Introduction Sarcopenia is a condition diagnosed when the patient presents low muscle mass, plus strength or physical performance. Muscle weakness in oldest (dynapenia) major public health concern because it predicts future all-cause mortality and associated with falls, disability, cardiovascular morbidity. Grip simple method for assessment of function clinical practice. Objective To estimate grip identify factors handgrip variation elderly people socioeconomic status. Methods...

The Mobile Emergency Medical Service (SAMU) was the first component of National Policy for Care implemented in Brazil early 2000. article analyzed implementation mobile pre-hospital emergency care Brazil. methods included document analysis, interviews with state coordinators, and an expert panel. theoretical reference strategic conduct analysis from Giddens' Structuration Theory. results showed uneven SAMU between states regions Brazil, identifying six patterns implementation, considering...

Abstract Background The organisation and systematisation of health actions services are essential to ensure patient safety the effectiveness efficiency cancer care. objective this study was analyse structure care envisaged in Brazilian norms, describe types accreditations their geographic distribution, determine planning evaluation parameters used qualify units that provide Brazil. Methods This observational identified current other accredited by Brazil’s national system (SUS) for treatment...

OBJETIVO: Analisar a conformação da política de atenção móvel às urgências no Brasil. PROCEDIMENTOS METODOLÓGICOS: Com base referencial análise políticas públicas, foram realizados: revisão bibliográfica, documentos e dados oficiais entrevistas com dirigentes federais relacionados à formulação implantação do Serviço Atendimento Móvel Urgência (Samu) Brasil na década 2000. ANÁLISE DOS RESULTADOS: O Samu teve prioridade agenda federal partir 2003. Nos primeiros anos predominaram serviços...

The regulation of emergency care has featured prominently in Brazil’s federal health agenda since the 2000s. aim this study was to review up present day implementation National Emergency Care Policy. methods employed were documental review, analysis official data and 11 interviews conducted with federal, state local managers. results analyzed using Giddens’ Structuration Theory, relating cognitive abilities agents their action strategies, view structural dimensions, rules resources provided...

Abstract The aim was to identify constraining and enabling factors related the organization of health care networks that influence access oral cancer diagnosis treatment. A case study in “Metropolitan I” region using data collected from information systems 26 semi-structured interviews with managers professionals. were analyzed descriptive statistics strategic conduct analysis, drawing on theory structuration proposed by Giddens. findings reveal coverage primary services is generally low...

To compare the sociodemographic and clinical profiles of patients with advanced cancer admitted to a tertiary palliative care unit before during COVID-19 pandemic. This is an analysis data from receiving (10/21/2019 03/16/2020) (09/23/2020 08/26/2021) Sociodemographic were evaluated. Logistic regression analyses used, odds ratio (OR) 95% confidence interval (CI) as measures effect. 673 enrolled (204 in pre-pandemic period 469 pandemic period). The final logistic model demonstrated that had...

Objetivo: determinar fatores relacionados à ocorrência de lesões citológicas precursoras em mulheres Juiz Fora/Minas Gerais assistidas na atenção básica. Método: estudo caso-controle entre 2017 a 2021. A amostra consistiu 222 casos e 231 controles. Análises três dimensões: sociodemográfica, sexual/reprodutiva saúde. Odds ratios intervalos 95% confiança calculados por regressão logística. Resultado: reduzem com idade ≥ 60 anos, casadas, anticoncepcional injetável, coitarca > 15 primeiro...

The aid lent by the emergency services is object of this paper, which aims to assess service QualiSUS program. study descriptive with application a questionnaire responsible in eight hospitals. were always overcrowded, and causes pointed low resolutivity basic attention precariousness hospital network. Contributing there primary care decreased Six hospitals do not manage service. entrance system organized only three work risk classification. All them refer difficulties internal external...

In Brazil, the incidence of dengue greatly increased in last two decades and there are several factors impeding control disease. The present study focused on describing space-time evolution Brazil from 2001 to 2012 analyzing relationship reported cases with socio-demographic environmental factors.The analytic units used preparation thematic maps were municipalities. Statistical tests multilevel regression models evaluate association between following factors: climate, diagnostic period,...

Este estudo objetiva analisar as estratégias de educação em saúde descritas na formulação das políticas públicas por meio análise documental, tendo como referencial teórico os enfoques da saúde: preventivo; escolha informada; do desenvolvimento pessoal; radical; e popular saúde. Identificaram-se três categorias que balizaram a análise: abordagens preventivas com foco no indivíduo; o enfoque radical macrodeterminantes saúde; para incentivo à autonomia participação popular. Verificou-se...

Maternal and neonatal mortality are important public health issues in low-income countries. This study evaluated spatial temporal maternal trends Brazil between 1997 2012. employed analysis techniques using death records from the information system. rates per 100,000 (early late) 1000 live births were calculated by state, region, period (1997–2000, 2001–2004, 2005–2008, 2009–2012). Multivariate negative binomial models used to explain risk of death. The mean Brazilian rate was 55.63/100,000...

