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Book ; Online: Rumo ao interior : médicos, saúde da família e mercado de trabalho

Branco, Maria Alice Fernandes / Romulo, Maciel Filho

2008

Abstract: Um dos grandes desafios para a consolidação do Sistema Único de Saúde (SUS) é a distribuição geográfica dos profissionais e serviços de saúde. Compreender tal desafio e fornecer subsídios para enfrentá-lo são os objetivos dos autores, nesse estudo. A ... ...

Abstract	Um dos grandes desafios para a consolidação do Sistema Único de Saúde (SUS) é a distribuição geográfica dos profissionais e serviços de saúde. Compreender tal desafio e fornecer subsídios para enfrentá-lo são os objetivos dos autores, nesse estudo. A distribuição desigual reflete outro problema: a concentração dos serviços de saúde e das escolas médicas nas regiões economicamente mais favorecidas, facilitando a permanência dos profissionais, depois de formados, no Sul e Sudeste, apesar da expansão dos postos de trabalho no Norte, Nordeste e Centro-Oeste. Quatro programas de interiorização são analisados: o Projeto Rondon, o Programa de Interiorização das Ações de Saúde e Saneamento (Piass), o Programa de Interiorização do SUS (Pisus) e o Programa de Interiorização do Trabalho em Saúde (Pits). Este último, por ser uma iniciativa inédita do Ministério da Saúde, é avaliado em detalhes em um dos capítulos
Keywords	Medicine (General)
Size	1 electronic resource ( p.)
Publisher	SciELO Books - Editora FIOCRUZ
Document type	Book ; Online
Note	por ; Open Access
HBZ-ID	HT020099040
ISBN	9788575416013 ; 8575416014
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Spatial distribution of arboviruses and its association with a social development index and the waste disposal in São Luís, state of Maranhão, Brazil, 2015 to 2019.

Pereira, Emile Danielly Amorim / Carmo, Cleber Nascimento do / Araujo, Waleska Regina Machado / Branco, Maria Dos Remédios Freitas Carvalho

Revista brasileira de epidemiologia = Brazilian journal of epidemiology

2024 Volume 27, Page(s) e240017

Abstract: Objective: To detect spatial and spatiotemporal clusters of urban arboviruses and to investigate whether the social development index (SDI) and irregular waste disposal are related to the coefficient of urban arboviruses detection in São Luís, state of ... ...

Abstract	Objective: To detect spatial and spatiotemporal clusters of urban arboviruses and to investigate whether the social development index (SDI) and irregular waste disposal are related to the coefficient of urban arboviruses detection in São Luís, state of Maranhão, Brazil. Methods: The confirmed cases of Dengue, Zika and Chikungunya in São Luís, from 2015 to 2019, were georeferenced to the census tract of residence. The Bayesian Conditional Autoregressive regression model was used to identify the association between SDI and irregular waste disposal sites and the coefficient of urban arboviruses detection. Results: The spatial pattern of arboviruses pointed to the predominance of a low-incidence cluster, except 2016. For the years 2015, 2016, 2017, and 2019, an increase of one unit of waste disposal site increased the coefficient of arboviruses detection in 1.25, 1.09, 1.23, and 1.13 cases of arboviruses per 100 thousand inhabitants, respectively. The SDI was not associated with the coefficient of arboviruses detection. Conclusion: In São Luís, spatiotemporal risk clusters for the occurrence of arboviruses and a positive association between the coefficient of arbovirus detection and sites of irregular waste disposal were identified.
MeSH term(s)	Brazil/epidemiology ; Humans ; Arboviruses ; Dengue/epidemiology ; Chikungunya Fever/epidemiology ; Arbovirus Infections/epidemiology ; Bayes Theorem ; Zika Virus Infection/epidemiology ; Spatio-Temporal Analysis ; Socioeconomic Factors ; Waste Disposal Facilities ; Incidence
Language	Portuguese
Publishing date	2024-05-03
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2183366-7
ISSN	1980-5497 ; 1980-5497
ISSN (online)	1980-5497
ISSN	1980-5497
DOI	10.1590/1980-549720240017
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: COVID-19 death risk predictors in Brazil using survival tree analysis: a retrospective cohort from 2020 to 2022.

