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  1. Article ; Online: COVID-19 among the inhabitants of the slums in the city of Buenos Aires: a population-based study.

    Macchia, Alejandro / Ferrante, Daniel / Battistella, Gabriel / Mariani, Javier / González Bernaldo de Quirós, Fernán

    BMJ open

    2021  Volume 11, Issue 1, Page(s) e044592

    Abstract: Objective: To summarise the unfolding of the COVID-19 epidemic among slum dwellers and different social strata in the city of Buenos Aires during the first 20 weeks after the first reported case.: Design: Observational study using a time-series ... ...

    Abstract Objective: To summarise the unfolding of the COVID-19 epidemic among slum dwellers and different social strata in the city of Buenos Aires during the first 20 weeks after the first reported case.
    Design: Observational study using a time-series analysis. Natural experiment in a big city.
    Setting: Population of the city of Buenos Aires and the integrated health reporting system records of positive RT-PCR for COVID-19 tests.
    Participants: Records from the Argentine Integrated Health Reporting System for all persons with suspected and RT-PCR-confirmed diagnosis of COVID-19 between 31 January and 14 July 2020.
    Outcomes: To estimate the effects of living in a slum on the standardised incidence rate of COVID-19, corrected Poisson regression models were used. Additionally, the impact of socioeconomic status was performed using an ecological analysis at the community level.
    Results: A total of 114 052 people were tested for symptoms related with COVID-19. Of these, 39 039 (34.2%) were RT-PCR positive. The incidence rates for COVID-19 towards the end of the 20th week were 160 (155 to 165) per 100 000 people among the inhabitants who did not reside in the slums (n=2 841 997) and 708 (674 to 642) among slums dwellers (n=233 749). Compared with the better-off socioeconomic quintile (1.00), there was a linear gradient on incidence rates: 1.36 (1.25 to 1.46), 1.61 (1.49 to 1.74), 1.86 (1.72 to 2.01), 2.94 (2.74 to 3.16) from Q2 to Q5, respectively. Slum dwellers were associated with an incidence rate of 14.3 (13.4 to 15.4).
    Conclusions: The distribution of the epidemic is socially conditioned. Slum dwellers are at a much higher risk than the rest of the community. Slum dwellers should not be considered just another risk category but an entirely different reality that requires policies tailored to their needs.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Argentina/epidemiology ; COVID-19/epidemiology ; COVID-19 Nucleic Acid Testing/statistics & numerical data ; Child ; Child, Preschool ; Female ; Health Policy ; Health Status Disparities ; Humans ; Incidence ; Infant ; Infant, Newborn ; Logistic Models ; Male ; Middle Aged ; Poverty Areas ; Residence Characteristics/statistics & numerical data ; Young Adult
    Language English
    Publishing date 2021-01-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2020-044592
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evaluation of the first level of care for tuberculosis control in Buenos Aires, Argentina.

    Mariani, Javier / Ferrante, Daniel / Battistella, Gabriel / Langsam, Martín / Pérez, Freddy / Macchia, Alejandro

    Revista panamericana de salud publica = Pan American journal of public health

    2021  Volume 45, Page(s) e22

    Abstract: Objective: Evaluate primary health care functions from the perspective of patients with tuberculosis from slums in the city of Buenos Aires, Argentina.: Methods: Cross-sectional observational study with adult patients with tuberculosis (TB) and ... ...

    Abstract Objective: Evaluate primary health care functions from the perspective of patients with tuberculosis from slums in the city of Buenos Aires, Argentina.
    Methods: Cross-sectional observational study with adult patients with tuberculosis (TB) and without TB (NoTB), living in slums (S) and outside them (NoS). Participants' perceptions were evaluated using the Primary Care Assessment Tool for users (abbreviated version), which measures four main domains (first contact, ongoing care, coordination with specialists, and comprehensiveness) and selected secondary domains. A Likert scale was used, ranging from "No, not at all" (1 point) to "Yes, definitely" (4 points). Scores ≥ 3 were considered to indicate adequate performance of functions. Averages were calculated for each domain, as well as two overall scores: with and without secondary domains.
    Results: 83 participants were included (20 TB-S, 21 TB-NoS, 19 NoTB-S, and 23 NoTB-NoS). The evaluated functions were perceived as inadequate. The TB-S group gave the lowest overall scores, not reaching 3 points in any domain. There were no significant differences in domains or overall scores between groups. Participants with TB gave lower scores in all domains, except in family-centered care, where they gave a significantly higher score than NoTB participants. The overall score without secondary domains was lower for TB participants than for the NoTB groups.
    Conclusions: According to the perception of participants with TB and without TB, primary health care functions are not satisfactory, either in slums or outside them.
    Language English
    Publishing date 2021-02-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1376934-0
    ISSN 1680-5348 ; 1020-4989
    ISSN (online) 1680-5348
    ISSN 1020-4989
    DOI 10.26633/RPSP.2021.22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4694: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Evaluación del primer nivel de atención para el control de la tuberculosis en Buenos Aires, Argentina.

