Top PDF Abstract The scope of this article is to assess low

Abstract The scope of this article is to assess low

Abstract The scope of this article is to assess low

Resumo O objetivo deste artigo é avaliar a pre- valência e os fatores associados à dor lombar nos últimos 12 meses entre adolescentes de um mu- nicípio do sul do estado do Piauí, Brasil. Estudo transversal com 1112 adolescentes de 13-19 anos do município de Caracol. Investigaram-se ca- racterísticas demográficas, socioeconômicas, nu- tricionais, comportamentais e comorbidades. O desfecho foi a ocorrência de dor lombar (DL) nos últimos 12 meses. Foi calculada a prevalência do desfecho de acordo com as variáveis independen- tes. Entre os adolescentes com DL no último ano, foi calculada a proporção de indivíduos com dor lombar crônica. Para análise dos fatores associa- dos, foi utilizada a regressão de Poisson bruta e ajustada para cálculo das razões de prevalência. A prevalência de dor lombar nos últimos 12 meses foi de 32,9%. De acordo com a análise ajustada, sexo feminino (RP = 1,75; IC95%:1,45-2,10), idade entre 18-19 anos (RP = 1,27; IC95%:1,01-1,62), maior renda (RP = 1,33; IC95%:1,06-1,67), estar trabalhando (RP 1,25 IC95%:1,02-1,53) e apre- sentar distúrbios psiquiátricos menores (RP 1,51 IC95%: 1,25-1,82) permaneceram associados à DL nos últimos 12 meses. Este estudo encontrou elevada prevalência de DL entre adolescentes de um município pequeno do semiárido nordestino. Palavras-chave Dor lombar, Dor Lombar Crôni- ca, Adolescência, Epidemiologia, Prevalência Abstract The scope of this article is to assess low
Mostrar mais

8 Ler mais

Abstract This article examines the activities of

Abstract This article examines the activities of

national and international actors in Pharmaceu- tical Services (PS) in Mozambique from 2007 to 2012, focusing on the public provision of HIV/ Aids, malaria and tuberculosis medicines. It de- scribes how PS functions in the country, what actors are involved in this area and the relations among them, pursuing salient issues in the modus operandi of partners in cooperation. The method- ology combines literature review, document sur- vey and analysis and interviews. The theoretical and analytical framework was given by the policy analysis approach, focusing on the role of the State and its interrelations with other actors in foreign aid in PS, and also by the networks approach. It was concluded that the interactions among the actors involved is complex and characterised by operational fragmentation and overlapping of ac- tivities between entities, centralised medicine pro- curement in the hands of few agents, bypassing of national structures and disregard for the strength- ening needed to bolster national health system autonomy. Despite some advances in the provision and availability of medicines for these diseases, ex- ternal dependence is strong, which undermines the sustainability of PS in Mozambique.
Mostrar mais

14 Ler mais

Abstract This article is an objective examination

Abstract This article is an objective examination

Insertion of LGBT into the political agenda begins in the 1990s, through actions focused on prevention of HIV and Aids, and inclusion of the category ‘homosexual’ in Brazil’s First National Plan for Human Rights (1996). The 2000s decade was the high point of this process of recognition, with the following events as landmarks: creation of the Brazil Without Homophobia program (2004); the First LGBT Conference (2008); adop- tion of regulations for combat of discrimination and to guarantee the civil use of a ‘social name’ by trans people; and recognition by the Federal Su- preme Court, in 2011, of a stable homo-affective union as a family entity 48,49 . In the field of public
Mostrar mais

