Academic literature on the topic 'Rondônia (Brazil : State). Secretaria de Saúde'

Abstract Objectives: To evaluate the performance of the regionalization of the Vigilância em Saúde (VS) (Health Surveillance) in a region in Sao Paulo State. Methods: a quantitative cross-sectional study was carried out at the V Diretoria Regional de Saúde da Secretaria de Saúde do Estado de São Paulo (V Board of the Regional Health Secretary of São Paulo State Health Department). A structured questionnaire was developed from the three dimensions of the research (Policy, Structure and Organization). The escore médio (EM) (average score) was used as the central tendency and for each dimension and attributes, the synthetic indices were constructed. Three cutoff points for assessing the performance were assigned: values equal to or below 4.99 were considered unsatisfactory; between 5.00 and 6.99, intermediaries; and equal to or above 7.00, satisfactory. Results: The performance of the regionalization of the VS was considered satisfactory, with emphasis on the 'Policy' (EM 8.51) and 'Organization' (EM 8.18) dimensions. The ‘Structure’ obtained intermediate performance (EM 6.78). The proposed methodology demonstrated to be appropriate to evaluate the performance of the regionalization of VS, because its strengths and weaknesses were allowed to be identified. Conclusions: despite of the regionalization is an ongoing process, it is necessary for the establishment of a political project that will take up effectively as a strategy for the reorganization of the healthcare in Brazil.

An ecological study was carried out using information zones as units of analysis in order to assess the evolution of socio-spatial inequalities in mortality due to external causes and homicides in Salvador, Bahia State, Brazil, in 2000 and 2006. The Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística - IBGE) and the City Health Department (Secretaria Municipal de Saúde) provided the data sources, and causes of death were reviewed and reclassified based on reports from the Institute of Legal Medicine (Instituto Médico Legal). The information zones were classified into four social strata according to income and schooling. The ratio between mortality rates (inequality ratio) was calculated and confirmed a rise of 98.5% in the homicide rate. In 2000, the risk of death due to external causes and murders in the stratum with the worst living conditions was respectively 1.40 and 1.94 times greater than in the reference stratum. In 2006 these figures were 2.02 and 2.24. The authors discuss the implications for inter-sectoral public policies, based on evidence from the study's findings.

INTRODUCTION: Leptospirosis is an infectious disease caused by microorganisms of the genus Leptospira that affects several species of animals, including the human beings. The study described the confirmed cases of leptospirosis in Manaus, from 2000 to 2010. METHODS: A descriptive study based on secondary data analysis of Secretaria Municipal de Saúde (SEMSA), Sistema de Informação de Agravos de Notificação SINAN and Sistema de Informação sobre Mortalidade (SIM) analyzing the variables: age group, gender, clinical aspects and geographic area and lethality. RESULTS: Were reported 665 cases of leptospirosis, 339 were confirmed and 35 (10.3%) died. The largest number of cases occurred in May (16.8%), March (13.3%) and April (11.4%), a period of intense rainfall. The city areas with the greatest occurrence of the disease were South (26.6%), West (23.5%) and East (19.7%), areas of the greatest precariousness socio-environment. The largest number of cases, including deaths, occurred in the age group from 14 to 44.9 years (74%), being that 291 (85.8%) were male and 48 (14.1%) females. The most frequent symptoms were fever, myalgia, headache and jaundice. In relation to the social conditions were identified low education, poor housing, absence of sanitation and low income. CONCLUSIONS: In Manaus, despite the implementation of the Social and Environmental Program of Igarapés of Manaus (PROSAMIM), there are still areas that need a proper urbanization and improvements in socio-environmental conditions, reducing the level of exposure of the human beings that living in these locations.

In order to evaluate the distribution of dermatophytes in Porto Alegre, the capital of the state of Rio Grande do Sul, Brazil, they were isolated from the skin, hairs and nails samples and retrospectively analyzed from June 1981 to June 1995, in two different institutions in the city of Porto Alegre: (i) the Serviço de Micologia do Instituto de Pesquisas Biológicas Jandyr Maya Faillace, da Secretaria de Saúde e Meio Ambiente do Rio Grande do Sul which attends the low income population (low and middle classes) and, (ii) Laboratório Weinmann, a clinical pathology laboratory which attends predominantly the higher income population (middle and upper classes), both which attend in the metropolitan area of Porto Alegre. The dermatophyte predominance of Trichophyton rubrum was confirmed (55.33%) followed by T. mentagrophytes (21.46%). The data obtained were compared with the existing prevalence data which were collected in the interior of the state over a period of 32 years (1960-1992). T. verrucosum, T. simii, Microsporum persicolor, T. schöenleinii, M. nanum and M. cookei were isolated in the interior and have not been found in the capital so far. On the other side, T. violaceum was, isolated in the capital and has not been found in the interior so far.