RESUMO A adesão ao tratamento é um dos maiores desafios de HIV (Vírus da Imunodeficiência Humana), e a depressão, fator impacto. Objetivou-se identificar se depressão interfere na adesão. Para tanto, utilizou-se método multiabordagem adesão, entrevista aberta o Inventário Depressão Beck para rastreamento depressão. relação entre não verificou, apesar prevalência ser 22,24%. Os pacientes admitiram medo do estigma dificuldade em seguir antirretroviral decorrência efeitos adversos medicamento....

The study analyzed the initiatives of prevention and control childhood obesity, especially those Adequate Healthy Food Promotion (PAAS) which have been part policies Brazilian federal government for last 15 years. All documents that feature PAAS in food nutrition security, as well public health policy fields, were evaluated according to following criteria: (1) approach initiatives; (2) aspects obesitythat they intend affect (3) potential interest disputes. main identified are intended...

Population aging has led to increased dependency and overburden of family caregivers dependent elderly. The aim was verify prevalence associated factors in a poor violent area Rio de Janeiro, Brazil. This cross-sectional study 140 elderly caregivers, focusing on social support, abuse, cohabitation, overburden, addition dependency, cognitive decline, depression the Multiple logistic models were constructed explain overburden. following characteristics with overburden: age (OR = 0.94; p <...

Maternal and neonatal mortality are important public health issues in low‐income countries. This study evaluated spatial temporal maternal trends Brazil between 1997 2012. employed analysis techniques using death records from the information system. rates per 100,000 (early late) 1000 live births were calculated by state, region, period (1997–2000, 2001–2004, 2005–2008, 2009–2012). Multivariate negative binomial models used to explain risk of death. The mean Brazilian rate was 55.63/100,000...

OBJETIVO: Analisar o processo de implantação das unidades pronto atendimento no Brasil. MÉTODOS: Realizou-se análise documental, entrevistas com 24 coordenadores estaduais urgência e um painel especialistas. Analisaram-se questões relativas a: antecedentes trajetória da política; atores envolvidos na implantação; expansão; avanços, limites dificuldades capacidade coordenação estadual. Utilizou-se referencial teórico conduta estratégica teoria estruturação Giddens. RESULTADOS: As foram...

In recent decades, the rise violent phenomena in Brazil has reached epidemic proportions. However, prevalence of domestic violence (DV) across different states country is not well established. The objective this study was to describe distribution DV Brazilian from 2009 2014. An ecological based on spatial analysis techniques performed using as geographical units analysis. A multilevel Poisson model used explain risk according age, sex, period (fixed effects), Human Developing Index, and...

This study aimed to portray the effects of Brazilian financial crisis, and especially in Rio de Janeiro 2013-18 period. We analyzed revenues, expenditure, service provision, health performance indicators from free access restricted data. adopted Giddens' Structuration Theory. Revenues expenditures shrunk, this reduction was higher for investments unlinked revenues. The provision services declined, resulting decreased primary care coverage, outpatient production, total hospital admissions,...

&lt;p&gt;A Política Nacional de Atenção às Urgências foi fruto grande insatisfação com o atendimento nas emergências hospitalares. As UPAs constituíram principal componente pré-hospitalar fixo da política. O objetivo do estudo analisar as portarias ministeriais que regulamentaram a criação das UPAs, procurando compreender seu padrão implantação. Foram analisadas entre 2008 e 2013, à luz Teoria Estruturação, Giddens. No conjunto, essas expressam pretensão fossem instaladas forma estratégica...

Background. This study aims to estimate the rate of death by cancer, according Radio Base Stations (RBS) radiofrequency exposure, especially for types breast, cervix, lung and esophagus cancer. Methods. We collected information about number deaths gender, age group, Gross Domestic Product per capita, year amount exposure over lifetime. investigated all cancer some specific (breast, cancers). Results. In capitals where RBS was higher than 2,000/antennas-year, average mortality 112/100,000...

O atendimento às urgências/emergências tem sido alvo de críticas e o Estado brasileiro, a partir 2002, assume esforço normatizar esse nível atenção. Este estudo objetivou analisar política urgência dos documentos portarias, baseando-se na teoria da estruturação (Giddens), que relaciona mobilização recursos alocativos autoritários como dimensões estrutura em interação, justificaria legitimação exercida sanção das normas. A Política Nacional Urgência (PNAU) teve marcos financiamento federal,...

This article addresses policymaking related to Emergency Care Units (ECU) in the State of Rio de Janeiro between 2007 and 2013, duly identifying relationships various levels government this process. It prioritized context policy formulation, factors that motivated inclusion maintenance ECUs on state agenda process how was implemented state. The study based literature defines implementation public policies contributions from historic institutionalism. research involved analysis documents,...

No município do Rio de Janeiro, a implantação das Unidades Pronto Atendimento 24h (UPA) foi o fio condutor da política saúde e modelo para estruturação rede urgência emergência (RUE). Este estudo analisou integração UPAs na assistencial município. Foram realizadas nove entrevistas, com gestores centrais locais, analisadas à luz Teoria Estruturação Giddens. Resultados mostraram pouca UPAs, por deficiências estruturais serviços fragmentação gerencial, pela ausência governança unificada. Apesar...