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Article ; Online: Editorial: Impact of COVID-19 on the detection and control of chronic non-communicable diseases: repercussions on the sustainable development agenda.

Sousa, Alvaro Francisco Lopes / Moreira, Thereza Maria Magalhães / Sousa, George Jó Bezerra

2024 Volume 12, Page(s) 1397176

MeSH term(s)	Humans ; Sustainable Development ; COVID-19 ; Noncommunicable Diseases ; Conservation of Natural Resources ; Developing Countries
Language	English
Publishing date	2024-04-03
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2024.1397176
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Article ; Online: Spatiotemporal pattern of the incidence of tuberculosis and associated factors.

Sousa, George Jó Bezerra / Monte, Geraldo Lucas Alves / Sousa, Davi Gomes / Maranhão, Thatiana Araujo / Pereira, Maria Lúcia Duarte

Revista brasileira de epidemiologia = Brazilian journal of epidemiology

2022 Volume 25, Page(s) e220006

Abstract: Objective: To analyze the spatiotemporal pattern of tuberculosis incidence and its associated factors.: Methods: Ecological study, which used tuberculosis notifications during 2001-2017 and as units of analysis the municipalities of the state of ... ...

Abstract	Objective: To analyze the spatiotemporal pattern of tuberculosis incidence and its associated factors. Methods: Ecological study, which used tuberculosis notifications during 2001-2017 and as units of analysis the municipalities of the state of Ceará of the Notifiable Diseases Information System. Time pattern analysis techniques and geographically weighted regression were used. Results: The gross incidence rate in the state reached a peak of 226.1/100 thousand inhabitants with a significant decrease of 1.9% per year (95%CI -3.0--0.7). The main clusters were identified in Fortaleza and its metropolitan region, as well as in the Sobral region. The socioeconomic indicators that were associated with the incidence were: occupation in the agricultural sector and services, population in households with bathrooms and running water and vulnerable to poverty. Conclusion: There was a significant decrease in the incidence of the disease in the state of Ceará. The spatial clusters were mostly located in areas with high population and the indicators most related to the formation of spatial clusters were related to employment/income, housing and vulnerability.
MeSH term(s)	Brazil/epidemiology ; Humans ; Incidence ; Poverty ; Socioeconomic Factors ; Tuberculosis/epidemiology
Language	Portuguese
Publishing date	2022-04-22
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2183366-7
ISSN	1980-5497 ; 1980-5497
ISSN (online)	1980-5497
ISSN	1980-5497
DOI	10.1590/1980-549720220006
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Article ; Online: Space-temporal dynamics and factors associated with newborn mortality / Dinâmica espaço-temporal e fatores associados à mortalidade neonatal

Jessica Cristina Moraes de Araújo / Daniele de Brito Sousa / Leonardo Miranda Ribeiro / George Jó Bezerra Sousa / Thatiana Araújo Maranhão / Maria Lúcia Duarte Pereira

Revista de Pesquisa : Cuidado é Fundamental Online, Vol

2024 Volume 16

Abstract: Objetivo: analisar a distribuição espacial e temporal da mortalidade neonatal e fatores associados no Piauí de 2007 a 2017. Método: foi utilizado o método Joinpoint, estatística bayesiana e a técnica de varredura Scan. A análise multivariada dos ... ...

Abstract	Objetivo: analisar a distribuição espacial e temporal da mortalidade neonatal e fatores associados no Piauí de 2007 a 2017. Método: foi utilizado o método Joinpoint, estatística bayesiana e a técnica de varredura Scan. A análise multivariada dos indicadores foi realizada através do modelo Ordinary Least Squares Estimation, considerando-se p<0,05. Resultados: a mortalidade neonatal reduziu de forma linear e significativa ao longo do período estudado. As maiores taxas bayesianas variaram de 16,34 a 18,38 óbitos por 1.000 nascidos vivos, especialmente no Sudeste piauiense. Houve associação negativa entre a mortalidade neonatal e as variáveis: Taxa de analfabetismo (β = -0,60; p= 0,027), Cobertura da Estratégia Saúde da Família (β = -2,80; p= 0,023) e Índice de Desenvolvimento Humano Municipal (β = -0,60; p= 0,003). Conclusão: a mortalidade neonatal segue decrescente e sua distribuição no território mostrou-se irregular. Indicadores socioeconômicos e de saúde influenciam a mortalidade neonatal no Piauí.
Keywords	DESCRITORES: Mortalidade Infantil ; Epidemiologia ; Estudos de Séries Temporais ; Estudos Ecológicos ; Análise Espacial ; Medicine ; R ; Nursing ; RT1-120
Language	English
Publishing date	2024-01-01T00:00:00Z
Publisher	Universidade Federal do Estado do Rio de Janeiro
Document type	Article ; Online
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Article ; Online: Relationship between social development indicators and mortality due to Diabetes Mellitus in Brazil: a space-time analysis.