10 Ler mais

Abstract The scope of this study was to investi-

Abstract The scope of this study was to investi-

Abstract The scope of this study was to investi- gate the factorial structure of the questionnaire for the inclusion of vegetable oil in natura in the diet of children. A cross-sectional study was conducted with 220 mothers using the Likert Scale question- naire. Thirteen Child Nutrition experts/judges semantically evaluated the items and the Gen- eralizability Coefficient (GC) assessed the errors according to a one-off, two-facet random model (item/judge). The Exploratory Factor Analysis (EFA) indicated dimensionality of the tools ap- plied: Doornik-Hansen Test; Main Factor Anal- ysis; Kaiser Guttman criterion; Promax rotation; Kaiser-Meyer-Olkin test (KMO); convergent and discriminant validities, Cronbach’s Alpha; Com- posite Reliability. The GC = 0.8407 was consid- ered satisfactory. The Doornik-Hansen test (chi2 (28) = 198.053, prob>chi2 = 0.0000) confirmed the multivariate normality of data. The Kaiser Guttman criterion explained 76.32% of the latent construct. The correlation between factors 1 and 2 (-0.4042) suggests the two-dimensional nature of the instrument. The KMO (0.8440) indicated the adequacy of the data to perform EFA. Cronbach’s alpha showed values around 0.70, considered acceptable. The two-dimensionality of the ques- tionnaire was verified to assess the inclusion of in natura vegetable oils in the diet of children. Key words Child, Oil, Questionnaire, Factor analysis
Mostrar mais

10 Ler mais

Abstract This article aims to estimate the prev-

Abstract This article aims to estimate the prev-

Abstract This article aims to estimate the prev- alence and violence-associated factors in the work environment of female correctional officers in Brazil. A cross-sectional, analytical study was conducted in 15 female correctional facilities in Brazil’s five regions. Pearson’s chi-square test was performed. The Odds Ratio and Confidence In- tervals were estimated for factors that showed a significant association or were confounding fac- tors. The prevalence of having experienced at least one violent occurrence during professional duty as an officer was 28.4%. An interesting factor is fact that agents themselves are identified as the main suspects of robbery (74.6%), moral violence (68.1%) and sexual harassment (66.8%) against their co-workers. Working in more than one cor- rectional facility increased the chance of suffering from violence (OR = 3.23; CI = 1.51 – 6.9). The main associated factors are: working in temporary detention centers, age of admission to the prison system and low social support among co-workers. Violence in the Brazilian prison environment is of great magnitude and considered a complex phe- nomenon with multiple causes. To combat this, it is necessary to adopt intersectoral actions, capa- ble of intervening both in the prison environment and in society.
Mostrar mais

14 Ler mais

Abstract The scope of this study was to analyze

Abstract The scope of this study was to analyze

Abstract The scope of this study was to analyze the difference in the prevalence of cardiovascular disease (CVD) between 2000 and 2010 and its association with socio-economic and risk factors among the elderly. Bayesian multilevel models were applied to analyze the difference in the prev- alence of CVD, and the association between in- dividual characteristics and the presence of CVD was analyzed by logistic regression models with complex samples separately for 2000, 2006 and 2010. This research is part of the Health, Welfare and Aging (SABE) study, performed in Sao Pau- lo, Brazil, and used the samples collected in 2000, 2006 and 2010. An increase in the prevalence of cardiovascular disease among the elderly was ob- served during the period, from 17.9% in 2000, to 22.2% in 2006, attaining 22.9% in 2010. In reference to the prevalence observed in 2000, the multilevel analysis indicated a significant increase in the presence of cardiovascular disease in 2006 (OR = 3.20 95%CI = 1.93-5.31) and 2010 (OR = 2.98 95%CI = 1.51-5.89), even after statistical adjustment for individual factors. The presence of CVD was associated with older age, smoking history, the presence of diabetes and hypertension, and an inverse association was observed between the presence of CVD and alcohol intake.
Mostrar mais

10 Ler mais

Abstract This article presents the findings of a

Abstract This article presents the findings of a

What is the point of a television company presenting a whirlwind of images of equipment, instruments, and screens displaying various electronic forms and images of the inside of the body? The story is certainly not concerned with explaining what these instruments are. Such a setting confers extraordinary legitimacy to the knowledge produced in these settings: knowledge gestated in a nonhuman environment, tested on artificially modified life forms, strains of mice with disorders, such as diabetes or melanoma, and cultures of selected cells. These procedures are tardily applied to human beings, approxi- mating the wondrous universe built elsewhere. Another side of the virtual corporality manufac- tured in this scientific environment are electronic images of the inside of the body. When broadcast to a mass audience through television they pro- vide a certain degree of visibility that virtualizes corporality and deprives it of its subjectivity as a lived body. According to Ortega 20 , The virtual
Mostrar mais

