet appears as a po- pular tool to gather information, negotiate and even purchase abortive drugs, as well as a plat- form to share experiences. We concluded that the narratives point to insecurities, risks, and violence to which women are submitted in clandestine set- ting; they show the relevance of debate on decri- minalizing abortion in Brazil, and also reinforce the existence of a shared abortion culture, as stated in other studies.
it is probable that the high prevalence of frail individuals (28.8%) has an association with the high indices observed for high blood pressure, CCI and DM. The literature emphasizes that in- flammatory diseases such as high blood pressure, CRI, cardiovascular diseases and DM are asso- ciated with the development ofthe frailty syn- drome in the elderly person, by the mechanism of activation ofthe proinflammatory pathways in the organism over the long term. Release ofthe biomarkers Interleukin- 6 (IL-6) and C-reactive Protein (CRP) in the organism influences met- abolic and homeostatic dysregulation, causing a predisposition to frailty 28 .
AbstractThis study aims toanalyzethe impact of frailty, multimorbidity and disability on the survival of elderly people attended in a geriatric outpatient facility, and identify the clinical risk factors associated with death. It is a longitudinal study, with 133 elderly people initially evaluated in relation to frailty, multimorbidity (simulta- neous presence of three or more chronic diseases) and disability in Daily Life Activities. The Kaplan Meier method was used toanalyze survival time, and the Cox regression was used for association ofthe clinical factors with death. In follow-up over six years, 21.2% ofthe participants died, survival being lowest among those who were fragile (p < 0.05). The variables frailty (HR = 2.26; CI95%: 1.03–4.93) and Chronic Renal Insufficiency (HR = 3.00; CI95%: 1.20–7.47) were the factors of highest risk for death in the multivariate analy- sis. Frailty had a negative effect on the survival of these patients, but no statistically significant association was found in relation to multimor- bidity or disability. Tracking of vulnerabilities in the outpatient geriatric service is important, due tothe significant number of elderly people with geriatric syndromes that use this type of service, and the taking of decisions on directions for care of these individuals.
AbstractThescopeofthis study was to identify individual and contextual factors associated with the self-perceived need for dental treatment and for prostheses among elderly Brazilians. An anal- ysis was performed with data from the SB Bra- zil 2010 epidemiological survey conducted by the Ministry of Health with a sample of 7,619 elderly individuals. Multilevel logistic regression models of mixed random and fixed effects were used tothe estimate odds ratio (OR) with 95% confidence in- terval (95% CI) between the dependent variables and individual and contextual factors. Ofthe in- dividuals assessed, 3,848 (50.5%) reported a need for dental treatment and 4,236 (55.6%) believed they have the need for prostheses. The results of multilevel logistic regression showed that gender, self-reported skin color, income and coverage by the oral health teams in the Family Health Pro- gram were associated with self-perception. This study revealed a greater influence of individual factors on the self-perceived need for dental treat- ment and prostheses by elderly Brazilians. This information can help to identify the inequalities that affect this population group and in setting priorities for the planning of health services. Key words Elderly, Family health program, Den- tal health surveys, Oral Health, Multilevel analy- sis, Health inequalities
lish the profile of caregivers of pediatric patients diagnosed with Cystic Fibrosis (CF). It was a cross-sectional, descriptive and prospective study in which the caregivers of fibrocystic patients were interviewed during pharmaceutical consultation in a reference center of a University Hospital in southern Brazil. General information was ob- tained about the caregivers and about their un- derstanding ofthe disease, drug consumption and dynamics of treatment at home and at school. Seventy-five caregivers were interviewed. Most of them were female, 37.3 years old on average, mothers ofthe patients who did not work outside the home. Seventy-one caregivers declared dif- ficulties in drug acquisition and patient support associations were highlighted as the main alter- native to avoid the interruption of treatment. Another fact observed was the overload ofthe caregiving process on the shoulders of only one caregiver resulting in social and economic impacts and changes tothe family’s daily routine. This fact emphasizes the need of intervention by a qualified multidisciplinary team to identify and alleviate difficulties, investing in interpersonal relations and administering care.
AbstractThescopeofthis study was to charac- terize malocclusion in 12-year-old Brazilian chil- dren and identify associated socio-demographic aspects. It is a cross-sectional and analytical study based on an Oral Health Survey (SB Brasil 2010). A sample of 5,539 was included, among which 41% had some degree of malocclusion according tothe Dental Aesthetic Index (DAI). Descrip- tive, bivariate and multiple multinomial logis- tic regression analyses were conducted. Defined malocclusion was greater among those who rated their oral health as neither satisfied/nor dissatis- fied (OR 1.24; CI95%1.03-1.50) and dissatisfied (OR 1.76; CI95%1.50-2.08). Severe malocclusion was greater among children in the Southeast (OR 1.44; CI95%1.06-1.96) and South (OR 1.52; CI95%1.05-2.19), male (OR 1.24; CI95%1.03- 1.48), black/brown (OR 1.39; CI95%1.14-1.69) who rated their oral health as neither satisfied/nor dissatisfied (OR 1.79; CI95%1.41-2.26) and dis- satisfied (OR 2.20; CI95%1.77-2.72). Very severe malocclusion was higher among residents of cap- itals (OR 1.36; CI95%1.07-1.71) who evaluated their oral health as neither satisfied/nor dissatis- fied (OR 1.58; CI95%1.22-2.05) and dissatisfied (OR 2.44; CI95%1.96-3.03). The prevalence of malocclusion is high among Brazilian children, the severity being associated with socio-demo- graphic aspects.