Garces, Thiago Santos / Damasceno, Lara Lídia Ventura / Sousa, George Jó Bezerra / Cestari, Virna Ribeiro Feitosa / Pereira, Maria Lúcia Duarte / Moreira, Thereza Maria Magalhães

Revista latino-americana de enfermagem

2023 Volume 31, Page(s) e3971

Abstract: Objective: to identify the space-time pattern of mortality due to Diabetes Mellitus in Brazil, as well as its relationship with social development indicators.: Method: an ecological and time series nationwide study based on secondary data from the ... ...

Title translation	Relación entre indicadores de desarrollo social y mortalidad por Diabetes Mellitus en Brasil: análisis espacial y temporal.
Abstract	Objective: to identify the space-time pattern of mortality due to Diabetes Mellitus in Brazil, as well as its relationship with social development indicators. Method: an ecological and time series nationwide study based on secondary data from the Unified Health System Informatics Department, with space-time analysis and inclusion of indicators in non-spatial and spatial regression models. The following was performed: overall mortality rate calculation; characterization of the sociodemographic and regional profiles of the death cases by means of descriptive and time analysis; and elaboration of thematic maps. Results: a total of 601,521 deaths related to Diabetes Mellitus were recorded in Brazil, representing a mean mortality rate of 29.5/100,000 inhabitants. The states of Rio Grande do Norte, Paraíba, Pernambuco, Alagoas and Sergipe, Rio de Janeiro, Paraná and Rio Grande do Sul presented high-high clusters. By using regression models, it was verified that the Gini index (β=11.7) and the Family Health Strategy coverage (β=3.9) were the indicators that most influenced mortality due to Diabetes Mellitus in Brazil. Conclusion: in Brazil, mortality due to Diabetes presents an overall increasing trend, revealing itself as strongly associated with places that have worse social indicators. Highlights: (1) The time-space pattern of mortality due to Diabetes presents an increasing trend. (2) The Northeast and South regions present high rates of mortality due to Diabetes. (3) Mortality due to Diabetes is associated with worse sociodemographic indicators. (4) A relationship is observed between income, access to health and mortality due to Diabetes.
MeSH term(s)	Humans ; Diabetes Mellitus/mortality ; Social Factors ; Brazil/epidemiology ; Spatio-Temporal Analysis ; Income
Language	Portuguese
Publishing date	2023-08-14
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2105698-5
ISSN	1518-8345 ; 1518-8345
ISSN (online)	1518-8345
ISSN	1518-8345
DOI	10.1590/1518-8345.6592.3971
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Article ; Online: Spatiotemporal pattern of the incidence of tuberculosis and associated factors

George Jó Bezerra Sousa / Geraldo Lucas Alves Monte / Davi Gomes Sousa / Thatiana Araujo Maranhão / Maria Lúcia Duarte Pereira

Revista Brasileira de Epidemiologia, Vol

2022 Volume 25

Abstract: ABSTRACT: Objective To analyze the spatiotemporal pattern of tuberculosis incidence and its associated factors. Methods: Ecological study, which used tuberculosis notifications during 2001-2017 and as units of analysis the municipalities of the state of ... ...

