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  • 1
    Online Resource
    Online Resource
    Factors associated with the length of hospital stay of women undergoing cesarean section
    Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais ; 2019
    In:  Revista de Saúde Pública Vol. 53 ( 2019-02-07), p. 65-
    Details
    In: Revista de Saúde Pública, Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais, Vol. 53 ( 2019-02-07), p. 65-
    Abstract: OBJECTIVE: To evaluate whether age group, complications or comorbidities are associated with the length of hospitalization of women undergoing cesarean section. METHODS: A cross-sectional study was carried out between June 2012 and July 2017, with 64,437 women undergoing cesarean section and who did not acquire conditions during their hospital stay. Hospital discharge data were collected from national health institutions, using the Diagnosis-Related Groups system (DRG Brasil). The DRG referring to cesarean section with additional complications or comorbidities (DRG 765) and cesarean section without complications or associated comorbidities (DRG 766) were included in the initial diagnosis. The influence of age group and comorbidities or complications present at admission on the length of hospital stay was assessed based on the means of the analysis of variance. The size of the effect was verified by Cohen’s D, which allows evaluating clinical relevance. The criticality levels were identified using the Duncan test. RESULTS: The longest length of hospital stay was observed in the age group from 15 to 17 years old and among those aged 45 years old or more. The hospital stay of women with complications or comorbidities at the time of admission was also longer. Moreover, it was noted that the increase in criticality level was associated with an increase in the mean length of hospital stay. CONCLUSIONS: The length of hospital stay of women is higher among those belonging to the age group ranging from 15 to 17 years old and for those aged 45 years old or more. The presence of associated comorbidities, such as eclampsia, pre-existing hypertensive disorder with superimposed proteinuria and gestational hypertension (induced by pregnancy) with significant proteinuria increase the length of hospital stay. This study enabled the construction of distinct criticality level profiles based on the combination of age groups and the main comorbidities, which were directly related to the length of hospital stay.
    Type of Medium: Online Resource
    ISSN: 1518-8787 , 0034-8910
    URL: Article
    DOI: 10.11606/s1518-8787.2019053001113
    Language: Unknown
    Publisher: Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais
    Publication Date: 2019
    detail.hit.zdb_id: 732179-X
    detail.hit.zdb_id: 2031055-9
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  • 2
    Online Resource
    Online Resource
    Validade e reprodutibilidade de inquérito telefônico de atividade física no Brasil
    FapUNIFESP (SciELO) ; 2017
    In:  Revista Brasileira de Epidemiologia Vol. 20, No. 1 ( 2017-03), p. 136-146
    Details
    In: Revista Brasileira de Epidemiologia, FapUNIFESP (SciELO), Vol. 20, No. 1 ( 2017-03), p. 136-146
    Abstract: ABSTRACT: Introduction: Physical activity in Brazil is assessed by the Telephone-based Risk Factor Surveillance System for Chronic Diseases (VIGITEL). Objectives: To evaluate the reliability and concurrent validity of VIGITEL physical activity indicators. Methods: For the reliability study, 305 individuals responded to VIGITEL interviews, which were repeated with intervals of 7 - 15 days, in Belo Horizonte, 2013. The evaluated indicators included “sufficiently active on leisure time,” “active in transportation,” “inactive in four domains of physical activity (leisure, work, transportation, and housework),” and “watching TV for long periods.” Kappa coefficient (k) was used to measure agreement between both interviews. For concurrent validity assessment, the same subjects also responded to the Global Physical Activity Questionnaire (GPAQ), used as reference method for comparison of VIGITEL indicators. Comparison was assessed by measures of sensitivity, specificity, positive (PPV), and negative predictive values (NPV). Results: Reliability study showed substantial agreement for active individuals in leisure time (k = 0.70) and inactive individuals (k = 0.64). The agreement of watching TV for long periods was moderate (k = 0.56) and the activeness in transportation showed fair agreement (k = 0.35). In comparison to the reference method, sensitivity ranged from 54.8 to 67.7 in frequency of inactive, active in leisure time and work. Transportation domain was represented by 11.9 of sensitivity. Specificity ranged from 72.0 to 91.2 among four domains of physical activity and inactive. Conclusion: Physical activity questionnaire used by the surveillance system seems to be reliable in all domains, except in transportation questions. VIGITEL was considered comparable to GPAQ in most aspects of physical activity evaluation.