Abstract Objectives: to analyze the contributions of regionalization in North-Barretos and South-Barretos regions, focusing on political, structural and organizational changes. Methods: mixed sequential explanatory methods using records analysis from the Comissão Intergestores Regional (CIR) (Regional Inter-managers Commission (CIR), interviews with questionnaire and guides along with 42 key agents (managers and providers of services) conducted in August 2015. The descriptive statistical results were presented with mean scores for each of the question in the questionnaire. The analysis of the thematic content was performed by using the Atlas-ti software and categories of the mixed themes were generated representing the following dimensions: policy, structure and organization. Results: the study identified that the Estrutura Regional da Secretaria Estadual de Saúde (Regional Structure of the State Health Department) is the most important institution in health policy decisions. Several contributions can be identified in the process of regionalization, mainly in the organizational aspect of the health system. The records demonstrated the frequent presence of themes related to networks, regulation and financing and the definition of flow of patients. Conclusions: regionalization in the North-Barretos and South-Barretos regions have contributed for a better organization in health actions and services. The intergovernmental forums do not work with coordination and they are not a collaborative place to negotiate health issues in these regions in São Paulo State

Objetivo: Verificar a prevalência de Medicamentos Potencialmente Inapropriados (MPI) para idosos entre os disponibilizados na Atenção Primária à Saúde pela Secretaria de Estado da Saúde do Estado do Rio de Janeiro. Método: Trata-se de estudo realizado com dados secundários provenientes da Relação Estadual de Medicamentos (REM) e analisado a luz das orientações previstas pela relação de Beers-Fick de 2012. Resultados: Verificou-se que na REM-RJ, de um total de 124 medicamentos, 13,70% (n=17) são considerados MPIs para idosos, com consumo em 2 grandes categorias (que atuam no SNC e periférico = 35,29% e; que atuam no sistema cardiovascular e renal = 29,41%). Conclusão: A presente investigação evidencia a necessidade de se desenvolver critérios alinhados à perspectiva do idoso brasileiro, sendo possível a adaptação dos critérios de Beers-Fick, e a elaboração de súmulas específicas, que contemplem esta população e suas peculiaridades, considerando referenciais de significância científica.

Liver transplantation is now the standard treatment for end-stage liver disease. Given the shortage of liver donors and the progressively higher number of patients waiting for transplantation, improvements in patient selection and optimization of timing for transplantation are needed. Several solutions have been suggested, including increasing the donor pool; a fair policy for allocation, not permitting variables such as age, gender, and race, or third-party payer status to play any role; and knowledge of the natural history of each liver disease for which transplantation is offered. To observe ethical rules and distributive justice (guarantee to every citizen the same opportunity to get an organ), the "sickest first" policy must be used. Studies have demonstrated that death has no relationship with waiting time, but rather with the severity of liver disease at the time of inclusion. Thus, waiting time is no longer part of the United Network for Organ Sharing distribution criteria. Waiting time only differentiates between equally severely diseased patients. The authors have analyzed the waiting list mortality and 1-year survival for patients of the State of São Paulo, from July 1997 through January 2001. Only the chronological criterion was used. According to "Secretaria de Estado da Saúde de São Paulo" data, among all waiting list deaths, 82.2% occurred within the first year, and 37.6% within the first 3 months following inclusion. The allocation of livers based on waiting time is neither fair nor ethical, impairs distributive justice and human rights, and does not occur in any other part of the world.