Martins Neto, Carlos / Branco, Maria Dos Remédios Freitas Carvalho / Dos Santos, Alcione Miranda / de Oliveira, Bruno Luciano Carneiro Alves

International journal for equity in health

2024 Volume 23, Issue 1, Page(s) 33

Abstract: Purpose: This study analyses the survival of hospitalized patients with Severe Acute Respiratory Syndrome (SARS) due to COVID-19 and identifies the risk groups for death due to COVID-19 from the identification of potential interactions between its ... ...

Abstract	Purpose: This study analyses the survival of hospitalized patients with Severe Acute Respiratory Syndrome (SARS) due to COVID-19 and identifies the risk groups for death due to COVID-19 from the identification of potential interactions between its predictors. Methods: This was a retrospective longitudinal study with data from 1,756,917 patients reported in the Influenza Epidemiological Surveillance Information System from 26 February 2020 to 31 December 2022. In this study, all adult and older (≥ 20 years) patients were hospitalized with SARS due to COVID-19, with death as the outcome. Survival tree analysis was used to identify potential interactions between the predictors. A model was built for each year of study. Results: Hospital lethalitywas 33.2%. The worst survival curve was observed among those who underwent invasive mechanical ventilation and were aged 80 years or older in the three years of the pandemic. Black and brown race/color were predictors of deaths in the years 2020 and 2021 when there was greater demand from the health system due to the greater number of cases. Conclusion: By applying survival tree analysis we identified several numbers of homogeneous subgroups with different risks for mortality from COVID-19. These findings show the effects of wide inequalities of access by the population, requiring effective policies for the reduction and adequate management of the disease.
MeSH term(s)	Adult ; Humans ; COVID-19 ; SARS-CoV-2 ; Retrospective Studies ; Longitudinal Studies ; Brazil/epidemiology
Language	English
Publishing date	2024-02-20
Publishing country	England
Document type	Journal Article
ZDB-ID	2092056-8
ISSN	1475-9276 ; 1475-9276
ISSN (online)	1475-9276
ISSN	1475-9276
DOI	10.1186/s12939-024-02101-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Prescription trends at the end of life in a palliative care unit: observational study.

Peralta, Tatiana / Castel-Branco, Maria Margarida / Reis-Pina, Paulo / Figueiredo, Isabel Vitória / Dourado, Marília

BMC palliative care

2022 Volume 21, Issue 1, Page(s) 65

Abstract: Background: Symptomatic control is essential in palliative care, particularly in end-of-life, in which the pathophysiological changes that characterize this last phase of life strengthen the need to carry out an early therapeutic review. Hence, we aim ... ...

Abstract	Background: Symptomatic control is essential in palliative care, particularly in end-of-life, in which the pathophysiological changes that characterize this last phase of life strengthen the need to carry out an early therapeutic review. Hence, we aim to evaluate the prescribing pattern at a palliative care unit at two different time points: on admission and the day of the patient's death. Methods: Quantitative, analytic, longitudinal, retrospective and observational study. Participants were adult patients who were admitted and died in a palliative care unit, in Portugal. Sociodemographic, clinical and pharmacological data were collected, including frequencies and routes of administration of schedule prescribed drugs and rescue drugs, from the day of admission until the day of death. Results: 115 patients were included with an average age of 70.0 ± 12.9 years old, 53.9 were male, mostly referred by the Hospital Palliative Care Support Teams. The most common pathology was cancer, mainly in advanced stage. On admission, the median scheduled prescription was seven and "as needed" was three drugs. On the day of death, a decrease of prescriptions was observed. Opioids were always the most prescribed drugs. Near death, there was a higher tendency to prescribe butylscopolamine, midazolam, diazepam and levomepromazine. The most frequent route of drug administration was oral on admission and subcutaneous on the day of death. Conclusions: Polypharmacy is a reality in palliative care despite specialist palliative care teams. A reduction of prescribed drugs was verified, essentially due less comorbidity-oriented drugs. Further studies are required to analyse the importance of Hospital Palliative Care Support Teams.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Death ; Female ; Hospice and Palliative Care Nursing ; Humans ; Male ; Middle Aged ; Palliative Care ; Prescriptions ; Retrospective Studies
Language	English
Publishing date	2022-05-04
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	2091556-1
ISSN	1472-684X ; 1472-684X
ISSN (online)	1472-684X
ISSN	1472-684X
DOI	10.1186/s12904-022-00954-z
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Evaluation of Cardiovascular Pharmacotherapy Guideline Adherence and Risk Factor Control in Portuguese Community Pharmacy Patients.

