18 results

Evaluation of the quality of Primary Health Care services for children: reflections on the feasibility of using the Brazilian version of the Primary Care Assessment Tool as a routine assessment tool

Liz Ponnet ORCID logo , Sara Willems ORCID logo , Veerle Vyncke ORCID logo , Aylene Emilia Moraes Bousquat ORCID logo , Ana Luiza d’Ávila Viana ORCID logo , Guilherme Arantes Mello ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4333

ABSTRACT Objective To assess the quality of the Primary Health Care services provided to children and the feasibility of using the Brazilian version of Primary Care Assessment Tool (PCAT-Brazil) as a routine quality assessment tool. Methods A cross-sectional study was carried out in Joanópolis, a small rural town in the State of São Paulo (SP), Brazil. Seven health professionals and 502 caretakers of children using the public health center were interviewed using the PCAT-Brazil, collecting data on the core and […]

Percutaneous laser ablation of benign thyroid nodules: a one year follow-up study

Antonio Rahal Junior ORCID logo , Priscila Mina Falsarella ORCID logo , Guilherme Falleiros Mendes ORCID logo , Jairo Tabacow Hidal ORCID logo , Danielle Macellaro Andreoni ORCID logo , José Flávio Ferreira Lúcio ORCID logo , [...]

DOI: 10.31744/einstein_journal/2018AO4279

ABSTRACT Objective To evaluate safety and effectiveness of nodule volume reduction and thyroid function after percutaneous laser ablation treatment in patients with benign nonfunctioning thyroid nodules. Methods Prospective single-center study, from January 2011 to October 2012, which evaluated 30 euthyroid and thyroid antibodies negative patients with benign solitary or dominant nodule with indication of treatment due to compressive symptoms and aesthetic disturbances. The clinical and laboratory (thyroid ultrasound, TSH, FT4, TG, TG-Ab, TPO-Ab and TRAb levels) evaluations were performed before […]

Factors associated with hospital admissions due to hypertension

Rosimery Cruz de Oliveira Dantas ORCID logo , João Paulo Teixeira da Silva ORCID logo , Davidson Cruz de Oliveira Dantas ORCID logo , Ângelo Giuseppe Roncalli ORCID logo

DOI: 10.1590/S1679-45082018AO4283

ABSTRACT Objective: To study the temporality of hospital admissions due to arterial hypertension and its associated factors. Methods: An ecological study with secondary data on hospital admissions due to essential arterial hypertension – ICD 10, from the Hospital Information System, the Mortality Information System and and the Primary Care Information System, between 2010 and 2015. Descriptive analysis using means, proportions and linear regression. Results: We recorded 493,299 hospitalizations due to arterial hypertension from 2010 to 2015, with an average annual […]

Human papillomavirus infection and cervical cancer precursor lesions in women living by Amazon rivers: investigation of relations with markers of oxidative stress

Bruna Emanuelle Sanches Borges ORCID logo , Elza Baia de Brito ORCID logo , Hellen Thais Fuzii ORCID logo , Cláudia Simone Baltazar ORCID logo , Aline Barreto Sá ORCID logo , Camile Irene Mota da Silva ORCID logo , [...]

DOI: 10.1590/S1679-45082018AO4190

ABSTRACT Objective To investigate the relation between oxidative stress markers, human papillomavirus infection and cervical cancer precursor lesions. Methods The study comprised women aged 14 to 60 years living in communities located by Amazon rivers in the state of Pará (Itaituba, Limoeiro do Ajuru and Bragança, 126, 68 and 43 women respectively). Papanicolau smears and polymerase chain reaction tests for human papillomavirus DNA detection were performed. Blood samples were collected to test malondialdehyde, total and oxidized glutathione levels. Results Malondialdehyde, […]

X-linked spinal and bulbar muscular atrophy (Kennedy’s disease): the first case described in the Brazilian Amazon

Camila Nascimento Alves, Tiago Kiyoshi Kitabayashi Braga, Danusa Neves Somensi, Bruno Sérgio Vilhena do Nascimento, José Antônio Santos de Lima, Satomi Fujihara

DOI: 10.1590/S1679-45082018RC4011

ABSTRACT The X-linked spinal and bulbar muscular atrophy (Kennedy’s disease) is a rare X-linked, recessive, lower motor neuron disease, characterized by weakness, atrophy, and fasciculations of the appendicular and bulbar muscle. The disease is caused by an expansion of the CAG repetition in the androgen receptor gene. Patients with Kennedy’s disease have more than 39 CAG repetitions. We report a case of 57-year-old man, resident of Monte Dourado (PA, Brazil) who complained of brachiocrural paresis evolving for 3 years along […]

Critical review of cancer mortality using hospital records and potential years of life lost

Carolina Panis, Aedra Carla Bufalo Kawasaki, Claudicéia Risso Pascotto, Eglea Yamamoto Della Justina, Geraldo Emílio Vicentini, Léia Carolina Lucio, [...]