Abstract	ABSTRACT: Objective To analyze the spatiotemporal pattern of tuberculosis incidence and its associated factors. Methods: Ecological study, which used tuberculosis notifications during 2001-2017 and as units of analysis the municipalities of the state of Ceará of the Notifiable Diseases Information System. Time pattern analysis techniques and geographically weighted regression were used. Results: The gross incidence rate in the state reached a peak of 226.1/100 thousand inhabitants with a significant decrease of 1.9% per year (95%CI −3.0–−0.7). The main clusters were identified in Fortaleza and its metropolitan region, as well as in the Sobral region. The socioeconomic indicators that were associated with the incidence were: occupation in the agricultural sector and services, population in households with bathrooms and running water and vulnerable to poverty. Conclusion: There was a significant decrease in the incidence of the disease in the state of Ceará. The spatial clusters were mostly located in areas with high population and the indicators most related to the formation of spatial clusters were related to employment/income, housing and vulnerability.
Keywords	Tuberculosis ; Incidence ; Spatial analysis ; Epidemiology ; Public aspects of medicine ; RA1-1270
Subject code	630
Language	English
Publishing date	2022-04-01T00:00:00Z
Publisher	Associação Brasileira de Pós-Graduação em Saúde Coletiva
Document type	Article ; Online
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Article ; Online: Clinical decision support systems for diabetic foot ulcers: a scoping review.

Garces, Thiago Santos / Araújo, Açucena Leal de / Sousa, George Jó Bezerra / Cestari, Virna Ribeiro Feitosa / Florêncio, Raquel Sampaio / Mattos, Samuel Miranda / Damasceno, Lara Lídia Ventura / Santiago, Jênifa Cavalcante Dos Santos / Pessoa, Vera Lucia Mendes de Paula / Pereira, Maria Lúcia Duarte / Moreira, Thereza Maria Magalhães

Revista da Escola de Enfermagem da U S P

2024 Volume 57, Page(s) e20230218

Abstract: Objective: Map the scientific evidence on the use of clinical decision support systems in diabetic foot care.: Method: A scoping review based on the JBI Manual for Evidence Synthesis and registered on the Open Science Framework platform. Searches ... ...

Abstract	Objective: Map the scientific evidence on the use of clinical decision support systems in diabetic foot care. Method: A scoping review based on the JBI Manual for Evidence Synthesis and registered on the Open Science Framework platform. Searches were carried out in primary and secondary sources on prototypes and computerized tools aimed at assisting patients with diabetic foot or at risk of having it, published in any language or period, in eleven databases and grey literature. Results: A total of 710 studies were identified and, following the eligibility criteria, 23 were selected, which portrayed the use of decision support systems in diabetic foot screening, predicting the risk of ulcers and amputations, classifying the stage of severity, deciding on the treatment plan, and evaluating the effectiveness of interventions, by processing data relating to clinical and sociodemographic information. Conclusion: Expert systems stand out for their satisfactory results, with high precision and sensitivity when it comes to guiding and qualifying the decision-making process in diabetic foot prevention and care.
MeSH term(s)	Humans ; Diabetic Foot/therapy ; Decision Support Systems, Clinical ; Diabetes Mellitus
Language	Portuguese
Publishing date	2024-02-09
Publishing country	Brazil
Document type	Review ; Journal Article
ZDB-ID	2411320-7
ISSN	1980-220X ; 1980-220X
ISSN (online)	1980-220X
ISSN	1980-220X
DOI	10.1590/1980-220X-REEUSP-2023-0218en
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Article ; Online: Spatiotemporal pattern and factors related to childhood tuberculosis.

Sousa, George Jó Bezerra / Lourenço, Valéria de Oliveira / Mendes, Caroliny Cristine Dos Santos / Vasconcelos, Mayara Nascimento de / Maranhão, Thatiana Araujo / Pereira, Maria Lúcia Duarte

Revista gaucha de enfermagem

2022 Volume 43, Page(s) e20210270

Abstract: Aim: To identify the spatiotemporal pattern of childhood tuberculosis and the sociodemographic factors related to it.: Method: This is an ecological study, which used the municipalities of the state of Ceará as units of analysis. The Notifiable ... ...