    Type of Medium: Online Resource
    ISSN: 1415-790X
    URL: Article
    DOI: 10.1590/1980-5497201700010012
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2017
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  • 3
    Online Resource
    Online Resource
    Formação interprofissional na graduação em saúde: revisão sistemática de estratégias educativas
    FapUNIFESP (SciELO) ; 2022
    In:  Revista Brasileira de Educação Médica Vol. 46, No. 3 ( 2022)
    Details
    In: Revista Brasileira de Educação Médica, FapUNIFESP (SciELO), Vol. 46, No. 3 ( 2022)
    Abstract: Abstract: Introduction: Interprofessional Education (IPE) seeks to develop collaborative practice among health professionals to improve patient care. Objective: This systematic review exploits the non-punctual IPE strategies in undergraduate health courses, identifying their potential and weaknesses. Method: The search included articles published in the LILACS, COCHRANE, CINAHL, EMBASE and MEDLINE. The research question was defined by the PICO anagram: studies were selected that included at least two undergraduate health courses, one of them in Medicine, and that reported a minimum educational strategy of 15 hours and its review. Abstracts published in congresses, opinions, editorials, and systematic reviews were excluded. Results: There have been 28 reviewed studies published between 2005-2019, 31% of which have been in the last two years. The dominant themes were simulation (36%) or the use of combined methods (29%) in the assessment of student attitudes, understanding of health professionals’ roles, teamwork, communication, and knowledge in response to IPE interventions. Studies in the Domains - Roles and responsibilities (75%) and teamwork (64%) predominated. The approach to values and ethics (32%); communication (28%) was less frequent. 18 articles (64%) had two or more objectives and six articles (18%) sought to study the four domains of IPE together. Among the interventions used as teaching strategies, 36% (10 studies) were simulation, 29% (8 studies) combined methods, 18% (5 studies) clinical practice (collaborative work in outpatient units or wards), 14% (4 studies) direct observation (shadowing), 11% problem-based learning, and 2 online learning studies (e-learning) and workshops. The overall quality of the included studies was low, meeting two to five of the six quality criteria. Blind peer reviewing was not cited in 25 publications. Collaborative work in real settings is described as the most efficient. Conclusion: IPE has been incorporated in the process of healthcare training and multiple results-based competence optimizes effective relationship development and the abilities needed in the collaborative practice. The fragility of the articles indicates that the interprofessional education of students is still a great challenge for educational institutions.
    Type of Medium: Online Resource
    ISSN: 1981-5271 , 0100-5502
    Uniform Title: Interprofessional education in undergraduate health courses: systematic review
    URL: Article
    DOI: 10.1590/1981-5271v46.3-20220030
    Language: Portuguese , English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
    detail.hit.zdb_id: 2209937-2
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  • 4
    Online Resource
    Online Resource
    Fruit and vegetable consumption, leisure-time physical activity and binge drinking in Belo Horizonte, Brazil, according to the Health Vulnerability Index
    FapUNIFESP (SciELO) ; 2021
    In:  Revista Brasileira de Epidemiologia Vol. 24, No. suppl 1 ( 2021)
    Details
    In: Revista Brasileira de Epidemiologia, FapUNIFESP (SciELO), Vol. 24, No. suppl 1 ( 2021)
    Abstract: RESUMO: Objetivo: Estimar a prevalência de consumo de frutas e hortaliças, prática de atividade física no tempo livre (AFTL) e consumo abusivo de bebida alcoólica para pequenas áreas de Belo Horizonte, Minas Gerais. Métodos: Estudo ecológico realizado com dados do Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (Vigitel). Estimou-se a prevalência de fatores de risco e proteção para o período de 2006 a 2013 e intervalos de confiança de 95% (IC95%). Considerou-se como “pequenas áreas” a divisão do município em estratos de classificação de risco à saúde dada pelo Índice de Vulnerabilidade à Saúde (IVS) 2012. Resultados: As prevalências médias para o período foram: cerca de 42% de consumo regular de frutas e hortaliças, 34,7% de AFTL e 20,4% de consumo abusivo de bebidas. A prevalência de consumo de frutas e hortaliças foi maior nas áreas de baixo risco (58,5%; IC95% 56,8 – 60,2) e menor nas de risco muito elevado (32,3%; IC95% 27,7 – 36,9). A prática de AFTL foi maior nas áreas de baixo risco (40,8%; IC95% 38,9 – 42,8) e menor nas de risco muito elevado (25,2%; IC95% 20,6 – 29,9). O consumo abusivo de bebidas alcoólicas foi maior nas áreas de baixo risco (22,9%; IC95% 21,7 – 24,2) em comparação com as de risco muito elevado (14,3%; IC95% 11,4 – 17,3). Conclusão: Evidenciou-se gradiente na distribuição de fatores de risco e proteção em Belo Horizonte segundo o IVS. Essas informações podem apoiar programas destinados a reduzir as desigualdades em saúde, especialmente em áreas mais vulneráveis.