Fonseca, Anabela / Lima, Tácio de Mendonça / Fernandez-Llimos, Fernando / Castel-Branco, Maria Margarida / Figueiredo, Isabel Vitória

International journal of environmental research and public health

2022 Volume 19, Issue 10

Abstract: Background: Cardiovascular disease (CVD) remains the leading cause of death worldwide. Assessing the patients' CVD risk, controlling the risk factors, and ensuring the guideline-adherent cardiovascular pharmacotherapy are crucial interventions to ... ...

Abstract	Background: Cardiovascular disease (CVD) remains the leading cause of death worldwide. Assessing the patients' CVD risk, controlling the risk factors, and ensuring the guideline-adherent cardiovascular pharmacotherapy are crucial interventions to improve health outcomes. This study aimed to evaluate the potential of pharmacists to improve the adherence to pharmacotherapy guidelines and the achievement of risk factor goals among patients who attended a community pharmacy. Methods: We conducted a single-center cross-sectional study. We performed in-pharmacy point-of-care testing, blood pressure and anthropometric measurements, and reviewed patients' pharmacotherapy, based on European Society of Cardiology guidelines. Results: Of the 333 patients, 63.1% were in the high/very high risk category, 91.9% showed at least two modifiable risk factors, and in 61.9% of patients the cardiovascular pharmacotherapy was non-adherent to the current guidelines, failing to reach treatment goals. The lipid-lowering therapy was the least guideline adherent, with a suboptimal use of statins. However, we found no statistically significant difference between the guideline-adherent and the non-adherent group in terms of risk factor control. The pharmacist recommended 603 interventions to adhere to the guidelines. Conclusions: Community pharmacists are able to identify opportunities to optimize cardiovascular pharmacotherapy and support the patients to achieve cardiovascular risk factor goals, based on evidence-based guidelines, contributing to the improvement of CVD management.
MeSH term(s)	Cardiovascular Diseases/drug therapy ; Cardiovascular Diseases/prevention & control ; Cross-Sectional Studies ; Guideline Adherence ; Humans ; Pharmacies ; Portugal ; Risk Factors
Language	English
Publishing date	2022-05-19
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19106170
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Individual Responses of Captive Amazon Parrots to Routine Handling Can Reflect Their Temperament.

Ramos, Gabriela / Vital, Victor Araújo Franzone / Jardim, Talys Henrique Assumpção / Nunes, Gustavo / Branco, Maria Eduarda Caçador / de Azevedo, Cristiano Schetini / Sant'Anna, Aline Cristina

Animals : an open access journal from MDPI

2023 Volume 13, Issue 4

Abstract: Individual responses to physical restraint and temperament have been assessed in birds of several species; however, there is a paucity of research which investigates both aspects, especially in captive parrots. This lack of studies raises doubts about ... ...

Abstract	Individual responses to physical restraint and temperament have been assessed in birds of several species; however, there is a paucity of research which investigates both aspects, especially in captive parrots. This lack of studies raises doubts about which temperament traits, if any, are evidenced during handling and if the intensity of responses to restraint is affected by behavioral training programs, a common practice used in ex situ conservation programs. To understand more about the subject, this study aimed to identify the main temperament dimensions of parrots and investigate their relationship with response to physical restraint for blood collection. A secondary aim was to evaluate whether parrots exhibited higher responsiveness to physical restraint after training to improve flight capacity and increase aversion to humans. The main dimensions identified were activity, neophilia, vigilance, and fearfulness. The more fearful parrots in temperament evaluations were more responsive to physical restraint, showing more vocalizations and struggle attempts than the less fearful ones. After training, the parrots showed higher responsiveness to physical restraint. We suggest that physical restraint for routine handling, such as blood collection, could be a feasible option for centers of rehabilitation to use to obtain data on individual behavioral differences in fear responses.
Language	English
Publishing date	2023-02-18
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2606558-7
ISSN	2076-2615
ISSN	2076-2615
DOI	10.3390/ani13040738
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Individual Responses of Captive Amazon Parrots to Routine Handling Can Reflect Their Temperament