10 Ler mais

Abstract The scope of this study was to identify

Abstract The scope of this study was to identify

Abstract The scope of this study was to identify the characteristics of sexual abuse against chil- dren including the profiles of the victims and the perpetrators, and associated factors notified in a health service of reference with the database of the Brazilian Case Registry Database, in a city in the south of Brazil. Categorical variables are present- ed in prevalence with 95% confidence intervals. There were 489 notifications from 2008 to 2014 of confirmed or suspected child sexual abuse. The majority was related to female victims, but the repeated abuse was reported mainly with male victims. In most cases, the abuse took place at the victims’ or perpetrators’ homes and the main perpetrators of abuse were male and acquainted with the victims. Twelve victims have contracted sexually transmitted infections; pregnancies were six, five of them legally terminated. This study highlights that the child sexual abuse profiles were similar in almost all of Brazilian regions, showing that it is possible to have a coordinated national action to prevent this offence.
Mostrar mais

13 Ler mais

Abstract The scope of this study was to charac-

Abstract The scope of this study was to charac-

Abstract The scope of this 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 to the 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.
Mostrar mais

10 Ler mais

Abstract This article aims to estimate the specific

Abstract This article aims to estimate the specific

Abstract This article aims to estimate the specific survival of patients with penile cancer treated at a state tertiary oncology hospital. The study inclu- ded 100 cases incidents patients with penile can- cer treated at a cancer center, from 2000 to 2011, follow-up to December 31, 2012. The hospital-ba- sed cancer registry and medical records were used as data sources. We used the Kaplan-Meier meth- od to estimate survival and the Cox model was used to assess prognostic factors. All had histology for penile cancer as a basis for diagnosis. For loca- tion of the 75% tumor were not specified, followed by 18% located in the glans, 04% in the foreskin. The median survival time was 49 months, 89% presented themselves between stages I and II. Pa- tients with rural occupations had a mean surviv- al time of 75.02 months, patients with non-rural occupations 42.14 months; Patients residing in metropolitan area – Espírito Santo had a mean survival time of 26.03 months, other patients 71.42 months; In patients with compromised lymph nodes, the mean survival time was 30.59 months, and in patients with no compromised lymph nodes, the mean survival time was 75.83 months. This study demonstrates reduced survival in non-rural workers who reside in metropolitan area and who present with compromised lymph nodes and metastasis.
Mostrar mais

8 Ler mais

Abstract The aim of this study was to assess the

Abstract The aim of this study was to assess the

En la situación crítica, la probabilidad de que se presente IS cuando no hay niveles normales o altos de AU y sí altos niveles de IM y presen- cia de SD es cercana a .500. En contraparte, en la situación opuesta, la probabilidad de presen- tar ideación suicida es prácticamente nula. En el contexto de estudio, la importancia del modelo radica en que posibilita una ágil valoración de señales de alerta de ideación suicida en la pobla- ción objetivo cuando se presume, inclusive desde procedimientos de diagnóstico diversos, niveles altos de impulsividad, baja autoestima y depre- sión; todo ello con fines de intervención.
Mostrar mais

8 Ler mais

Abstract This article is an objective examination

Abstract This article is an objective examination

of aspects of gender and sexual rights, and their implications in the field of health field, using the methodology of an essay. The first part discuss- es femicide, highlighting that there are deaths of women due to the fact of being women, which constitute what could be described as the crimes of lèse-humanité or ‘femi-genocide’. The second part discusses sexual and gender diversity, with an em- phasis on the fragility of the ‘right to have rights’ expressed in the deterioration in health conditions of the population that is LGBTI (Lesbians, Gays, Bisexuals, Transvestites, Transsexuals and Inter- sex). Finally, the essay discusses recognition of gender plurality, and the limitations imposed on the rights of non-usual normativebodies bodies; criticism is directed at reiteration of the binary and cisgender normative ethos, which can exacer- bate the health vulnerability of people with trans and other non-normative bodies and identities. It is concluded that, in the 30 years’ existence of Brazil’s Unified Health System (SUS), there have been advances in the political sphere, many of them created by or as a result of social movements, and initiatives that seek to confront femicide and the inadequate assistance available to LGBTI peo- ple. In the context of these challenges, it is reiter- ated that there is a necessary relationship between promotion of health and protection of human rights related to gender and sexuality.
Mostrar mais