    Type of Medium: Online Resource
    ISSN: 1980-5497 , 1415-790X
    URL: Article
    DOI: 10.1590/1980-549720210013.supl.1
    Language: English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2021
    detail.hit.zdb_id: 2183366-7
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  • 5
    Online Resource
    Online Resource
    Associação entre fatores sociodemográficos e relacionados à saúde com a prática de caminhada em área rural
    FapUNIFESP (SciELO) ; 2018
    In:  Ciência & Saúde Coletiva Vol. 23, No. 4 ( 2018-04), p. 1323-1332
    Details
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 23, No. 4 ( 2018-04), p. 1323-1332
    Abstract: Abstract The regular practice of walking can contribute to a better quality of life, reducing the risk of cardiovascular disease. Objective: To assess the association between sociodemographic and health factors related to adult practice of walking in the Brazilian rural context. Methods: Cross-sectional study of 567 adults. The outcome variable was the regular practice of walking (≥150 minutes per week) and the explanatory variables were sociodemographic factors, anthropometric measures, laboratory tests and self-perceived health. The chi-square test and Poisson regression were used in analysis, considering p ≤ 0.05. Results: Only 34.7% of the population practices walking regularly. Women (PR 0.84, 95% CI 0.78-0.89), age of 31-45 years (OR 1.11, 95% CI 1.02-1.22, comparing to 18-30 years), and self-perception of poor/fair health (OR 0.90, 95% CI 0.84-0.97 comparing to people with great/good health) remained independently associated with regular practice of walking. Conclusion Age between 31 and 45 years and males were positively associated with walking and the perception of poor/fair health had negative association. These findings may suggest that public policies to encourage physical activity in urban areas should also be applied to rural areas.
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    URL: Article
    DOI: 10.1590/1413-81232018234.18242016
    Language: Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2018
    detail.hit.zdb_id: 3076373-3
    detail.hit.zdb_id: 2078799-6
    SSG: 7,36
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  • 6
    Online Resource
    Online Resource
    Consumo de bebidas alcoólicas e não alcoólicas: Resultados do ELSA-Brasil
    FapUNIFESP (SciELO) ; 2021
    In:  Ciência & Saúde Coletiva Vol. 26, No. suppl 2 ( 2021), p. 3825-3837
    Details
    In: Ciência & Saúde Coletiva, FapUNIFESP (SciELO), Vol. 26, No. suppl 2 ( 2021), p. 3825-3837
    Abstract: Abstract The study aims to describe the consumption of alcoholic and non-alcoholic beverages according to sociodemographic, health and location variables. Cross-sectional study with ELSA-Brasil data (2008-2010). A questionnaire was used to collect sociodemographic, food, health data and anthropometry. Descriptive analysis and association with variables of interest were carried out. In the sample, 8% of the total caloric value comes from non-alcoholic beverages (5.6%: sugary drinks), and 4% from alcoholic beverages (2.7%: beer). Consumers of unsweetened and artificially sweetened beverages reported moderate/strong physical activity, former smokers and higher education. The opposite was true for sugary drinks. Eutrophic people reported higher consumption of sugary drinks and those obese, artificially sweetened and beer. Alcohol consumption varied with age (young: beer; elderly: wine/spirits) and education (low education: beer/spirits; higher education: wine). Coffee, natural juice and soda were the most consumed non-alcoholic beverages and beer was the most prevalent alcoholic beverage. Consumption variation was observed according to geographic location. The consumption of sugary and alcoholic beverages is high in Brazil and public health strategies are required.