Objetivo: verificar o comportamento da incidência da tuberculose na população privada de liberdade e estimando sua tendência. Materiais e métodos: Trata-se de um estudo ecológico de série temporal com análise de tendência da incidência da tuberculose na população privada de liberdade. Utilizou-se de dados secundários provenientes do Sistema de Informações e Agravos de Notificação. A população foi composta por todas as notificações de Tuberculose da população privada de liberdade de unidades masculinas e femininas no período de 2007 a 2016. Na análise de tendência temporal foi realizada através da criação de modelos de regressão polinomial e testados os modelos linear; quadrático; exponencial. Resultados: A tendência da incidência na população privada de liberdade geral e no sexo masculino foi considerada estável, ambas com (p=0,180), e no sexo feminino decrescente (p= 0,040). Conclusão: É necessário avanços na condução do controle da tuberculose nas unidades prisionais. Descritores: Tuberculose; Epidemiologia; Prisioneiros; Incidência; Saúde Pública. Referências Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância Epidemiológica. Manual de recomendação para o controle da tuberculose no Brasil. Brasília: Ministério da Saúde. 2018. World Heatlh Organization. 2017 Fer.Disponívelem: http://www.who.int/tb/areas-of-work/population-groups/prisons-facts/en/. Acesso em : 20 Jan. 2017. Kayomo MK, Hasker E, Aloni M, Nkuku L, Kazadi M, Kabengele T, et al. Outbreak of Tuberculosis and Multidrug-Resistant Tuberculosis, Mbuji-Mayi Central Prison, Democratic Republic of the Congo. Emerg Infect Dis. 2018;24(11):2029-35. Schwitters A, Kaggwa M, Omiel P, Nagadya G, Kisa N, Dalal S. Tuberculosis incidence and treatment completion among Ugandan prison Int J Tuberc Lung Dis. 2014;18(7):781-86. Ministério da Saúde. Secretaria de Vigilância em Saúde. Boletim epidemiológico. Brasília: Ministério da Saúde, 2018;49(8). Alinaghi SAS, Farhoudi B, Najafi Z, Jafari S. Comparing Tuberculosis incidence in a prison with the society, Tehran, Iran. Arch Clin Infect Dis. 2018;E60247:1-3. Sacramento DS, Gonçalves MJF. Situação da tuberculose em pessoas privadas de liberdade no período de 2007 a 2012 . J Nurs UFPE on line. 2017;11(1):140-51. Valença MS, Possuelo LG, Cezar-Vaz MR, Silva PE. Tuberculose em presídios brasileiros: uma revisão integrativa da literatura. Cien Saude Colet. 2016;21(7):2147-60. Sánchez A, Larouzé B. Tuberculosis control in prisons, from research to action: the Rio de Janeiro, Brazil, experience. Cien Saude Colet. 2016;21(7):2071-80. Martins ELC, Martins LG, Silveira AM, Melo EM. The contradictory right to health of people deprived of liberty: the case of a prison in Minas Gerais , Brazil. Saúde soc. 2014;23(4):1222-34. Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Brasil livre da tuberculose. Plano nacional pelo fim da tuberculose como problema de saúde pública [Internet]. Brasília: Ministério da Saúde; 2017 [citado 2018 mar 8]. 52 p. Disponível em: https://drive.google.com/file/d/0B0CE2wqdEaR-eVc5V3cyMVFPcTA/view. Macedo LR, Maciel ELN, Struchiner CJ. Tuberculose na população privada de liberdade do Brasil, 2007-2013*. Epidemiol Serv Saúde. 2017;26(4):783-94. Silva PF, Moura GS, Caldas AJM. Fatores associados ao abandono do tratamento da tuberculose pulmonar no Maranhão, Brasil, no período de 2001 a 2010. Cad Saúde Pública. 2014;30(8):1745-54. Montgomery DC, Jennings CL, Kulahci M. Introductionto Time Series Analysis and Forecasting. 2th ed. Hoken, NJ: John Wiley&Sons; 2015. Cavalcante GMS, de Macedo Bernardino Í, da Nóbrega LM, Ferreira RC, Ferreira E Ferreira E, d'Avila S. Temporal trends in physical violence, gender differences and spatial vulnerability of the location of victim's residences. Spat Spatiotemporal Epidemiol. 2018;25:49-56. Alves JP, Brazil JM, Nery AA, Vilela ABA, Filho IEM. Perfil Epidemiológico de pessoas privadas de liberdade. Rev enferm UFPE on line. 2017;11(supl.10):4036-44. Lambert LA, Armstrong LR, Lobato MN, Ho C, France AM, Haddad MB. Tuberculosis in Jails and Prisons: United States. AJPH Res. 2016;106(12):2231-37. Orlando S, Triulzi I, Ciccacci F, Palla I, Palombi L, Marazzi MC et al. Delayed diagnosis and treatment of tuberculosis in HIV+ patients in Mozambique: A cost-effectiveness analysis of screening protocols based on four symptom screening, smear microscopy, urine LAM test and Xpert MTB/RIF. PLoS One. 2018;13(7):1-16. World HeatlhOrganization.The end TB strategy [Internet]. Geneva: World HeatlhOrganization; 2015. 20 p. Available in: http://www.who.int/tb/End_TB_brochure.pdf Belo MTCT, Luiz RR, Hanson SL, Teixeira EG, Chalfoun T, Trajman A. Tuberculose e gênero em um município prioritário no estado do Rio de Janeiro. J Bras Pneumol. 2010;36(5):621-25. Sá LD, Santos ARBN, Oliveira AAV, Nogueira JA, Tavares LM, Villa TCS. O cuidado á saúde da mulher com tuberculose na perspectiva do enfoque familiar. Texto contexto - enferm. 2012;21(2):409-17. Minayo MCS, Ribeiro AP. Condições de saúde dos presos do estado do Rio de Janeiro, Brasil Health conditions of prisoners in the state of Rio de Janeiro , Brazil. Ciênc saúde coletiva. 2016;21(7):2031-40. Ministério da Justiça e Segurança Pública. Departamento Penitenciário Nacional. Levantamento Nacional de Informações Penitenciárias: INFOPEN atualização junho de 2016. Org. Tandhara Santos; Colaboração. Marlene Inês da Rosa, et al. Brasília – DF, 2017, p. 65 Winter BCA, Grazinoli Garrido R. A tuberculose no cárcere: um retrato das mazelas do sistema prisional brasileiro. Med leg Costa Rica. 2017;34(2):20-31. Soares Filho MM, Bueno PMMG. Demography, vulnerabilities and right to health to Brazilian prison population. Cien Saude Colet. 2016;21(7):1999-2010. Santos MNA, Sá AMM. Viver com tuberculose em prisões: O desafio de curar-se. Texto contexto - enferm. 2014;23(4):854-61. Ilievska-Poposka B, Zakoska M, Pilovska-Spasovska K, Simonovska L, Mitreski V. Tuberculosis in the Prisons in the Republic of Macedonia, 2008-2017. Maced J Med Sci. 2018;6(7):1300-4. Oliveira LGD, Natal S, Camacho LAB. Contextos de implantação do Programa de Controle da Tuberculose nas prisões brasileiras. Rev Saúde Pública. 2015;49:66. da Silva RD, de Luna FDT, de Araújo AJ, Camêlo ELS, Bertolozzi MR, Hino P, Lacerda SNB, Fook SML, de Figueiredo TMRM. Patients' perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study. BMC Public Health. 2017;17(1):725.

