DECPA - Artigos publicados em periódicos
URI permanente para esta coleçãohttp://www.hml.repositorio.ufop.br/handle/123456789/8506
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Resultados da Pesquisa
Item Subnotificação e invisibilidade da violência contra a mulher.(2016) Alcantara, Mirian Conceição Moreira; Souza, Rosemeire Rodrigues de; Caetano, Leandro Genuir de Assis; Louzada, Cibelle Ferreira; Silveira, Ana Raquel Paolinelli; Lima, Jacqueline de Oliveira; Gouveia, Marilene Altavina; Moura, Heliana Conceição de; Bonolo, Palmira de Fátima; Melo, Elza Machado deA violência contra mulheres configura situação pungente de ordem social no Brasil. A Portaria nº 104 de 25 de janeiro de 2011 tornou compulsória a notificação de violência, constituindo estratégia para reverter a subnotificação e ser instrumento de vigilância em saúde.Item Hypertension control : a positive deviance approach.(2014) Bonolo, Palmira de Fátima; Senger, Maria; Ramiro, Leonardo; Araújo, SamuelItem The influence of primary care and hospital supply on ambulatory care–sensitive hospitalizations among adults in Brazil, 1999–2007.(2011) Macinko, James; Oliveira, Veneza Berenice de; Turci, Maria Aparecida; Aguiar, Frederico Campos Guanais de; Bonolo, Palmira de Fátima; Costa, Maria Fernanda LimaItem Trends in primary health care-sensitive conditions in Brazil.(2011) Dourado, Inês; Oliveira, Veneza Berenice de; Aquino, Rosana; Bonolo, Palmira de Fátima; Costa, Maria Fernanda Lima; Medina, Maria Guadalupe; Mota, Eduardo; Turci, Maria Aparecida; Macinko, JamesThis study describes trends in hospital admission rates for primary healthcare-sensitive conditions (PHCSC) in Brazil.Item Dislipidemia e risco cardiovascular na terapia antirretroviral : o manejo dos fatores modificáveis.(2012) Souza Neto, Aureliano Inácio de; Peixoto, José Maria; Moura, Alexandre Sampaio; Bonolo, Palmira de FátimaA terapia antirretroviral (TARV) utilizada na infecção pelo HIV trouxe impacto na redução da morbidade e mortalidade. Entretanto as drogas utilizadas na TARV tendem a elevar os níveis lipídicos, redistribuir a gordura corporal e apresentar resistência insulínica. Espera-se que a incidência de doenças cardiovasculares prematuras aumente devido ao perfil de risco cardiovascular elevado e ao aumento da esperança de vida dos doentes infectados com HIV.Item Major expansion of primary care in brazil linked to decline In unnecessary hospitalization.(2010) Macinko, James; Dourado, Inês; Aquino, Rosana; Bonolo, Palmira de Fátima; Costa, Maria Fernanda Lima; Medina, Maria Guadalupe; Mota, Eduardo; Oliveira, Veneza Berenice de; Turci, Maria AparecidaIn 1994 Brazil launched what has since become the world’s largest community-based primary health care program. Under the Family Health Program, teams consisting of at least one physician, one nurse, a medical assistant, and four to six trained community health agents deliver most of their services at community-based clinics. They also make regular home visits and conduct neighborhood health promotion activities. This study finds that during 1999–2007, hospitalizations in Brazil for ambulatory care–sensitive chronic diseases, including cardiovascular disease, stroke, and asthma, fell at a rate that was statistically significant and almost twice the rate of decline in hospitalizations for all other causes. In municipalities with high Family Health Program enrollment, chronic disease hospitalization rates were 13 percent lower than in municipalities with low enrollment, when other factors were held constant. These results suggest that the Family Health Program has improved health system performance in Brazil by reducing the number of potentially avoidable hospitalizations.Item Vulnerability and non-adherence to antiretroviral therapy among HIV patients, Minas Gerais State, Brazil.(2008) Bonolo, Palmira de Fátima; Machado, Carla Jorge; César, Cibele Comini; Ceccato, Maria das Graças Braga; Guimarães, Mark Drew CroslandThe aim of the present study was to describe vulnerability profiles and to verify their association with non-adherence to antiretroviral therapy (ART) among 295 HIV-patients receiving their first prescription in two public-referral centers in Minas Gerais States, Brazil. The cumulative incidence of non-adherence was 36.9%. Three pure vulnerability profiles (lower, medium and higher) were identified based on the Grade of Membership method (GoM). Pure type patients of the “higher vulnerability” profile had, when compared to the overall sample, an increased probability of being younger, not understanding the need of ART, having a personal reason to be HIV-tested, not disclosing their HIV status, having more than one (non-regular) sexual partner, reporting use of alcohol, tobacco and illicit drugs, and having sex among men. Non-adherence to ART was statistically associated (p < 0.001) with this profile. Also, the heterogeneity of the sample was found to be high, since over 40% were mixed type. The implications are that health staff should be trained to develop strategies for incorporating risk-reduction interventions, bearing in mind the three dimensions of vulnerability and the diversity of those patients initiating antiretroviral therapy.Item Compreensão da terapia anti-retroviral : uma aplicação de modelo de traço latente.