    Type of Medium: Online Resource
    ISSN: 1678-4561 , 1413-8123
    URL: Article
    DOI: 10.1590/1413-81232021269.2.30682019
    Language: Portuguese
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2021
    detail.hit.zdb_id: 3076373-3
    detail.hit.zdb_id: 2078799-6
    SSG: 7,36
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  • 7
    Online Resource
    Online Resource
    Conhecimento do diagnóstico, tratamento e controle do diabetes mellitus no Brasil
    Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais ; 2023
    In:  Revista de Saúde Pública Vol. 57, No. 1 ( 2023-10-26), p. 75-
    Details
    In: Revista de Saúde Pública, Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais, Vol. 57, No. 1 ( 2023-10-26), p. 75-
    Abstract: OBJETIVO: Estimar as proporções dos indivíduos que têm conhecimento do diagnóstico, tratamento e controle do diabetes mellitus (DM) na população adulta brasileira. MÉTODO: Este é um estudo transversal, com dados de amostra representativa da população brasileira, provenientes da Pesquisa Nacional de Saúde (PNS 2014/2015). Os desfechos foram definidos com base na medida de hemoglobina glicada (HbA1c), no diagnóstico autorreferido de DM e no uso de hipoglicemiantes ou de insulina. Estimou–se a proporção do conhecimento, tratamento e controle do DM de acordo com as características sociodemográficas, condição de saúde e de acesso aos serviços de saúde, e seus respectivos intervalos de 95% de confiança (IC95%). RESULTADOS: A prevalência de DM na população brasileira foi 8,6% (IC95% 7,8–9,3), 68,2% (IC95% 63,9–72,3) tinham conhecimento do seu diagnóstico, 92,2% (IC95% 88,6–94,7) dos que tinham conhecimento realizam tratamento medicamentoso, e desses, 35,8% (IC95% 30,5–41,6) tinham os níveis de HbA1c controlados. As proporções de conhecimento, controle e tratamento foram menores nos homens, com idade de 18 a 39 anos, indivíduos que possuem baixa escolaridade, sem plano de saúde e beneficiários do Programa Bolsa Família. CONCLUSÃO: Aproximadamente um em cada dez brasileiros apresenta DM. Um pouco mais da metade desta população tem conhecimento do seu diagnóstico, condição aferida por dosagem de HbA1c e diagnóstico clínico. Entre os que sabem, a grande maioria está sob tratamento medicamentoso. Porém, menos da metade destes tem seus níveis de HbA1c controlados. Cenários piores foram encontrados em subgrupos com alta vulnerabilidade social.
    Type of Medium: Online Resource
    ISSN: 1518-8787 , 0034-8910
    URL: Article
    DOI: 10.11606/s1518-8787.2023057005167
    Language: Unknown
    Publisher: Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais
    Publication Date: 2023
    detail.hit.zdb_id: 732179-X
    detail.hit.zdb_id: 2031055-9
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  • 8
    Online Resource
    Online Resource
    Elaboration and validation of a booklet on diabetes for Community Health Workers
    FapUNIFESP (SciELO) ; 2020
    In:  Revista Brasileira de Enfermagem Vol. 73, No. 4 ( 2020)
    Details
    In: Revista Brasileira de Enfermagem, FapUNIFESP (SciELO), Vol. 73, No. 4 ( 2020)
    Abstract: RESUMEN Objetivos: desarrollar y validar una cartilla sobre diabetes para los Agentes Sanitarios. Métodos: se trata de un estudio metodológico desarrollado en siete etapas: Estudio bibliográfico; Preparación de la cartilla; Cálculo de las fórmulas de legibilidad y aprehensibilidad; Validación de la cartilla por el comité de jueces; Discusión entre expertos; Validación de la cartilla por el público objetivo; y Discusión final entre los expertos. Diez jueces realizaron la validación vía e-Surv; y la prueba cara a cara, cinco Agentes Sanitarios, considerando el Coeficiente de Validez de Contenido mínimo de 0,80. Resultados: la cartilla tuvo un Coeficiente de Validez de Contenido promedio de 0,97 en la validación del comité de jueces, y las imágenes obtuvieron el 96,67% de aprobación. En la prueba cara a cara, los Agentes Sanitarios consideraron que el material era claro y apropiado para la función. Conclusiones: la cartilla se diseñó y se validó en cuanto a su contenido y a su relevancia y los Agentes Sanitarios podrán usarla en acciones de educación sobre la diabetes.