10 Ler mais

Abstract: The purpose of this article is to reflect on the relation between pathogenic factors

Abstract: The purpose of this article is to reflect on the relation between pathogenic factors

Abstract: The purpose of this article is to reflect on the relation between pathogenic factors in work organization and the development of psychosomatic illness in workers, as well as the theoretical and methodological limits on the subject. It presents the case of a worker in the telemarketing sector who, in Labor Court, received a diagnostic hypothesis of depressive episode associated to a somatization disorder with the development of autoimmune disease, systemic lupus erythematosus (SLE). The methodology is a case study, based on the biographical method. Through an interlocution with the specific literature on the subject, it is proposed a reflection about the consequences of the experience of work stress on the workers’ physical and mental health, especially on their repercussion in the immune system. It was concluded that there is a possible relation between the illness presented by the worker in question and the demands of the work performed by her. Also, the need to further studies to deepen the understanding of the passage between a life experience and the emergence of an specific pathology.
Mostrar mais

13 Ler mais

Abstract The scope of this study was to verify the

Abstract The scope of this study was to verify the

Abstract The scope of this study was to verify the validity and concordance of self-reported diabetes (DM) by the elderly in Campina Grande, State of Paraíba. It involved a cross-sectional home-based study, conducted with 362 elderly people aged 60 years of age and above registered in the Fami- ly Health Strategy (FHS) Program in Campina Grande, State of Paraíba. A sensitivity calculation, specificity and positive predictive value (PPV) and negative predictive value (NPV) in relation to demographic and socioeconomic variables was carried out to verify the validity and reliability of self-reported DM. The Kappa test was used to verify the concordance between the diagnosis and the reporting of the disease. Among the study participants, 67.4% were women. The prevalence of diagnosed DM of 14.1% and self-reported DM of 18.1% was observed Moderate sensitivity (58.8%), excellent specificity (87.8%), moder- ate PPV (44.8%) and excellent NPV (92.7%), and moderate concordance of self-reported DM (Kappa = 0.413 p < 0.001) was observed. In this study, due to moderate validity and concordance of self-reported DM among the elderly, it is con- sidered not to be advisable that self-reported DM should be used as a disease prevalence indicator in the population studied.
Mostrar mais

8 Ler mais

Abstract This article aims to investigate the

Abstract This article aims to investigate the

Abstract This article aims to investigate the morbidities related to medications, their risk fac- tors and causes detected in patients who seek the Hospital Emergency Service of a University in the South of Brazil. Data collection was based on ap- plication of a questionnaire to patients of a mini- mum age of 18 years, that signing the Term of Free and Informed Consent (TFIC), during the period from October 2013 to March 2014, and analysis of electronic record charts. Cases were evaluated by pharmacists and a doctor to define whether it was a case of medication related morbidity (MRM) and to establish its possible causes. Avoidability of MRM was verified based on criteria previously established in the literature. In total 535 patients were interviewed, and the frequency of MRM was 14.6%, Approximately 45% of MRMs were relat- ed to safety in the use of medications, and approx- imately 50% presented user-related questions as the possible cause. Hospitalization was required in 44.8% of MRM cases; 62.7% of cases were con- sidered avoidable. Presence of chronic disease and use of potentially dangerous medication and low therapeutic index were considered independent factors associated with development of MRM, ac- cording to statistical analysis.
Mostrar mais

12 Ler mais

ABSTRACT The aim of this article is to show that art has philosophical

ABSTRACT The aim of this article is to show that art has philosophical

Por ser ante todo experiencia comprensiva del sentido más que experiencia sensitivo/subjetiva del gusto, pura experiencia estética, el arte pertenece esencialmente a la hermenéutica: “La[r]