DOI: 10.1590/S1679-45082018AO4018

ABSTRACT Objective To determine and discuss cancer mortality rates in southern Brazil between 1988 and 2012. Methods This was a critical review of literature based on analysis of data concerning incidence and mortality of prostate cancer, breast cancer, bronchial and lung cancer, and uterine and ovarian cancer. Data were collected from the online database of the Brazil Instituto Nacional de Câncer José Alencar Gomes da Silva. Results The southern Brazil is the leading region of cancer incidence and mortality. Data […]

Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations

Pedro Nazareth Aguiar Jr., Gustavo Trautman Stock, Gilberto de Lima Lopes Jr., Michelle Samora de Almeida, Hakaru Tadokoro, Bárbara de Souza Gutierres, [...]

DOI: 10.1590/S1679-45082016AO3754

ABSTRACTObjective:To assess aspects related to cancer in indigenous population.Methods:This is a retrospective study developed in a public university hospital. We included patients with 18 or more years of age, diagnosed with solid tumors, and followed between 2005 and 2015. Clinical features were assessed by descriptive statistics, and survival was evaluated by Kaplan-Meier curves and multivariate Cox regression.Results:Fifty patients were included. The cancer incidence was 15.73 per 100,000. The mean age at diagnosis was 54 years and most patients were female […]

Clinical characteristics and long-term progression of young patients with acute coronary syndrome in Brazil

Alexandre de Matos Soeiro, Felipe Lourenço Fernandes, Maria Carolina Feres de Almeida Soeiro, Carlos Vicente Serrano Jr, Múcio Tavares de Oliveira Jr

DOI: 10.1590/S1679-45082015AO3381

ObjectiveIn Brazil, there are few descriptions in the literature on the angiographic pattern and clinical characteristics of young patients with acute coronary syndrome, despite the evident number of cases in the population. The objective of this study was to evaluate which clinical characteristics are most closely related to the acute coronary syndrome in young patients, and what long-term outcomes are in this population.MethodsThis is a prospective observational study with 268 patients aged under 55 years with acute coronary syndrome, carried […]

Lung transplantation

José Eduardo Afonso Júnior, Eduardo de Campos Werebe, Rafael Medeiros Carraro, Ricardo Henrique de Oliveira Braga Teixeira, Lucas Matos Fernandes, Luis Gustavo Abdalla, [...]

DOI: 10.1590/S1679-45082015RW3156

ABSTRACTLung transplantation is a globally accepted treatment for some advanced lung diseases, giving the recipients longer survival and better quality of life. Since the first transplant successfully performed in 1983, more than 40 thousand transplants have been performed worldwide. Of these, about seven hundred were in Brazil. However, survival of the transplant is less than desired, with a high mortality rate related to primary graft dysfunction, infection, and chronic graft dysfunction, particularly in the form of bronchiolitis obliterans syndrome. New […]

Clinical aspects of influenza A(H1N1)pdm09 cases reported during the pandemic in Brazil, 2009-2010

Érika Valeska Rossetto, Expedito José de Albuquerque Luna

DOI: 10.1590/S1679-45082015AO3331

ABSTRACTObjective:To describe the clinical aspects of cases of influenza A(H1N1)pdm09 in Brazil.Methods:A descriptive study of cases reported in Sistema de Informação de Agravos de Notificação (SINAN), 2009-2010.Results:As the final classification, we obtained 53,797 (56.79%) reported cases confirmed as a new influenza virus subtype, and 40,926 (43.21%) cases discarded. Fever was the most common sign, recorded in 99.74% of the confirmed and 98.92% of the discarded cases. Among the confirmed cases, the presence of comorbidities was reported in 32.53%, and in […]

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