    Mariani, Javier / Ferrante, Daniel / Battistella, Gabriel / Langsam, Martín / Pérez, Freddy / Macchia, Alejandro

    Revista panamericana de salud publica = Pan American journal of public health

    2020  Volume 44, Page(s) e156

    Abstract: Objectives: Evaluate primary health care functions from the perspective of patients with tuberculosis from slums in the city of Buenos Aires, Argentina.: Methods: Cross-sectional observational study with adult patients with tuberculosis (TB) and ... ...

    Title translation Evaluation of the first level of care for tuberculosis control in Buenos Aires, ArgentinaAvaliação da atenção primária à saúde no controle da tuberculose em Buenos Aires, Argentina.
    Abstract Objectives: Evaluate primary health care functions from the perspective of patients with tuberculosis from slums in the city of Buenos Aires, Argentina.
    Methods: Cross-sectional observational study with adult patients with tuberculosis (TB) and without TB (NoTB), living in slums (S) and outside them (NoS). Participants' perceptions were evaluated using the Primary Care Assessment Tool for users (abbreviated version), which measures four main domains (first contact, ongoing care, coordination with specialists, and comprehensiveness) and selected secondary domains. A Likert scale was used, ranging from "No, not at all" (1 point) to "Yes, definitely" (4 points). Scores ≥ 3 were considered to indicate adequate performance of functions. Averages were calculated for each domain, as well as two overall scores: with and without secondary domains.
    Results: 83 participants were included (20 TB-S, 21 TB-NoS, 19 NoTB-S, and 23 NoTB-NS). The evaluated functions were perceived as inadequate. The TB-S group gave the lowest overall scores, not reaching 3 points in any domain. There were no significant differences in domains or overall scores between groups. Participants with TB gave lower scores in all domains, except in family-centered care, where they gave a significantly higher score than NoTB participants. The overall score without secondary domains was lower for TB participants than for the NoTB groups.
    Conclusions: According to the perception of participants with TB and without TB, primary health care functions are not satisfactory, either in slums or outside them.
    Language Spanish
    Publishing date 2020-12-14
    Publishing country United States
    Document type English Abstract ; Journal Article
    ZDB-ID 1376934-0
    ISSN 1680-5348 ; 1020-4989
    ISSN (online) 1680-5348
    ISSN 1020-4989
    DOI 10.26633/RPSP.2020.156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 4694: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Use of alternative care sites during the COVID-19 pandemic in the city of Buenos Aires, Argentina.

    Ferrante, Daniel / Macchia, Alejandro / González Villa Monte, Gabriel Alejo / Battistella, Gabriel / Baum, Analia / Zingoni, Paula / Angeleri, Patricia / Biscayart, Cristián / Walton, Carolina / Marcó, Florencia Flax / Esteban, Santiago / Mariani, Javier / Bernaldo de Quirós, Fernán Gonzalez

    Public health

    2021  Volume 194, Page(s) 14–16

    Abstract: Objectives: In large cities, where a large proportion of the population live in poverty and overcrowding, orders to stay home to comply with isolation requirements are difficult to fulfil. In this article, the use of alternative care sites (ACSs) for ... ...

    Abstract Objectives: In large cities, where a large proportion of the population live in poverty and overcrowding, orders to stay home to comply with isolation requirements are difficult to fulfil. In this article, the use of alternative care sites (ACSs) for the isolation of patients with confirmed COVID-19 or persons under investigation (PUI) in the City of Buenos Aires during the first wave of COVID-19 are described.
    Study design: This is a cross-sectional study.
    Methods: All patients with COVID-19 and PUI with insufficient housing resources who could not comply with orders to stay home and who were considered at low clinical risk in the initial triage were referred to refurbished hotels in the City of Buenos Aires (Ciudad Autónoma de Buenos Aires [CABA]). ACSs were divided into those for confirmed COVID-19 patients and those for PUI.
    Results: From March to August 2020, there were 58,143 reported cases of COVID-19 (13,829 of whom lived in slums) in the CABA. For COVID-19 positive cases, 62.1% (n = 8587) of those living in slums and 21.4% (n = 9498) of those living outside the slums were housed in an ACS. In total, 31.1% (n = 18,085) of confirmed COVID-19 cases were housed in ACSs. In addition, 7728 PUI were housed (3178 from the slums) in an ACS. The average length of stay was 9.0 ± 2.5 days for patients with COVID-19 and 1.6 ± 0.7 days for PUI. For the individuals who were housed in an ACS, 1314 (5.1%) had to be hospitalised, 56 were in critical care units (0.22%) and there were 27 deaths (0.1%), none during their stay in an ACS.
    Conclusions: Overall, about one-third of all people with COVID-19 were referred to an ACS in the CABA. For slum dwellers, the proportion was >60%. The need for hospitalisation was low and severe clinical events were rare. This strategy reduced the pressure on hospitals so their efforts could be directed to patients with moderate-to-severe disease.
    MeSH term(s) Adult ; Argentina/epidemiology ; Assisted Living Facilities/statistics & numerical data ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/therapy ; Cities/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Pandemics ; Patient Isolation/methods ; Poverty Areas
    Language English
    Publishing date 2021-03-05
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 427333-3
    ISSN 1476-5616 ; 0033-3506
    ISSN (online) 1476-5616
    ISSN 0033-3506
    DOI 10.1016/j.puhe.2021.02.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 540: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)
    Ab 150: Show issues

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    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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