20 Ler mais

Abstract The aim of this study was to assess the

Abstract The aim of this study was to assess the

Abstract The aim of this study was to assess the presence of suicidal ideation and depressive symp- toms among adolescents in Chiapas, Mexico based on predictor variables. A cross-sectional study adopting an ex post facto design was conducted with a non-probability sample of 4,759 students of both sexes with an average age of 18.4 years and using the following tools: the Center for Epidemi- ologic Studies Depression Scale, Roberts’ Suicidal Ideation Scale, the Impulsiveness Scale (IS), and the Rosenberg Self-Esteem Scale. The mean score obtained by the suicidal ideation scale was 0.2, which is lower than that reported by other studies, while the mean score for depressive symptoms was similar to those in the literature. The prevalence of suicidal ideation was 7.8%, which is lower than reported in national and international studies. Multivariable logistic regression showed that im- pulsiveness (OR = 1.907) and depressive symp- toms (OR = 9.006) lead to a twofold and ninefold increase in the likelihood of suicidal ideation, re- spectively. The findings also showed a strong asso- ciation between suicidal ideation and depressive symptoms, showing that the latter is a predictor of suicidal ideation among adolescents.
Mostrar mais

8 Ler mais

Abstract The aim of this study was to assess the

Abstract The aim of this study was to assess the

Abstract The aim of this study was to assess the prevalence of being underweight among the elder- ly according to demographic and socioeconomic characteristics, health-related behaviors, diseas- es and health status. This was a cross-sectional multi-center study with 3,478 community-dwell- ing elders (≥ 65 years). The dependent variable was the prevalence of being underweight, classified by Body Mass Index < 22kg/m2. Adjusted preva- lence rate ratios were estimated using multivari- able Poisson regression. The mean age was 72.9 years and 12.0% of the elderly were underweight (CI95%:10.9-13.1). Aged elderly ≥ 80 years, for- mer and current smokers, those who reported ap- petite loss and those classified as pre-frail or frail (PR=1.41; CI95%:1.09-1.82) presented a higher prevalence of being underweight. Individuals who received medical diagnosis of hypertension, diabe- tes and rheumatism had the lowest underweight prevalence observed. The results highlight the importance of nutritional status assessment and monitoring among the elderly, with emphasis on the most vulnerable subgroups, particularly the frail elderly, taking into account the health conse- quences of low weight.
Mostrar mais

8 Ler mais

Abstract The scope of this study is to analyze the

Abstract The scope of this study is to analyze the

Para calcular as diferenças de médias de bem -estar subjetivo (escalas SLSS, PWI-SC, OLS) em função das variáveis: a) sociodemográficas sexo (menino/menina); ano escolar (6º/7º) titularida- de (público/privado), territorialidade da escola (urbano/rural); b) contextos de desenvolvimento (casa, escola, bairro); c) clima escolar (ambien- te, regras, relacionamento), por nível baixo/alto (acima ou abaixo da média), utilizamos o teste t de Student (nível de significância p < 0,05). No caso das diferenças de médias de bem-estar em função da tipologia bullying (não envolvidos, ví- timas, agressores, vítimas-agressores), utilizamos ANOVA de um fator com a prova Scheffé como contraste (p < 0,05). Resultados analisados atra- vés do uso do software Statistical Package for the Social Sciences (SPSS), versão 19.
Mostrar mais

14 Ler mais

Abstract The scope of this article is to analyze the

Abstract The scope of this article is to analyze the

Abstract The scope of this article is to analyze the 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 of the 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 of the program was 28.8% and the effective adhesion to the program was 45.1%. Program acceptance was significantly higher among males and students who consumed less extra-institutional food. Acceptance and ad- hesion to the program was significantly higher among the older students and those who reported participating in activities related to nutritional education. In total, 73.5% of the students suggest- ed improvements in school food. Many of the 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.
Mostrar mais

8 Ler mais

Show all 10000 documents...