Ramos, Gabriela / Vital, Victor Araújo Franzone / Jardim, Talys Henrique Assumpção / Nunes, Gustavo / Branco, Maria Eduarda Caçador / de Azevedo, Cristiano Schetini / Sant’Anna, Aline Cristina

Animals. 2023 Feb. 18, v. 13, no. 4

2023

Abstract	Individual responses to physical restraint and temperament have been assessed in birds of several species; however, there is a paucity of research which investigates both aspects, especially in captive parrots. This lack of studies raises doubts about which temperament traits, if any, are evidenced during handling and if the intensity of responses to restraint is affected by behavioral training programs, a common practice used in ex situ conservation programs. To understand more about the subject, this study aimed to identify the main temperament dimensions of parrots and investigate their relationship with response to physical restraint for blood collection. A secondary aim was to evaluate whether parrots exhibited higher responsiveness to physical restraint after training to improve flight capacity and increase aversion to humans. The main dimensions identified were activity, neophilia, vigilance, and fearfulness. The more fearful parrots in temperament evaluations were more responsive to physical restraint, showing more vocalizations and struggle attempts than the less fearful ones. After training, the parrots showed higher responsiveness to physical restraint. We suggest that physical restraint for routine handling, such as blood collection, could be a feasible option for centers of rehabilitation to use to obtain data on individual behavioral differences in fear responses.
Keywords	blood sampling ; ex situ conservation ; fearfulness ; flight ; temperament
Language	English
Dates of publication	2023-0218
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article ; Online
ZDB-ID	2606558-7
ISSN	2076-2615
ISSN	2076-2615
DOI	10.3390/ani13040738
Database	NAL-Catalogue (AGRICOLA)

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Article: Green and Hawksbill Sea turtles of Eastern Atlantic: New insights into a globally important rookery in the Gulf of Guinea.

Ferreira-Airaud, Betânia / Vieira, Sara / Branco, Maria / Pina, Antunes / Soares, Venceslau / Tiwari, Manjula / Witt, Matthew / Castilho, Rita / Teodósio, Alexandra / Hawkes, Lucy A

Ecology and evolution

2024 Volume 14, Issue 3, Page(s) e11133

Abstract: Sea turtles are critical components of marine ecosystems, and their conservation is important for Ocean Governance and Global Planet Health. However, there is limited knowledge of their ecology in the Gulf of Guinea. To fill this knowledge gap, this ... ...

Abstract	Sea turtles are critical components of marine ecosystems, and their conservation is important for Ocean Governance and Global Planet Health. However, there is limited knowledge of their ecology in the Gulf of Guinea. To fill this knowledge gap, this study presents the first integrative assessment of green and hawksbill turtles in the region, combining nesting surveys over 9 years and telemetry data, to offer insights into these population dynamics, and behaviours, including nesting preferences, morphological and reproductive parameters, diving patterns and inter-nesting core-use areas. Both green and hawksbill turtles are likely making a recovery on São Tomé, potentially driven by sustained conservation efforts. There are preliminary indications of recovery, but we interpret this cautiously. Coupled with satellite tracking, this study estimated that 482 to 736 green turtles and 135 to 217 hawksbills nest on the beaches of São Tomé. Their movements overlap significantly with a proposed Marine Protected Area (MPA), which suggests they may be well placed for conservation if managed appropriately. However, the presence of artisanal fisheries and emerging threats, such as sand mining and unregulated tourism, highlight the urgent need for robust management strategies that align global conservation objectives with local socioeconomic realities. This study significantly enhances our understanding of the ecology and conservation needs of the green and hawksbill turtles in the Gulf of Guinea. The insights gleaned here can contribute to the development of tailored conservation strategies that benefit these populations and the ecosystem services upon which they depend.
Language	English
Publishing date	2024-03-18
Publishing country	England
Document type	Journal Article
ZDB-ID	2635675-2
ISSN	2045-7758
ISSN	2045-7758
DOI	10.1002/ece3.11133
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Individual and contextual factors associated with the survival of patients with severe acute respiratory syndrome by COVID-19 in Brazil.

