A5050970303- Maternal and Neonatal Healthcare
- Global Maternal and Child Health
- Health, Nursing, Elderly Care
- Vaccine Coverage and Hesitancy
- Dental Health and Care Utilization
- Healthcare Systems and Reforms
- COVID-19 epidemiological studies
- Mosquito-borne diseases and control
- Public Health in Brazil
- COVID-19 Impact on Reproduction
- Child Nutrition and Water Access
- Global Public Health Policies and Epidemiology
- Viral gastroenteritis research and epidemiology
- Virology and Viral Diseases
- Zoonotic diseases and public health
- Viral Infections and Outbreaks Research
- Maternal and Perinatal Health Interventions
- Head and Neck Cancer Studies
- HIV/AIDS oral health manifestations
- Temporomandibular Joint Disorders
- Cleft Lip and Palate Research
- Dental Research and COVID-19
- COVID-19 and healthcare impacts
- SARS-CoV-2 and COVID-19 Research
- Food Security and Health in Diverse Populations
Universidade Federal de São Paulo
2025
Universidade Federal do Maranhão
2015-2024
University of British Columbia
2023
Fundação de Amparo à Pesquisa e ao Desenvolvimento Científico e Tecnológico do Maranhão
2017-2023
Fundação Oswaldo Cruz
2003-2020
Creative Commons
2017
Universidade Federal de Minas Gerais
2017
Universidade Federal de Goiás
2017
Duke Institute for Health Innovation
2017
Duke University
2017
We report the early growth and neurologic findings of 48 infants in Brazil diagnosed with probable congenital Zika virus syndrome followed to age 1-8 months. Most these had microcephaly (86.7%) craniofacial disproportion (95.8%). The clinical pattern included poor head increasingly negative z-scores, pyramidal/extrapyramidal symptoms, epilepsy.
The drop in childhood vaccination coverage (VC), including poliomyelitis, has become a health concern. objective was to analyze the temporal trend of three doses polio vaccine first 12 months life between 2011 and 2021, addition mapping Brazil, COVID-19 pandemic period. An ecological study carried out using interrupted time series (STI) techniques spatial analysis, with data from National Immunization Program Information System. VC adjusted by Newey-West variance estimator according...
The national vaccination coverage survey on full at 12 and 24 months of age was carried out to investigate drops in as 2016.A sample 37,836 live births from the 2017 or 2018 cohorts living capital cities, Federal District, inner cities with 100 thousand inhabitants were followed for first through vaccine record cards. Census tracts stratified according socioeconomic levels had same number children included each stratum. Coverage vaccine, doses administered, valid timely, calculated. Family,...
OBJETIVOS: Estimar a prevalência e fatores associados à hesitação ao uso da vacina contra o vírus SARS-CoV-2 no Maranhão, Brasil. MÉTODOS: Estudo transversal de base populacional realizado 19 30 outubro 2020. As estimativas consideraram agrupamento, estratificação não resposta. A seleção amostra foi realizada em três estágios (estrato, setores censitários domicílio). Após análise sistemática, cada estrato foram selecionados trinta setores, totalizando 150 sendo número domicílios setor fixado...
OBJECTIVE To estimate the 2020 all-cause and COVID-19 excess mortality according to sex, age, race/color, state, compare rates by selected causes with that of five previous years in Brazil. METHODS Data from Mortality Information System were used. Expected deaths for estimated 2015 2019 data using a negative binomial log-linear model. RESULTS Excess Brazil amounted 13.7%, ratio was 0.90. Reductions cardiovascular diseases (CVD), respiratory diseases, external causes, an increase ill-defined...
Preterm birth is the main cause of morbidity and mortality during perinatal period. Classical risk factors are held responsible for only 1/3 preterm births no current intervention has produced an appreciable reduction this event. It necessary to explore new hypotheses mechanisms causality by using integrated approach, collaboration among research groups less fragmented theoretical-methodological approaches in order detect formulate more effective strategies. The study will be conducted on a...