O artigo aborda a primeira infância no estado do Espírito Santo, identificando, entre 2012 e 2017, avanços e retrocessos nas políticas de educação, assistência e saúde dessa área. Para tanto, criou um banco de dados municipal a partir demicrodados majoritariamente censitários dos Ministérios da Saúde e da Educação, assim como da Secretaria Especial do Desenvolvimento Social. A partir desses dados, ligados a crianças de 0 a 6 anos, faz uma análise das variáveis como taxa de cobertura escolar, cobertura do Programa Bolsa Família, indicadores de mortalidade infantil e materna, fecundidade e atenção à gestante. A base compilada disponível permite a elaboração de estudos regionais desagregados e no tempo. Por serem dados completos da população, a análise panorâmica pode ser baseada em uma análise de estatística descritiva.Comprova, assim, avanço no atendimento à primeira infância, em paralelo à vigência continuada de disparidades regionais importantes.Palavras-chave: Política social. Primeira infância. Espírito Santo, Brasil.SOCIAL POLICY AND EARLY CHILDHOOD DEVELOPMENT: Mapping conditions in Espírito Santo, Brazil from 2012 to 2017AbstractThe paper carries out a mapping of the public conditions of early childhood care in the state of Espírito Santo, Brazil, for the period between 2012 and 2017. To this end, it created a municipal database using mostly census microdata from the Ministries of Health and Education, as well as the Special Secretariat for Social Development. Based on these data, linked to children from 0 to 6 years old, it makes an analysis of variables such as school coverage rate, coverage of the Bolsa Família Program, indicators of infant and maternal mortality, fertility and attention to pregnant women. The available compiled base allows for the development of regional, disaggregated and time studies. As they are complete population data, the panoramic analysis can be based on a descriptive statistical analysis. Thus, it proves progress in early childhood care, in parallel withthe continued existence of important regional disparities.Keywords: Social Policy. Early Childhood Development. Brazil. Espírito Santo.