Abstract	Aim: To identify the spatiotemporal pattern of childhood tuberculosis and the sociodemographic factors related to it. Method: This is an ecological study, which used the municipalities of the state of Ceará as units of analysis. The Notifiable Diseases Information System was used as a data source from January 2001 to December 2017. It was conducted a descriptive analysis of the characteristics of the cases, the temporal and spatial pattern of the incidence of the disease and regression with sociodemographic indicators. Results: An average incidence of 3.48 cases/100 thousand inhabitants was identified, with a reduction of 5.7% during the period 2003-2017 (p<0.001). The following were related to childhood tuberculosis: proportion of the population in households with piped water (β=0.05), proportion of the population in households with density >2 (β=0.09) and number of female heads of household with children under 15 years of age (β=0.0003). Conclusion: Indicators of housing conditions and vulnerability were related to childhood tuberculosis.
MeSH term(s)	Child ; Humans ; Female ; Tuberculosis/epidemiology ; Incidence ; Cities ; Family Characteristics ; Brazil/epidemiology ; Socioeconomic Factors
Language	Portuguese
Publishing date	2022-11-04
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2639673-7
ISSN	1983-1447 ; 1983-1447
ISSN (online)	1983-1447
ISSN	1983-1447
DOI	10.1590/1983-1447.2022.20210270.en
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Article ; Online: Diabetes as a factor associated with hospital deaths due to COVID-19 in Brazil, 2020.

Garces, Thiago Santos / Sousa, George Jó Bezerra / Cestari, Virna Ribeiro Feitosa / Florêncio, Raquel Sampaio / Damasceno, Lara Lídia Ventura / Pereira, Maria Lúcia Duarte / Moreira, Thereza Maria Magalhães

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

2022 Volume 31, Issue 1, Page(s) e2021869

Abstract: Objective: To analyze the association between diabetes mellitus and hospital deaths due to Covid-19 in Brazil, from February to August 2020.: Methods: This was a cross-sectional study on hospitalized flu-like syndrome cases, with a positive test ... ...

Title translation	Diabetes como um fator associado ao óbito hospitalar por COVID-19 no Brasil, 2020.
Abstract	Objective: To analyze the association between diabetes mellitus and hospital deaths due to Covid-19 in Brazil, from February to August 2020. Methods: This was a cross-sectional study on hospitalized flu-like syndrome cases, with a positive test result for COVID-19, reported on the Influenza Epidemiological Surveillance Information System. Poisson regression with robust variance was used to estimate the magnitude of the association between diabetes and deaths. Results: Data from 397,600 hospitalized cases were analyzed, of which 32.0% (n = 127,231) died. The prevalence of death among people with diabetes was 40.8% (PR = 1.41; 95%CI 1.39;1.42). After adjustments for the variables sociodemographic and comorbidities, it could be seen that those with diabetes (95%CI 1.14;1.16) were 1.15 time more likely to die. Conclusion: 3 out of every 20 deaths due to COVID-19 occurred among individuals with diabetes mellitus, highlighting this population susceptibility and the need to control this chronic disease.
MeSH term(s)	Brazil/epidemiology ; COVID-19 ; Cross-Sectional Studies ; Diabetes Mellitus/epidemiology ; Hospitals ; Humans
Language	Portuguese
Publishing date	2022-05-30
Publishing country	Brazil
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2880588-4
ISSN	2237-9622 ; 1679-4974
ISSN (online)	2237-9622
ISSN	1679-4974
DOI	10.1590/S1679-49742022000100021
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Article ; Online: Maternal mortality in Northeast Brazil 2009-2019

Ianne Vitória Gomes Oliveira / Thatiana Araújo Maranhão / George Jó Bezerra Sousa / Taynara Lais Silva / Maria Izabel Félix Rocha / Maria Madalena Cardoso da Frota / Thalis Kennedy Azevedo de Araujo / Maria Lúcia Duarte Pereira

Epidemiologia e Serviços de Saúde, Vol 32, Iss

spatial distribution, trend and associated factors

2023 Volume 3

Abstract: Abstract Objective: To analyze the spatio-temporal pattern of maternal mortality and associated factors in Northeast Brazil, from 2009 to 2019. Methods: This was an ecological study using the joinpoint method for temporal analysis and spatial ... ...