Oral cancer is a potentially fatal disease, especially when diagnosed in advanced stages. In Brazil, the primary health care (PHC) system responsible for promoting oral order to prevent diseases. However, there insufficient evidence assess whether actions of PHC have some effect on morbidity and mortality from cancer. The purpose this study was analyze structure work processes incidence rates after adjusting contextual variables.An ecological, longitudinal analytical carried out. Data were...
Resumo O objetivo desta pesquisa foi analisar o conteúdo da assistência pré-natal em São Luís e os fatores associados com sua inadequação. Realizou-se estudo transversal baseado dados coorte de nascimento 2010. classificado como inadequado quando não atendeu aos critérios do Programa Humanização no Pré-Natal Nascimento (PHPN) que estabelece início precoce, número mínimo consultas, exames laboratoriais básicos, a vacinação antitetânica procedimentos obstétricos. Regressão Poisson utilizada...
Dengue fever, chikungunya and zika virus infections are increasing public health problems in the world, last two diseases having recently emerged Brazil. This ecological study employed spatial analysis of probable cases dengue reported to National Mandatory Reporting System (SINAN) Maranhao State from 2015 2016. The software GeoDa version 1.10 was used for calculating global local Moran indices. index identified a significant autocorrelation incidence rates (I=0.10; p=0.009) (I=0.07;...
Neste estudo, foram estimados percentuais de incompletude vacinal e fatores associados ao esquema para novas vacinas (EVNV) antigas (EVAV) em crianças 13 a 35 meses idade uma coorte nascimento São Luís, Maranhão, Brasil. A amostra foi probabilística, com 3.076 nascidas 2010. Informações sobre vacinação obtidas da Caderneta Saúde Criança. As consideradas o EVNV meningocócica C pneumocócica 10 valente, EVAV, BCG, hepatite B, rotavírus humano, poliomielite, tetravalente (vacina difteria,...
Abstract Background Over the last decades there has been a reduction of social inequalities in Brazil, as well strong expansion health services, including prenatal care. The objective present study was to estimate rate inadequate care utilization and its associated factors São Luís, 2010 determine whether inequity use by comparing data those obtained from previous cohort started 1997/98. Methods Data BRISA (Brazilian birth studies Ribeirão Preto Luís) population-based cohort, which (5067...
Unequal distribution of emergency care services is a critical barrier to be overcome assure access and surgical care. Considering this context it was objective the present work analyze geographic barriers in Brazil. A secondary aim study define possible roles assumed by small hospitals Brazilian healthcare network challenges. The can classified as cross-sectional ecological study. To carry out study, data all 5843 were categorized among high complexity centers hospitals. geographical...
Background Although the Zika virus (ZIKV) epidemic ceased to be a public health emergency by end of 2016, studies improve knowledge about this emerging disease are still needed, especially those investigating causal relationship between ZIKV in pregnant women and microcephaly neonates. However, there many challenges describing microcephaly. The few focusing on epidemiological profile its changes over time largely limited systematic reviews case reports dispersal mapping spread without...
To estimate the seroprevalence of SARS-CoV-2 in state Maranhão, Brazil.A population-based household survey was performed, from July 27, 2020 to August 8, 2020. The estimates considered clustering, stratification and non-response. Qualitative detection IgM IgG antibodies performed a fully-automated Elecsys® Anti-SARS-CoV-2 electrochemiluminescence immunoassay on Cobas® e601 analyzer (Roche Diagnostics).In total, 3,156 individuals were interviewed. Seroprevalence total against 40.4% (95%CI...
Abstract The drop in childhood vaccination coverage (VC), including poliomyelitis, has become a health concern. objective was to analyze the temporal trend of three doses polio vaccine first 12 months life between 2011 and 2021, addition mapping Brazil, COVID-19 pandemic period. An ecological study carried out using interrupted time series (STI) techniques spatial analysis, with data from National Immunization Program Information System. VC adjusted by Newey-West variance estimator according...