single item the crimes of rape and indecent as- sault, we decided toanalyzethe two concepts separately and jointly, since the record kept the categorization unchanged until 2015. The afore- mentioned legislation defined Indecent Assault as “to constrain people through violence or se- rious threat to practice or allow to practice with them a libidinous act other than the carnal con- junction”, whereas rape is defined as “constrain- ing women toward carnal conjunction through violence or serious threat”.
the evolution ofthe profile of psychiatric admis- sions via the Unified Health System in psychiat- ric hospitals ofthe State of Minas Gerais, Brazil, between 2001 and 2013. Data were obtained from the Information Technology Department ofthe Unified Health System. The analyses of trends were conducted by regression procedures, in which the independent variable was the year, and the dependent variables were the patients (sex, age, diagnosis) and admission characteris- tics (city, hospital administrative status, length of internment). A total of 202,188 admissions to 25 hospitals were appraised. There were significant changes in the diagnostic profiles of psychiatric admissions during the period under scrutiny, no- tably an increase in the proportion of admissions for substance abuse-related disorders and a reduc- tion for psychotic disorders. This study is in tune with the context ofthe reform of mental health- care in Minas Gerais, providing relevant input to support the mental health policies towards uni- versalization, humanization and the overcoming of inequalities in access to health services.
AbstractThis paper aims toanalyzethe main characteristics of Road Traffic Accidents (RTA) mortality in Brazil for the period 1996-2015, focusing on the 10-29 years’ age group. Thisis a two-step study consisting of (i) a bibliographic re- view on the topic of traffic violence in Brazil, and (ii) a study on RTA mortality in the Mortality Information System (SIM). The former situates the state ofthe art of scientific production on the theme and produces the theoretical reference for the analysis ofthe latter. During the period, about 39,000 people died by RTA, of which about 13,200 adolescents and young people died. The coun- try should curb mortality to somewhere around 19,500/year and, among adolescents and young people, to 6,500/year to achieve SDG 3.6. With the establishment ofthe Brazilian Traffic Code (CTB), RTA mortality rate fell between 1997 and 2000. The rate increased in the subsequent decade. The focus on adolescents and young peo- ple help us understand that, in the post-CTB and Prohibition, male black and brown motorcyclists became the main victims. The literature provides data analysis and shows that reduction is cur- rently submitted to an articulated discussion that involves worker’s health, gender, employment, ur- ban mobility and advertising policies. Concerning SDG, this means that achieving SDG 3.6 is a pro- cess that involves interacting with policies target- ing other SDGs.
ers that interfere in the QoL of these adolescents. Among them, authors identified social barriers related to family issues, the social perspective on diabetes and school problems; and personal issues that involve negative feelings about treatment and care, the negative effects of diabetes and uncer- tainty about the future. In addition, the results ofthe same study indicate that the culture of that country imposes more control and limits on the life of girls, when compared to boys. This condi- tion was an important negative factor on the qual- ity of life of Iranian adolescent girls with DM1.
The “Segundo Tempo” Program (PST) isthe largest social program aimed at the youth participation in sport currently in Brazil. However, we still know little about thescopeof its objectives, particularly in relation tothe macro-system. The aim ofthis study istoanalyzethescopeofthe PST in relation tothe democratization of access to sport practice and culture. Thisis an exploratory study in PST context. Secondary data from public access and official agencies managed was used. It was taken as macro-indicator the Human Development Index of Municipalities (HDIM), number of agreements and the estimated population of municipalities that have maintained agreements with the Ministry of Sports for the PST from 2003 to 2013. We conclude that the municipalities with the best social indicators and structure for sport practice have more access tothe PST, and can keep it longer.
As the main limitation, the study presents the application of a questionnaire tothe users of emergency services, because they are there in the condition of being a patient, and therefore, not all were shown to be fully willing to collabo- rate. In view ofthis, one must consider that not all the responses were faithful, and the possibility of uncertainty ofthe information, seeing that the capacity ofthe individuals to remember could be diminished. The effect ofthis factor was mini- mized by collecting the data on the electronic re- cord charts, in spite of some being very concise, and the use of a period of time of 10 days for the interviewer to remember about medications.
AbstractThis paper aims toanalyzethe process of medicalization in current societies, starting from the description ofthe way in which medi- cine gradually appropriated various aspects of everyday life that were once part ofthe life cycle of people. At the theoretical level, we are based on authors such as Descola and Latour, who prob- lematize the dichotomy between Nature and Cul- ture, and propose the need to think from a supe- rior episteme. Methodologically, this theoretical proposal enables an analysis ofthe medicalization that can illuminate what is hidden in the dis- course and biomedical practices: the sociocultural, political and economic processes that are part of these “objects” of Medicine. From this perspective, the presentation of them as scientific facts, objec- tively isolatable and manipulable by medical sci- ence, is in crisis. Thus, our analysis, based on the concept of “quasi-objects” or “hybrids”, problema- tizes such objectification, while providing critical tools to reflect on the medicalization of life in to- day’s societies.
A primeira busca foi realizada na BVS com o descritor Diabetes Mellitus, que retornou com 302.349 artigos. A segunda busca foi realizada cruzando-se os descritores em inglês, utilizando a operação booleana na busca avançada, Quality of Life AND Diabetes Mellitus AND Adolescent, de que retornaram 983 artigos. Na terceira busca, utilizaram-se os filtros com a finalidade de obe- decer aos critérios de inclusão: texto completo; base de dados: medline, lilacs, ibecs, bdenf; as- sunto principal: diabetes mellitus tipo1, quali- dade de vida; limite: adolescente; idiomas: inglês, espanhol e português; anos de publicação: de 2003 a 2013; tipo de documento: artigo, vindo então a retornar com 294 artigos.