Martins Neto, Carlos / Silva, Fábio Nogueira da / Dias Júnior, José de Jesus / Branco, Maria Dos Remédios Freitas Carvalho / Santos, Alcione Miranda Dos / Oliveira, Bruno Luciano Carneiro Alves de

Revista brasileira de epidemiologia = Brazilian journal of epidemiology

2024 Volume 27, Page(s) e240019

Abstract: Objective: To analyze the influence of individual and contextual factors of the hospital and the municipality of care on the survival of patients with Severe Acute Respiratory Syndrome due to COVID-19.: Methods: Hospital cohort study with data from ... ...

Abstract	Objective: To analyze the influence of individual and contextual factors of the hospital and the municipality of care on the survival of patients with Severe Acute Respiratory Syndrome due to COVID-19. Methods: Hospital cohort study with data from 159,948 adults and elderly with Severe Acute Respiratory Syndrome due to COVID-19 hospitalized from January 1 to December 31, 2022 and reported in the Influenza Epidemiological Surveillance Information System. The contextual variables were related to the structure, professionals and equipment of the hospital establishments and socioeconomic and health indicators of the municipalities. The outcome was hospital survival up to 90 days. Survival tree and Kaplan-Meier curves were used for survival analysis. Results: Hospital lethality was 30.4%. Elderly patients who underwent invasive mechanical ventilation and were hospitalized in cities with low tax collection rates had lower survival rates compared to other groups identified in the survival tree (p<0.001). Conclusion: The study indicated the interaction of contextual factors with the individual ones, and it shows that hospital and municipal characteristics increase the risk of death, highlighting the attention to the organization, operation, and performance of the hospital network.
MeSH term(s)	Humans ; COVID-19/mortality ; COVID-19/epidemiology ; COVID-19/complications ; Brazil/epidemiology ; Male ; Female ; Aged ; Middle Aged ; Adult ; Hospital Mortality ; Severe Acute Respiratory Syndrome/mortality ; Severe Acute Respiratory Syndrome/epidemiology ; Socioeconomic Factors ; Aged, 80 and over ; Cohort Studies ; Young Adult ; Hospitalization/statistics & numerical data ; Risk Factors ; SARS-CoV-2 ; Adolescent ; Survival Rate ; Kaplan-Meier Estimate
Language	Portuguese
Publishing date	2024-04-19
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2183366-7
ISSN	1980-5497 ; 1980-5497
ISSN (online)	1980-5497
ISSN	1980-5497
DOI	10.1590/1980-549720240019
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The role of the nurse in caring for the critical patient with sepsis.

Branco, Maria João Chambel / Lucas, Ana Paula Mirco / Marques, Rita Margarida Dourado / Sousa, Patrícia Pontífice

Revista brasileira de enfermagem

2020 Volume 73, Issue 4, Page(s) e20190031

Abstract: Objectives: to know the nursing interventions in the identification, prevention and control of sepsis in critical patients.: Methods: integrative review of the literature, with two parallel researches using different MesH terms, using the EBSCO ... ...

Abstract	Objectives: to know the nursing interventions in the identification, prevention and control of sepsis in critical patients. Methods: integrative review of the literature, with two parallel researches using different MesH terms, using the EBSCO database and Google Scholar. Nine studies were included in the sample. Results: nursing interventions are centered on the creation/implementation of protocols for the early recognition of sepsis, the training of teams to ensure a safe and effective approach and the adoption of measures for infection prevention and control as a way to prevent sepsis. Final considerations: the evidence shows that nurses are fundamental in the early identification, control and prevention of sepsis, preventing disease progression and contributing to decreased morbidity and mortality.
MeSH term(s)	Empathy ; Humans ; Nurse's Role ; Sepsis/complications ; Sepsis/nursing
Language	Portuguese
Publishing date	2020-06-17
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	731983-6
ISSN	1984-0446 ; 0034-7167
ISSN (online)	1984-0446
ISSN	0034-7167
DOI	10.1590/0034-7167-2019-0031
Database	MEDical Literature Analysis and Retrieval System OnLINE

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