    Type of Medium: Online Resource
    ISSN: 1984-0446 , 0034-7167
    URL: Article
    DOI: 10.1590/0034-7167-2018-0899
    Language: English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2020
    detail.hit.zdb_id: 731983-6
    detail.hit.zdb_id: 2399925-1
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  • 9
    Online Resource
    Online Resource
    Elaboration and validation of an e-book with the laws about diabetes in schools
    FapUNIFESP (SciELO) ; 2022
    In:  Revista Brasileira de Enfermagem Vol. 75, No. 3 ( 2022)
    Details
    In: Revista Brasileira de Enfermagem, FapUNIFESP (SciELO), Vol. 75, No. 3 ( 2022)
    Abstract: RESUMO Objetivos: elaborar e validar um e-book sobre os direitos e deveres de crianças e adolescentes com diabetes nas escolas. Métodos: estudo metodológico, desenvolvido em nove etapas: definição do processo de criação, levantamento bibliográfico, elaboração do e-book, cálculo da legibilidade e apreensibilidade, ilustração, validação pelo comitê de juízes e público-alvo (mães de alunos com diabetes e equipe escolar), reuniões de especialistas e discussão final. Considerou-se aceitável o Coeficiente de Validade de Conteúdo mínimo de 0,80. Resultados: obteve-se o Coeficiente de Validade de Conteúdo médio de 0,97 para clareza e relevância, e as imagens tiveram 94% de aprovação. No teste face a face, o público-alvo considerou o material claro e adequado à finalidade proposta. Conclusões: o e-book foi elaborado e validado quanto a conteúdo e relevância, podendo ser utilizado para instruir a população acerca das leis sobre o diabetes nas escolas.
    Type of Medium: Online Resource
    ISSN: 1984-0446 , 0034-7167
    URL: Article
    DOI: 10.1590/0034-7167-2020-0711
    Language: English
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2022
    detail.hit.zdb_id: 731983-6
    detail.hit.zdb_id: 2399925-1
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  • 10
    Online Resource
    Online Resource
    Factors associated with the incidence of pressure ulcer during hospital stay
    FapUNIFESP (SciELO) ; 2017
    In:  Revista da Escola de Enfermagem da USP Vol. 51, No. 0 ( 2017)
    Details
    In: Revista da Escola de Enfermagem da USP, FapUNIFESP (SciELO), Vol. 51, No. 0 ( 2017)
    Abstract: Resumo OBJETIVO Estimar a taxa de incidência de úlcera por pressão e verificar fatores associados a essa ocorrência em uma coorte de pacientes hospitalizados. MÉTODO Trata-se de estudo de coorte no qual o desfecho foi a ocorrência da úlcera por pressão. A estimativa do efeito das variáveis para a proporção de incidência acumulada do desfecho foi realizada utilizando o modelo de riscos proporcionais de Cox. A seleção das variáveis ocorreu por meio do teste de hipóteses Logrank. RESULTADOS A amostra foi composta de 442 adultos, com 25 casos incidentes de úlcera por pressão. Pacientes com altos escores na escala de Braden apresentaram maior risco de incidência de úlcera por pressão quando comparados com aqueles classificados na categoria de baixo escore. CONCLUSÃO Os resultados reforçam a importância do uso da Escala de Braden para auxiliar na identificação dos pacientes com maior probabilidade de desenvolver úlcera por pressão.
    Type of Medium: Online Resource
    ISSN: 0080-6234
    URL: Article
    DOI: 10.1590/s1980-220x2016015803223
    Language: Unknown
    Publisher: FapUNIFESP (SciELO)
    Publication Date: 2017
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