(2008) Ceccato, Maria das Graças Braga; Acúrcio, Francisco de Assis; César, Cibele Comini; Bonolo, Palmira de Fátima; Guimarães, Mark Drew CroslandThe aim of this study was to develop a score to determine the level of understanding regarding information on antiretroviral therapy (ART) among patients initiating treatment. This was a cross-sectional analysis based on interviews with HIV patients in outpatient public referral centers (Belo Horizonte, Minas Gerais State, Brazil). The score for patients’ understanding of their medicines was obtained using a latent trait model, estimated by the Item Response Theory, based on the concordance between each patient answer and the written prescription. Hierarchical linear regression was used to assess patients’ global understanding of ART, considering each class of drugs (level 1) and the individual (level 2). Among 406 patients, 37.9% failed to reach a minimum level of understanding of their treatment. The item with the highest level of difficulty was “precaution in use”. The item “dosage” showed the most varied understanding of ART. A high proportion of patients displayed minimal understanding of ART, indicating a high potential risk for non-adherence to therapy. It is thus necessary to identify factors associated with insufficient understanding of ART.Item Hypercholesterolemia among servers at a public university in Minas Gerais.(2014) Fiorezi, Janaina Maria Setto; Bonolo, Palmira de Fátima; Franceschini, Sylvia do Carmo CastroA hipercolesterolemia e importante fator de risco para o desenvolvimento de doenças cardiovasculares, o que representa problema de saude publica. O objetivo deste trabalho foi verificar a frequencia de hipercolesterolemia entre servidores atendidos em servico de saude de uma universidade publica mineira. Trata-se de estudo transversal, de abordagem quantitativa, cujos dados foram coletados no banco de dados do laboratorio de analises clinicas do servico de saude. A populacao estudada foi constituida de 662 servidores (docentes e servidores tecnico-administrativos) ativos da universidade, de ambos os sexos, de 19 a 65 anos de idade. A hipercolesterolemia esteve presente em 51,7% dos exames, sendo que a idade media foi de 52,9 } 7,6 anos e o valor medio de CT de 205,3 } 42,9 mg/dL. Houve diferenca de medias de colesterol total (p=0,026) e idade (p=0,021). A analise da frequencia de fatores de risco cardiovasculares modificaveis entre trabalhadores de uma instituicao possibilita planejar politicas de atencao a saude do trabalhador.Item Elderly patients attended in emergency health services in Brazil: a study for victims of falls and traffic accidents.(2015) Freitas, Mariana Gonçalves de; Bonolo, Palmira de Fátima; Moraes, Edgar Nunes de; Machado, Carla JorgeThe article aims to describe the profile of elderly victims of falls and traffic accidents from the data of the Surveillance Survey of Violence and Accidents (VIVA). The VIVA Survey was conducted in the emergency health-services of the Unified Health System in the capitals of Brazil in 2011. The sample of elderly by type of accident was subjected to the two-step cluster procedure. Of the 2463 elderly persons in question, 79.8% suffered falls and 20.2% were the victims of traffic accidents. The 1812 elderly who fell were grouped together into 4 clusters: Cluster 1, in which all had disabilities; Cluster 2, all were non-white and falls took place in the home; Cluster 3, younger and active seniors; and Cluster 4, with a higher proportion of seniors 80 years old or above who were white. Among cases of traffic accidents, 446 seniors were grouped into two clusters: Cluster 1 of younger elderly, drivers or passengers; Cluster 2, with higher age seniors, mostly pedestrians. The main victims of falls were women with low schooling and unemployed; traffic accident victims weremostly younger and male. Complications were similar in victims of falls and traffic accidents. Clusters allow adoption of targeted measures of care, prevention and health promotion.