Abstract	Abstract Objective: To analyze the spatio-temporal pattern of maternal mortality and associated factors in Northeast Brazil, from 2009 to 2019. Methods: This was an ecological study using the joinpoint method for temporal analysis and spatial autocorrelation and scan tests to identify clusters; regression models using the ordinary least squares and geographically weighted regression methods were used to identify factors associated with mortality, considering p-value < 0.05. Results: Maternal mortality decreased by 1.5% (95%CI; -2.5;-0.5) per year (p-value = 0.009); clusters, of deaths were found, mainly in Piauí and Maranhão, the variables associated with the maternal mortality ratio were Gini Index (β = 105.72; p-value < 0.001), municipal human development index (β = 190.91; p-value = 0.001), per capita income (β = -0.08; p-value = 0.001), Firjan Municipal Development Index-Health (β = -51.28; p-value < 0.001), life expectancy at birth (β = -3.50; p-value < 0.001). Conclusion: There was a reduction in mortality in the period studied, with a concentration of deaths, primarily in Piauí and Maranhão; socioeconomic indicators were associated with higher mortality in the region.
Keywords	Maternal Mortality ; Ecological Studies ; Spatial Analysis ; Time Series Studies ; Medicine ; R ; Public aspects of medicine ; RA1-1270
Subject code	310
Language	English
Publishing date	2023-10-01T00:00:00Z
Publisher	Ministério da Saúde do Brasil
Document type	Article ; Online
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Article ; Online: Maternal mortality in Northeast Brazil 2009-2019: spatial distribution, trend and associated factors.

Oliveira, Ianne Vitória Gomes / Maranhão, Thatiana Araújo / Sousa, George Jó Bezerra / Silva, Taynara Lais / Rocha, Maria Izabel Félix / Frota, Maria Madalena Cardoso da / Araujo, Thalis Kennedy Azevedo de / Pereira, Maria Lúcia Duarte

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

2023 Volume 32, Issue 3, Page(s) e2022973

Abstract: Objective: To analyze the spatio-temporal pattern of maternal mortality and associated factors in Northeast Brazil, from 2009 to 2019.: Methods: This was an ecological study using the joinpoint method for temporal analysis and spatial autocorrelation ...

Abstract	Objective: To analyze the spatio-temporal pattern of maternal mortality and associated factors in Northeast Brazil, from 2009 to 2019. Methods: This was an ecological study using the joinpoint method for temporal analysis and spatial autocorrelation and scan tests to identify clusters; regression models using the ordinary least squares and geographically weighted regression methods were used to identify factors associated with mortality, considering p-value < 0.05. Results: Maternal mortality decreased by 1.5% (95%CI; -2.5;-0.5) per year (p-value = 0.009); clusters, of deaths were found, mainly in Piauí and Maranhão, the variables associated with the maternal mortality ratio were Gini Index (β = 105.72; p-value < 0.001), municipal human development index (β = 190.91; p-value = 0.001), per capita income (β = -0.08; p-value = 0.001), Firjan Municipal Development Index-Health (β = -51.28; p-value < 0.001), life expectancy at birth (β = -3.50; p-value < 0.001). Conclusion: There was a reduction in mortality in the period studied, with a concentration of deaths, primarily in Piauí and Maranhão; socioeconomic indicators were associated with higher mortality in the region. Main results: There was a decrease in maternal mortality in Northeast Brazil, from 2009 to 2019. Deaths were mainly concentrated in the states of Piauí and Maranhão. Five socioeconomic indicators were associated with higher mortality in the region. Implications for services: In order to maintain the trend of falling maternal mortality in Northeast Brazil, the need exists to reduce social inequalities and expand access to health services, especially within the scope of Primary Care. Perspectives: Public policies are needed to expand health services in general as well as comprehensive women's health care in the Brazilian National Health System, especially for women living in contexts of greater social vulnerability.
MeSH term(s)	Infant, Newborn ; Humans ; Female ; Brazil/epidemiology ; Maternal Mortality ; Socioeconomic Factors ; Income ; Spatial Analysis
Language	Portuguese
Publishing date	2023-10-30
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2880588-4
ISSN	2237-9622 ; 1679-4974
ISSN (online)	2237-9622
ISSN	1679-4974
DOI	10.1590/S2237-96222023000300009.EN
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