A Pesquisa sobre as Condições de Saúde Bucal da População Brasileira (SB Brasil 2003) foi a mais abrangente pesquisa condições saúde bucal realizada no até hoje. Métodos amostragem probabilística foram utilizados para assegurar que os dados coletados representariam população das faixas etárias escolhidas nas cinco regiões do Brasil. No entanto, isso não possível, pois o processo finalizado. Sua conclusão pressupõe cálculo dos pesos amostrais e identificação demais variáveis estruturais...
To assess the effect of coverage Bolsa Família Program (BFP) on oral cancer mortality rates in Brazil between 2005 and 2017, adjusting for health care socioeconomic characteristics Brazilian federative units.This is an ecological study using annual data (2005-2017) from all units. The dependent variable this was rate, standardized by gender age direct standardization technique. BFP main independent variable, calculated as ratio number beneficiaries to those families that should potentially...
A Estratégia Saúde da Família deve ser focada na unidade familiar e construída operacionalmente esfera comunitária. presente pesquisa avaliou o enfoque a orientação para comunidade como atributos Atenção Primária em Saúde, comparando se as respostas diferem entre usuários, profissionais gestores. Trata-se de avaliativa abordagem quantitativa base populacional, realizada janeiro 2010 março 2011 no município São Luís (MA). Trabalhou-se com população 32 gestores 80 mais seis meses experiência...
Resumo Este artigo compara os achados da Avaliação Rede Cegonha (ARC), estudo avaliativo sobre o programa (RC), com Nascer no Brasil (NB), inquérito nacional parto e nascimento, realizado em 2011-12, antes do início implementação RC. A ARC foi conduzida 2017, 606 maternidades envolvidas na RC NB empregou uma amostra representatividade de 266 hospitais. Na análise atual, incluímos 136 hospitais SUS que participaram ambos estudos, totalizando 3.790 12.227 puérperas, respectivamente. Realizamos...
Abstract Cancer remains a leading cause of mortality worldwide, necessitating novel, effective, and selective therapies. Cold Atmospheric Plasma (CAP) generates reactive species that can selectively kill tumor cells while sparing healthy tissue. We developed multipoint Surface Dielectric Barrier Discharge (SDBD) plasma system capable simultaneously treating all wells in 24-well plate, enhancing experimental throughput consistency. investigated both direct treatment indirect effects via...
The objective of this study is to investigate whether the characteristics structure primary health units and work process care teams are associated with number hospitalizations for sensitive conditions.In ecological study, we have analyzed data Brazilian municipalities related sociodemographic characteristics, coverage programs, units, teams. We obtained from first cycle Program Improving Access Quality Primary Care, Department Information Technology Unified Health System, Institute...
OBJECTIVE: To estimate the effect of being a beneficiary Bolsa Família Program (BFP) in vaccination children aged 13 to 35 months. METHODS: Our study was based on all birth records residents Ribeirão Preto (SP) and probabilistic sampling with 1/3 births São Luís (MA), selecting low-income children, born 2010, belonging cohorts Brazilian Birth Cohort Studies eligible for program. The information Cadastro Único (CadÚnico – Single Registry) used categorize receipt benefit from BFP (yes or no)....
Cervical cancer is a common neoplasm that responsible for nearly 230 000 deaths annually in Brazil. Despite this burden, cervical considered preventable with appropriate care. We conducted longitudinal ecological study from 2002 to 2012 examine the relationship between delivery of preventive primary care and mortality rates Brazilian states federal district were unit analysis (N = 27). Results suggest health has contributed reducing Brazil; however, full potential yet be realized.
Preterm birth (PTB) is a growing health issue worldwide, currently considered the leading cause of newborn deaths. To address this challenge, present work aims to develop an algorithm capable accurately predicting week delivery supporting identification PTB in Brazil.This population-based study analyzing data from 3,876,666 mothers with live births distributed across 3,929 Brazilian municipalities. Using indicators comprising characteristics, primary care processes, and physical...